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The Future of Healthcare: Meaningful Use Objectives Through 2015
The Centers for Medicare and Medicaid Services (CMS) released their proposed meaningful use objectives that could shape the future of hospitals across the nation. The government is offering hospitals and healthcare providers tax credit incentives, stated in the Recovery Act, for those who prove meaningful use. These tax credits are designed to promote widespread adoption of electronic medical records, which could vastly improve health care quality, efficiency, and patient safety.
The most effective systems will become standard across the country in order to achieve the following proposed objectives:
2011 Objectives:
Through meaningful use, the goal by 2011 is to electronically capture medical information and use it to track key clinical conditions via:
andbull; Implement drug-to-drug, drug-to-allergy, drug-to-formulary checks
andbull; Maintain an up-to-date problem list of current and active diagnoses
andbull; Maintain active medication list and allergies list
andbull; Record demographics and vital signs
andbull; Incorporate lab test results into Electronic Healthcare Records as structured data
andbull; Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, and outreach
andbull; Report hospital quality measures to CMS
andbull; Implement one clinical decision rule related to a high priority hospital condition
andbull; Check insurance eligibility electronically from public and private payers
andbull; Provide patients with an electronic copy of their health information, including lab results, medication lists, problem list, allergies and discharge summary
andbull; Provide patients with an electronic copy of their discharge instructions and procedures at time of discharge, upon request
andbull; Provide access to patient-specific education resources
andbull; Capability to exchange key clinical information (e.g. andndash; discharge summary, procedures, problem list, medication list, allergies, test results) among providers of care and patient authorized entities electronically
andbull; Capability to submit electronic data to immunization registries and actual submission where required and accepted.
andbull; Capability to provide electronic submission of reportable lab results to public health agencies and actual
andbull; Compliance with HIPAA Privacy and Security Rule
andbull; Compliance with new data sharing practices
2013 Objectives:
Through meaningful use, the goal by 2013 is to report more specific patient data and increase accountability for record-keeping.
andbull;andnbsp;Manage chronic conditions using patient lists and decision support
andbull;andnbsp;Provide clinical decision support at the point of care (e.g., reminders, alerts)
andbull;andnbsp;Specialists report to relevant external disease (e.g., cardiology, thoracic surgery, cancer) or device registries
andbull; Conduct closed loop medication management, including
andbull;andnbsp;Access for all patients to PHR populated in real time with patient health data
andbull;andnbsp;Provide access to patient-specific educational resources in common primary languages
andbull;andnbsp;Record patient preferences (e.g., preferred communication media, advance directive, health care proxies, treatment options)
andbull;andnbsp;Documentation of family medical history
andbull; Retrieve and act on electronic prescription fill data
andbull;andnbsp;Produce and share an electronic summary care record for every transition in care (place of service, consults, discharge)
2015 Objectives:
Through meaningful use, the overall goal by 2015 is to improve the national healthcare performance and support care processes.
andbull;andnbsp;Achieve minimal levels of performance on quality, safety, and efficiency measures
andbull; Implement clinical decision support for national high priority conditions
andbull;andnbsp;Medical device inter- operability
andbull;andnbsp;Multimedia support (e.g., x-rays)
andbull; Patients have access to self- management tools
andbull; Electronic reporting on experience of care
andbull;andnbsp;Access comprehensive patient data from all available sources
andbull; Use of epidemiologic data
andbull; Automated real-time surveillance (adverse events, near misses, disease outbreaks, bioterrorism)
andbull;andnbsp;Clinical dashboards
andbull;andnbsp;Provide patients, on request, with an accounting of treatment, payment, and health care operations
andbull;andnbsp;Protect sensitive health information to minimize reluctance of patient to seek care because of privacy concerns
andnbsp;
andnbsp;
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John Haines. Meaningful use e-MDs powerful software can help manage your electronic medical records
by: Ethan Luke
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Date: Sat, 10 Jul 2010 -
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