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Measure at a Glance

Type: calculated percentage

Denominator:clinical lab test results in a positive/negative or numerical format, which may be limited to labs ordered for patients in CEHRT

Duration: calculated over the entire EHR reporting period

Objective: Incorporate clinical lab test results into EHR as structured data.
Measure: More than 40 percent of all clinical lab test results ordered by the EP during the HER reporting period whose results are either in a positive/negative or numerical format are incorporated in certified EHR technology as structured data.
Exclusion: An EP who orders no lab tests whose results are either in a positive/negative or numeric format during the EHR reporting period.

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. Additionally, EPs must select how they entered clinical lab test results—manually, through a point-to-point connection with a lab, or via a Health Information Exchange, and provide a brief description.

Please note this measure requires more than 40% of all clinical lab tests be incorporated as structured data. The numerators and denominators are calculated to the hundredths place in the attestation portal, so while a proportion of 40.01% will be evaluated as a successful attestation, 40.00% will not.

Although electronic laboratory reporting is not a core or menu measure, clinical lab test results for certain conditions are reportable by law. Please visit the Tennessee Department of Health website for more information.

Relevant CMS FAQs

  • 10642: clarifying which tests and tests results to include within a reporting period
  • 10136: linking an order for a lab test with the lab test results
  • 10981: understanding and attesting to a numerator larger than the denominator (Please note that Medicaid providers will use the TennCare attestation portal rather than the CMS portal referenced in the FAQ. Numerators larger than denominators may be entered, but TennCare encourages EPs to calculate the measure so that lab orders and results match one-to-one. As always, maintain records.)

Additional Resources

None at this time.

Federal Regulations Governing This Measure

CMS' Final Rule

§ 495.6(e)(2) see objective and measure above

Standards and Certification Final Rule

§ 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).