Meaningful Use Basics

MEANINGFUL USE BASICS
Medicare $44,000 Medicaid $63,000
What is Meaningful Use?

Meaningful Use is an umbrella term for rules and regulations that health care providers can meet to
qualify for federal incentive funding under the American Recovery and Reinvestment Act of 2009, also
known as the ARRA. The Act authorizes the Centers for Medicare & Medicaid Services, known as
CMS, to provide reimbursement incentives for Eligible Professionals (EPs) that make a constant effort
to keep up with and meet the Meaningful Use criteria and metrics.
What has to be reported?

1. EPs must report on the following:
A. All 15 Core Measures (note: one of the required core measures is that EPs report Clinical
Quality Measures, also known as CQMs)
B. 5 out of 10 of the Menu Measures; at least 1 Public Health Measure must be selected.
C. A sum total of up to 9 CQMs; 3 core, up to 3 alternate core, and 3 additional CQMs. If an
EP reports a denominator of 0 for any of the 3 core measures, the EP must record for an
alternate core CQM to supplement the core measure. Therefore, an EP may report a
minimum of 6 and a maximum of 9 CQMs depending on the resulting values in the
denominators for the core measures as reported from heir certified EHR.
How do I register for and attest in Meaningful Use?

To enroll, go to https://ehrincentives.cms.gov/hitech/login.action.
How do I calculate my measures?

Go to http://www.cms.gov/apps/ehr/meaningful-use-calculator.aspx
Office Ally | 16703 SE McGillivray Blvd | Vancouver, WA 98683

www.officeally.com
Phone: 866.575.4120
Fax: 360.896.2151
Meaningful Use Basics |2
What are Office Allys certification numbers?
Office Allys CCHIT Certification Number: CC-1112-490300-1

Office Allys CMS Certification Number: 30000001SVL7EAK (used for attestation)
What are the 15 Core Measures?

1. CPOE/CPOE for Medication Orders (Must use online e-Prescription to meet the numerator
of this measure)
A. Where to find it in EHR: Patient Chart/SOAP Note/online e-Prescription/Finish/Add
to Current Meds or Print Rx/Add to Current Meds
B. Objective: Use computerized provider order entry (CPOE) for medication orders directly
entered by any licensed healthcare professional who can enter orders into the medical record
per state, local and professional guidelines
C. Measure: >30%
D. Numerator: The number of patients in the denominator that have at least one medication
order entered using CPOE
E. Denominator: Number of unique patient with at least one medication in their medication
list seen by the EP during the EHR reporting period
2. DDI, DAI Checks/Drug Interaction Checks (Online e-Prescription must be enabled in order to
meet this measure)
A. Where to find it In EHR: Patient Chart/SOAP Note/online e-Prescription
B. Objective: Maintain active medication list
C. Measure: n/a
D. Numerator: n/a
E. Denominator: n/a
3. Diagnosis/Maintain Problem List
A. Where to find it in EHR: Patient Chart/SOAP Note
B. Objective: Maintain an up-to-date problem list of current and active diagnoses
C. Measure: >80%
D. Numerator: Number of patients in the denominator who have at least one entry or an
indication that no problems are known for the patient recorded as structured data in their
problem list
E. Denominator: Number of unique patients seen by the EP during the EHR reporting
period

www.officeally.com
Phone: 866.575.4120
Fax: 360.896.2151

4. ePrescribe/e-Prescribing (eRx) (Must use online e-Prescription to meet this measure)
A. Where to find it in EHR: Patient Chart/SOAP Note/online e-Prescription/Transmit Rx
B. Objective: Generate and transmit permissible prescriptions electronically
C. Measure: >30%
D. Numerator: Number of prescriptions written for drugs requiring a prescription in order to
be dispensed other than controlled substances during the EHR reporting period
E. Denominator: Number of prescriptions written for drugs requiring a prescription in order
to be dispensed other than controlled substances during the EHR reporting period
5. Active Meds/Active Medication List
B. Objective: Maintain active medication list
C. Measure: >80%
D. Numerator: Number of patients in the denominator who have a medication (or an
indication that the patient is not currently prescribed any medication) recorded as structured
data
period
6. Active Allergy/Medication Allergy List
B. Objective: Maintain active medication allergy list
C. Measure: >80%
D. Numerator: Number of unique patients in the denominator who have at least one entry )or
an indication that the patient has no known medication allergies) recorded as structured data
in their medication allergy list
E. Denominator: Number of unique patient seen by the EP during the EHR reporting period
7. Demographics/Record Demographics
A. Where to find it in EHR: Patient Chart/Edit Demographics
B. Objective: Record all of the following demographics: preferred language, gender, race
ethnicity and date of birth
C. Measure: >50%
D. Numerator: Number of patients in the denominator who have all of the elements of
demographics (or a specific exclusion if the patient declined to provide one or more
elements or if recording an element is contrary to state law) recorded as structured data
period

www.officeally.com
Phone: 866.575.4120
Fax: 360.896.2151

8. Vitals/Record Vital Signs
B. Objective: Record and chart changes in the following vital signs: height, weight, blood
pressure
C. Measure: >50%
D. Numerator: Number of patients in the denominator who have at least one entry of their
height, weight, and blood pressure recorded as structured data
E. Denominator: Number of unique patients age 2 or over seen by the EP during the EHR
reporting period
9. Smoking Stat/Record Smoking Status
A. Where to find it in EHR: Patient Chart/ SOAP Note
B. Objective: Record smoking status for patients 13 yours old or older
C. Measure: >50%
D. Numerator: Number of patients in the denominator with smoking status recorded as
structured data
E. Denominator: Number of unique patient age 13 or older seen by the EP during the EHR
reporting period
10. CQMs/Clinical Quality Measures
A. Where to find it in EHR: Manage Office/SOAP Note Layout/NQF Recommendations;
Patient Chart/SOAP Note/NQF Recommendation
B. Objective: Report ambulatory clinical quality measure to CMS
C. Measure: n/a
D. Numerator: n/a
E. Denominator: n/a
11. CDSR/Clinical Decision Support Rule
A. Where to find it in EHR: Manage Office/Clinical Alerts; Patient Chart/SOAP
Note/Check Clinical Decisions
B. Objective: Implement one clinical decision support rule relevant to specialty or high clinical
priority along with the ability to track compliance with that rule
C. Measure: n/a
D. Numerator: n/a
E. Denominator: n/a
12. Access Info 2/Electronic Copy of Health Information
A. Where to find it in EHR: Document Center/Patient Requests
B. Objective: Provide patients with an electronic copy of their health information (including
diagnostic test results, problem list, medication lists, medication allergies) upon request
C. Measure: >50%
D. Numerator: Number of patients in the denominator who receive an electronic copy of
their electronic health information within 3 business days
E. Denominator: Number of patients of the EP who request an electronic copy of their
electronic health information 4 business days prior to the end of the EHR reporting period
www.officeally.com
Phone: 866.575.4120
Fax: 360.896.2151

13. Clin Sum/Clinical Summaries
A. Where to find it in EHR: References/Patient Visist Summary; Patient Chart/SOAP
Note/MU Checklist
B. Objective: Provide clinical summaries for patients for each office visit
C. Measure: >50%
D. Numerator: Number of office visits in the denominator for which the patient is provided a
clinical summary within 3 business days and have the MU Checklist box checked for I have
provided the Patient Clinical Summaries within 3 business days since their office visit.
E. Denominator: Number of office visits by the EP during the EHR reporting period
14. Exch Clin Info/Electronic Exchange of Clinical Information
A. Where to find it in EHR: Patient Chart/Others/Export Clinical Exchange Info.
B. Objective: Capability to exchange key clinical information (for example, problem list,
medication list, medication allergies and diagnostic test results), among providers of care and
patient authorized entities electronically
C. Measure: n/a
D. Numerator: n/a
E. Denominator: n/a
15. Protect Elec Health Info/Protect Electronic Health Information
A. Where to find it in EHR: Manage Office/Security Alerts/Audit Log Report, Security
Audit Log
B. Objective: Protect electronic health information created or maintained by the certified
HER technology through the implementation of appropriate technical capabilities
C. Measure: n/a
D. Numerator: n/a
E. Denominator: n/a
What are the 10 Menu Measures?

1. DF Checks/Drug Formulary Checks (Online e-Prescription must be enabled in order to meet this measure)
A. Where to find it in EHR: Patient Chart/SOAP note/online e-Prescription
B. Objective: Implement drug formulary checks
C. Measure: n/a
D. Numerator: n/a
E. Denominator: n/a

www.officeally.com
Phone: 866.575.4120
Fax: 360.896.2151

2. Lab Results/Clinical Lab Test Results
A. Where to find it in EHR: Document Center/Orders/Add New; Document
Center/Orders/Lab Radiology Order List/Add/Edit Manual Result
B. Objective: Incorporate clinical lab test results into HER as structured data
C. Measure: >40%
D. Numerator: Number of lab test results whose results are expressed in a positive or negative
affirmation or as a number which are incorporated as structured data
E. Denominator: Number of lab tests ordered during the HER reporting period by the EP
whose results are expressed in a positive or negative affirmation or as a number
3. Pat Lists/Patient Lists
A. Where to find it in EHR: References/Meaningful Use Reports/Patient List
B. Objective: Protect electronic health information created or maintained by the certified
EHR technology through the implementation of appropriate technical capabilities
C. Measure: n/a
D. Numerator: n/a
E. Denominator: n/a
4. Pat Remind/Patient Reminders
A. Where to find it in EHR: References/Meaningful Use Reports/Patient Reminders
B. Objective: Send reminders to patients per patient preference for preventative/follow-up
care
C. Measure: >20%
D. Numerator: Number of patients in the denominator who where sent the appropriate
reminder
E. Denominator: Number of unique patients 65 years old or older or 5 years old or younger
5. Access Info 1/Patient Electronic Access (Patient Ally)
A. Where to find it in EHR: Patient Chart/Edit Demographics; Manage Office/Patient Ally
Activation
B. Objective: Provide patients with timely electronic access to their health information
(including lab results, problem list, medication lists and allergies) within 4 business days of
information being available to the EP
C. Measure: >10%
D. Numerator: Number of patients in the denominator who have timely (available to the
patient within 4 business days of being updated in the certified EHR technology) electronic
access to their health information online
period

www.officeally.com
Phone: 866.575.4120
Fax: 360.896.2151

6. Edu Res 1/Patient-specific Education Resources
A. Where to find it in EHR: Document Center/Education Resources; Patient Chart/SOAP
Note/MU Checklist
B. Objective: Use certified EHR technology to identify patient-specific education resources
and provide those resources to the patient if appropriate
C. Measure: >10%
D. Numerator: Number of patients in the denominator who are provided patient-specific
education resources and have the MU Checklist box checked for I have provided patient
specific education resources to the Patient for this encounter.
period
7. Med Recon/Medication Reconciliation
A. Where to find it in EHR: Patient Char/SOAP Note/MU Checklist
B. Objective: The EP who receives a patient from another setting of care or provider of care
or believes an encounter is relevant should perform medication reconciliation
C. Measure: >50%
D. Numerator: Number of transitions of care in the denominator where medication
reconciliation was performed and the MU Checklist box checked for I performed
medication reconciliation for this patient.
E. Denominator: Number of transitions of care during the EHR reporting period for which
the EP was the receiving party of the transition and the MU Checklist box checked for This
Patient was referred to me or needed medication reconciliation (transfer of care).
8. Referrals/Transition of Care Summary
A. Where to find it in EHR: Patient Chart/SOAP Note/ MU Checklist
B. Objective: The EP who transitions their patient to another setting of care or provider of
care or refers their patient to another provider of care should provide a summary of care
record for each transition of care or referral
C. Measure: >50%
D. Numerator: Number of transitions of care and referrals in the denominator where a
summary of care record was provided and the MU Checklist box checked for A Patient
Visit Summary was issued for referral/transfer of care.
E. Denominator: Number of transitions of care and referrals during the EHR reporting
period for which the EP was the transferring or referring provider and the MU Checklist
box checked for I am referring this Patient to another setting of care or provider of care.
9. Immunization Submission/Immunization Registries Data Submission
A. Where to find it in EHR: References/Meaningful Use Reports/Immunizations
B. Objective: Capability to submit electronic data to immunization registries or immunization
information systems and actual submission according to applicable law and practice
C. Measure: n/a
D. Numerator: n/a
E. Denominator: n/a
www.officeally.com
Phone: 866.575.4120
Fax: 360.896.2151

10. Syndromic Surveillance Submission/Syndromic Surveillance Data Submission
A. Where to find it in EHR: References/Meaningful Use Reports/Syndromes
B. Objective: Capability to submit electronic Syndromic surveillance data to public health
agencies and actual submission according to applicable law and practice
C. Measure: n/a
D. Numerator: n/a
E. Denominator: n/a
What is the Reporting Period?

The reporting period must be at least 90 consecutive days within the calendar year. After the first 90
day period, each consecutive reporting period thereafter becomes 1 year long.
What reports does Office Ally offer?

1. Automate Measure The report that shows the numerator and denominator for each Measure,
and whether or not youre meeting them.
2. CMS Quality Reporting The report that shows the numerator and denominator for each
NQF.
3. Immunizations A report that allows the provider to track the immunizations that theyve
administered.
4. Patient List A search engine that allows the provider to search through his or her patients
using very specific search parameters if needed.
5. Patient Reminders Allows the provider to record reminders for all patients. Print and
export options are available for this report.
6. MU Attestation List For those Core and Menu Measures that are met by a simple yes, this
is where those measures can be acknowledged, and therefore met.

www.officeally.com
Phone: 866.575.4120
Fax: 360.896.2151

Meaningful Use Basics

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MEANINGFUL USE BASICS

Medicare $44,000 Medicaid $63,000

What is Meaningful Use?

What has to be reported?

How do I register for and attest in Meaningful Use?

How do I calculate my measures?

Office Ally | 16703 SE McGillivray Blvd | Vancouver, WA 98683