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Stage 1 Core Measure 12

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Measure at a Glance

Type: calculated percentage

Denominator for 2012 and 2013: unique patients requesting copies at least four days prior to the end of the reporting period, may be limited to patients maintained by CEHRT

Denominator for 2014 and beyond: Number of Unique Patients seen by the EP during the reporting period.

Duration: calculated over the entire EHR reporting period

Objective: Provide patients with an electronic copy of their health information (including diagnostic test results, problem list, medication lists, medication allergies) upon request.
Replacement Objective (beginning 2014): Provide patients the ability to view online, download, and transmit their health information within 4 business days of the information being available to the EP.
Measure: More than 50 percent of all patients who request an electronic copy of their health information are provided it within 3 business days.
Replacement Measure (beginning 2014): More than 50 percent of all unique patients seen by the EP during the EHR reporting period are provided timely (within 4 business days after the information is available to the EP) online access to their health information subject to the EP’s discretion to withhold certain information.
Exclusion: Any EP who has no requests from patients or their agents for an electronic copy of patient health information during the EHR reporting period.

CMS Technical Specification

TennCare Notes
This measure will be substantially different for EPs pursuing meaningful use in 2014 and beyond, emphasizing online access for all patients rather than  merely those who request electronic copies of their health information. EPs attesting to Stage 1 MU in 2012 (90 days) and 2013 (full calendar year) should not review this change, but instead focus on the Stage 2 measures to be met with their 2014 efforts toward MU. EPs first attesting to Stage 1 MU in 2013 (90 days) will use the original measure in their first year of MU and then progress to the replacement measure in 2014 (90 days). CMS "believes that the capabilities of CEHRT in 2014 and beyond will enable providers to make this information available online in a way that does not impose a significant burden on providers."

 The attestation portal will require the EP to enter the numerator and denominator of the measure as defined in the technical specification.

Please note that this measure requires more than 50% of all unique patients. The attestation numerators and denominators are calculated to the hundredths place in the attestation portal, so while a proportion of 50.01% will be evaluated as a successful attestation, 50.00% will not.

Relevant CMS FAQs

  • 10663: defining a minimum level of health information
  • 10269: calculating the measure for patients seeing multiple EPs

Additional Resources
None at this time.

Federal Regulations Governing This Measure

CMS' Final Rule

§ 495.6(d)(12) see objective and measure above

Standards and Certification Final Rule

§ 170.304(f) Electronic copy of health information. Enable a user to create an electronic copy of a patient's clinical information, including, at a minimum, diagnostic test results, problem list, medication list, and medication allergy list in:

  1. Human readable format; and
  2. On electronic media or through some other electronic means in accordance with:
    1. The standard (and applicable implementation specifications) specified in Sec. 170.205(a)(1) or Sec. 170.205(a)(2); and
    2. For the following data elements the applicable standard must be used:
      1. Problems. The standard specified in Sec. 170.207(a)(1) or, at a minimum, the version of the standard specified in Sec. 170.207(a)(2);
      2. Laboratory test results. At a minimum, the version of the standard specified in Sec. 170.207(c); and
      3. Medications. The standard specified in Sec. 170.207(d).

§ 170.205(a) Patient summary record

  1. Standard. Health Level Seven Clinical Document Architecture (CDA) Release 2, Continuity of Care Document (CCD) (incorporated by reference in Sec. 170.299). Implementation specifications. The Healthcare Information Technology Standards Panel (HITSP) Summary Documents Using HL7 CCD Component HITSP/C32 (incorporated by reference in Sec. 170.299).
  2. Standard. ASTM E2369 Standard Specification for Continuity of Care Record and Adjunct to ASTM E2369 (incorporated by reference in Sec. 170.299).

§ 170.207(a) Problems

  1. Standard. The code set specified at 45 CFR 162.1002(a)(1) for the indicated conditions.
  2. Standard. International Health Terminology Standards Development Organization (IHTSDO) Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT ®) July 2009 version (incorporated by reference in Sec. 170.299).

§ 170.207(c) Laboratory test results. Standard. Logical Observation Identifiers Names and Codes (LOINC ®) version 2.27, when such codes were received within an electronic transaction from a laboratory (incorporated by reference in Sec. 170.299).

§ 170.207(d) Medications. Standard. Any source vocabulary that is included in RxNorm, a standardized nomenclature for clinical drugs produced by the United States National Library of Medicine.