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Summary of Meaningful Use Requirements  15 Mandatory Core Set Objectives :  Use computerized order entry for medication orders.  Implement drug-drug, drug-allergy checks.  Generate and transmit permissible prescriptions electronically.  Record demographics.  Maintain an up-to-date problem list of current and active diagnoses.  Maintain active medication list.  Maintain active medication allergy list.  Record and chart changes in vital signs.  Record smoking status for patients 13 years old or older.  Implement one clinical decision support rule.  Report ambulatory quality measures to CMS or the States.  Provide patients with an electronic copy of their health information upon request.  Provide clinical summaries to patients for each office visit.  Capability to exchange key clinical information electronically among providers and patient authorized entities.  Protect electronic health information (privacy & security)   Must meet any 5 of the MU Menu Set Objectives listed below: (Must include at least one of the population health and public health measures)  Implement drug-formulary checks.  Incorporate clinical lab-test results into certified EHR as structured data.  Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, research, and outreach.  Send reminders to patients per patient preference for preventive/ follow-up care  Provide patients with timely electronic access to their health information (including lab results, problem list, medication lists, allergies)  Use certified EHR to identify patient-specific education resources and provide to patient if appropriate.  Perform medication reconciliation as relevant  Provide summary care record for transitions in care or referrals.  Capability to submit electronic data to immunization registries and actual submission.  Capability to provide electronic syndromic surveillance data to public health agencies and actual transmission. www.corecoc.org 855.241.1145 1120 W. La Veta Ave. Orange CA. 92868 Page 1 The CalOptima Regional Extension Center is a federally-designated Regional Extension Center funded by the Office of the National Coordinator, Department of Health and Human Services, Award Number: 90RC0066  Must track the 3 required core CQM below or the alternatives below on patients. Core Set:  Hypertension: blood pressure management  Tobacco use assessment and intervention  Adult weight screening and follow up Alternative Set:  Weight Assessment and Counseling for children and Adolescents  Influenza Immunization for Patients > 50 years old.  Childhood Immunization Status           Must identify 3 additional CQM from the set of 38 CQM’s that you commit to track on your patients. Diabetes: Hemoglobin A1c poor control Diabetes: Hemoglobin A1c Control (8.0%) Diabetes: Low Density Lipoprotein (LDL) Management and Control Diabetes: Blood pressure management Diabetes: Eye Exam Diabetes: Urine Screening Diabetes: Foot Exam Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy. Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care.  Primary Open Angle Glaucoma (POAG): Optic Nerve Evaluation  Controlling High Blood Pressure  Heart Failure: Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD)  Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)  Heart Failure (HF): Warfarin Therapy Patients with Atrial Fibrillation.  Coronary Artery Disease (CAD): Beta-Blocker Therapy for CAD Patients with Prior Myocardial Infarction (MI)  Coronary Artery Disease (CAD): Oral Antiplatelet Therapy Prescribed for Patients with CAD.  Coronary Artery Disease (CAD) Drug Therapy for Lowering LDL-Cholesterol  Ischemic Vascular Disease (IVD): Blood Pressure Management  Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic.  Ischemic Vascular Disease (IVD): Complete Lipid Panel and LDL Control. www.corecoc.org 855.241.1145 1120 W. La Veta Ave. Orange CA. 92868 Page 2 The CalOptima Regional Extension Center is a federally-designated Regional Extension Center funded by the Office of the National Coordinator, Department of Health and Human Services, Award Number: 90RC0066  Use of Appropriate Medications for Asthma  Asthma Pharmacologic Therapy  Asthma Assessment  Appropriate Testing for Children with Pharyngitis  Initiation and Engagement of Alcohol and Other Drug  Dependence Treatment: a. Initiation b. Engagement  Smoking and Tobacco Use Cessation, Medical assistance: a. Advising Smoking and Tobacco Users to Quit b. Discussing Smoking and Tobacco Use Cessation Medications c. Discussing Smoking and Tobacco Use Cessation Strategies  Anti-depressant medications management a. Effective Acute Phase Treatment b. Effective Continuation Phase Treatment  Pneumonia Vaccination Status for Older Adults  Breast Cancer Screening  Oncology Breast Cancer: Hormonal Therapy for Stage IC-IIIC Estrogen Receptor/Progesterone Receptor (ER/PR) Positive Breast Cancer  Colorectal Cancer Screening  Oncology Colon Cancer: Chemotherapy for Stage III Colon Cancer Patients  Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients.  Cervical Cancer Screening  Chlamydia Screening for Women  Prenatal Care: Anti-D Immune Globulin  Prenatal Care: Screening for human Immunodeficiency virus (HIV)  Low Back Pain: Use of Imaging Studies www.corecoc.org 855.241.1145 1120 W. La Veta Ave. Orange CA. 92868 Page 3 The CalOptima Regional Extension Center is a federally-designated Regional Extension Center funded by the Office of the National Coordinator, Department of Health and Human Services, Award Number: 90RC0066