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Stage 2 Core Measures

Eligible hospitals (EHs) and Critical Access Hospitals (CAHs) must attest to 16 core measures for Stage 2 Meaningful Use. Each measure has an objective that aligns with the dimensions of EHR use and functionality that the concept of meaningful use seeks to capture. Most of these objectives have been revisited from Stage 1 Meaningful Use. The measure itself is a benchmark of achievement for the objective: for example, the measures often require that an EP use his EHR in the way specified by the objective for a specified percent of patients. These benchmarks have progressed from the basic functionality and use in Stage 1 Meaningful Use.

As with Stage 1, the CMS technical specification for each measure will be the best single source of information, and each specification is linked from the list of objectives below.

1 Use computerized provider order entry (CPOE) 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.
2 Record all of the following demographics: preferred language, sex, race, ethnicity, date of birth, date and preliminary cause of death in the event of mortality in the eligible hospital or CAH.
3 Record and chart changes in the following vital signs: height/length and weight (no age limit); blood pressure (ages 3 and over); calculate and display body mass index (BMI); and plot and display growth charts for patients 0-20 years, including BMI.
4 Record smoking status for patients 13 years old or older.
5 Use clinical decision support to improve performance on high-priority health conditions.
6 Provide patients the ability to view online, download, and transmit information about a hospital admission.
7 Protect electronic health information created or maintained by the Certified EHR Technology through the implementation of appropriate technical capabilities.
8 Incorporate clinical lab test results into Certified EHR Technology as structured data.
9 Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, research, or outreach.
10 Use clinically relevant information from Certified EHR Technology to identify patient-specific education resources and provide those resources to the patient.
11 The eligible hospital or CAH who receives a patient from another setting of care or provider of care or believes an encounter is relevant should perform medication reconciliation.
12 The eligible hospital or CAH who transitions their patient to another setting of care or provider of care or refers their patient to another provider of care provides a summary care record for each transition of care or referral.
13 Capability to submit electronic data to immunization registries or immunization information systems except where prohibited, and in accordance with applicable law and practice.
14 Capability to submit electronic reportable laboratory results to public health agencies, where except where prohibited, and in accordance with applicable law and practice.
15 Capability to submit electronic syndromic surveillance data to public health agencies, except where prohibited, and in accordance with applicable law and practice.
16 Automatically track medications from order to administration using assistive technologies in conjunction with an electronic medication administration record (eMAR).