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Stage 2 Core Measure 7

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Objective: Provide patients the ability to view online, download, and transmit their health information within 4 business days of the information being available to the EP.
Measure:

  1. More than 50 percent of all unique patients seen by the EP during the EHR reporting period are provided timely (available to the patient within 4 business days after the information is available to the EP) online access to their health information subject to the EP's discretion to withhold certain information; and
  2. More than 5 percent of all unique patients seen by the EP during the EHR reporting period (or their authorized representatives) view, download or transmit to a third party their health information.
Exclusion:
  1. Any EP who neither orders nor creates any of the information listed for inclusion as part of Measures A and B, except for "Patient name" and "Provider's name and office contact information," is excluded from both Measures A and B; or
  2. Any EP who conducts 50 percent or more of his or her patient encounters in a county that does not have 50 percent or more of its housing units with 3Mbps broadband availability according to the latest information available from the FCC on the first day of the EHR reporting period is excluded from Measure B.

CMS Specification Sheet

TennCare Notes
This objective and measure corresponds with Menu Measure 5 in Stage 1 Meaningful Use, with the idea of "timely electronic access" now the "ability to view online, download, and transmit" health information. Measure A increases the Stage 1 threshold to 50 percent, while Measure B adds another dimension: that a percentage of patients must then take advantage of this access to view, download, or transmit their health information. The Measure A exclusion aligns with the Stage 1 exclusion, with the Measure B exclusion recognizing that EPs working in areas with lower broadband availability may encounter obstacles in patients accessing their health information online.

Federal Regulations Governing This Measure

CMS' Final Rule

§ 495.6(j)(10)(ii)(A) see objective and measure above
§ 495.6(j)(10)(ii)(B) see objective and measure above
§ 495.6(j)(10)(ii)(C) see objective and measure above

Standards and Certification Final Rule

§ 170.314(e)(1) View, download, and transmit to third party.
(i) EHR technology must provide patients (and their authorized representatives) with an online means to view, download, and transmit to a 3rd party the data specified below. Access to these capabilities must be through a secure channel that ensures all content is encrypted and integrity-protected in accordance with the standard for encryption and hashing algorithms specified at § 170.210(f).
    (A) View - Electronically view in accordance with the standard adopted at § 170.204(a), at
           a minimum, the following data:
               i. The Common MU Data Set (which should be in their English (i.e., non-coded)
                  representation if they associate with a vocabulary/code set).
              ii. Provider’s name and office contact information.
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.  

§ 170.204(a) Accessibility. Web Content Accessibility Guidelines (WCAG) 2.0, Level A Conformance (incorporated by reference in § 170.299).

 § 170.210(f) Encryption and hashing of electronic health information.  Any encryption and hashing algorithm identified by the National Institute of Standards and Technology (NIST) as an approved security function in Annex A of the FIPS Publication 140-2 (incorporated by reference in § 170.299).