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Table 2 Meaningful Use Measures with Data Elements Potentially Useful for Care Coordination Measurement: Stage I Menu Set Measures

Prospects for Care Coordination Measurement Using Electronic Data Sources

Measure

Data Elements of Interest

Potential Use*

Comments

Stage I Menu Set Measures

>40% of all clinical lab test results (ordered by EP or authorized provider of EH/CAH during the EHR reporting period) whose results are either in a positive/negative or numerical format are incorporated into certified EHR technology as structured data

Clinical lab test results

Useful as a numerator element, in particular for measures of Information Transfer

Also useful for measure exclusions and risk adjustment.

Specifications do not require use of a particular code set, but ONC EHR certification requires use of LOINC version 2.27, when such codes were received within an electronic transaction from a laboratory, for the entry of structured data into a certified EHR.

EP/EH/CAH performs medication reconciliation for >50% of transitions of care in which the patient is transitioned into the care of the EP or admitted to the EH/CAH

Documentation that medication reconciliation was performed

Useful as a numerator element, particularly pertaining to Medication Reconciliation and/or Facilitate Transitions Across Settings.

Likely relies on provider attestation. A more robust measure would use other data providing evidence of reconciliation, but such data likely do not exist at this time.

EP/EH/CAH who transitions or refers their patient to another setting of care or provider of care provides a summary of care record for >50% of transitions of care and referrals

Patients undergoing transition of care or receiving referral

Summary of care record

Data identifying transitions of care or referrals useful as a denominator data element

Summary of care record useful as numerator data element, particularly for measures pertaining to Establish Accountability/Negotiate Responsibility, Information Transfer, Facilitate Transitions Across Settings, and/or Proactive Plan Of Care

No guidance is provided regarding content of a summary of care record. Current measure recommendations indicate this is under development for Stage II.

Measure specifications do not require use of structured data within the summary of care record, which would be desirable for use as a quality measure data element.

CAH—critical access hospital; CPOE—computerized physician order entry; EH—eligible hospital; EHR—electronic health record; EP—eligible provider; LOINC—Logical Observation Identifiers Names and Codes; 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.

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Current as of March 2012
Internet Citation: Table 2 Meaningful Use Measures with Data Elements Potentially Useful for Care Coordination Measurement: Stage I Menu Set Measures: Prospects for Care Coordination Measurement Using Electronic Data Sources. March 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/final-reports/prospectscare/prosptab2.html