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Sophie Scheidlinger · Nov 5, 2015

Meaningful Use: Stage 1 is now Modified Stage 2

CMS has transitioned Stage 1 to Modified Stage 2 for the 2015 reporting period and beyond. Practices that are reporting for Stage 1 in 2015 will now report on all the Stage 2 objectives with special exclusions for measures that were not in Stage 1, called Modified Stage 2.

See also:

Meaningful Use: Stage 2 measures are now Stage 2 objectives

Meaningful Use: 6 things you need to know about the CMS Final Rule changes

Stage 1 Measure in 2014 Modified Stage 2 Objective in 2015

Core 1: CPOE for Medication Orders

Use CPOE to record more than 30% of medication orders.

CMS information »

Objective 3: Computerized Provider Order Entry (CPOE)

Alternate Measure 1:

Use CPOE to record more than 30% of medication orders.

Learn how to complete this measure »

Core 2: Drug Interaction Checks

Implement drug interaction checks for the entire reporting period.

CMS information »

Objective 2: Clinical Decision Support

Alternate Measure 2: Implement drug interaction checks for the entire reporting period.

Learn how to complete this measure »

Core 3: Maintain Problem List

Enter at least one diagnosis for at least 80% of patients seen.

CMS information »

This is no longer an objective

Core 4: E-prescribing

Send more than 40% of prescriptions electronically.

CMS information »

Objective 4: Electronic Prescribing

Alternate Measure 1: Send more than 40% of prescriptions electronically.

Learn how to complete this measure »

Core 5: Active Medication List

Enter at least one medication for at least 80% of patients seen.

CMS information »

This is no longer an objective

Core 6: Medication Allergy List

Enter at least one drug allergy for more than 80% of all patients seen.

CMS information »

This is no longer an objective

Core 7: Record Demographics

Record the following demographic information for more than 50% of all patients seen: date of birth, sex, race, ethnicity, preferred language.

CMS information »

This is no longer an objective

Core 8: Record Vital Signs

Record the following vitals for more than 50% of all patients: blood pressure for patients ages three and over and height and weight for patients of all ages.

CMS information »

This is no longer an objective

Core 9: Record Smoking Status

Record smoking status for more than 50% of all patients 13 years and older.

CMS information »

This is no longer an objective

Core 10: Clinical Decision Support Rule

Implement one clinical decision support (CDS) rule and have it enabled for the entire EHR reporting period.

CMS information »

Objective 2: Clinical Decision Support

Alternate Measure 1: Implement one clinical decision support rule.

Learn how to complete this measure »

Core 11: Patient Electronic Access

Provide more than 50% of patients online access to their health information within four business days.

CMS information »

Objective 8: Patient Electronic Access (VDT)

Measure 1: Provide more than 50% of patients online access to their health information within four business days.

Learn how to complete this measure »

Core 12: Clinical Summaries

Provide a clinical summary to patients for more than 50% of all office visits within three business days.

CMS information »

This is no longer an objective

Core 13: Protect Electronic Health Information

Conduct a security risk analysis and implement security updates as necessary.

CMS information »

Objective 1: Protect Patient Health Information

Conduct a security risk analysis and implement security updates as necessary.

Learn how to complete this measure »

Menu 1: Drug Formulary Checks

Implement drug formulary checks and ensure that it’s enabled for your entire EHR reporting period.

CMS information »

This is no longer an objective

Menu 2: Clinical Lab Test Results

Incorporate more than 40% of all clinical lab test results as structured data.

CMS information »

This is no longer an objective

Menu 3: Patient Lists

Generate a report listing patients with a specific diagnosis.

CMS information »

This is no longer an objective

Menu 4: Patient Reminders

Send reminders for preventive or follow-up care to more than 20% of patients in your practice who are 65 years and older or 5 years and younger.

CMS information »

This is no longer an objective

Menu 5: Patient Specific Education Resources

Provide more than 10% of your patients with education resources.

CMS information »

Objective 6: Patient Specific Education

Provide more than 10% of your patients with education resources.

Alternate Exclusion: Provider may claim an exclusion if they did not intend to select the this menu measure to attest to.

Menu 6: Medication Reconciliation

Perform medication reconciliation for more than 50% of transitions of care where the patient is transitioned into your care from another setting (hospital, ambulatory primary/specialty care practice, long-term care, etc.)

CMS information »

Objective 7: Medication Reconciliation

Perform medication reconciliation for more than 50% of transitions of care where the patient is transitioned into your care from another setting (hospital, ambulatory primary/specialty care practice, long-term care, etc.)

Alternate Exclusion: Provider may claim an exclusion if they did not intend to select the this menu measure to attest to.

Learn how to complete this measure »

Menu 7: Transition of Care Summary

Provide a summary of care record for more than 50% of patients that you refer or transition from your practice.

CMS information »

This is no longer an objective
Public Health Menu Measures (Pick 1 measure to report) Public Health Objective (Pick 1 measure to report)

Menu 8: Immunization Registries Data Submission

Perform at least one test submission of immunization data to your local immunization registry and conduct follow up submission if the test is successful.

CMS information »

Objective 10: Public Health

Measure 1: Immunization Registry Reporting The EP is in active engagement with a public health agency to submit immunization data.

Learn how to complete this measure »

Menu 9: Syndromic Surveillance Data Submission

Perform at least one test submission of syndromic surveillance data to your local public health agency and conduct follow up submission if the test is successful.

CMS information »

Objective 10: Public Health

Measure 2: Syndromic Surveillance Reporting The EP is in active engagement with a public health agency to submit syndromic surveillance data.

Learn how to complete this measure »