Meaningful Use: Stage 1 is now Modified Stage 2

CMS has transitioned Stage 1 to Modified Stage 2 for the 2015 reporting period and beyond. Practices that are reporting for Stage 1 in 2015 will now report on all the Stage 2 objectives with special exclusions for measures that were not in Stage 1, called Modified Stage 2.

See also:

Meaningful Use: Stage 2 measures are now Stage 2 objectives

Meaningful Use: 6 things you need to know about the CMS Final Rule changes

Stage 1 Measure in 2014

Modified Stage 2 Objective in 2015

Core 1: CPOE for Medication Orders

Use CPOE to record more than 30% of medication orders.

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Objective 3: Computerized Provider Order Entry (CPOE)

Alternate Measure 1:

Use CPOE to record more than 30% of medication orders.

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Core 2: Drug Interaction Checks

Implement drug interaction checks for the entire reporting period.

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Objective 2: Clinical Decision Support

Alternate Measure 2: Implement drug interaction checks for the entire reporting period.

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Core 3: Maintain Problem List

Enter at least one diagnosis for at least 80% of patients seen.

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This is no longer an objective

Core 4: E-prescribing

Send more than 40% of prescriptions electronically.

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Objective 4: Electronic Prescribing

Alternate Measure 1: Send more than 40% of prescriptions electronically.

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Core 5: Active Medication List

Enter at least one medication for at least 80% of patients seen.

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This is no longer an objective

Core 6: Medication Allergy List

Enter at least one drug allergy for more than 80% of all patients seen.

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This is no longer an objective

Core 7: Record Demographics

Record the following demographic information for more than 50% of all patients seen: date of birth, sex, race, ethnicity, preferred language.

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This is no longer an objective

Core 8: Record Vital Signs

Record the following vitals for more than 50% of all patients: blood pressure for patients ages three and over and height and weight for patients of all ages.

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This is no longer an objective

Core 9: Record Smoking Status

Record smoking status for more than 50% of all patients 13 years and older.

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This is no longer an objective

Core 10: Clinical Decision Support Rule

Implement one clinical decision support (CDS) rule and have it enabled for the entire EHR reporting period.

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Objective 2: Clinical Decision Support

Alternate Measure 1: Implement one clinical decision support rule.

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Core 11: Patient Electronic Access

Provide more than 50% of patients online access to their health information within four business days.

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Objective 8: Patient Electronic Access (VDT)

Measure 1: Provide more than 50% of patients online access to their health information within four business days.

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Core 12: Clinical Summaries

Provide a clinical summary to patients for more than 50% of all office visits within three business days.

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This is no longer an objective

Core 13: Protect Electronic Health Information

Conduct a security risk analysis and implement security updates as necessary.

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Objective 1: Protect Patient Health Information

Conduct a security risk analysis and implement security updates as necessary.

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Menu 1: Drug Formulary Checks

Implement drug formulary checks and ensure that it’s enabled for your entire EHR reporting period.

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This is no longer an objective

Menu 2: Clinical Lab Test Results

Incorporate more than 40% of all clinical lab test results as structured data.

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This is no longer an objective

Menu 3: Patient Lists

Generate a report listing patients with a specific diagnosis.

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This is no longer an objective

Menu 4: Patient Reminders

Send reminders for preventive or follow-up care to more than 20% of patients in your practice who are 65 years and older or 5 years and younger.

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This is no longer an objective

Menu 5: Patient Specific Education Resources

Provide more than 10% of your patients with education resources.

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Objective 6: Patient Specific Education

Provide more than 10% of your patients with education resources.

Alternate Exclusion: Provider may claim an exclusion if they did not intend to select the this menu measure to attest to.

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Menu 6: Medication Reconciliation

Perform medication reconciliation for more than 50% of transitions of care where the patient is transitioned into your care from another setting (hospital, ambulatory primary/specialty care practice, long-term care, etc.)

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Objective 7: Medication Reconciliation

Perform medication reconciliation for more than 50% of transitions of care where the patient is transitioned into your care from another setting (hospital, ambulatory primary/specialty care practice, long-term care, etc.)

Alternate Exclusion: Provider may claim an exclusion if they did not intend to select the this menu measure to attest to.

Learn how to complete this measure »

Menu 7: Transition of Care Summary

Provide a summary of care record for more than 50% of patients that you refer or transition from your practice.

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This is no longer an objective

Public Health Menu Measures (Pick 1 measure to report)

Public Health Objective (Pick 1 measure to report)

Menu 8: Immunization Registries Data Submission

Perform at least one test submission of immunization data to your local immunization registry and conduct follow up submission if the test is successful.

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Objective 10: Public Health

Measure 1: Immunization Registry Reporting The EP is in active engagement with a public health agency to submit immunization data.

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Menu 9: Syndromic Surveillance Data Submission

Perform at least one test submission of syndromic surveillance data to your local public health agency and conduct follow up submission if the test is successful.

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Objective 10: Public Health

Measure 2: Syndromic Surveillance Reporting The EP is in active engagement with a public health agency to submit syndromic surveillance data.

Learn how to complete this measure »