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Stage 1 Core Measure 7

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Measure at a Glance

Type: calculated percentage

Denominator: unique patients

Duration: calculated over the entire EHR reporting period

Objective: Record all of the following demographics:

  1. Preferred language
  2. Gender
  3. Race
  4. Ethnicity
  5. Date of Birth
Measure: More than 50 percent of all unique patients seen by the EP have demographics 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

Most of the concerns regarding this measure can be addressed by reading "Additional Information" in the technical specification.

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

None at this time.

Additional Resources
The technical specification directs EPs to this site for the federal standards published by the Office of Management and Budget: scroll down to "Data on Race and Ethnicity" and open Appendix A for the categories and definitions referenced.

This blog post examines the measure, its purpose, and challenges to consider in planning to achieve the objective.

Federal Regulations Governing This Measure

CMS' Final Rule

§ 495.6(d)(7) see objective and measure above

Standards and Certification Final Rule

§ 170.304(c) Record demographics. Enable a user to electronically record, modify, and retrieve patient demographic data including preferred language, gender, race, ethnicity, and date of birth. Enable race and ethnicity to be recorded in accordance with the standard specified at Sec. 170.207(f).

§ 170.207(f) Race and Ethnicity. Standard. The Office of Management and Budget Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, October 30, 1997 (available at http://www.whitehouse.gov/omb/rewrite/fedreg/ombdir15.html).