Eligible Professional (EP) Objectives and Measures for 2015 through 2017*

Objectives for 2015,
2016, and
2017
Measures for Providers in 2015, 2016,
and 2017
Alternate Exclusions and/or
Specifications for Certain Providers
Objectives for 2015, 2016, and 2017: Objective 1:
Protect Patient Health
Information
Measures for Providers in 2015, 2016, and 2017:
  • Measure: Conduct or review a security
    risk analysis in accordance with the
    requirements in 45 CFR 164.308(a)(1), including addressing the security (to
    include encryption) of ePHI created or
    maintained by Certified EHR Technology in accordance with requirements in 45 CFR 164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and
    correct identified security deficiencies
    as part of the EP’s risk management
    process.
Alternate Exclusions and/or Specifications for Certain Providers: None
Objectives for 2015, 2016, and 2017:
Objective 2:
Clinical Decision
Support
Measures for Providers in 2015, 2016, and 2017:
  • Measure 1: Implement five clinical
    decision support interventions related
    to four or more clinical quality measures at a relevant point in patient
    care for the entire EHR reporting
    period. Absent four clinical quality
    measures related to an EPs scope of practice or patient population, the
    clinical decision support interventions
    must be related to high-priority health
    conditions.
  • Measure 2: The EP has enabled and
    implemented the functionality for drug
    and drug-allergy interaction checks for the entire EHR reporting period.
Alternate Exclusions and/or Specifications for Certain Providers:

If for an EHR reporting period in 2015, the provider is scheduled to demonstrate Stage 1:


Alternate Objective and Measure 1:

  • Objective: Implement one clinical decision support rule relevant to
    specialty or high clinical priority, along with the ability to track compliance
    with that rule.
  • Measure: Implement one clinical
    decision support rule.
Objectives for 2015, 2016, and 2017: Objective 3:
Computerized
Provider Order Entry
CPOE
Measures for Providers in 2015, 2016, and 2017:
  • Measure 1: More than 60 percent of
    medication orders created by the EP
    during the EHR reporting period are
    recorded using computerized provider
    order entry.
  • Measure 2: More than 30 percent of
    laboratory orders created by the EP
    during the EHR reporting period are
    recorded using computerized provider
    order entry.
  • Measure 3: More than 30 percent of radiology orders created by the EP during the EHR reporting period are recorded using computerized provider order entry.
Alternate Exclusions and/or Specifications for Certain Providers:
  • Alternate Measure 1: For Stage 1
    providers in 2015 only, more than 30
    percent of all unique patients with at
    least one medication in their
    medication list seen by the EP during
    the EHR reporting period have at least one medication order entered using CPOE; or more than 30 percent of medication orders created by the EP during the EHR reporting period during
    the EHR reporting period, are recorded using computerized provider order entry.
  • Alternate Exclusion for Measure 2: Providers scheduled to be in Stage 1 in 2015 may claim an exclusion for measure 2 (laboratory orders) of the Stage 2 CPOE objective for an EHR reporting period in 2015; and, providers scheduled to be in Stage 1 in 2016 may claim an exclusion for measure 2 (laboratory orders) of the Stage 2 CPOE objective for an EHR reporting period in 2016.
  • Alternate Exclusion for Measure 3: Providers scheduled to be in Stage 1 in 2015 may claim an exclusion for
    measure 3 (radiology orders) of the Stage 2 CPOE objective for an EHR reporting period in 2015; and, providers scheduled to be in Stage 1 in 2016 may claim an exclusion for measure 3 (radiology orders) of the Stage 2 CPOE objective for an EHR reporting period
    in 2016.
Objectives for 2015, 2016, and 2017: Objective 4: Electronic PrescribingMeasures for Providers in 2015, 2016, and 2017:
  • EP Measure: More than 50 percent of all permissible prescriptions written by the EP are queried for a drug formulary
    and transmitted electronically using CEHRT.
Alternate Exclusions and/or Specifications for Certain Providers:
  • Alternate EP Measure: For Stage 1 providers in 2015 only, More than 40 percent of all permissible prescriptions written by the EP are transmitted electronically using CEHRT.
Objectives for 2015, 2016, and 2017: Objective 5:
Health Information
Exchange
Measures for Providers in 2015, 2016, and 2017:
  • Measure: The EP that transitions or refers their patient to another setting of care or provider of care (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving provider for more than 10 percent of transitions.
    of care and referrals.
Alternate Exclusions and/or Specifications for Certain Providers:
  • Alternate Exclusion: Provider may claim an exclusion for the measure of the Stage 2 Summary of Care objective, which requires the electronic transmission of a summary of care document if for an EHR reporting period in 2015 they were scheduled to demonstrate Stage 1, which does not have an equivalent measure.
Objectives for 2015, 2016, and 2017: Objective 6:
Patient-Specific
Education
Measures for Providers in 2015, 2016, and 2017:
  • EP Measure: Patient-specific education resources identified by CEHRT are provided to patients for more than 10 percent of all unique patients with office visits seen by the EP during the EHR reporting period.
Alternate Exclusions and/or Specifications for Certain Providers:
  • Alternate Exclusion: Provider may claim an exclusion for the measure of the Stage 2 Patient-Specific Education objective if for an EHR reporting period in 2015 they were scheduled to demonstrate Stage 1 but did not intend to select the Stage 1 Patient-Specific Education menu objective.
Objectives for 2015, 2016, and 2017: Objective 7:
Medication
Reconciliation
Measures for Providers in 2015, 2016, and 2017:
  • Measure: The EP, performs medication reconciliation for more than 50 percent of transitions of care in which the patient is transitioned into the care of the EP.
Alternate Exclusions and/or Specifications for Certain Providers:
  • Alternate Exclusion: Provider may claim an exclusion for the measure of the Stage 2 Medication Reconciliation objective if for an EHR reporting period in 2015 they were scheduled to demonstrate Stage 1 but did not intend to select the Stage 1 Medication Reconciliation menu objective.
Objectives for 2015, 2016, and 2017:
Objective 8:
Patient Electronic
Access (VDT)
Measures for Providers in 2015, 2016, and 2017:
  • EP Measure 1: More than 50 percent of all unique patients seen by the EP during the EHR reporting period are provided timely access to view online,
    download, and transmit to a third party their health information subject to the EP's discretion to withhold certain information.
  • EP Measure 2: For 2015 and 2016: At least 1 patient seen by the EP during the EHR reporting period (or patient-authorized representative) views, downloads or transmits his or her health information to a third party during the EHR reporting period. For 2017: More than 5 percent of unique patients seen by the EP during the EHR reporting period (or patientauthorized representative) views, downloads or transmits their health information to a third party during the EHR reporting period.
Alternate Exclusions and/or Specifications for Certain Providers:
  • Alternate Exclusion Measure 2: Providers may claim an exclusion for the second measure if for an EHR reporting period in 2015 they were scheduled to demonstrate Stage 1, which does not have an equivalent measure.
Objectives for 2015, 2016, and 2017: Objective 9: Secure Messaging
Measures for Providers in 2015, 2016, and 2017:

Measure:

  • For 2015: For an EHR reporting period in 2015, the capability for patients to send and receive a secure electronic message with the EP was fully enabled.
  • For 2016: For at least 1 patient seen by the EP during the EHR reporting period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or patientauthorized representative), or in response to a secure message sent by the patient (or patient-authorized representative) during the EHR reporting period.
  • For 2017: For more than 5 percent of unique patients seen by the EP during the EHR reporting period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the EHR reporting period.
Alternate Exclusions and/or Specifications for Certain Providers:
  • Alternate Exclusion: An EP may claim an exclusion for the measure if for an EHR reporting period in 2015 they were scheduled to demonstrate Stage 1, which does not have an equivalent measure.
Objectives for 2015, 2016, and 2017:
Objective 10:
Public Health
Measures for Providers in 2015, 2016, and 2017:
  • Measure 1- Immunization Registry Reporting: The EP is in active engagement with a public health agency to submit immunization data.
  • Measure 2- Syndromic Surveillance Reporting: The EP is in active engagement with a public health agency to submit syndromic surveillance data.
  • Measure 3- Specialized Registry Reporting: The EP is in active engagement to submit data to a specialized registry.
Alternate Exclusions and/or Specifications for Certain Providers:
  • Stage 1 EPs in 2015 must meet at least 1 measure in 2015, Stage 2 EPs must meet at least 2 measures in 2015, and all EPs must meet at least 2 measures in
    2016 and 2017.