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. |
Objective 3: Computerized Provider Order Entry (CPOE) Alternate Measure 1: Use CPOE to record more than 30% of medication orders. |
|
Core 2: Drug Interaction Checks Implement drug interaction checks for the entire reporting period. |
Objective 2: Clinical Decision Support Alternate Measure 2: Implement drug interaction checks for the entire reporting period. |
|
Core 3: Maintain Problem List Enter at least one diagnosis for at least 80% of patients seen. |
This is no longer an objective |
|
Core 4: E-prescribing Send more than 40% of prescriptions electronically. |
Objective 4: Electronic Prescribing Alternate Measure 1: Send more than 40% of prescriptions electronically. |
|
Core 5: Active Medication List Enter at least one medication for at least 80% of patients seen. |
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. |
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. |
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. |
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. |
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. |
Objective 2: Clinical Decision Support Alternate Measure 1: Implement one clinical decision support rule. |
|
Core 11: Patient Electronic Access Provide more than 50% of patients online access to their health information within four business days. |
Objective 8: Patient Electronic Access (VDT) Measure 1: Provide more than 50% of patients online access to their health information within four business days. |
|
Core 12: Clinical Summaries Provide a clinical summary to patients for more than 50% of all office visits within three business days. |
This is no longer an objective |
|
Core 13: Protect Electronic Health Information Conduct a security risk analysis and implement security updates as necessary. |
Objective 1: Protect Patient Health Information Conduct a security risk analysis and implement security updates as necessary. |
|
Menu 1: Drug Formulary Checks Implement drug formulary checks and ensure that it’s enabled for your entire EHR reporting period. |
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. |
This is no longer an objective |
|
Menu 3: Patient Lists Generate a report listing patients with a specific diagnosis. |
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. |
This is no longer an objective |
|
Menu 5: Patient Specific Education Resources Provide more than 10% of your patients with education resources. |
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. |
|
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.) |
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. |
|
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. |
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. |
Objective 10: Public Health Measure 1: Immunization Registry Reporting The EP is in active engagement with a public health agency to submit immunization data. |
|
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. |
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. |
