EMR Name/ meridianEMR 4.

2 CCHIT 2011
Model certified
EMR Vendor meridianEMR, Inc

Core Set of Measures

Objective Stage 1 Objectives Stage 1 Measures EMR Module/ Feature
Number Eligible Professionals Eligible Hospitals and CAHs
Use CPOE for medication Use CPOE for medication More than 30% of unique Included
orders directly entered by any orders directly entered by any patients with at least one
licensed healthcare licensed healthcare medication in their medication
professional who can enter professional who can enter list seen by the EP or admitted
orders into the medical record orders into the medical record to the eligible hospital’s or
1 per state, local and per state, local and CAH’s inpatient or emergency
professional guidelines professional guidelines department (POS 21 or 23)
have at least one medication
order entered using CPOE

Implement drug-drug and Implement drug-drug and The EP/eligible hospital/CAH Included - use Multum
drug-allergy interaction checks drug-allergy interaction checks has enabled this functionality
2 for the entire EHR reporting
period

Generate and transmit More than 40% of all Included - direct to SureScripts
permissible prescriptions permissible prescriptions
electronically (eRx). written by the EP are
3
transmitted electronically
using certified EHR technology.
 Objective Stage 1 Objectives Stage 1 Measures EMR Module/ Feature
Number Eligible Professionals Eligible Hospitals and CAHs
Record demographics Record demographics More than 50% of all unique Included
o preferred language o preferred language patients seen by the EP or
o gender o gender admitted to the eligible
o race o race hospital’s or CAH’s inpatient or
o ethnicity o ethnicity emergency department (POS
4
o date of birth o date of birth 21 or 23) have demographics
o date and preliminary cause recorded as structured data
of death in the event of
mortality in the eligible
hospital or CAH
Maintain an up-to-date Maintain an up-to-date More than 80% of all unique Included
problem list of current and problem list of current and patients seen by the EP or
active diagnoses active diagnoses admitted to the eligible
hospital’s or CAH’s inpatient or
emergency department (POS
5 21 or 23) have at least one
entry or an indication that no
problems are known for the
patient recorded as structured
data.

Maintain active medication list Maintain active medication list More than 80% of all unique Included
patients seen by the EP or
admitted to the eligible
hospital’s or CAH’s inpatient or
emergency department (POS
21 or 23)have at least one
6
entry (or an indication that the
patient is not currently
prescribed any medication)
recorded as structured data
 Objective Stage 1 Objectives Stage 1 Measures EMR Module/ Feature
Number Eligible Professionals Eligible Hospitals and CAHs
Maintain active medication Maintain active medication More than 80% of all unique Included
allergy list allergy list patients seen by the EP or
admitted to the eligible
hospital’s or CAH’s inpatient or
emergency department (POS
21 or 23) have at least one
7
entry (or an indication that the
patient has no known
medication allergies) recorded
as structured data

Record and chart changes in Record and chart changes in For more than 50% of all Included
vital signs: o vital signs: unique patients age 2 and over
Height o Height seen by the EP or admitted to
o Weight o Weight eligible hospital's or CAH's
o Blood pressure o Blood pressure inpatient or emergency
8
o Calculate and display BMI o Calculate and display BMI department (POS 21 or 23),
o Plot and display growth o Plot and display growth height, weight and blood
charts for children 2-20 years, charts for children 2-20 years, pressure are recorded as
including BMI including BMI structured data

Record smoking status for
patients 13 years old or older
9
Record smoking status for
patients 13 years old or older
More than 50% of all unique Included
patients 13 years old or older
seen by the EP or admitted to
the eligible hospital's or CAH's
inpatient or emergency
department (POS 21 or 23)
have smoking status recorded
as structured data
 Objective Stage 1 Objectives
Number Eligible Professionals
Implement one clinical
decision support rule relevant decision support rule relevant
to specialty or high clinical
10
priority along with the ability
to track compliance that rule
Report ambulatory clinical
quality measures to CMS or
the States
11
Provide patients with an
electronic copy of their health
information (including
diagnostic test results,
problem list, medication lists,
12
medication allergies), upon
request
Eligible Hospitals and CAHs
Implement one clinical
to specialty or high clinical
priority along with the ability
to track compliance that rule
Report hospital clinical quality
measures to CMS or the States
Provide patients with an
electronic copy of their health
information (including
diagnostic test results,
problem list, medication lists,
medication allergies), upon
request
Stage 1 Measures EMR Module/ Feature
Implement one clinical Included
decision support rule
For 2011, provide aggregate Included
numerator, denominator, and
exclusions through attestation
as discussed in section II(A)(3)
of this final rule
For 2012, electronically submit
the clinical quality measures as
discussed in section II(A)(3) of
this final rule
More than 50% of all patients Included
of the EP or the inpatient or
emergency departments of
the eligible hospital or CAH
(POS 21 or 23) who request an
electronic copy of their health
information are provided it
within 3 business days
 Objective Stage 1 Objectives
Number Eligible Professionals
13
Provide clinical summaries for
patients for each office visit
14
Capability to exchange key
clinical information (for
example, problem list,
medication list, medication
15 allergies, diagnostic test
results), among providers of
care and patient authorized
entities electronically
Protect electronic health
information created or
maintained by the certified
EHR technology through the
16
implementation of
appropriate technical
capabilities
Eligible Hospitals and CAHs
Provide patients with an
electronic copy of their
discharge instructions at time
of discharge, upon request
Capability to exchange key
clinical information (for
example, problem list,
medication list, medication
allergies, diagnostic test
results), among providers of
care and patient authorized
entities electronically
Protect electronic health
information created or
maintained by the certified
EHR technology through the
implementation of
appropriate technical
capabilities
Stage 1 Measures EMR Module/ Feature
More than 50% of all patients Included
who are discharged from an
eligible hospital or CAH's
inpatient department or
emergency department (POS
21 or 23) and who request an
electronic copy of their
discharge instructions are
provided it
Clinical summaries provided to Included
patients for more than 50% of
all office visits within 3
business days
Performed at least one test of Included -CCD
certified EHR technology's
capacity to electronically
exchange key clinical
information
Conduct or review a security Included
risk analysis per 45 CFR
164.308 (a)(1) and implement
security updates as necessary
and correct identified security
deficiencies as part of its risk
management process
 Objective Stage 1 Objectives
Number Eligible Professionals
Implement drug-formulary
checks
17
18
Incorporate clinical lab-test
results into certified EHR
technology as structured data
Incorporate clinical lab-test
results into certified EHR
technology as structured data
19
Eligible Hospitals and CAHs
Menu Set of Measures
Implement drug-formulary
checks
Record advance directives for
patients 65 years old or older
Incorporate clinical lab-test
results into certified EHR
technology as structured data
Incorporate clinical lab-test
results into certified EHR
technology as structured data
Stage 1 Measures EMR Module/ Feature
The EP/eligible hospital/CAH Part of Sure Scripts Certification for final level
has enabled this functionality which we are in the process of doing
and has access to at least one
internal or external drug
formulary for the entire EHR
reporting period
More than 50% of all unique We already have built a flow sheet for all this
patients 65 years old or older data for clients to capture
admitted to the eligible
hospital's or CAH's inpatient
department (POS 21) have an
indication of an advance
directive status recorded
More than 40% of all clinical Included
lab tests results ordered by
the EP or by an authorized
provider of the eligible
hospital or CAH for patients
admitted to its inpatient or
emergency department (POS
21 or 23) during the EHR
reporting period whose results
are either in a
positive/negative or numerical
format are incorporated in
certified EHR technology as
structured data
 Objective Stage 1 Objectives
Number Eligible Professionals
Generate lists of patients by
specific conditions to use for
quality improvement,
20
reduction of disparities,
research or outreach
Send reminders to patients per
patient preference for
preventive/ follow up care
21
Provide patients with timely
electronic access to their
health information (including
lab results, problem list,
medication lists, medication
allergies) within four business
22
days of the information being
available to the EP
Use certified EHR technology
to identify patient-specific
education resources and
provide those resources to the
23 patient if appropriate
Eligible Hospitals and CAHs
Generate lists of patients by
specific conditions to use for
quality improvement,
reduction of disparities,
research or outreach
Use certified EHR technology
to identify patient-specific
education resources and
provide those resources to the
patient if appropriate
Stage 1 Measures EMR Module/ Feature
Generate at least one report Included
listing patients of the EP,
eligible hospital or CAH with a
specific condition
More than 20% of all unique Included
patients 65 years or older or 5
years old or younger were sent
an appropriate reminder
during the EHR reporting
period
More than 10% of all unique We have a patient portal being released - going
patients seen by the EP are into beta next month (attached lit) and 2) we
provided timely (available to also have CCD records created to comply with
the patient within four CCHIT 2011, so that is two ways we qualify
business days of being
updated in the certified EHR
technology) electronic access
to their health information
subject to the EP's discretion
to withhold certain
information
More than 10% of all unique We already have clients load their Patient
patients seen by the EP or Education forms, and they are able to easily
admitted to the eligible pull these images/forms to print out for any
hospital's or CAH's inpatient or patient specific situation. This is also part of
emergency department (POS our treatrment plan, to automatically remind
21 or 23) are provided patient- staff to provide to the patient
specific education resources
 Objective Stage 1 Objectives
Number Eligible Professionals
The EP, eligible hospital or
CAH who receives a patient
from another setting of care or from another setting of care or
provider of care or believes an provider of care or believes an
encounter is relevant should
24 perform medication
reconciliation
The EP, eligible hospital or
CAH who transitions their
patient to another setting of
care or provider of care or
refers their patient to another
25
provider of care should
provide summary of care
record for each transition of
care or referral
Capability to submit electronic
data to immunization
registries or Immunization
Information Systems and
actual submission in
accordance with applicable
law and practice
26
Eligible Hospitals and CAHs
The EP, eligible hospital or
CAH who receives a patient
encounter is relevant should
perform medication
reconciliation
The EP, eligible hospital or
CAH who transitions their
patient to another setting of
care or provider of care or
refers their patient to another
provider of care should
provide summary of care
record for each transition of
care or referral
Capability to submit electronic
data to immunization
registries or Immunization
Information Systems and
actual submission in
accordance with applicable
law and practice
Stage 1 Measures EMR Module/ Feature
The EP, eligible hospital or We already have passed CCD certification with
CAH performs medication CCHIT 2011 - so when patient provides their
reconciliation for more than meds from primary care on CCD format, we
50% of transitions of care in read in and display what we have on file in our
which the patient is specialist office. Or 2) surescripts sends its list
transitioned into the care of of drugs on file for the patient and we compare
the EP or admitted to the to what we have on file.
eligible hospital's or CAH's
inpatient or emergency
department (POS 21 or 23)
The EP, eligible hospital or Included
CAH who transitions or refers
their patient to another
setting of care or provider of
care provides a summary of
care record for more than 50%
of transitions of care and
referrals
Performed at least one test of
certified EHR technology's
capacity to submit electronic
data to immunization
registries and follow up
submission if the test is Will Have When Needed - as we specialize in
successful (unless none of the Urology and General Surgery, we don’t see our
immunization registries to clients choosing this menu item for
which the EP, eligible hospital certification in at least the first 2 years.
or CAH submits such
information have the capacity
to receive the information
electronically)
 Objective Stage 1 Objectives
Number Eligible Professionals
27
Capability to submit electronic
syndromic surveillance data to
public health agencies and
actual submission in
accordance with applicable
law and practice
28
Eligible Hospitals and CAHs
Capability to submit electronic
data on reportable (as
required by state or local law)
lab results to public health
agencies and actual
submission in accordance with
applicable law and practice
Capability to submit electronic
syndromic surveillance data to
public health agencies and
actual submission in
accordance with applicable
law and practice
Stage 1 Measures EMR Module/ Feature
Performed at least one test of Included
certified EHR technology's
capacity to provide electronic
submission of reportable lab
results to public health
agencies and follow-up
submission if the test is
successful (unless none of the
public health agencies to
which eligible hospital or CAH
submits such information have
the capacity to receive the
information electronically)
Performed at least one test of Will Have When Needed
certified EHR technology's
capacity to provide electronic
syndromic surveillance data to
public health agencies and
follow-up submission if the
test is successful (unless none
of the public health agencies
to which an EP, eligible
hospital or CAH submits such
information have the capacity
to receive the information
electronically)