(888) 337- 4441
S1 Requirements
Meaningful Use Stage 1 Requirements
The following chart is from the Final Ruling. This covers Stage 1 criteria for Eligible Professionals (EP). For information on Eligible Hospitals, Critical Access Hospitals, or Medicare Advantage, please read the final ruling.
Core Objectives
Each Eligible Professional must demonstrate use of all 15 Core Objectives (some exceptions are allowed based on patient population).
| Number | Section | Eligible Professional | Measurement |
| 1 | §170.304(a) | Use computerized provider order entry (CPOE) for medication orders directly entered by any licensed healthcare professional who can enter orders into the medical record per state, local and professional guidelines. | More than 30 percent of all unique patients with at least one medication in their medication list seen by the EP have at least one medication order entered using CPOE. |
| 2 | §170.302(a) | Implement drug-drug and drug-allergy interaction checks. | The EP has enabled this functionality for the entire EHR reporting period. |
| 3 | §170.302(c) | Maintain an up-to-date problem list of current and active diagnoses. | More than 80 percent of all unique patients seen by the EP have at least one entry or an indication that no problems are known for the patient recorded as structured data. |
| 4 | §170.304(b) | Generate and transmit permissible prescriptions electronically (eRx). | More than 40 percent of all permissible prescriptions written by the EP are transmitted electronically using certified EHR technology. |
| 5 | §170.302(d) | Maintain active medication list. | More than 80 percent of all unique patients seen by the EP have at least one entry (or an indication that the patient is not currently prescribed any medication) recorded as structured data. |
| 6 | §170.302(e) | Maintain active medication allergy list. | More than 80 percent of all unique patients seen by the EP have at least one entry (or an indication that the patient has no known medication allergies) recorded as structured data. |
| 7 | §170.304(c) | Record all of the following demographics: a. Preferred language. b. Gender. c. Race. d. Ethnicity. e. Date of birth. |
More than 50 percent of all unique patients seen by the EP have demographics recorded as structured data. |
| 8 | §170.302(f) | Record and chart changes in the following vital signs: a. Height. b. Weight. c. Blood pressure. d. Calculate and display body mass index (BMI). e. Plot and display growth charts for children 2 - 20 years, including BMI. |
More than 50 percent of all unique patients age 2 and over seen by the EP, height, weight and blood pressure are recorded as structured data. |
| 9 | v170.302(g) | Record smoking status for patients 13 years old or older. | More than 50 percent of all unique patients 13 years old or older seen by the EP have smoking status recorded as structured data. |
| 10 | §170.304(j) | Report ambulatory clinical quality measures to CMS or, in the case of Medicaid EPs, the States. | Successfully report to CMS (or, in the case of Medicaid EPs, the States) ambulatory clinical quality measures selected by CMS in the manner specified by CMS (or in the case of Medicaid EPs, the States). |
| 11 | §170.304(e) | Implement one clinical decision support rules relevant to specialty or high clinical priority along with the ability to track compliance with that rule. | Implement one clinical decision support rule. |
| 12 | §170.304(f) | Provide patients with an electronic copy of their health information (including diagnostics test results, problem list, medication lists, medication allergies) upon request. | More than 50 percent of all patients who request an electronic copy of their health information are provided it within 3 business days. |
| 13 | §170.304(h) | Provide clinical summaries for patients for each office visit. | Clinical summaries provided to patients for more than 50 percent of all office visits within 3 business days. |
| 14 | §170.304(i) | Capability to exchange key clinical information (for example, problem list, medication list, allergies, and diagnostic test results), among providers of care and patient authorized entities electronically. | Performed at least one test of certified EHR technology's capacity to electronically exchange key clinical information. |
| 15 | §170.302(o-v) | 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) and implement security updates as necessary and correct identified security deficiencies as part of its risk management process. |
"Menu Set" Objectives
Each Eligible Professional must demonstrate use of at least 5 of the 10 Menu Set Objectives.
| Number | Section | Eligible Professional | Measurement |
| 1 | §170.302(b) | Implement drug-formulary checks. | The EP has enabled this functionality and has access to at least one internal or external formulary for the entire EHR reporting period. |
| 2 | §170.302(h) | Incorporate clinical lab-test results into EHR as structured data. | More than 40 percent of all clinical lab tests results ordered by the EP 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. |
| 3 | §170.302(i) | 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. |
| 4 | §170.304(d) | Send reminders to patients per patient preference for preventive/followup care. | More than 20 percent of all patients 65 years or older or 5 years old or younger were sent an appropriate reminder during the EHR reporting period. |
| 5 | §170.304(g) | Provide patients with timely electronic access to their health information (including lab results, problem list, medication lists, and allergies) within 4 business days of the information being available to the EP. | At least 10 percent of all unique patients seen by the EP are provided timely (available to the patient within four business days of being updated in the certified EHR technology) electronic access to their health information subject to the EP's discretion to withhold certain information. |
| 6 | §170.302(m) | Use certified EHR technology to identify patient-specific education resources and provide those resources to the patient if appropriate. | More than 10 percent of all unique patients seen by the EP are provided patient-specific education resources. |
| 7 | §170.302(j) | 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 50 percent of transitions of care in which the patient is transitioned into the care of the EP. |
| 8 | §170.304(i) | 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. | The EP who transitions or refers their patient to another setting of care or provider of care provides a summary of care record for more than 50 percent of transitions of care and referrals. |
| 9 | §170.302(k) | Capability to submit electronic data to immunization registries or immunization information systems and actual submission according to applicable law and practice. | Performed at least one test of certified EHR technology's capacity to submit electronic data to immunization registries and follow up submission if the test is successful (unless none of the immunization registries to which the EP submits such information has the capacity to receive the information electronically). |
| 10 | §170.302(l) | Capability to submit electronic syndromic surveillance data to public health agencies and actual submission according to applicable law and practice. | Performed at least one test of certified EHR technology's capacity to provide electronic syndromic surveillance data to public health agencies and follow-up submission if the test is successful (unless none of the public health agencies to which an EP submits such information has the capacity to receive the information electronically). |