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Proposed Meaningful Use Stage 1 Criteria

The proposed Stage 1 Meaningful Use Criteria are listed below. For further information about the criteria please visit the Centers for Medicare & Medicaid Services website

  • Use Computerized Physician Order Entry (CPOE) applications
    • Ambulatory: used for at least 80% of all medication orders, laboratory, radiology/imaging, and provider referrals
    • Impatient: 10% of medications, laboratory, radiology/imaging, blood bank, physical therapy, occupational therapy, respiratory therapy, rehabilitation therapy, dialysis, provider consultants and discharge/transfers
  • Implement drug-drug, drug-allergy and drug-formulary checks
  • Maintain an up-to-date problem list of current and active diagnoses for at least 80% of all patients
  • Generate and transmit permissible prescriptions electronically (controlled substances cannot be ePrescribed) for 75% of all ambulatory prescriptions
  • Maintain an active medication list for at least 80% of all patients
  • Maintain an active allergy list for at least 80% of all patients
  • Record demographics including preferred language, insurance type, gender, race, ethnicity, date of birth and date of death/cause in the event of inpatient mortality for 80% of patients
  • Record vital signs including height, weight, blood pressure, body mass index and growth charts for children 2-20 years for 80% of patients
  • Record smoking status for 80% of patients 13 years and older
  • Incorporate 50% of clinical lab test results as structured data using LOINC codes
  • Generate at least one report listing patients with a specific condition, the concept is that such reporting can be used for quality improvement, reduction of disparities and outreach
  • Report aggregate numerator and denominator quality data to CMS in 2011 and exchange it using PQRI XML by 2012
  • Send reminders to at least 50% of all patients who are 50 years and over for preventative care/follow-up; the patient can choose between post card, email, phone reminder or PHR reminder
  • Implement five clinical decision support rules relevant to the clinical quality metrics
  • Check insurance eligibility and submit claims electronically for at least 80% of patients
  • Provide 80% of patients who request an electronic copy of their health information in the CCD or CCR format (electronic clinical record standard) within 48 hours of their request
  • Provide 10% of patients with online access to their problem list, medication lists, allergies, lab results within 96 hours of the information being available to the clinician
  • Provide a clinical summary for 80% of all office visits in paper or CCD/CCR format
  • At least one test of health information exchange among providers of care and patient authorized entities
  • Perform medication reconciliation for at least 80% of relevant encounters and transitions of care
  • Provide a summary of care records for at least 80% of transitions of care and referrals, this also implies the ability to receive a record and display it in human readable format
  • Perform at least one test of the EHR capacity to submit electronic data to immunization registries
  • Perform at least one test of the EHR capacity to submit electronic lab results to public health agencies
  • Perform at least one test of the EHR capacity to submit syndromic surveillance data to public health agencies
  • Conduct or review a security risk analysis and implement updates are necessary