Hospitals
Hospitals

Meaningful Use Definition & Objectives

Meaningful Use Defined
Meaningful use is using certified electronic health record (EHR) technology to:
• Improve quality, safety, efficiency, and reduce health disparities
• Engage patients and family
• Improve care coordination, and population and public health
• Maintain privacy and security of patient health information

Ultimately, it is hoped that the meaningful use compliance will result in:
• Better clinical outcomes
• Improved population health outcomes
• Increased transparency and efficiency
• Empowered individuals
• More robust research data on health systems

 

Meaningful use sets specific objectives that eligible professionals (EPs) and hospitals must achieve to qualify for Centers for Medicare & Medicaid Services (CMS) Incentive Programs.

Stages of Meaningful Use

These objectives will evolve in three stages over the next five years:
Stage 1: 2011-2012 -- Data capture and sharing
Stage 2: 2013 -- Advance clinical processes
Stage 3: 2015 -- Improved outcomes
Stage 1 EHR Meaningful Use Specification Sheets

The Centers for Medicare & Medicaid Services (CMS), which administers the Medicare and Medicaid EHR Incentive Programs, provides these sheets to help professionals and hospitals understand the requirements of each objective and demonstrate meaningful use successfully.
• EHR Meaningful Use Specification Sheets for eligible professionals (EPs) [PDF - 348 KB]
• Meaningful use specifications for eligible hospitals [PDF - 360 KB]

How to Attain Meaningful Use
Eligible professionals (EPs) and hospitals need to successfully attest to demonstrating meaningful use of certified electronic health records (EHRs) to qualify for an incentive payment through the Medicare EHR Incentive Program administered by the Centers for Medicare & Medicaid Services (CMS). EPs and hospitals that are eligible for the CMS EHR Medicaid Incentive Program do not need to attest to meaningful use in 2011, but must adopt, implement or upgrade to an EHR to receive a payment from New Jersey. For further details, see NJ Medicaid instructions for Medicaid EHR Incentive payments: http://nj.gov/health/njhit/ehr/

Summary of Meaningful Use Criteria and Objectives
In order to attain meaningful use, EPs and hospitals must adopt certified EHR technology and use it to achieve specific objectives.

Eligible health care professionals and hospitals may become meaningful users of certified EHRs to qualify for incentive payments through the Medicare EHR Incentive Program administered by CMS. For further details on the NJ Medicaid EHR Incentive program, see NJ Medicaid instructions: http://nj.gov/health/njhit/ehr/
These meaningful use objectives and measures will evolve in three stages over the next five years:
Stage 1: 2011-2012 -- Data capture and sharing
Stage 2: 2013 -- Advance clinical processes
Stage 3: 2015 -- Improved outcomes

Stage 1: Meaningful use criteria focus on: 

  • Electronically capturing health information in a standardized format
  • Using that information to track key clinical conditions
  • Communicating that information for care coordination processes
  • Initiating the reporting of clinical quality measures and public health information
  • Using information to engage patients and their families in their care

Stage 2: Meaningful use criteria focus on:

  • More rigorous health information exchange (HIE)
  • Increased requirements for e-prescribing and incorporating lab results
  • Electronic transmission of patient care summaries across multiple settings
  • More patient-controlled data

Stage 3: Meaningful use criteria focus on:  

  • Improving quality, safety, and efficiency, leading to improved health outcomes
  • Decision support for national high-priority conditions
  • Patient access to self-management tools
  • Access to comprehensive patient data through patient-centered HIE
  • Improving population health

Achieving meaningful use during Stage 1 requires meeting both core and menu objectives. All of the core objectives are required. EPs and hospitals may choose which objectives to meet from the menu set.

Meaningful Use Criteria

MU criteria for eligible health care professionals:
1. 15 core objectives
2. 5 objectives out of 10 from menu set
3. 6 total Clinical Quality Measures

  • 3 core or alternate core
  • 3 out of 38 from additional set

MU criteria for eligible hospitals/CAHs:
1. 14 core objectives
2. 5 objectives out of 10 from menu set
3. 15 Clinical Quality Measures

 

Clinical Quality Measures

As part of meeting one of the meaningful use core measures, EPs and eligible hospitals must report on clinical quality measures in order to successfully attest to meaningful use and receive an incentive payment. For information on clinical quality measures, including how to report on them from an EHR, visit the CMS Quality Measures page.

 

Stage 2 Proposed Rule Now Available

The notice of proposed rule-making (NPRM) for the ONC meaningful use Stage 2 rule is now available. Learn more about the NPRM.