Eligible hospitals (EHs) and Critical Access Hospitals (CAHs), hereafter EHs, must meet three of the six menu measures. As with the core measures, each measure has an objective that aligns with the dimensions of EHR use and functionality that the concept of meaningful use seeks to capture. 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.
Unlike efforts toward Stage 1 Meaningful Use in 2012 and 2013, meaningful use cannot be achieved by selecting menu measures for which an EH can claim an exclusion if other menu measures exist for which the EH cannot claim an exclusion. If an EH attests to an exclusion for one of the three menu measures, the EH is attesting that the exclusion criteria is also met for the other measures. Only Menu Measures 1 and 5 have exclusions, so EHs that do not meet the exclusion criteria for both will be attesting to three measures for which the requirements have been fulfilled.
Only one of these objectives, advance directives, has been revisited from Stage 1 Meaningful Use. As with Stage 1, the CMS technical specification for each measure is the best single source of information, and each specification is linked below.
|1||Record whether a patient 65 years old or older has an advance directive.|
|2||Record electronic notes in patient records.|
|3||Imaging results consisting of the image itself and any explanation or other accompanying information are accessible through Certified EHR Technology.|
|4||Record patient family health history as structured data.|
|5||Generate and transmit permissible discharge prescriptions electronically (eRx).|
|6||Provide structured electronic lab results to ambulatory providers.|