The Percentage Based Measures Checklist provides the users of the Chart(x) E.H.R. a detailed description of the numerator and denominator inputs necessary for the Chart(x) E.H.R. to be used in a meaningful way.

All of the data in this checklist is derived directly from the government provided resources in regards to Meaningful Use, Clinical Quality Measures, and PQRS programs.

The comprehensive checklist will provide the user with a brief summary of the objective and a structured table describing how to use the Chart(x) E.H.R. to accomplish the objectives.

 

It is important to understand that the Chart(x) E.H.R. automatically calculates all of the measures required for reporting from the data sets entered thoughout the patient visit. It is important that each step of the patient visit is completed in the Chart(x) E.H.R. to properly generate the final report.

 

Status	Eligible Professionals     ible Professionals	Stage 1 Requirements	Chart(x) E.H.R. Guidellines
	Maintain an up-to-date problem list of current and active diagnoses	More than 80% 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	In Chart(x) E.H.R. when adding editing a Reason/Diagnosis check the status tick box with either Active, Chronic, or Resolved.
	Maintain active medication list	More than 80% 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	In Chart(x) E.H.R. when adding editing a medication check the Active status box if the Medication is Active.
	Maintain active medication allergy list	More than 80% 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	In Chart(x) E.H.R. any Medication Allergies entered in the E-Prescribing module will automatically be recorded.
	Record demographics o     Preferred language o     Gender o     Race o     Ethnicity o     Date of Birth	More than 50% of all unique patients seen by the EP ) have demographics recorded as structured data	In Chart(x) E.H.R Registration screens drop down menus are provided for the following:  Preferred Language Gender Race Ethnicity Datie of Birth
	Provide patients with timely electronic access to their health information (including lab results, problem list, medication lists, medication allergies) within four business days of the information being available to the EP	More than 10% 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	In Chart(x) E.H.R. provide the patients with Portal access or print or download clinical summaries for the patients.   In Chart(x) E.H.R. Patient Communication module select the mode of health information requested by the patient.   By selecting the mode of communication the timing of the delivery will automatically be calculated from the time the information is printed, saved, or accessed via. the Portal.
	Use certified EHR technology to identify patient-specific education resources and provide those resources to the patient if appropriate	More than 10% of all unique patients seen by the EP  are provided patient-specific education resources	In Chart(x) E.H.R. use the 5 Minute Consult module to identify patient specific information or provide from providers libray.    After the patient specific information is provided check the Education Resources Provided check box on the top right of the Triage and Provider Charting Screens.
	Use 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% of unique patients with at least one medication in their medication list seen by the EP  have at least one medication order entered using CPOE	In Chart(x) E.H.R. use the E-Prescribing module from any screen to Add, Edit, or View prescriptions.
	Generate and transmit permissible prescriptions electronically (eRx)	More than 40% of all permissible prescriptions written by the EP are transmitted electronically using certified EHR technology	In Chart(x) E.H.R. use the E-Prescribing module from any screen to Add, Edit, or View prescriptions.
	Record and chart changes in vital signs: o     Height o     Weight o     Blood pressure o     Calculate and display BMI o     Plot and display growth charts for children 2-20 years, including BMI	More than 50% of all unique patients age 2 and over seen by the EP  height, weight and blood pressure are recorded as structured data	In Chart(x) E.H.R. Triage Screen enter height, weight, and blood pressure (BP).
	Record smoking status for patients 13 years old or older	More than 50% of all unique patients 13 years old or older seen by the EP  have smoking status recorded as structured data	In Chart(x) E.H.R. Past Medical History (PMI) screens in Social History a drop down menu of smoking statuses are available. Record the smoking status for all patients.
	Incorporate clinical lab-test results into certified EHR technology as structured data	More than 40% 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	In Chart(x) E.H.R. from the Triage or Provider Charting screen open the View Labs module to Add, Edit, and View all lab orders and results.
	Provide patients with an electronic copy of their health information (including diagnostic test results, problem list, medication lists, medication allergies), upon request	More than 50% of all patients of the EP  who request an electronic copy of their health information are provided it within 3 business days	In Chart(x) E.H.R. provide the patients with Portal access or print or download clinical summaries for the patients.   In Chart(x) E.H.R. Patient Communication module select the mode of health information requested by the patient.   By selecting the mode of communication the timing of the delivery will automatically be calculated from the time the information is printed, saved, or accessed via. the Portal.
	Provide clinical summaries for patients for each office visit	Clinical summaries provided to patients for more than 50% of all office visits within 3 business days	In Chart(x) E.H.R. provide the patients with Portal access or print or download clinical summaries for the patients.
	Send reminders to patients per patient preference for preventive/ follow up care	More than 20% of all unique patients 65 years or older or 5 years old or younger were sent an appropriate reminder during the EHR reporting period	In Chart(x) E.H.R. Patient Communication module select the mode of reminders requested by the patient.
	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% of transitions of care in which the patient is transitioned into the care of the EP.	In Chart(x) E.H.R. E-Prescribing compare and reconcile patient medication records from another source.   In Chart(x) E.H.R. from the Past Medical History (PMH) screen Add Edit Medications, check of the Medication Recon tick box when a Medication Reconciliation has been completed.
	The EP, eligible hospital or CAH 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 of 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% of transitions of care and referrals	In Chart(x) E.H.R. Patient Communication Screen select Summary of Clinical Care information of mode of communication with patient for all patients requiring a transition of care summary.   In Chart(x) E.H.R. provide the patient with a clinical summary by Portal, Print, or Download.

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