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eCW and NextGenMEETING MU REQUIREMENTS
y eCW version 9.0 is Meaningful Use certified and willbe upgraded in Munson hosted practices.Anticipated to be released the end of February.y NextGen application version 5.6 and KBM version7.9 are MU certified and will be the chosen upgradesfor the Munson hosted practices. Anticipated to bereleased in January 2011. Target for upgrades isMay-June 2011.
Core Measure 1y Computerized physician orderentry (CPOE) of medications{More than 30% of uniquepatients with at least onemedication in their medicationlist seen by the EP have atleast one medication orderentered using CPOEy eClinicalWorks provides theability to order medicationsthrough the Treatmentwindow in the Progress Note,Order Sets, eCliniSense, andTemplates. These medicationscan then be e-prescribed,faxed, or printed througheClinicalWorks.
Core Measure 2y Generate and transmitpermissible prescriptionselectronically (eRx){More than 40% of all permissibleprescriptions written by the EPare transmitted electronicallyy eClinicalWorks is a SurescriptsSolutions Provider, certified forsubmitting all availabletransaction types available forfully informed e-prescribing. Thisincludes the ability to obtaineligibility, benefits and formularyinformation; access to aggregatedmedication history data availablefor the patient; submitting eprescriptions and electronicrefills to retail and mail-orderpharmacies.
Core Measure 3y Report a total of 6 ambulatory clinicalquality measures to CMS (MedicareEHR Incentive Program) or States(Medicaid EHR Incentive Program){{For 2011, provide aggregate numerator,denominator, and exclusions throughattestation as discussed in sectionII(A)(3) of this final ruleFor 2012, electronically submit theclinical quality measures as discussed insection II(A)(3) of this final ruley eClinicalWorks provides MAQ(Meaningful Use Adoption Quality)Dashboards to showcase real timereports regarding core measures, menumeasures, quality measures, useradoption, and much more. The datadisplays the aggregate denominatorand numerator for each objectivemeasure and clinical quality measureby provider.
Core Measure 4y Implement one clinicaldecision support rule{Implement one clinicaldecision support rule relevantto specialty or high clinicalpriority along with the abilityto track compliance for thatruley eClinicalWorks includes theability to monitor the care ofpatients and notify theprovider of clinical prioritiesbased upon the patient’smedical record. The clinicaldecision support rule can bemet with alerts and CDSSfunctionality.
Core Measure 5y Provide patients with anelectronic copy of theirhealth information, uponrequest.{More than 50% of allpatients of the EP whorequest an electronic copy oftheir health information areprovided it within threebusiness daysy eClinicalWorks providespatients immediate accessto their PHR through thePatient Portal. Access isgranted to web enabledpatients.
Core Measure 6y Provide clinical summariesfor patient for each officevisit.{Clinical summaries providedto patients for more than50% of all office visits withinthree business daysy eClinicalWorks will providethe clinical summary basedon CCD/CCR format. Thisinformation can easily begenerated for print, or sentto the Patient Portal at theconclusion of the visit.
Core Measure 7y Drug-drug and drug-allergy interaction checks{The EP has enabled thisfunctionality for the entireEHR reporting periody Drug-to-Drug and Drug-to-Allergy checks areperformed real time at thetime of prescribing basedupon the patient’s currentmedications andmedication allergy list. Inaddition, the system alsochecks for any drug-diseasecontraindications.
Core Measure 8yEnable a user to electronicallyrecord, modify, and retrievepatient demographic dataincluding preferred language,gender, race, ethnicity, and date ofbirth.{yMore than 50% of all unique patientsseen by the EP have demographicsrecorded as structured dataeClinicalWorks provides amplefields to manage patient accounts.All meaningful use demographicmandatory fields (controlled by theadministrator) are available in thePatient Demographics. Choosingand marking these fields asmandatory will ensure that yourfront desk is collecting thenecessary data for meaningful usecriteria.
Core Measure 9y Maintain an up-to-dateproblem list of current andactive diagnoses based onICD–9–CM or SNOMEDCT .{More than 80% of all uniquepatients seen by the EP have atleast one entry or anindication that no problemsare known for the patientrecorded as structured datay eClinicalWorks provides apatient active problem list(based on ICD-9-CM) that isavailable at every patientencounter on the Right Paneland can be updated on the fly
Core Measure 10y Maintain the patient’s activemedication list{More than 80% of all uniquepatients seen by the EP have atleast one entry (or an indicationthat the patient is not currentlyprescribed any medication)recorded as structured datay eClinicalWorks maintains anactive patient medication list andallows a provider to manage allpatient medications for optimumcontinuity of care. The RightPanel provides a functionaldisplay of the patient’s currentmedication list for everyencounter.
Core Measure 11y Maintain the patient’s activemedication allergy list{More than 80% of all uniquepatients seen by the EP have atleast one entry (or anindication that the patient hasno known medicationallergies) recorded asstructured datay A patient allergy list isrecorded and managed invarious areas ofeClinicalWorks. The RightChart Panel displays thecurrent allergy list to theprovider at every encounter.
Core Measure 12y Record and chart changes in vital signs:{ Height{ Weight{ Blood pressure{ Calculate and display: BMI{ Plot and display growth charts forchildren 2–20 years, including BMI.{For more than 50% of all unique patientsage 2 and over seen by the EP, the height,weight and blood pressure are recorded asstructured datay On each patient's Progress Note orTelephone Encounter, eClinicalWorksprovides the ability to record vitalsigns. All meaningful use vitals, vitalgraphs and growth charts are standardwithin the application. Each element(vital sign) is captured in a structuredmanner and the BMI is calculatedautomatically based upon the patient'sheight and weight.
Core Measure 13y Record smoking status forpatients 13 years old or older.{More than 50% of all uniquepatients 13 years old or olderseen by the EP have smokingstatus recorded as structureddatay The smoking status can bedefined as structured data ineClinicalWorks in a variety ofareas to suit your practicework flow. This informationcan be captured whiledocumenting within theProgress Note, or through aSmart Form.
Core Measure 14y Capability to exchange keyclinical information amongproviders of care and patientauthorized entitieselectronically{Performed at least one test toelectronically exchange keyclinical informationy eClinicalWorks EMR providesthe ability to export a CCD fileand encrypt it for securetransmission. The EMR alsoprovides the option to importa CCD or CCR file with aneasily readable view.
Core Measure 15y Protect electronic healthinformation created ormaintained by the certifiedEHR technology throughthe implementation ofappropriate technicalcapabilities.{Conduct or review a securityrisk analysis per 45 CFR164.308 (a)(1) andimplement security updatesas necessary and correctidentified securitydeficiencies as part of its riskmanagement processy eClinicalWorks providesthe security standardsaccording to thecertification requirementsfor EHR vendors. It isimportant that practicestake the necessary stepswithin their organization toensure that they areprotecting their electronichealth informationaccording to HIPAAguidelines.
Referencesy ningful-use-stage-one-criteria-coreobjectives.htmy in.aspx#
EHR Incentive Program) or States (Medicaid EHR Incentive Program) {For 2011, provide aggregate 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
