Stage 2 Core Measure 1
Objective:Use computerized provider order entry for medication, laboratory, and radiology orders directly entered by any licensed healthcare professional who can enter orders into the medical record per State, local, and professional guidelines.
- More than 60 percent of medication orders created by the EP during the EHR reporting period are recorded using computerized provider order entry;
- More than 30 percent of laboratory orders created by the EP during the EHR reporting period are recorded using computerized provider order entry; and
- More than 30 percent of radiology orders created by the EP during the EHR reporting period are recorded using computerized provider order entry.
CMS Specification Sheet
- For Measure A, any EP who writes fewer than 100 medication orders during the EHR reporting period.
- For Measure B, any EP who writes fewer than 100 laboratory orders during the EHR reporting period.
- For Measure C, any EP who writes fewer than 100 radiology orders during the EHR reporting period.
This objective and measure establishes a progression from its Stage 1 counterpart, Core Measure 1. The objective has been expanded to include laboratory and radiology orders in addition to medication orders. In Stage 1, this measure had only one numerator and denominator based on medication orders. For Stage 2, EPs will be required to attest to three sets of numerators and denominators differentiated by type of computerized provider order entry (CPOE): medication orders, laboratory orders, and radiology orders. Note that the thresholds are lower for laboratory and radiology orders. Additionally, each measure has a corresponding exclusion.
Federal Regulations Governing This Measure
CMS' Final Rule
§ 495.6(j)(1)(ii) see objective, measure and exclusion above
Standards and Certification Final Rule
§ 170.314(a)(1) Computerized provider order entry. Enable a user to electronically record, change, and access the following order types, at a minimum:
(2) Laboratory; and
Depending on the type of certification issued to the EHR technology, it will also have been certified to the certification criterion adopted at 45 CFR 170.314 (g)(1), (g)(2), or both, in order to assist in the calculation of this meaningful use measure.