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
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C<strong>onc</strong>urring with CMS, we believe that the fields associated with this measure should<br />
mirror those expressed in the Centers for Disease Control and Prevention, National<br />
Center for <strong>Health</strong> Statistics, National <strong>Health</strong> Interview Survey related to smoking status<br />
recodes. 2 Accordingly, the <strong>final</strong> <strong>certification</strong> criterion further specifies and slightly<br />
broadens the smoking statuses we expect Certified EHR Technology to be capable <strong>of</strong><br />
recording. Generally speaking, we understand that a “current every day smoker” or<br />
“current some day smoker” is an individual who has smoked at least 100 cigarettes<br />
during his/her lifetime and still regularly smokes everyday or periodically, yet<br />
consistently; a “former smoker” would be an individual who has smoked at least 100<br />
cigarettes during his/her lifetime but does not currently smoke; and a “never smoker”<br />
would be an individual who has not smoked 100 or more cigarettes during his/her<br />
lifetime. 3 The other two statuses (smoker, current status unknown; and unknown if ever<br />
smoked) would be available if an individual’s smoking status is ambiguous. The status<br />
“smoker, current status unknown” would apply to individuals who were known to have<br />
smoked at least 100 cigarettes in the past, but their whether they currently still smoke is<br />
unknown. The last status <strong>of</strong> “unknown if ever smoked” is self-explanatory.<br />
§170.302(g) - Incorporate laboratory test results<br />
Meaningful Use<br />
Stage 1<br />
Objective<br />
Incorporate clinical<br />
lab-test results into<br />
certified EHR<br />
technology as<br />
structured data<br />
Meaningful Use<br />
Stage 1 Measure<br />
More than 40% <strong>of</strong> all<br />
clinical lab tests<br />
results ordered by the<br />
EP or by an authorized<br />
provider <strong>of</strong> the eligible<br />
hospital or CAH for<br />
patients admitted to its<br />
inpatient or emergency<br />
department (POS 21 or<br />
Page 66 <strong>of</strong> 228<br />
Certification Criterion<br />
Interim Final Rule Text:<br />
(1) Receive results. Electronically receive clinical<br />
laboratory test results in a structured format and display<br />
such results in human readable format.<br />
(2) Display codes in readable format. Electronically<br />
display in human readable format any clinical laboratory<br />
tests that have been received with LOINC® codes.<br />
(3) Display test report information. Electronically display<br />
all the information for a test report specified at 42 CFR<br />
2 Smoking status recodes: http://www.cdc.gov/nchs/nhis/tobacco/tobacco_recodes.htm<br />
3 ftp://ftp.cdc.gov/pub/<strong>Health</strong>_Statistics/NCHS/datasets/DATA2010/Focusarea27/O2701a.pdf