ehr onc final certification - Department of Health Care Services
ehr onc final certification - Department of Health Care Services
ehr onc final certification - Department of Health Care Services
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
specified data elements and CMS’s express desire to consider patient preferences as<br />
described in the Medicare and Medicaid EHR Incentive Programs <strong>final</strong> rule.<br />
Comments. Two commenters asked whether this requirement refers to the<br />
creation <strong>of</strong> a list for the internal purposes <strong>of</strong> the eligible pr<strong>of</strong>essional and his/her staff<br />
only and does not refer to or require electronic communication to a patient.<br />
Response. Yes, we expect Certified EHR Technology to be capable <strong>of</strong> generating<br />
a patient reminder list for an eligible pr<strong>of</strong>essional and his/her staff. The meaningful use<br />
measure establishes the requirement for an eligible pr<strong>of</strong>essional to take action <strong>onc</strong>e the<br />
reminder list has been generated.<br />
Comments. Two commenters suggested that the set <strong>of</strong> variables contained in the<br />
demographic information for the patient lists note the preferred language <strong>of</strong> the patient.<br />
Response. Preferred language is included in demographics and we do not believe<br />
that it is necessary to expressly call it out as part <strong>of</strong> this <strong>certification</strong> criterion.<br />
§170.304(e) - Clinical decision support<br />
Meaningful Use<br />
Stage 1<br />
Objective<br />
Implement one<br />
clinical decision<br />
support rule<br />
relevant to<br />
specialty or high<br />
clinical priority<br />
along with the<br />
ability to track<br />
compliance that<br />
rule<br />
Meaningful Use<br />
Stage 1 Measure<br />
Implement one<br />
clinical decision<br />
support rule<br />
Page 139 <strong>of</strong> 228<br />
Certification Criterion<br />
Interim Final Rule Text:<br />
(1) Implement rules. Implement automated, electronic clinical<br />
decision support rules (in addition to drug-drug and drugallergy<br />
contraindication checking) according to specialty or<br />
clinical priorities that use demographic data, specific patient<br />
diagnoses, conditions, diagnostic test results and/or patient<br />
medication list.<br />
(2) Alerts. Automatically and electronically generate and<br />
indicate in real-time, alerts and care suggestions based upon<br />
clinical decision support rules and evidence grade.<br />
(3) Alert statistics. Automatically and electronically track,<br />
record, and generate reports on the number <strong>of</strong> alerts responded<br />
to by a user.<br />
Final Rule Text:<br />
§170.304(e)<br />
(1) Implement rules. Implement automated, electronic clinical<br />
decision support rules (in addition to drug-drug and drugallergy<br />
contraindication checking) based on the data elements<br />
included in: problem list; medication list; demographics; and