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Meaningful Use

Please note: The CQM's and Value Sets defined in the final rule for stage 2 of meaningful use are not linked to a specific stage of meaningful use but rather to an implementation year (2014) and they are therefore referenced as 2014 CQMs or 2014 eCQMs. All participants in the EHR Incentive Program must report on the 2014 CQMs beginning in 2014 whether they are in stage 1 or stage 2 of meaningful use.
Meaningful Use
Objectives
2011-2013 Clinical Quality
Measures
2014 Clinical Quality
Measures
Eligible Professionals
  • Must report on the following:
    • 15 core objectives
    • 5 objectives out of 10 from menu set
  • Reporting is done through attestation
  • To meet certain objectives, 80% of patients must have records in the certified EHR technology
  • Must report on the following:
    • 6 Clinical Quality Measures (NQF Quality Measures)
      • 3 core measures required: 0013, 0028a/ 0028b, 0421 (if denominator is zero for any of the required measures, EPs must choose from an alternate core measure: 0024, 0038, 0041)
      • 3 measures from remaining 38
  • Eligible Professionals must report on 9 out of 64 total CQMs
  • Must select CQMs from at least 3 of the 6 key health care policy domains recommended by the DHHS National Quality Strategy:
Eligible
Hospitals
  • Must report on the following:
    • 14 core objectives
    • 5 objectives out of 10 from menu set
  • Reporting is done through attestation
  • To meet certain objectives, 80% of patients must have records in the certified EHR technology
  • Must report on all 15 of the Clinical Quality Measures from the HITSP Technical Note 906 (TN906)
  • Eligible Hospitals must report on 16 out of 29 total CQMs
  • Must select CQMs from at least 3 of the 6 key health care policy domains recommended by the DHHS National Quality Strategy:
Federal Register: Meaningful Use Stage 1 Final Rule
Please note: The CQM's and Value Sets defined in the final rule for stage 2 of meaningful use are not linked to a specific stage of meaningful use but rather to an implementation year (2014) and they are therefore referenced as 2014 CQMs or 2014 eCQMs. All participants in the EHR Incentive Program must report on the 2014 CQMs beginning in 2014 whether they are in stage 1 or stage 2 of meaningful use.
Meaningful Use
Objectives
2014 Clinical Quality
Measures
Eligible Professionals
  • Must report on the following:
    • 17 core objectives
    • 3 objectives out of 6 from menu set
  • Eligible Professionals must report on 9 out of 64 total CQMs
  • Must select CQMs from at least 3 of the 6 key health care policy domains recommended by the DHHS National Quality Strategy:
Eligible
Hospitals
  • Must report on the following:
    • 16 core objectives
    • 3 objectives out of 6 from menu set
  • Eligible Hospitals must report on 16 out of 29 total CQMs
  • Must select CQMs from at least 3 of the 6 key health care policy domains recommended by the DHHS National Quality Strategy:
Federal Register: Meaningful Use Stage 2 Final Rule
*Tables have been updated to reflect the corrections published by CMS on October 23, 2012. Final Rule; CorrectionExit Disclaimer
  • Expected to be implemented in 2016
  • CMS anticipates that Stage 3 meaningful use criteria will focus on: promoting improvements in quality, safety and efficiency leading to improved health outcomes; focusing on decision support for national high priority conditions; patient access to self-management tools; access to comprehensive patient data through robust, secure, patient-centered health information exchange; and improving population health. For Stage 3, CMS currently intends to propose higher standards for meeting meaningful use. For example, CMS intends to propose that every objective in the menu set for Stage 2 be included in Stage 3 as part of the core set. While the use of a menu set allows providers flexibility in setting priorities for EHR implementation and takes into account their unique circumstances, CMS maintains that all of the objectives are crucial to building a strong foundation for health IT and to meeting the objectives of the HITECH Act. In addition, as the capabilities of HIT infrastructure increase, CMS may raise the thresholds for these objectives in both Stage 2 and Stage 3. (from Stage 2 Meaningful Use Final Rule) Exit Disclaimer [www.ofr.gov]
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