Stage 2 Core Objectives (EPs must report all 17)

  1. Use computerized provider order entry (CPOE) for medication, laboratory and radiology orders for more than 60% of medication, 30% of lab, and 30% of radiology orders
  2. Generate and report E-Prescriptions (eRx) using certified EHR technology and compared to at least one drug formulary for at least 50% of all permissible prescriptions
  3. Record the following demographics for more than 80% of all unique patients: Preferred language, Gender, Race, Ethnicity, and Date of birth
  4. Record and chart following vital signs as structured data for more than 80% of all unique patients: Height, Weight, Blood Pressure (age 3 and over only), Calculate and display BMI, and plot and display growth charts for patients 0-20 years including BMI
  5. Record smoking status as structured data for more than 80% if all unique patients 13 years or older
  6. Implement 5 clinical decision support interventions related to 4 or more clinical quality measures, if applicable, at a relevant point in patient care for the entire EHR reporting period. EP must also enable drug-drug and drug-allergy interaction checks
  7. Provide more than 50% of all patients with ability to view online, download and transmit their health information within four (4) business days and have more than 5% of all patients view, download, or transmit to a third party their health information
  8. Provide clinical summaries within one business day for patients for more than 50% of all office visits
  9. Protect electronic health information created or maintained by the Certified EHR Technology through the implementation of appropriate technical capabilities
  10. Incorporate more than 55% of all clinical lab test results whose results are either in a positive/negative or numerical format into certified EHR technology as structured data
  11. Generate at least one reporting listing patients by specific conditions to use for quality improvement, reduction of disparities, research, or outreach
  12. Use EHR to identify and provide reminders for preventative/ follow-up care for more than 10% of patients with two or more visits in the last two years
  13. Use EHR to identify and provide patient specific education resources for more than 10% of all unique patients with an office visit
  14. EP performs medication reconciliation for more than 50% of transitions of care in which the patient is transitioned into the care of the EP
  15. EP provides a summary of care record for more than 50% of transitions of care and referrals to another setting or provider. 10% must be exchanged through Certified Electronic Health Record Technology (CEHRT) or via an exchange facilitated by an organization that is an organization that is a Nationwide Health Information Network (NwHIN) exchange participant. One or more of these exchanges must take place with a recipient using an EHR designed by a different vendor
  16. Successful ongoing submission of electronic immunization data from CEHRT to an immunization registry or immunization information system
  17. A secure message was sent using the electronic messaging function of CEHRT by more than 5% of all patients

Stage 2 Menu Objectives (EP must report 3 of 6)

  1. Capability to submit electronic syndromic surveillance data to public health agencies and actual submission except where prohibited and in accordance with applicable law and practice
  2. Record electronic notes in patient records, created, edited and signed by an EP for more than 30% of all unique patients
  3. More than 10% of all scans and tests whose result is an image ordered by the EP for patients seen during the EHR reporting period are incorporated into or accessible through Certified EHR Technology
  4. More than 20% of all unique patients seen by the EP during the EHR reporting period have a structured data entry for one or more first-degree relatives or an indication that family health history has been
  5. Successful ongoing submission of cancer case information from Certified EHR Technology to a cancer registry, except where prohibited by law and practice
  6. Successful ongoing submission of specific case information from Certified EHR Technology to a specialized registry, except where prohibited by law and practice