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Stage 1 Core Measures

Eligible professionals (EPs) must attest to 15 Stage 1 core measures in 2012 and 13 in every year following. Each measure has an objective that aligns with the dimensions of EHR functionality and use that the concept of meaningful use seeks to capture. The objectives will be revisited in each stage of meaningful use. The measure itself is a benchmark of achievement of this objective: for example, the measures often require that an EP use her EHR in the way specified by the objective for a specified percent of patients. These benchmarks will progress with each stage of meaningful use.

For any core measure, the CMS technical specification is the best single source of information, but other dialogue has emerged in answers to CMS’ Frequently Asked Questions (FAQs), online communities, journal commentaries and articles, and at the state level. Although CMS has created a Table of Contents with each of the core (and menu) set of objectives that hyperlinks to each measure’s technical specification, you can find each measure’s technical specification below, along with additional resources to facilitate a successful attestation. Clicking on the number of each measure will link to TennCare’s page on each measure, featuring:

  • the objective and measure as specified by CMS in the Stage 1 and Stage 2 Final Rules
  • the CMS technical specification
  • TennCare clarifications and/or insights
  • links to any related CMS FAQs
  • links to any other pertinent resources
  • corresponding standards for certified EHR technology

TennCare will also post statewide results associated with the measures after the attestation period closes.

1 Use computerized provider order entry (CPOE) for medication orders directly entered by any licensed healthcare professional who can enter orders into the medical record per state, local, and professional guidelines.
2 Implement drug-drug and drug-allergy interaction checks.
3 Maintain an up to date problem list of current and active diagnoses.
4 Generate and transmit permissible prescriptions electronically (eRx).
5 Maintain active medication list.
6 Maintain active medication allergy list.
7 Record all of the following demographics:
(A) Preferred language
(B) Gender
(C) Race
(D) Ethnicity
(E) Date of birth
8 Record and chart changes in the following vital signs:
(A) Height
(B) Weight
(C) Blood pressure
(D) Calculate and display body mass index (BMI)
(E) Plot and display growth charts for children 2-20 years, including BMI
9 Record smoking status for patients 13 years old or older.
10 Report ambulatory clinical quality measures to CMS.
11 Implement one clinical decision support rule relevant to specialty or high clinical priority along with the ability to track compliance with that rule.
12 Provide patients with an electronic copy of their health information (including diagnostic test results, problem list, medication lists, medication allergies) upon request.
13 Provide clinical summaries for patients for each office visit.
14 Capability to exchange key clinical information (for example, problem list, medication
list, medication allergies, and diagnostic test results), among providers of care and patient authorized entities electronically.
15 Protect electronic health information created or maintained by the certified EHR technology through the implementation of appropriate technical capabilities.

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If you have any questions or concerns about meaningful use after viewing these webpages, please e-mail