Meaningful Use
What is Meaningful Use?
Table Stage 2 Requirements

Meaningful Use Stage 2 Requirements

The following chart is from the Stage 2 Final Rule. It covers stage 2 criteria for eligible professionals (EPs). For information on eligible hospitals (EHs) or critical access hospitals (CAHs), please see the Final Rule. For a side-by-side comparison of stage 1 and stage 2, click here.

Core Objectives

Each EP must report on all 17 core objectives.

Number Eligible Professional Measurement
1 Use computerized provider order entry (CPOE) for medication, laboratory and radiology orders directly entered by an licensed healthcare professional who can enter orders into the medical record per state, local and professional guidelines to create the first record of the order. More than 60 percent of medication, laboratory, and radiology orders created by the EP during the EHR reporting period are recorded using CPOE.
2 Generate and transmit permissible prescriptions electronically (eRx). More than 65 percent of all permissible prescriptions written by the EP are compared to at least one drug formulary and transmitted electronically using Certified EHR Technology.
3 Record the following demographics:• Preferred language
• Gender
• Race
• Ethnicity
• Date of birth
More than 80 percent of all unique patients seen by the EP have demographics recorded as structured data.
4 Record and chart changes in vital signs:• Height/length
• Weight
• Blood pressure (age 3 and over)
• Calculate and display BMI
• Plot and display growth charts for patients 0-20 years, including BMI.
More than 80 percent of all unique patients seen by the EP have blood pressure (for patients age 3 and over only) and height/length and weight (for all ages) recorded as structured data.
5 Record smoking status for patients 13 years old or older. More than 80% of all unique patients 13 years old or older seen by the EP have smoking status recorded as structured data.
6 Use clinical decision support to improve performance on high-priority health conditions. 1. Implement 5 clinical decision support interventions related to 5 or more clinical quality measures at a relevant point in patient care for the entire EHR reporting period.2. The EP has enabled and implemented the functionality for drug-drug and drug-allergy interaction checks for the entre EHR reporting period.
7 Incorporate clinical lab-test results into Certified EHR Technology as structured data. More than 55 percent of all clinical lab tests results ordered by the during the EHR reporting period whose results are either in a positive/negative or numerical format are incorporated in Certified EHR Technology as structured data.
8 Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, research, or outreach. Generate at least one report listing patients of the EP with a specific condition.
9 Use clinically relevant information to identify patients who should receive reminders for preventive/follow-up care. More than 10 percent of all unique patients who have had an office visit with the EP within the 24 months prior to the beginning of the EHR reporting period were sent a reminder, per patient preference.
10 Provide patients the ability to view online, download, and transmit their health information within 4 business days of the information being available to the EP. 1. More than 50 percent of all unique patients seen by the EP during the EHR reporting period are provided timely (within 4 business days after the information is available to the EP) online access to their health information subject to the EP’s discretion to withhold certain information2. More than 10 percent of all unique patients seen by the EP during the EHR reporting period (or their authorized representatives) view, download , or transmit to a third party their health information
11 Provide clinical summaries for patients for each office visit Clinical summaries provided to patients within 24 hours for more than 50 percent of office visits.
12 Use Certified EHR Technology to identify patient-specific education resources and provide those resources to the patient Patient-specific education resources identified by Certified EHR Technology are provided to patients for more than 10 percent of all office visits by the EP.
13 Use secure electronic messaging to communicate with patients on relevant health information. A secure message was sent using the electronic messaging function of Certified EHR Technology by more than 10 percent of unique patients seen during the EHR reporting period.
14 The EP who receives a patient from another setting of care or provider of care or believes an encounter is relevant should perform medication reconciliation. The EP performs medication reconciliation for more than 65 percent of transitions of care in which the patient is transitioned into the care of the EP or admitted to the eligible hospital’s or CAH’s inpatient or emergency department (POS 21 or 23).
15 The EP who transitions their patient to another setting of care or provider of care or refers their patient to another provider of care should provide summary care record for each transition of care or referral. 1. The EP that transitions or refers their patient to another setting of care or provider of care provides a summary of care record for more than 65 percent of transitions of care and referrals.2. The EP that transitions or refers their patient to another setting of care or provider of care electronically transmits a summary of care record using certified EHR technology to a recipient with no organizational affiliation and using a different Certified EHR Technology vendor than the sender for more than 10 percent of transitions of care and referrals.
16 Capability to submit electronic data to immunization registries or immunization information systems except where prohibited, and in accordance with applicable law and practice. Successful ongoing submission of electronic immunization data from Certified EHR Technology to an immunization registry or immunization information system for the entire EHR reporting period.
17 Protect electronic health information created or maintained by the Certified EHR Technology through the implementation of appropriate technical capabilities. Conduct or review a security risk analysis in accordance with the requirements under 45 CFR 164.308(a)(1), including addressing the encryption/security of data at rest in accordance with requirements under 45 CFR 164.312 (a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the provider’s risk management process.

Menu Set Objectives

Each EP must report on at least 3 of the 6 menu objectives.

Number Eligible Professional Measurement
1 Imaging results and information are accessible through Certified EHR Technology. More than 40 percent of all scans and tests whose result is an image ordered by the EP during the EHR reporting period are accessible through Certified EHR Technology.
2 Record patient family health history as structured data. More than 20 percent of all unique patients seen by the EP during the EHR reporting period have a structured data entry for one or more first-degree relatives.
3 Capability to submit electronic syndromic surveillance data to public health agencies, except where prohibited, and in accordance with applicable law and practice. Successful ongoing submission of electronic syndromic surveillance data from Certified EHR Technology to a public health agency for the entire EHR reporting period.
4 Capability to identify and report cancer cases to a State cancer registry, except where prohibited, and in accordance with applicable law and practice. Successful ongoing submission of cancer case information from Certified EHR Technology to a cancer registry for the entire EHR reporting period.
5 Capability to identify and report specific cases to a specialized registry (other than a cancer registry), except where prohibited, and in accordance with applicable law and practice. Successful ongoing submission of specific case information from Certified EHR Technology to a specialized registry for the entire EHR reporting period.
6 Record electronic notes in patient records.