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.
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.
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:
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.