Please read these details carefully and take steps to ensure that they are all done in your practice. We recommend designating a person in each practice to run the MU reports (AuroraEHR > Meaningful Use Reports) at least once a month for every provider in your practice to make sure that you are meeting your goals, and to catch any problems early. Please contact Client Services with any questions regarding the following steps.
Objective 1: Protect Patient Health Information
As detailed in our previous blog post, this is a one-time action with updates as needed. Learn the basic process from the tipsheet provided by CMS, and then use this tool from CMS. It will walk you through how the requirements apply to your practice and list steps you need to take.
Objective 2: Clinical Decision Support
Measure 1: Interventions
Implement 5 clinical decision support interventions. If you are our client at the time of this blog post, your set-up is already done!
Measure 2: Drug/Drug and Drug/Allergy Checks
If you are entering all prescriptions in Rcopia, you are covered for this objective.
Objective 3: CPOE: Computerized Provider Order Entry
Measure 1: Medications
Do at least 61% of your medications through Rcopia.
Measure 2: Lab orders
Order at least 31% of labs (this includes pathology) through Outside Orders, printing an order slip.
Measure 3: Radiology orders
Order at least 31% of radiology orders through Outside Orders, printing an order slip.
Objective 4: Electronic Prescribing
If you are entering all medications in Rcopia, you are covered for this objective.
Objective 5: Health Information Exchange
1. Collect Direct addresses for referring providers and enter this information into the referring provider table.
2. Use the Visit Summary task, with every box checked, and select the Send as Direct Message button, OR
3. Use the Provider Orders/Notes task, selecting the Send CCD via Direct Message button.
4. Do this for more than 10% of transitions of care/referrals.
5. Review the following list and emphasize to all staff that the tasks for these categories must be completed for every encounter. To meet Objective 5, the record you send must include information from every one of these categories. If the AuroraEHR tasks for every one are completed, then checking all the boxes on the Visit Summary screen will cover this requirement.
- Patient Name
- Referring or transitioning provider's name and office contact information
- Procedures
- Encounter diagnosis
- Immunizations
- Laboratory test results
- Vital signs (height, weight, blood pressure, BMI)
- Smoking status
- Functional status, including activities of daily living, cognitive and disability status
- Demographic information (preferred language, sex, race, ethnicity, date of birth)
- Care plan field, including goals and instructions
- Care team including the primary care provider of record and any additional known care team members beyond the referring or transitioning provider and the receiving provider
- Reason for referral
- Current problem list
- Current medication list
- Current medication allergy list
Objective 6: Patient Specific Education
Use the Patient Specific Education task for at least 11% of patients.
Objective 7: Medication Reconciliation
1. Use the task to check medications in Rcopia.
2. Then, in the Medications task, click the Reconcile with Rcopia button, which downloads from Rcopia and opens up the Clinical Reconciliation screen. Make sure you click through the screen, even if there are no medications entered in either Rcopia or AuroraEHR.
3. Do this for 51% or more of transitions of care.
- For surgery practices, every visit qualifies as a transition of care.
- For all other types of practices, the patient's first visit to the practice qualifies as a transition of care.
Objective 8: Patient Electronic Access (VDT)
Measure 1: Timely Access
1. Collect an e-mail address for at least 51% of patients.
2. Complete all encounters within 4 business days. After the encounter is complete, AuroraEHR automatically sends the information to Bridge and Bridge takes care of notifying the patient.
3. For each encounter, you must complete the tasks for each category in the list below. Emphasize to all staff that right-clicking on a task to mark it as done without actually entering any information in it will lead to failing Meaningful Use. If a task is not completed, the encounter will not count towards meeting Objective 8.
- Problems
- Medications
- Allergies
- Care plan information
Measure 2: View, Download, or Transmit
At least one patient must actually view, download, or transmit their record from Bridge.
Objective 9: Secure Messaging
This is covered if your practice is set up with Bridge. Make sure a staff member is assigned in each practice to daily monitor the Bridge administrator account for incoming messages from patients.
Objective 10: Public Health Reporting
Measure 1: Immunization Registry
Measure 2: Syndromic Surveillance Reporting
Measure 3: Specialized Registry Reporting
Client Services will help you meet this objective on a case-by-case basis.
Beginning to follow the steps in this blog post immediately will set you up for success in Meaningful Use. Again, if you have any questions about what your practice needs to do for each provider to successfully attest to Meaningful Use, please contact Client Services. We are happy to help.
Written by Laura Rowe
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