Table 2. Stage 2 core objectives. Core Objective


Measure


Computerized physician order entry (CPOE)


E-prescribing Demographics Vital signs


Smoking status Interventions


Labs Patient list Preventive reminders Patient access Visit summaries Education resources Secure messages Medication reconciliation Summary of care


Use CPOE for more than 60 percent of medication, 30 percent of laboratory, and 30 percent of radiology


E-prescribe for more than 50 percent


Record demographics for more than 80 percent Record vital signs for more than 80 percent Record smoking status for more than 80 percent


Implement five clinical decision support interventions + drug/drug and drug/allergy


Incorporate lab results for more than 55 percent Generate patient list by specific condition


Use electronic health record (EHR) to identify and provide reminders for preventive/follow-up care for more than 10 percent of patients with two or more office visits in the past two years


Provide online access to health information for more than 50 percent with more than 5 percent actually accessing


Provide office visit summaries for more than 50 percent of office visits


Use EHR to identify and provide education resources to more than 10 percent


More than 5 percent of patients send secure messages to their eligible professional


Medication reconciliation at more than 50 percent of transitions of care


Provide summary-of-care document for more than 50 percent of transitions of care and referrals with 10 percent sent electronically and at least one sent to a recipient with a different EHR vendor or successfully testing with Centers for Medicare & Medicaid Services test EHR


Immunizations Security analysis


Successful ongoing transmission of immunization data


Conduct of review security analysis and incorporate risk management process


February 2014 TEXAS MEDICINE 53


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