Objective:Record electronic notes in patient records.
Measure: Enter at least one electronic progress note created, edited, and signed by an EP for more than 30 percent of unique patients with at least one office visit during the EHR reporting period. The text of the electronic note must be text-searchable and may contain drawings and other content.
This objective and measure do not correspond with any criterion of Stage 1 Meaningful Use. CMS has offered the following guidance: "Any EP may author, edit, and provide an electronic signature for the electronic notes in order for them to be considered for this measure…Electronic notes [include] electronic progress notes for the purpose of this measure." Providers may establish decision-making for determining when progress notes are appropriate.
CMS' Final Rule
§ 495.6(k)(6)(ii) see objective, measure and exclusion above
Standards and Certification Final Rule
§ 170.314(a)(9) Electronic notes. Enable a user to electronically record, change, access, and search electronic notes.
§ 170.314(g)(1) Automated numerator recording. For each meaningful use objective with a percentage-based measure, EHR technology must be able to create a report or file that enables a user to review the patients or actions that would make the patient or action eligible to be included in the measure’s numerator. The information in the report or file created must be of sufficient detail such that it enables a user to match those patients or actions to meet the measure's denominator limitations when necessary to generate an accurate percentage.
§ 170.314(g)(2) Automated measure calculation. For each meaningful use objective with a percentage-based measure that is supported by a capability included in an EHR technology, electronically record the numerator and denominator and create a report including the numerator, denominator, and resulting percentage associated with each applicable meaningful use measure.