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Stage 2 Core Measure 8

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Objective: Provide clinical summaries for patients for each office visit.
Measure: Clinical summaries provided to patients or patient-authorized representatives within 1 business day for more than 50 percent of office visits.
Exclusion: Any EP who has no office visits during the EHR reporting period.

CMS Specification Sheet

TennCare Notes
This objective and measure aligns with Core Measure 13 in Stage 1 Meaningful Use. Although the threshold of 50 percent remains unchanged, the timeframe for providing the clinical summaries has been reduced from three business days to one.

Federal Regulations Governing This Measure

CMS' Final Rule

§495.6(j)(11)(ii) see objective, measure and exclusion above

Standards and Certification Final Rule

§ 170.314(e)(2) Clinical summaries (Ambulatory setting only)
 (i) Create - Enable a user to create a clinical summary for a patient in human readable format and formatted according to the standards adopted at §170.205(a)(3).
(ii) Customization - Enable a user to customize the data included in the clinical summary.
(iii) Minimum data from which to select - EHR technology must permit a user to select, at a minimum, the following data when creating a clinical summary:

  • Common MU Data Set (which, for the human readable version, should be in their English representation if they associate with a vocabulary/code set).
  • The provider’s name and office contact information; date and location of visit; reason for visit; immunizations and/or medications administered during the visit; diagnostic tests pending; clinical instructions; future appointments; referrals to other providers; future scheduled tests; and recommended patient decision aids.

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.  

§ 170.205(a)(3) Clinical summary. HL7 Implementation Guide for CDA® Release 2: IHE Health Story Consolidation, (incorporated by reference in § 170.299). The use of the “unstructured document” document level template is prohibited.