Meaningful Use

Cyclops Eye Care Records, version 4 has met all the requirements for stage 2 Meaningful use. For a complete list of Clinical Quality Measures and Certification criteria which has been tested and certified, please click the link below:

Modules tested (for stage 2, 2014 edition):

(a)(1) Computerized Provider Order Entry
(a)(2) Drug-Drug, Drug-Allergy Interaction
(a)(3) Demographics
(a)(4) Vital signs, BMI, and growth charts
(a)(5) Problem List
(a)(6) Medication List
(a)(7) Medication Allergy List
(a)(8) Clinical Decision Support
(a)(9) Electronic Notes

(a)(10) Drug-Formulary Checks

(a)(11) Smoking Status

(a)(12) Image Results
(a)(13) Family Health History
(a)(14) Patient List Creation
(a)(15) Patient-Specific Education Resources
(b)(1) Transitions of Care – receive
(b)(2) Transitions of Care – create
(b)(3) Electronic Prescribing
(b)(4) Clinical Information Reconciliation
(b)(5) Incorporate Laboratory Test results
(b)(7) Data Portability

(c)(1) Clinical Quality Measures capture

(c)(2) Clinical Quality Measures  import
(c)(3) Clinical Quality Measures submission
(d)(1) Authentication, access control
(d)(2) Auditable Events and Tamper-Resistance
(d)(3) Audit Report(s)
(d)(4) Amendments
(d)(5) Automatic log-off
(d)(6) Emergency access
(d)(7) End-User Device Encryption
(d)(8) Integrity
(e)(1) View, Download, and Transmit
(e)(2) Clinical Summary
(e)(3) Secure Messaging
(f)(1) Immunization Information
(f)(2) Transmission to Immunization Registries

(f)(3) Transmission to Public Health Agencies

(g)(2) Automated Measure Calculation

(g)(3) Safety-Enhanced Design

(g)(4) Quality Management System

Clinical Quality Measures (for stage 2, 2014 edition):

CMS22 Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
CMS50 Closing the referral loop: receipt of specialist report
CMS68 Documentation of Current Medications in the Medical Record
CMS69 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up
CMS122 Diabetes: Hemoglobin A1c Poor Control
CMS131 Diabetes: Eye Exam
CMS132 Cataracts: Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures
CMS133 Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery
CMS138 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
CMS142 Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
CMS143 Primary Open Angle Glaucoma (POAG): Optic Nerve Evaluation
CMS148 Hemoglobin A1c Test for Pediatric Patients
CMS156 Use of High-Risk Medications in the Elderly
CMS165 Controlling High Blood Pressure
CMS167 Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy

Core Elements (for stage 1 2011 edition)

Health care practitioners must meet all 15 of the core Elements to achieve meaningful use of electronic health records. Measures are assigned for each Element.

  • Element: Record patient demographics (sex, race, ethnicity, date of birth, preferred language).Measure: More than 50 percent of patients’ demographic data recorded as structured data.
  • Element: Record vital signs and chart changes (height, weight, blood pressure, body mass index, growth charts for children).Measure: More than 50 percent of patients two years of age or older have height, weight, and blood pressure recorded as structured data.
  • Element: Maintain up-to-date problem list of current and active diagnoses.Measure:More than 80 percent of patients have at least one entry as structured data.
  • Element: Maintain active medication list.Measure:More than 80 percent of patients have at least one entry recorded as structured data.
  • Element: Maintain active medication allergy list.Measure:More than 80 percent of patients have at least one entry recorded as structured data.
  • Element: Record smoking status for patients 13 years of age of older.Measure: More than 50 percent of patients 13 years of age or older have smoking status recorded as structured data.
  • Element: For individual professionals, provide patients with clinical summaries for each office visit.Measure: Clinical summaries provided to patients for more than 50 percent of all office visits within three business days.
  • Element: On request, provide patients with an electronic copy of their health information (including diagnostic test results, problem list, medication list, medication allergies).Measure: More than 50 percent of requesting patients receive electronic copy within three business days.
  • Element: Generate and transmit permissible prescriptions electronically.Measure: More than 40 percent are transmitted electronically using certified EHR technology.
  • Element: Computer provider order entry (CPOE) for medication orders.Measure: More than 30 percent of patients with at least one medication in their medication ordered through CPOE.
  • Elementnt: Implement drug-drug and drug-allergy interaction checks.Measure: Functionality is enabled for these checks for the entire reporting period.
  • Element: Implement capability to electronically exchange key clinical information among providers and patient-authorized entities.Measure: Perform at least one test of EHR’s capacity to electronically exchange information.
  • Element: Implement one clinical decision support rule and ability to track compliance with the rule.Measure: One clinical decision support rule implemented.
  • Element: Implement systems to protect privacy and security of patient data in the EHR.Measure: Conduct or review a security risk analysis, implement security updates as necessary and correct identified security deficiencies.
  • Element: Report clinical quality measure to CMS or states.Measure:For 2011, provide aggregate numerator and denominator through attestation; for 2012, electronically submit measures.

Menu Elements (for stage 1 2011 edition)

Health care practitioners must meet five of the 10 core menu Elements to achieve meaningful use of electronic health records. Measures are assigned for each Element.

  • Element: Implement drug formulary checks.Measure: Drug formulary check system is implemented and access maintained to at least one internal or external drug formulary for the entire reporting period.
  • Element: Incorporate clinical laboratory test results into EHRs as structured data.Measure:More than 40 percent of clinical laboratory test results whose results are in positive/negative or numerical format are incorporated into EHRs as structured data.
  • Elementt: Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, research or outreach.Measure: Generate at least one listing of patients with specific condition.
  • Element: Use EHR technology to identify patient-specific education resources and provide to the patient as appropriate.Measure: More than 10 percent of patients are provided patient-specific education resources.
  • Element: Perform medical reconciliation between care settings.Measure:Medication reconciliation is performed for more than 50 percent of transitions of care.
  • Element: Provide summary of care record for patients referred or transitioned to another provider or setting.Measure:Summary of care record is provided for more than 50 percent of patient transitions or referrals.
  • Element: Submit electronic immunization data to immunization registries or immunization information systems.Measure: Perform at least one test of data submission and follow-up submission (where registries can accept electronic submission).
  • Element: Submit electronic syndromic surveillance data to public health agencies.Measure: Perform at least one test of data submission and follow-up submission (where public health agencies can accept electronic submission).
  • Element: Send reminders to patients (per patient preference) for preventative and follow-up care.
    Measure: More than 20 percent of patients 65 years of age or older or five years if age or younger are sent appropriate reminders.
  • Element: Provide patients with timely electronic access to their health information (including laboratory results, problem list, medication lists, medication allergies).
    Measure: More than 10 percent of patients are provided electronic access to information within four days of it being updated in the EHR.