|
Measure |
Data Elements of Interest |
Potential Use* |
Comments |
|---|---|---|---|
|
Stage I Core Measures |
|||
|
Maintain an up-to-date problem list of current and active diagnoses: >80% of all unique patients (seen by EP or admitted to EH/CAH) have at least 1 entry or an indication that no problems are known for the patient recorded as structured data |
Structured list of current and active diagnoses |
Useful in identifying denominator population |
ONC EHR certification requirements specify use of ICD-9-CM or SNOMED-CT to code current or active diagnoses as structured data |
|
Maintain active medication list: >80% of all unique patients (seen by EP or admitted to EH/CAH) have at least 1 entry (or an indication that the patient is not currently prescribed any medication) recorded as structured data |
Structured list of active medications |
Useful as a numerator element, particularly pertaining to Medication Reconciliation or Information Transfer |
Measure does not specify format or coding of drug information |
|
Maintain active medication allergy list: Maintain active medication list: >80% of all unique patients (seen by EP or admitted to EH/CAH) have at least 1 entry (or an indication that the patient has no known medication allergies) recorded as structured data |
Structured list of medication allergies |
Useful as a numerator element, particularly pertaining to Medication Reconciliation or Information Transfer Also useful for measure exclusions and risk adjustment |
Measure does not specify format or coding of allergy information |
|
Clinical summaries provided to patients for >50% of all office visits within 3 business days |
Elements of clinical summaries potentially of use:
|
If captured in EHRs in a structured way, elements of clinical summaries may be useful in the numerator of measures of many different care coordination processes, including Information Transfer, Facilitate Transitions Across Settings, Proactive Plan of Care, and Establish Accountability/Negotiate Responsibility |
Specifications do not require data be provided in a structured format, but do require that any of the specified elements that are captured by certified EHRs be included in the clinical summary |
CAH—critical access hospital; CPOE—computerized physician order entry; EH—eligible hospital; EHR—electronic health record; EP—eligible provider; MU—Meaningful Use; ONC—Office of the National Coordinator; PCP—primary care provider.
*See the Care Coordination Measures Atlas for a list of activities hypothesized to be important for coordinating care.3 These activities are contained with the care coordination measurement framework.
