Dissecting Stage 2 of EHR Adoption

Stage 2 like Stage 1 includes core and menu objectives for both eligible professionals and eligible hospitals. Objectives are a key part of meeting meaningful use and receiving incentive payments. Here are the Stage 2 objectives.

Core Objectives – all are required.

1. CPOE – Use CPOE for more than 60% of medication, 30% of laboratory, and 30% of radiology
2. E-Rx – E-Rx for more than 50%
3. Demographics – Record demographics for more than 80%
4. Vital Signs – Record vital signs for more than 80%
5. Smoking Status – Record smoking status for more than 80%
6. Interventions – Implement 5 clinical decision support interventions + drug/drug and drug/allergy
7. Labs – Incorporate lab results for more than 55%
8. Patient List – Generate patient list by specific condition
9. Preventive Reminders – Use EHR to identify and provide reminders for preventive/follow-up care for more than 10% of patients with two or more office visits in the last 2 years
10. Patient Access – Provide online access to health information for more than 50% with more than 5% actually accessing
11. Visit Summaries – Provide office visit summaries for more than 50% of office visits
12. Education Resources – Use EHR to identify and provide education resources more than 10%
13. Secure Messages – More than 5% of patients send secure messages to their EP
14. Rx Reconciliation – Medication reconciliation at more than 50% of transitions of care
15. Summary of Care – Provide summary of care document for more than 50% of transitions of care and referrals with 10% sent electronically and at least one sent to a recipient with a different EHR vendor or successfully testing with CMS test EHR
16. Immunizations – Successful ongoing transmission of immunization data
17. Security Analysis – Conduct or review security analysis and incorporate in risk management process

Menu Objectives – Select 3 of 6

1. Imaging Results – More than 20% of imaging results are accessible through Certified EHR Technology
2. Family History – Record family health history for more than 20%
3. Syndromic Surveillance – Successful ongoing transmission of syndromic surveillance data
4. Cancer – Successful ongoing transmission of cancer case information
5. Specialized Registry – Successful ongoing transmission of data to a specialized registry
6. Progress Notes – Enter an electronic progress note for more than 30% of unique patients

Core Objectives – all are required.

1. CPOE – Use CPOE for more than 60% of medication, 30% of laboratory, and 30% of radiology
2. Demographics – Record demographics for more than 80%
3. Vital Signs – Record vital signs for more than 80%
4. Smoking Status – Record smoking status for more than 80%
5. Interventions – Implement 5 clinical decision support interventions + drug/drug and drug/allergy
6. Labs – Incorporate lab results for more than 55%
7. Patient List
   Generate patient list by specific condition
8. eMAR – eMAR is implemented and used for more than 10% of medication orders
9. Patient Access – Provide online access to health information for more than 50% with more than 5% actually accessing
10. Education Resources – Use EHR to identify and provide education resources more than 10%
11. Rx Reconciliation – Medication reconciliation at more than 50% of transitions of care
12. Summary of Care – Provide summary of care document for more than 50% of transitions of care and referrals with 10% sent electronically and at least one sent to a recipient with a different EHR vendor or successfully testing with CMS test EHR
13. Immunizations – Successful ongoing transmission of immunization data
14. Labs – Successful ongoing submission of reportable laboratory results
15. Syndromic Surveillance – Successful ongoing submission of electronic syndromic surveillance data
16. Security Analysis – Conduct or review security analysis and incorporate in risk management process

Menu Objectives – Select 3 of 6

1. Progress Notes – Enter an electronic progress note for more than 30% of unique patients
2. E-Rx – More than 10% electronic prescribing (eRx) of discharge medication orders
3. Imaging Results – More than 20% of imaging results are accessible through Certified EHR Technology
4. Family History – Record family health history for more than 20%
5. Advanced Directives – Record advanced directives for more than 50% of patients 65 years or older
6. Labs – Provide structured electronic lab results to EPs for more than 20%