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Stage 1 Core Measure 5

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Measure at a Glance

Type: calculated percentage

Denominator: unique patients

Duration: calculated over the entire EHR reporting period

Objective: Maintain active medication list.
Measure: More than 80 percent of all unique patients seen by the EP have at least one entry (or an indication that the patient is not currently prescribed any medication) recorded as structured data.
Exclusion:No exclusion.
There are no changes to this objective and measure regardless of when EPs attest to Stage 1 Meaningful Use.

CMS Technical Specification

TennCare Notes

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 80% of all unique patients. The attestation numerators and denominators are calculated to the hundredths place in the attestation portal, so while a proportion of 80.01% will be evaluated as a successful attestation, 80.00% will not.

This measure, in conjunction with Core Measures 3 and 6, requires the highest percent of unique patients have data maintained by certified EHR technology. There are no exclusions—if an EP does not have more than 80% of her unique patients entered into the certified EHR technology, she cannot successfully attest to Stage 1 Meaningful Use.

A question at the beginning of the core measures attestation will require EPs to report how many of their unique patients have their data in the EHR system. The denominator will be all unique patients seen by the EP during the EHR reporting period, as in Core Measures 3, 5, 6, and 7. One way to approach the numerator is to use the lowest numerator of Core Measures 3, 5, and 6, but other determinations of how many patients have their data in the EHR are acceptable given the resulting percentage is greater than 80%.

Relevant CMS FAQs

None at this time.

Additional Resources
This article addresses the medication list topic along with connections to aspects of EHR use also reflected in other measures, such as Core Measures 6, 12, 14, and Menu Measure 5.

Staroselsky M, Volk LA, Tsurikova R, Newmark LP, Lippincott M, Litvak I, Kittler, A, Wang T,
Wald J, Bates D. An effort to improve electronic health record medication list accuracy
between visits: Patients' and physicians' response. International Journal of Medical Informatics. 2008; 77:153-160.

Federal Regulations Governing This Measure

CMS' Final Rule

§ 495.6(d)(5) see objective and measure above

Standards and Certification Final Rule

§ 170.302(d) Maintain active medication list. Enable a user to electronically record, modify, and retrieve a patient's active medication list as well as medication history for longitudinal care.

§ 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.