2. CPOE for Medication Orders
Stage 1 Objective Final Change Effective Year
Use CPOE for Change: Addition of an 2013 – Onward
medication orders alternative measure (optional)
directly entered by any More than 30 percent
licensed healthcare of medication orders
professional who can created by the EP or
enter orders into the authorized providers
medical record per state, of the eligible
local and professional hospital's or CAH's
guidelines inpatient or emergency
department (POS 21 or
23) during the EHR
reporting period are
recorded using CPOE
Changes to Stage 1 Meaningful Use / Published by CORHIO September 2012
3. Electronic Prescribing (eRx)
Stage 1 Objective Final Change Effective Year
Generate and transmit Change: Addition of an 2013 – Onward
permissible prescriptions additional exclusion; any (required)
electronically (eRx) EP who does not have a
pharmacy within their
organization and there
are no pharmacies that
accept electronic
prescriptions within 10
miles of the EP's practice
location at the start of
his/her EHR reporting
period
Changes to Stage 1 Meaningful Use / Published by CORHIO September 2012
4. Vital Signs: Age Limitations
Stage 1 Objective Final Change Effective Year
Record and chart changes Change: Addition of 2013 only
in vital signs alternative age (optional)
limitations; More than 50
percent of all unique 2014 – Onward
patients seen by the EP or (required)
admitted to the eligible
hospital's or CAH's
inpatient or emergency
department (POS 21 or
23) during the EHR
reporting period have
blood pressure (for
patients age three and
over only) and height and
weight (for all ages)
recorded as structured
data
Changes to Stage 1 Meaningful Use / Published by CORHIO September 2012
5. Vital Signs: Exclusions
Stage 1 Objective Final Change Effective Year (CY/FY)
Record and chart Change: Addition of 2013 only
changes in vital signs alternative exclusions (optional)
Any EP who:
1) Sees no patients three years
or older is excluded from 2014 – Onward
recording blood pressure;
2) Believes that all three vital
(required)
signs of height, weight, and
blood pressure have no
relevance to their scope of
practice is excluded from
recording them;
3) Believes that height and
weight are relevant to their
scope of practice, but blood
pressure is not, is excluded from
recording blood pressure; or
4) Believes that blood pressure
is relevant to their scope of
practice, but height and weight
are not, is excluded from
recording height and weight
Changes to Stage 1 Meaningful Use / Published by CORHIO September 2012
6. Electronic Exchange
Stage 1 Objective Final Change Effective Year (CY/FY)
Capability to exchange Change: Objective is 2013 – Onward
key clinical information no longer required. (required)
(for example, problem
list, medication list,
medication allergies,
and diagnostic test
results), among
providers of care and
patient-authorized
entities electronically
Changes to Stage 1 Meaningful Use / Published by CORHIO September 2012
7. Quality Measures Reporting
Stage 1 Objective Final Change Effective Year (CY/FY)
Report ambulatory Change: Objective is 2013 – Onward
(hospital) clinical incorporated directly (required)
quality measures to into the definition of a
CMS or the states meaningful EHR user
and eliminated as an
objective under §495.6
Changes to Stage 1 Meaningful Use / Published by CORHIO September 2012
8. Patient Information
Stage 1 Objective Final Change Effective
Year
(CY/FY)
EP and Hospital Objectives: Change: Change: Replace these four objectives with the Stage 2014 – Onward
Provide patients with an 2 objective and one of the two Stage 2 measures (required)
electronic copy of their health EP Objective: Provide patients the ability to view online,
information (including download, and transmit their health information within four
diagnostics test results, problem business days of the information being available to the EP
list, medication lists, medication
allergies, discharge summary,
EP Measure: More than 50 percent of all unique patients seen
procedures) upon request
by the EP during the EHR reporting period are provided
Hospital Objective: Provide timely (within 4 business days after the information is
patients with an electronic available to the EP) online access to their health information
copy of their discharge subject to the EP's discretion to withhold certain information
instructions at time of
discharge, upon request Hospital Objective: Provide patients the ability to view
online, download, and transmit information about a hospital
EP Objective: Provide
admission
patients with timely
electronic access to their
Hospital Measure: More than 50 percent of all patients
health information
(including lab results, who are discharged from the inpatient or emergency
problem list, medication department (POS 21 or 23) of an eligible hospital or CAH
lists, and allergies) within have their information available online within 36 hours of
four business days of the discharge
information being available
to the EP
9. Public Health Objectives
Stage 1 Objective Final Change Effective Year (CY/FY)
Public Health Objectives Change: Addition of 2013 – Onward
"except where (required)
prohibited" to the
objective regulation text
for the public health
objectives under §495.6
Changes to Stage 1 Meaningful Use / Published by CORHIO September 2012
10. Menu Set Exclusions
Stage 1 Objective Final Change Effective Year (CY/FY)
Meeting an exclusion for Change: Meeting an 2014 – Onward
a menu set objective exclusion for a menu set (required)
counts towards the objective does not count
number of menu set towards the number of
objectives that must be menu set objectives that
satisfied to meet must be satisfied to
Meaningful Use meet Meaningful Use
Changes to Stage 1 Meaningful Use / Published by CORHIO September 2012
