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Stage 1 Menu Measures

Eligible professionals (EPs) must attest to five of the nine menu measures, including one public health measure, following FAQ 10162. (See Measures 8 and 9, the public health measures, for more information.). Exclusions do not count toward the required menu objectives. TennCare encourages EPs to select measures for which they have data before claiming exclusions. EPs may also select more than five measures to which to attest, giving TennCare with a more complete picture of successes and challenges regarding these measures.

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 his/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 menu 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 menu (and core) 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 CMS technical specification
  • TennCare clarifications and/or insights
  • links to any related CMS FAQs
  • links to any other pertinent resources
  • regulations associated with the functionalities and vocabulary associated with the measures


1 Implement drug formulary checks.
2 Incorporate clinical lab test results into EHR as structured data.
3 Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, research, or outreach.
4 Send reminders to patients per patient preference for preventive/follow-up care.
5 Use certified EHR technology to identify patient-specific education resources and provide these resources to the patient if appropriate.
6 The EP who receives a patient from another setting of care or provider of care or believes an encounter is relevant should perform medication reconciliation.
7 The EP who transitions their patient to another setting of care or provider of care or refers their patient to another provider of care should provide a summary of care record for each transition of care or referral.
8 Capacity to submit electronic data to immunization registries or immunization information systems and actual submission according to applicable law and practice*
9 Capacity to submit electronic syndromic surveillance data to public health agencies and actual submission according to applicable law and practice*

*public health measures

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