mu 2 - 2017 2014 edition cehrt...

Revision Date: 10/04/2017 1

Meaningful Use Modified Stage 2 – 2017 2014 Edition CEHRT Eligible Professionals Evident is dedicated to making your attestation for Meaningful Use as seamless as possible. To assist our customers with implementation of the software required to meet Stage 2, 2015 requirements, Evident has created the guideline below. Each practice/clinic should contact their Evident Sales Account Manager to receive their Meaningful Use requirements matrix as well as fill out and return the Meaningful Use Eligible Professionals (EP) questionnaire as a prerequisite to their attestation effort. Below is a list of items that will need to be implemented at each practice/clinic prior to the start of your attestation period: • Implement the Updated Platform of Medical Practice EHR (Thrive Provider EHR) • Clinical Monitoring • InfoButton • Clinical Vocabulary • Patient Education Documents • Patient Portal with Secure Messaging • CCD, Patient Summary Subscription • Direct Messaging with Direct Address • Discrete Element Lab Interface with Micro may be needed • Medication Management • Electronic File Management • 3rd Party PACS with URL interface may be needed • 2 Public Health interfaces may be needed In addition to the above, each practice/clinic will also need to do the following: • Review disk storage requirements as additional disk space may be necessary. • Convert to Rule Based Security (Must Implement before loading Version 19). • Load Version 19 (V19). Contact your Evident Sales Account Manager for a system analysis and final preparation review. Once completed, individual situations will be opened for education on each objective. A representative will review all setup that is required as well as answer any questions regarding the objectives.


Meaningful Use Modified Stage 2 – 2017 2014 Edition CEHRT Eligible Professionals GUIDELINES FOR IMPLEMENTATION Clinical Quality Measures (CQMs): CMS released a final rule changing the CQM reporting options for Medicaid Eligible Professionals to align with MIPS quality reporting. Medicaid EPs are required to report on any six measures that are relevant to the EP’s scope of practice for a minimum of any 90 day period. *Please note, as CMS further defines their interpretation of how to use the certified technology to satisfy Meaningful Use by publishing Frequently Asked Questions, updates and /or changes will be made. Also, as CMS further defines electronic submission, Evident will update our Meaningful Use FAQs accordingly. Set-Up for objective: LOINC codes should be attached to all lab items and their reference ranges. • Pathway to Attach LOINC Code to Item: Base Menu > Master Selection > Business Office Tables >

Table Maintenance > Control > Materials Management: Item Master > Search for and double-click on item > Page 3 > Under Misc Codes section, attach the appropriate LOINC code by typing it in or by using the binoculars icon lookup > Save.

• Pathway to View Reference Ranges for Lab Item: Base Menu > Charge Tables and Inventory > Enter Item Number or use Item or Service Search > Enter > Order Entry Results Format > View Reference Range(s) listed.

• Pathway to Attach LOINC Code to Reference Ranges: Base Menu > Master Selection > Business Office Tables > Table Maintenance > Control > Lab Control Information: Reference Range Table > Search for and double-click on the reference range > Attach the appropriate LOINC code by typing it in or by using the magnifying glass lookup.

SNOMED-CT codes should be attached to all education documents used for Clinical Quality Measures. • Pathway: Base Menu > Master Selection > Business Office Tables > Table Maintenance > Clinical >

Patient Education Maintenance: Document Maintenance > Search for and double-click on document > Add Code > Add SNOMED code by typing it in the SNOMED field or by selecting the binoculars icon lookup > Save.

Immunizations need to be set up. • The Pharmacy department number and Clinic/Nursing department number need to be loaded as

issuing departments for the immunization item. • Pathway: Base Menu > Master Selection > Business Office Tables > Table Maintenance >

Control > Materials Management: Item Master > Search for item > Double-click on item > Enter department number in Issuing Departments > Save.

• The correct NDC/Manufacturer needs to be loaded on the immunization item. • Pathway: Base Menu > Master Selection > Business Office Tables > Table Maintenance >

Control > Materials Management: Item Master > Search for item > Select item > Pharmacy Information > Selecting NDC from magnifying glass lookup will automatically load Manufacturer > Save.

• Each vaccine item must have the appropriate CDC current procedural terminology (CPT) code attached. • Pathway: Base Menu > Master Selection > Business Office Tables > Table Maintenance >

Control > Materials Management: Item Master > Search for item > Double-click on item > Enter CPT code in Default FC CPT Code field > Save.

• CPT code needs to be marked as an immunization and mapped to the appropriate CVX code. If a CPT code is currently referenced to an inactive CVX code, ensure that it is disassociated. For


Meaningful Use Modified Stage 2 – 2017 2014 Edition CEHRT Eligible Professionals

combination immunizations, individual CVX codes need to be added to the combo CVX code in the Immunization Table. • Pathway: Base Menu > Business Office Tables > Business Office Table Maintenance >

Diagnosis Codes > CPT Table Maintenance > Type in CPT Code > Enter > Type an uppercase A > Enter > Select Vaccine checkbox and associate CVX Code using the magnifying glass lookup > Save.

Below is a list of the quality measures that will be available for data submission and reporting certified on our 2015 Edition. Each facility will need to load V20 (2000) prior to the end of the year in order to generate the QRDA file needed for submission. The 2017 Informational Only Quality Report can currently be generated to determine the totals for each measure.

eMeasure Measure Description Measure Type

High Priority?

50 Closing the Referral Loop: Receipt of Specialist Report Process Yes

68 Documentation of Current Medications in the Medical Record

Process Yes

122 Diabetes: Hemoglobin A1c (HbA1c) Poor Control (> 9%) Outcome Yes

124 Cervical Cancer Screening Process No

125 Breast Cancer Screening Process No

127 Pneumococcal Vaccination Status for Older Adults Process No

130 Colorectal Cancer Screening Process No

134 Diabetes: Medical Attention for Nephropathy Process No

137 Initiation and Engagement of Alcohol and Other Drug Dependence

Process No

138 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Process No

146 Appropriate Testing for Children with Pharyngitis Process Yes

154 Appropriate Treatment for Children with Upper Respiratory Infection (URI)

Process Yes

155 Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents

Process No

156 Use of High-Risk Medications in the Elderly Process Yes

158 Pregnant Women that had HBsAg Testing Process No

164 Ischemic Vascular Disease (IVD) Use of Aspirin or Another Antiplatelet

Process No

165 Controlling High Blood Pressure Outcome Yes Review the Roadmaps for details on how the initial population, denominator, numerator, and any exclusions or exceptions are calculated for each measure and to review any required setup for the measures. Review the USHIK website for the accepted value sets for each measure.

http://166.78.170.144/quality-measures-roadmaps

https://ushik.ahrq.gov/QualityMeasuresListing?system=mu&stage=Stage%202&sortField=570&sortDirection=ascending&resultsPerPage=100&filter590=May+2017+EH&filter590=May+2017+EP+EC&enableAsynchronousLoading=true


Meaningful Use Modified Stage 2 – 2017 2014 Edition CEHRT Eligible Professionals Pathway to create report filters for the 2017 Informational Only Quality Report: • EC-specific filter: Base Menu > Other Applications and Functions > Word Processing > Ad Hoc

Report > Quality Reporting > 2017 – Informational Only > Eligible Clinicians – Quality Payment Program – Informational Only > Select filter icon next to facility dropdown > Add > New > Select (Filter Title) to enter desired filter name (i.e. John Smith MD) > Add > Physician Number > Under “May be any of the following values,” select Configure Values > Enter 6-digit physician number > hit Enter > Back arrow twice > Save > Back arrow > Select created filter from list > Back arrow.

• Stay Type filter: Select the filter icon > Add > New > Select (Filter Title) to enter desired filter name (i.e. Stay Type 4) > Add > Select Patient Type Code > double click “is equal to one of” > Enter Stay Type code > hit Enter > Back arrow twice > Save > Back arrow > Select created filter from list > Back arrow

Pathway to run the 2017 Informational Only Quality Report: • Path to run report: Base Menu > Other Applications and Functions > Word Processing > Ad Hoc

Report > Quality Reporting > 2017 Informational Only > Eligible Clinicians – Quality Payment Program – 2017 Informational Only > Select the appropriate filter to run the report for each Eligible Clinician > Config > Select each quality measure (or select all) that should be included in the report > After selecting all desired measures, select Back Arrow > select Totals

*NOTE: Please retain the copy of the report that you use for attestation for auditing purposes. Computerized Provider Order Entry (must meet 3 measures): Use computerized provider order entry (CPOE) for medication, laboratory and radiology orders directly entered by any licensed healthcare professional who can enter orders into the medical record per state, local and professional guidelines. Measure: More than 60 percent of medication, 30 percent of laboratory, and 30 percent of radiology orders created by the EP during the EHR reporting period are recorded using CPOE. Set-Up for Objective: • Setup tables for Prescription Entry are found via the path: Clinic Base Menu > Master Selection >

Business Office Tables > Table Maintenance > Clinical. All tables are under the header "Prescription Entry".

• Setup of pharmacy items (like immunizations) orderable via CPOE is found via the path: Clinic Base Menu > Master Selection > Business Office Tables > Table Maintenance > Control > Item Master > search and select item > Pharmacy Info > Page 1 > Chart cart Selectable must be unchecked.

• Setup to make lab or radiology items orderable via CPOE is found via the path: Clinic Base Menu > Master Selection > Business Office Tables > Table Maintenance > Item Master > Search and select item > Order Entry Info > Page 3 tab > Ancillary Procedure must be checked.


Meaningful Use Modified Stage 2 – 2017 2014 Edition CEHRT Eligible Professionals How to achieve Objective: For Medications: This objective is met by:

1. Entering new prescriptions and/or renewing prescriptions through prescription writer. 2. Ordering medications to be administered in the clinic via Updated Order Entry.

For Laboratory: This objective is met by ordering labs items via Updated Order Entry. For Radiology: This objective is met by ordering radiology items via Updated Order Entry. Measure 1 (Medications): DENOMINATOR: Number of medication orders created by the EP during the EHR reporting period. • Medication orders placed NUMERATOR: The number of orders in the denominator recorded using CPOE. • Medication orders that have been placed using prescription writer and/or Updated Order Entry. Exclusion: Any EP who writes fewer than 100 medication orders during the EHR reporting period. Measure 2 (Laboratory): DENOMINATOR: Number of laboratory orders created by the EP during the EHR reporting period. • Laboratory orders placed NUMERATOR: The number of orders in the denominator recorded using CPOE. • Number of laboratory orders placed that have been recorded using Updated Order Entry. Exclusion: Any EP who writes fewer than 100 laboratory orders during the EHR reporting period. Alternate Exclusion for Measure 2: Providers scheduled to be in Stage 1 in 2016 may claim an exclusion for measure 2 (laboratory orders) of the Stage 2 CPOE objective for an EHR reporting period in 2016. Measure 3 (Radiology): DENOMINATOR: Number of radiology orders created by the EP during the EHR reporting period. • Radiology orders placed NUMERATOR: The number of orders in the denominator recorded using CPOE. • Number of radiology orders placed that have been recorded using Updated Order Entry. Exclusion: Any EP who writes fewer than 100 radiology orders during the EHR reporting period. Electronic Prescribing (eRx) Generate and transmit permissible prescriptions electronically. Measure: More than 50 percent of all permissible prescriptions written by the EP are queried for a drug formulary and transmitted electronically using CEHRT. Set-Up for Objective: • Setup tables for Prescription Entry are found via the pathay: Base Menu > Master Selection >

Business Office Tables > Table Maintenance > Clinical. All tables are under the header "Prescription Entry".



• Clinical Monitoring • Control Table- Use E-Scribe must be checked. • Discontinue Reasons • Doses • Frequencies • Modifiers • Pharmacies • Routes • Units • Zip Codes • Indications

• Physicians using E-scribe must have an SPI number generated and loaded in the physician security table (Table Maintenance > Control > Physician Security > Select Physician > Page 3 > E-scribe Data).

• Signed By EP-specific E-Scribe filter: Base Menu > Other Applications and Functions > Word Processing > Ad Hoc Report > MU Stage II Statistics Report > Select filter icon next to facility dropdown > Add > New > Edit filter for the facility > Select (Filter Title) to enter desired filter name (i.e. John Smith MD) > Add an item to this filter > Signed By > Under “May be any of the following values,” select Configure Values > Enter 6-digit physician number > Enter > Back arrow twice > Save > Back arrow > Select created filter from list > Back arrow.

How to achieve Objective: When creating new prescriptions, the prescription must be marked as either Dispense as Written or Generic Substitution Permitted and the Delivery Method on the prescription must be marked as Electronic and then processed. All new prescriptions created are queried for a drug formulary. Pathway from within the patient’s chart: Prescription Entry > New Rx > Search for and select medication > Continue through Formulary or select an alternate medication > Fill out prescription information (Rx must have a Prescribing Method of “Dispense as Written” or “Generic Substitution Permitted” > Select Electronic as the delivery method > Select pharmacy > Process DENOMINATOR: Number of permissible prescriptions written for drugs requiring a prescription in order to be dispensed during the EHR reporting period. • New, changed or refilled prescriptions that were written during the reporting period. NUMERATOR: The number of prescriptions in the denominator generated, queried for a drug formulary, and transmitted electronically using CEHRT. • Number of prescriptions in the denominator that were processed and transmitted as electronic

prescriptions (and queried for a drug formulary automatically). Exclusion: Any EP who: (1) Writes fewer than 100 permissible prescriptions during the EHR reporting period; or (2) 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.


Meaningful Use Modified Stage 2 – 2017 2014 Edition CEHRT Eligible Professionals Clinical Decision Support Rule (Must meet 2 measures) Use clinical decision support to improve performance on high-priority health conditions. Measure 1: Implement five clinical decision support interventions related to four or more clinical quality measures at a relevant point in patient care for the entire EHR reporting period. Absent four clinical quality measures related to an EP’s scope of practice or patient population, the clinical decision support interventions must be related to high-priority health conditions. Measure 2: The EP has enabled and implemented the functionality for drug-drug and drug-allergy interaction checks for the entire EHR reporting period. Set-Up for Measure 1: Clinical Decision and the rules must be activated from the following path (Note: To be able to configure and enable CDS Alerts, you must be set up in the System Administrator Group): • Pathway: Clinic Base Menu > Master Selection > Business Office Tables > Table Maintenance >

Clinical > CDS Alert Configuration. • The following types of alerts can be activated for a user:

• Problem list and laboratory tests - Comprehensive Diabetes Care • Triggered when a diagnosis of diabetes is added through Physician Problem List for patient

and no record of a recent HbA1c order exists in patient's Order Chronology. • Medication list - Use of appropriate medications for Asthma

• Triggered when patient has a diagnosis of asthma added through Physician Problem List without any asthma medication therapy ordered through Prescription Entry.

• Laboratory tests and values - Colorectal Cancer Screening • Triggered when patient's Order Chronology displays no record of a recent colorectal cancer

screening performed (Fecal Occult Blood test in the past year, Flexible Sigmoidoscopy in the past 4 years, Colonoscopy in the past 9 years).

• Vital Signs – Blood Pressure Assessment • Triggered when a patient’s blood pressure assessment has not been documented.

• Demographics - Tobacco Use Screening and Cessation Intervention • Triggered when patient's smoking status demographics field indicates use of tobacco

products and there is no education documentation that tobacco cessation counseling was performed at least once within the last 2 years.

• Problem list - Treatment for Children with Upper Respiratory Infection • Triggered when diagnosis of Upper Respiratory Infection is added through Physician Problem

List for patient. • Vital signs - Weight Assessment

• Triggered when patient does not have height or weight recorded in Vital Signs template. • Laboratory tests and values - Prenatal screening for HBV

• Triggered when a diagnosis of pregnant is added through Physician Problem List for patient and no record of HBV infection screening displays in patient's Order Chronology.

• Medication list - Medication Review • Triggered when some home meds have been updated through Medication Reconciliation, but

discharge medication reconciliation has not been performed. • Vital signs - Body Mass Index Screening and Follow-up

• Triggered when patient does not have height or weight recorded within the past six months through Vital Signs template.

• Demographics - Date of Birth not addressed

• Triggered when patient's date of birth has not been entered through their demographics. • Problem list and laboratory tests - Appropriate Testing for Pharyngitis.



• Triggered when a diagnosis of pharyngitis is added through Physician Problem List for a

patient who is between 2-18 years and who does not have a positive Streptococcus screening lab test ordered through Order Chronology.

• Laboratory tests and values - Incomplete Clinical Result • Triggered when the patient has at least one laboratory test since last visit that is incomplete

in Order Chronology. • Medication allergy list - Allergy List not addressed

• Triggered if the patient's allergy list has not been addressed.

*NOTE: Once an alert has been activated, it cannot be deactivated. Set-Up for Measure 2: Clinical Monitoring must be set up. • Table Maintenance > Clinical tab > Prescription Entry: Clinical Monitoring • The following CM Options will need to be checked under General Settings:

• Use Clinical Monitoring (The site will decide which Interaction Filtering options will be used.) • Allergy Checking • Drug Interaction Checking

• The site will be responsible for deciding whether or not Overrides will be required by the facility. How to achieve Objective: This objective is met with real time alerting of the system based on a CDS alert and configurations and clinical monitoring options that are set up above. Evident has provided a default set of rules to be used (5 of the above) that meet the CMS criteria. The EHR must also have the ability to offer diagnostic or therapeutic reference information based on Problems, Medications, Medication Allergies, Laboratory Tests/Values, and Vital Signs and a combination option. This will be achieved with the use of the InfoButton. Auditing for Measure 1: • For auditing purposes, retain a copy of all alerts activated and the status history to show alerts were

on for the entire reporting period. For each CDS Alert, the system will track when changes are made to the alerts. • Pathway: Table Maintenance > Clinical > CDS Alert Configuration > Choose Alert > Status

History > Screen shot > Back arrow > Double-click on alert > Screen shot • Evident recommends taking a screen shot of CDS alerts that are triggered on patients during the

reporting period. Auditing for Measure 2: • Evident recommends providers retain a screen shot showing that Drug-Drug and Drug-Allergy

interactions were activated during the entire EHR reporting period. For each Clinical Monitoring category, the system will track when the alerts are activated or inactivated. • Pathway via Physician Application table: Thrive UX > Tables > Clinical > Under Physician

Application: Clinical Monitoring > General Settings > Screen shot > View Audit > Screen shot • Pathway via Prescription Entry table: Thrive UX > Tables > Clinical Under Prescription Entry:

Clinical Monitoring > General Settings > Screen shot > View Audit > Screen shot. NOTE: If clinical monitoring was turned on prior to loading V19, a screenshot of the Clinical Monitoring Audit screen should be saved along with documentation/screenshot of when the V19 release was received. Evident can assist with this information. Evident recommends taking a screen shot of clinical monitoring interactions that are triggered during the reporting period either within Prescription Entry or CPOE.


Meaningful Use Modified Stage 2 – 2017 2014 Edition CEHRT Eligible Professionals Exclusion: For the second measure, any EP who writes fewer than 100 medication orders during the EHR reporting period. Patient Electronic Access (View, Download Transmit) (must meet 2 measures) Provide patients the ability to view online, download and transmit their health information within 4 business days of the information being available to the EP. Measure 1: More than 50 percent of all unique patients seen by the EP during the EHR reporting period are provided timely (available to the patient within 4 business days after the information is available to the EP) access to view online, download and transmit to a third party their health information subject to the EP’s discretion to withhold certain information. Measure 2: More than 5 percent of unique patients seen by the EP during the EHR reporting period (or their authorized representatives) view, download or transmit to a third party their health information. Set-Up for Objective: Measure 1: Set up Release of Information tables: Base menu > Master Selection > Medical Records > Release of Information • Create requestor Code for Request Cd for Patient request in the Requestor Type table under

Maintenance. • Create Purpose Code for Purpose Cd for Patient Possesses Info to Access Portal in the Purpose

Code table under Maintenance. • Update ROI Control Record with Requestor Type and Purpose Code (setup above) in the appropriate

fields. • Note: The Release of Information Control Record under the Billing header needs to be setup prior

to the beginning of the attestation period. In addition, the Control Record should not be changed during the attestation period as this could affect statistics for this measure.

Create a custom Patient Education Document to provide the patient all of the necessary instructions and information needed to view, download, or transmit their information. This document must be attached to the ROI code for "Patient Possesses Info to Access Portal" that is set up in the ROI Control Table in the clinic facility • Pathway to create the document: Thrive > Tables > Clinical > Patient Education Maintenance >

Create a New Document > Select Category > Enter a document title in the Name 1 field > Under Edit Document, Select the Edited radio button for General Information > Select Edit and a blank Word Document will open > Create document in Word > Select Save > Exit document > “Do you wish to save your changes?” Yes > Add Code > Enter ROI code for “Patient Possesses Info to Access Portal” in the ROI field > Select Save and it will bring you back to the Patient Education Document Maintenance screen > Select Save > Select Back Arrow to exit

How to achieve Objective: Measure 1: • The patient must be discharged from the Tracking Board and must have a discharge code entered in

for the patient to pull to the statistics report. • This measure can be met in one of three ways:

• Enter the patient’s valid email address in the Email field in Person Profile prior to the visit being created.



• Patient’s visit must be discharged. Once the patient is discharged they will be sent an introductory email to create a login name and user password. They will then be able to view their patient/clinical summary (or CCD) on the Patient Portal.

• After the patient has a login name and user password the Patient Portal can be accessed via http://www.thrivepatientportal.com.

• The authorized representative entered in the Census Visit screen will also have access to the Patient Portal, giving the authorized representative access to the clinical information for the patient (visit they were the authorized representative on). The site should verify the authorized representative on each visit created.

• Assist the patient with creating a login for Patient Portal and accessing their information. • Pathway: Base Menu > Profile Listing > Select Patient > Select Visit > Patient Charting >

Patient Portal > Fill out New User Registration and verify the information > Register > Enter security questions > Submit.

• Pathway: Thrive > Charts > Select Patient/Visit > Health Information Resource > Patient Portal > Fill out New User Registration and verify the information > Register > Enter security questions > Submit.

• Provide the patient instructions on how to access the portal through an education document. • Pathway: Thrive > Charts > Select Patient/Visit > Patient Education Documents > New

Document > Search for and select document > Add to Pending > Update Pending > Select Document > View or Print document for patient.

• NOTE: If “Exclude from Portal” is checked on a patient’s account, the account will not display on the portal. That account will only count in the denominator.

Measure 2: • The patient or the patient's authorized representative will log in to the Patient Portal. They will choose

a visit and either view, download or transmit their patient/clinical summary (or CCD). Measure Calculation: Measure 1: DENOMINATOR: Number of unique patients seen by the EP during the EHR reporting period. • Unique patients discharged during the reporting period. NUMERATOR: The number of patients in the denominator who have access to view online, download and transmit their health information within 4 business days after the information is available to the EP. • Unique patients who have been provided access within 4 business days to their health information. Measure 2: DENOMINATOR: Number of unique patients seen by the EP during the EHR reporting period. • Unique patients discharged during the reporting period NUMERATOR: The number of unique patients (or their authorized representatives) in the denominator who have viewed online, downloaded, or transmitted to a third party their health information. Exclusion: Any EP who: (1) Neither orders nor creates any of the information listed for inclusion as part of both measures, except for "Patient name" and "Provider's name and office contact information”, may exclude both measures. (2) Conducts 50 percent or more of his or her patient encounters in a county that does not have 50 percent or more of its housing units with 3Mbps broadband availability according to the latest information available from the FCC on the first day of the EHR reporting period may exclude only the second measure.

http://www.thrivepatientportal.com/


Meaningful Use Modified Stage 2 – 2017 2014 Edition CEHRT Eligible Professionals Patient-Specific Education Use clinically relevant information from Certified EHR Technology to identify patient-specific education resources and provide those resources to the patient. Measure: Patient-specific education resources identified by CEHRT are provided to patients for more than 10 percent of all unique patients with office visits seen by the EP during the EHR reporting period. Set-Up for Objective: • The patient must have a medication, problem, and/or a lab documented in their patient chart. • Custom Education documents can be used to meet this measure if the document is tied to a lab test

or problem via the classification code area in the education document maintenance. • Pathway: Thrive > Tables > Clinical > Patient Education Maintenance: Create a new document >

Select a Category > Enter a document title in the Name 1 field > Under Edit Document, select the Edited radio button for General Information > Select Edit and a blank Word document will open > Create document in Word > Select Save > Exit document > “Do you wish to save your changes?” Yes > Add Code > Enter applicable classification codes > Select Save and it will bring you back to the Patient Education Maintenance screen > Select Save > Back arrow

How to achieve Objective: Pathway to provide a patient-specific education document: Thrive > Charts > Select Patient/Visit > Patient Education Documents > New Document > Select Document > Add to pending > Update Pending > Select Document > View or Print document for patient. *NOTE: The Patient Education Document search will default to a list of patient specific education documents related to Medications, Problems or Lab orders/results on the patient’s account. This objective can also be met through the use of Clinic Knowledge via the following pathway: Thrive > Charts > Select Patient/Visit > Education Documents > Clinical Knowledge > Select blue “i” button next to problem, medication or lab > Select document > Select language for the document type > Review document Measure Calculation: DENOMINATOR: Number of unique patients with office visits seen by the EP during the EHR reporting period • Number of Unique patients seen by the EP during the reporting period. NUMERATOR: Number of patients in the denominator who were provided patient-specific education resources identified by the EHR technology. • Number of patients in the denominator what were provided one of the following patient education

documents: • Education based on Problem List • Education based on Patient's Lab Test • Education based on Patient Drug Information

Exclusion: Any EP who has no office visits during the EHR reporting period.


Meaningful Use Modified Stage 2 – 2017 2014 Edition CEHRT Eligible Professionals Medication Reconciliation The EP who receives a patient from another setting of care or provider of care or believes an encounter is relevant should perform medication reconciliation. Measure: The EP who performs medication reconciliation for more than 50 percent of transitions of care in which the patient is transitioned into the care of the EP. Set-Up for Objective: • Tables for Medication Reconciliation are found via the following path: Base Menu > Master Selection

> Business Office Tables > Table Maintenance > Clinical > Under Medication Reconciliation > Destinations AND Clinic Base Menu > Master Selection > Business Office Tables > Table Maintenance > Clinical > Prescription Entry.

• The following need to be setup: • Medication Reconciliation Destinations • Discontinue Reasons • Doses • Routes • Frequencies • Modifiers • Pharmacies • Units • Zip Codes

• All Pharmacy Medication items must have accurate and up-to-date NDC Numbers. • Direct Messaging must be purchased in order to perform clinical reconciliation. • If a provider would like each encounter to count toward medication reconciliation they can select the

option via the following path: Base Menu > Master Selection > Business Office Tables > Table Maintenance > Control > Physicians > Select Physician > MU Tab > Select Include all encounters for medication reconciliation

How to achieve Objective: • This objective will be met by perform medication reconciliation and/or clinical reconciliation.

• Path for Medication Reconciliation: Thrive > Charts > Select Patient/Visit > Medication Reconciliation > Select Destination from dropdown > Select pending action for each medication > Select Reconcile.

• Path for Clinical Reconciliation (For TOC): Thrive > Charts > Select Patient/Visit > Health Information Resources > Import from Inbox > Select Patient Document from Inbox > Import > Select Allergies > Select allergies to import, keep, or remove > Select Review > Select Reconcile > Select Problem List > Select problems to import, keep, or remove > Select Review > Select Reconcile > Select Medication Reconciliation > Select medications to import, keep, or remove > Select Review > Select Reconcile.

*NOTE: As soon as the Reconcile button is selected, an entry is created in the Med Rec History, and the numerator is met.


Meaningful Use Modified Stage 2 – 2017 2014 Edition CEHRT Eligible Professionals Measure Calculation: DENOMINATOR: Number of transitions of care during the EHR reporting period for which the EP was the receiving party of the transition. • Number of transitions of care during the reporting period where the EP was the receiving party of the

transition. NUMERATOR: The number of transitions of care in the denominator where medication reconciliation was performed. • Number of admissions and discharges in the denominator where medication reconciliation was

performed (Reconcile). Exclusion: Any EP who was not the recipient of any transitions of care during the EHR reporting period. Health Information Exchange (Summary of Care) The EP who transitions their patient to another setting of care or provider of care or refers their patient to another provider of care should provide summary care record for each transition of care or referral. Measure: The EP who transitions or refers their patient to another setting of care or provider of care that uses CEHRT to create a summary of care record must electronically transmit the summary of care record to a recipient for more than 10% of such transitions and referrals. Set-Up: • The patient must be discharged. • SNOMED Codes must be added to the following to pull to the CCD:

• Reference Ranges set up for Lab Items: Thrive > Tables > Control > Lab Control Information: Reference Range Table > Select Reference Range > Edit > Select Alpha Answers or Man/Female to attach appropriate reference ranges > Save

• Radiology/Respiratory Items/Procedures/Lab Items (Item Master): Thrive > Tables > Control > Materials Management: Item Master > Search for Item > Double Click on Item > Select Page 3 > Select Lookup to attach appropriate SNOMED Code > Save

• Set up the following in Release of Information System via Medical Records: • Purpose code for complete summary of care has to be set up in Release of Information. • Purpose code (created above) has to be entered in Release of Information Control Table:

“Purpose Cd for Complete Patient Summary Sent for Transfer/Referral field”. • Purpose code for incomplete summary of care has to be set up in Release of Information. • Purpose code (created above) has to be entered in Release of Information Control Table:

“Purpose Cd for Incomplete Summary Sent for Transfer/Referral field”. • Each facility will have to go through onboarding for Direct Messaging. In order to receive a Direct

Messaging Address, an order must be placed with Evident and your system configured. Once this is done by Evident, your facility will receive an email to explain the onboarding process with Inpriva (our 3rd Party HISP). NOTE: Inpriva is a fully accredited DirectTrust HISP. As such, the exchange of Direct Messages must be to/from other DTAAP accredited HISPs.

• Inpriva will assign your facility a Direct Messaging Address. Once that address is received, it should be placed in the following location: • Pathway: Base Menu > Master Selection > Business Office Tables > Table Maintenance > B.O. >

Under Insurance select Clinic Table > Select a Clinic > Direct Address. • The accepting provider that will be receiving the referral or summary of care can be pre-defined and

set up in the following table: • Base Menu > Master Selection > Business Office Tables > Table Maintenance > Business Office

> Referring Physician.


Meaningful Use Modified Stage 2 – 2017 2014 Edition CEHRT Eligible Professionals How to achieve Objective: • The patient must have a referral entered in their patient chart to be included in the denominator.

• Thrive/Thrive Provider: Thrive > Charts > Select Visit > Health History > New > Referral/Transition of Care > Document the type (referral or transition of care) > Select Referring Physician > Enter pertinent information > Save.

• When a patient is transferred to another facility, Problems, Medications, Medication Allergies must be entered on the patient’s account in order to meet the objective.

• The user must build a Referral/Transition of Care Summary and select to Submit to Provider to pull the patient to the numerator. • Thrive/Thrive Provider pathway: Thrive > Charts > Select Visit > Health History > Create a new or

choose an existing Referral/Transition of Care > Build CCDA > Submit to Provider > Select a Referring Physician to send to > Send

• This creates a Release of Information (ROI) entry for the patient in the Release of Information Application.

• All Summary of Care documents used to meet this objective must include the following information (if known) upon sending. • Patient Name • Referring or Transitioning provider’s name and office contact information • Procedures • Encounter Diagnosis • Immunizations • Laboratory Test Results • Vital Signs (height, weight, blood pressure and BMI) • Smoking Status • Functional Status (including activities of daily living), Cognitive Status and Disability Status • Demographic Information (preferred language, sex, race, ethnicity, and date of birth) • Care Plan Field (including goals and instructions) • Care Team (including primary care provider and record of any additional known care team

members beyond referring and transitioning provider and receiving provider) • Reason for Referral

• In circumstances where there is no information available to populate one or more of the fields listed (either because it is not known or EP can be excluded from recording such information), the fields may be left blank and still meet the objective and its associated measures.

*NOTE: The provider to whom the referral is made or to whom the patient is transitioned must have either a different National Provider Identifier (NPI) OR hospital CMS Certification Number (CCN) AND must be sent a summary of care document to count in the numerator. Measure Calculation: DENOMINATOR: Number of transitions of care and referrals during the EHR reporting period for which the EP was the transferring or referring provider. • Number of discharges where the transfer/referral widget was addressed or number of discharges

where the follow up care question was addressed. NUMERATOR: Number of transitions of care and referrals in the denominator where a summary of care record was created using Certified EHR Technology and is exchanged electronically. • Number of discharges where the following was done:

• Transfer/Referral Documented (see above) • Physician Problem List Addressed via Problem List Application • Medication List Addressed via Medication Reconciliation/Profile • Medication Allergy List Addressed



• Transfer of Care/Referral Summary is chosen from the virtual chart • Submit to Provider is chosen and sent to another provider through Direct Messaging.

Exclusion: Any EP who transfers a patient to another setting or refers a patient to another provider less than 100 times during the EHR reporting period is excluded from this measure. Secure Electronic Messaging Use secure electronic messaging to communicate with patients on relevant health information. Measure: For more than 5 percent of unique patients seen by the EP during the EHR reporting period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient authorized representative), or in response to a secure message sent by the patient (or patient authorized representative). Set-Up for Objective: Each provider number can only be attached to one UBL. EP may set up a folder on their Home Screen for Secure Messages. • Pathway: Thrive > Home Screen > New > Enter a Name and Description (example: Secure

Messaging) > Under Select Options, select the green icon next to Task Type > Under Configure Items, Select Task Type > Secure Patient Message > Insert > OK > Select the back arrow to return to the Home Screen.

Administrators may also setup a Secure Messaging folder on the eligible clinician’s home screen: • Pathway: Special Functions > Identity Management > Select Eligible Clinician’s Login > Home Screen

Folders > New > Enter a Name and Description (example: Secure Messaging) > Under Select Options, select the green icon next to Task Type > Under Configure Items, Select Task Type > Secure Patient Message > Insert > OK > Select the back arrow to return to the Home Screen.

How to achieve Objective: EP must send a new secure electronic message to the patient (or patient’s authorized representative) or respond to a secure message sent by the patient (or patient’s authorized representative). • Pathway for EP to send a secure message to the patient: Thrive > Charts > Select Patient > Select

Communication > Secure Messaging > Select Patient or Patient’s Authorized Representative > Continue > Enter Subject and Message > Send.

• Pathway for patient to send a secure message to the provider: Internet Explorer > Type address www.thrivepatientportal.com > Log in with username and password > Message Center > Select the pencil in the upper right hand corner > Enter Subject and Message > Send.

Measure Calculation: DENOMINATOR: Number of unique patients seen by the EP during the EHR reporting period • Number of unique patients with a visit that is admitted and discharged during the reporting period. NUMERATOR: Number of Patients or patient-authorized representatives in the denominator who were sent a secure electronic message from the EP using the electronic messaging function of the CEHRT during the EHR reporting period. • Number of patients or authorized representatives with visit in the denominator that were sent an

electronic message from the EP during the reporting period. Exclusion: An EP who has no office visits during the EHR reporting period, or any EP who conducts 50 percent or more of his or her patient encounters in a county that does not have 50 percent or more of its housing units with 3Mbps broadband availability according to the latest information available from the FCC on the first day of the EHR reporting period.

http://www.thrivepatientportal.com/


Meaningful Use Modified Stage 2 – 2017 2014 Edition CEHRT Eligible Professionals Protect Patient Health Information (Protect Electronic Health Record) Protect electronic health information created or maintained by the certified EHR technology (CEHRT) through the implementation of appropriate technical capabilities. Measure: Conduct or review a security risk analysis in accordance with the requirements under 45 CFR 164.308(a)(1) and implement security updates as necessary and correct identified security deficiencies as part of its risk management process. How to achieve Objective: • A review must be conducted annually and any security updates and deficiencies that are identified

should be included in the risk management process and implemented or corrected as dictated by that process.

• Review the guidance from the OCR regarding compliance with HIPAA Security Rule. • This objective will be supported through installation and utilization of the following functionalities:

• Encryption • Enabled by default for data in use. Cannot be disabled. • Evident recommends keeping record of the date site installs V19 as that is the first date that

Encryption is “enabled by default”. • By default, Windows has a setting for encryption disabled. Evident recommends that sites

enable the setting on all Windows devices that connect to Thrive UX where it is reasonable and appropriate control per the results of a thorough security risk analysis.

• Pathway from a Windows computer: Control Panel > Administrative Tools > Local Security Policy > Local Policy > Security Options > System Cryptography: Use FIPS Compliant algorithms for encryption, hashing and signing

• Run the Patient Audit Log report routinely in order to ensure the appropriateness of access to EPHI by authorized users. Document any changes made resulting from the review. • Pathway: Thrive > System Menu > Special Functions > Audit Log > select desired report >

enter parameters > Run Report • Pathway: Thrive > Reports > Add > Add Audit Log Reports > select the desired report > enter

parameters > Run Report • Allow Emergency Access to PHI: Evident provides a security behavior control in Thrive that will

allow or deny a provider access to a patient’s chart in the event of a medical emergency. Evident recommends the following implementation of Emergency Access: • Apply the Evident Recommended Physicians Default Behavior Control Rule to the Physician

Security Role. This rule includes the behavior control that allows physicians Emergency Access to PHI

Pathway: Thrive > System Administration > Roles > Behavior Controls > Physicians Group > Behavior Controls > Associate > Search for “Default Physician” > Select

• Consider limiting the All Physicians security setting in Physician Security to only those physicians who would need access to all patient charts in a facility.

Pathway: Thrive > Tables > Control > Physician Security < Select a Physician > Page 2 > All Physicians • NOTE: Be sure to document any justification as to why a physician would need access to all

patient charts

Attestation Requirements: YES /NO To meet this measure, eligible clinicians must attest YES to conducting or reviewing a security risk analysis and implementing security updates as necessary and correcting identified security deficiencies. For more information on securing EPHI using V19, review the Security Objective & Measure Roadmap.

https://www.healthit.gov/sites/default/files/pdf/privacy/privacy-and-security-guide.pdf

http://166.78.170.144/sites/default/files/Security%20Objectives%20and%20Measures%20Roadmap%202014.pdf


Meaningful Use Modified Stage 2 – 2017 2014 Edition CEHRT Eligible Professionals TruBridge offers Security Risk Analysis (SRA) Services that are designed to assist sites in complying with the HIPAA Security Rule. For more information on this service, please contact your TruBridge Account Manager. Public Health Reporting (must meet two measures) The eligible professional is in active engagement with a Public Health Agency (PHA) to submit electronic public health data from certified EHR technology, except where prohibited and in accordance with applicable law and practice. CMS states that “active engagement” may be demonstrated by any of the following options: • Completed registration to submit data – The EP has registered to submit data with the PHA or, where

applicable, the CDR to which the information is being submitted; registration was completed within 60 days after the start of the reporting period and not on the first day of the reporting period; and the EP is awaiting an invitation from the PHA or CDR to begin testing and validation.

• Testing and validation – The EP is in the process of testing and validation of the electronic submission of data. Providers must respond to requests from the PHA or CDR within 30 days; failure to respond twice within an EHR reporting period would result in that provider not meeting the measure.

• Production – The EP has completed testing and validation of the electronic submission and is electronically submitting production data to the PHA or CDA.

EPs are required to choose from Measures 1 through 3 and are required to successfully attest to any combination of two measures. An exclusion for a measure does not count toward the total of two measures. In order to meet this objective, an EP would need to meet two of the total number of measures available to them. If the EP qualifies for multiple exclusions and the remaining number of measures available to the EP is less than two, the EP can meet the objective by meeting the one remaining measure available to them and claiming the applicable exclusions. If no measures remain available, the EP can meet the objective by claiming applicable exclusions for all measures. NOTE: A minimum of a 90-day lead time is required for all interfaces. Measure 1: Immunization Registry Reporting The EP is in active engagement with a public health agency to submit immunization data. Set-Up for Measure: • Interface must be setup. • The Pharmacy department number and Clinic/Nursing department number need to be loaded as

issuing departments for the immunization item. • Pathway: Base Menu > Master Selection > Business Office Tables > Table Maintenance >

Control > Materials Management: Item Master > Search for item > Double-click on item > Enter department number in Issuing Departments > Save.

• The correct NDC/Manufacturer needs to be loaded on the immunization item. • Pathway: Base Menu > Master Selection > Business Office Tables > Table Maintenance >

Control > Materials Management: Item Master > Search for item > Select item > Pharmacy Information > Selecting NDC from magnifying glass lookup will automatically load Manufacturer > Save.

• Each vaccine item must have the appropriate CDC common procedural term (CPT) code attached.



• Pathway: Base Menu > Master Selection > Business Office Tables > Table Maintenance > Control > Materials Management: Item Master > Search for item > Double-click on item > Enter CPT code in Default FC CPT Code field > Save.

• CPT code needs to be marked as an immunization and mapped to the appropriate CVX code. If a CPT code is currently referenced to an inactive CVX code, ensure that it is disassociated. For combination immunizations, individual CVX codes need to be added to the combo CVX code in the Immunization Table. • Pathway: Base Menu > Business Office Tables > Business Office Table Maintenance >

Diagnosis Codes > CPT Table Maintenance > Type in CPT Code > Enter > Type an uppercase A > Enter > Select Vaccine checkbox and associate CVX Code using magnifying glass lookup > Save.

• Any route that can be used in an immunization order must have an HL7 code attached. • Pathway: Base Menu > Master Selection > Business Office Tables > Table Maintenance >

Clinical > Pharmacy Control: Route Table > Double-click on route > Attach the appropriate HL7 code from the magnifying glass lookup > Save.

• Any unit that can be used in an immunization order must have a UCUM code attached. • Pathway: Base Menu > Master Selection > Business Office Tables > Table Maintenance >

Clinical > Pharmacy Control: Units Table > Double-click on unit > Attach the appropriate UCUM code from the binoculars lookup > Save.

• Any site that is approved for the administration of an immunization must have a Standard Site Code attached. • Pathway: Base Menu > Master Selection > Business Office Tables > Table Maintenance >

Clinical > Nursing: Site Options Table > Double-click on site > Attach the appropriate Standard Site Code from the magnifying glass lookup > Save.

• If site-specific omit reasons need to be added, they must be attached to Immunization Refusal Reason Codes.

Refusal Reason Codes: 00 - Parental Decision 01 - Religious Exemption 02 - Other 03 - Patient Decision

• Pathway: Base Menu > Master Selection > Business Office Tables > Table Maintenance > Clinical > Nursing: Omit Reasons Table > New > Enter Description > Choose Immunization Refusal Reason Code > Save.

• If participating in the Vaccines for Children program, the VFC Status table must be loaded with the following codes:

V00 VFC Eligibility not determined/unknown V01 Not VFC eligible V02 VFC Eligible Medicaid/Medicaid Managed Care V03 VFC Eligible Uninsured V04 VFC Eligible American Indian Alaskan Native V05 VFC Eligible Federally Qualified Health Center Patient (under insured) V06 VFC Eligible State specific eligibility V07 VFC Eligible Local-Specific eligibility

• Pathway: Base Menu > Master Selection > Business Office Tables > Table Maintenance > Clinical > Pharmacy Control: VFC Status Table > New > Type in VFC Status Code and Description > Save.


Meaningful Use Modified Stage 2 – 2017 2014 Edition CEHRT Eligible Professionals How to achieve Measure: • Order immunizations through Order Entry and administer through Order Chronology or MAR.

• Pathway to order medications via Order Entry: Thrive > Charts > Select Patient/Visit > Order Entry > Select Pharmacy Department > Select Immunization(s) > Add to Pending > Review > Address any Clinical Monitoring > Sign

• Pathway to administer immunizations via Order Chronology: Thrive > Charts > Select Patient/Visit > Order Chronology > Select Order > Select Administer > Select Admin Site > Enter Lot # and expiration date > Address VFC if applicable > Update Pending

• Maintain an up-to-date Immunization Record by adding historical immunizations to the Immunization Record: Thrive > Charts > Select Patient/Visit > Patient Immunization History > Add New > Double click Immunization > Select Immunization Source > Enter known information > Save

• *NOTE: To electronically submit, an interface is required. Please complete an Interface Request Form and contact your Evident Sales Account Manager to initiate the development for your facility. Evident’s Interface department will need a minimum of a 90-day lead time to set up the interface for the selected registry.

• Evident’s Interface department will contact you to implement an interface with ongoing submission achieved.

Attestation Requirements: YES / NO / EXCLUSION • A record of transmissions will need to be retained for auditing purposes. Exclusions: Any EP that meets one or more of the following criteria may be excluded from this measure: (1) Does not administer any of the immunizations to any of the populations for which data is collected by their jurisdiction's immunization registry or immunization information system during the EHR reporting period; (2) Operates in a jurisdiction for which no immunization registry or immunization information system is capable of accepting the specific standards required for CEHRT at the start of their EHR reporting period; (3) Operates in a jurisdiction where no immunization registry or immunization information system provides information timely on capability to receive immunization data; or (4) Operates in a jurisdiction for which no immunization registry or immunization information system that is capable of accepting the specific standards required by CEHRT at the start of their EHR reporting period can enroll additional EPs. Measure 2: Syndromic Surveillance Reporting The EP is in active engagement with a public health agency to submit syndromic surveillance data. Set-Up for Measure: • Must enter chief complaint (confirm with Health Information Exchange on required format of

submissions: free text vs coded chief complaints) • *Note: To electronically submit, an interface is required. Please complete an Interface Request Form

and contact your Evident Sales Account Manager to initiate the development for your facility. Evident’s Interface department required a minimum of a 90-day lead time to set up the interface for the selected registry.

• If choosing this measure, Evident Interface department will contact you to implement an interface with ongoing submission achieved.


Meaningful Use Modified Stage 2 – 2017 2014 Edition CEHRT Eligible Professionals How to achieve Measure: This measure is met by entering in required state-specific information on a patient account (such as chief complaint, working and final diagnosis) to be transmitted. • Chief Complaint is defined as being the reason for the patient’s visit (in the patient’s own words). This

field should be entered as free text. Evident suggests making Chief Complaint a required field from Census. • Pathway to enter Chief Complaint via Census: Base Menu > Master Selection > Enter Account

Number > Census > Clinical > Chief Complaint > Free Text a Chief Complaint > Save • Pathway to enter Chief Complaint via Check In screen: Base Menu > Profile Listing > Select

Patient > Create New Visit > Enter visit information > OK > Check In > Chief Complaint > Free Text a Chief Complaint > Save

• Working Diagnosis and Physician Admit Reason can be free text or coded and should be utilized throughout the patient’s stay. • Pathway via Census: Base Menu > Master Selection < Enter Account Number > Census >

Clinical > Chief Complaint > Enter Working Diagnosis/Physician Admit Reason > Save • Pathway via Tracking Board: Thrive > Charts > Tracking Board > Double Click Chief Complaint

field for a patient/visit > Chief Complaint > Enter Working Diagnosis/Physician Admit Reason > Save

• Pathway via the patient’s chart: Thrive > Charts > Select patient/visit > Location Maintenance > Patient Location Maintenance > Chief Complaint > Enter Working Diagnosis/Physician Admit Reason > Save

• Once the patient has been discharged, the Final Diagnosis should be added for the patient via the following pathway: Base Menu > Master Selection > Enter Account Number > Medical Records > Grouper > Diagnosis > Add Diagnosis Codes > Select Finish

To electronically submit, an interface is required. Please complete an Interface Request Form and contact your Evident Sales Account Manager to initiate the development for your facility. A record of transmissions will need to be retained for auditing purposes. Exclusion: Any EP that meets one or more of the following criteria may be excluded from this measure:

(1) The EP is not in a category of providers that collect ambulatory syndromic surveillance information on their patients during the EHR reporting period;

(2) The EP operates in a jurisdiction for which no public health agency is capable of receiving electronic syndromic surveillance data in the specific standards required by CEHRT at the start of their EHR reporting period; or

(3) The EP operates in a jurisdiction for which no public health agency has declared readiness to receive syndromic surveillance data from EPs at the start of the EHR reporting period.

Measure 3: Specialized Registry Reporting The EP is in active engagement to submit data to a specialized registry. Set-Up for Measure: • EPs will need to contact their state to determine what registries are available to them. Once they

select a registry to report to, they will need to contact Evident to let us know what they have selected. • Evident’s Interface department will need a minimum of a 90-day lead time to setup the interface for

the selected registry. How to achieve Measure: A record of transmissions will need to be retained for auditing purposes. *NOTE: To electronically submit, an interface is required. Please complete an Interface Request Form and contact your Evident Sales Account Manager to initiate the development for your facility.


Meaningful Use Modified Stage 2 – 2017 2014 Edition CEHRT Eligible Professionals Exclusion: Any EP that meets one or more of the following criteria may be excluded from this measure:

(1) The EP does not diagnose or treat any disease or condition associated with or collect relevant data that is required by a specialized registry in their jurisdiction during the EHR reporting period;

(2) The EP operates in a jurisdiction for which no specialized registry is capable of accepting electronic registry transactions in the specific standards required to meet the CEHRT definition at the start of the EHR reporting period; or

(3) The EP operates in a jurisdiction where no specialized registry for which the EP is eligible has declared readiness to receive electronic registry transactions at the beginning of the EHR reporting period

Statistics Reporting The Meaningful Use Statistics Reports will be utilized for those eligible professionals that are scheduled to attest for Modified Stage 2 in 2017. This report contains all information that is required on percentage-based objectives. Set-Up for Report: • Pathway to create an EP-specific filter for the MU Stage II Statics report: Base Menu > Other

Applications and Functions > Word Processing > Ad Hoc Report > MU Statistics Report > 2017 > Select Eligible Professional from the Type dropdown >Select Objective > Select filter icon next to facility dropdown > Add > New > Edit filter for the facility > Select (Filter Title) to enter desired filter name (i.e. John Smith MD) > Add an item to this filter > Physician Number > Under “May be any of the following values,” select Configure Values > Enter 6-digit physician number > Enter > Back arrow twice > Save > Back arrow > Select created filter from list > Back arrow.

• Filters can also be created through Identity Management for any user: Special Functions > Identity Management > Select Login > Filters > MU Stats Filters > Add > New > Edit filter for the facility > Select (Filter Title) to enter desired filter name (i.e. John Smith MD) > Add an item to this filter > Physician Number > Under “May be any of the following values,” select Configure Values > Enter 6-digit physician number > Enter > Back arrow twice > Save > Back arrow > Select created filter from list > Back arrow.

• **See E-Scribe section for required E-Scribe specific filter. How to run the report: • Thrive > System Menu > Ad Hoc Reporting > MU Statistics Report > 2017 > Select Eligible

Professional from the Type dropdown > Select Objective > Select Provider Filter > Enter in date range (or choose from pre-defined date box) > Choose to show demographics or keep checkbox unchecked for summary page > Calculate > PDF.

• For your records, a hard copy of the Statistics Reports should be retained. These will need to be printed at the conclusion of your reporting period.

If further information is needed, please visit www.cms.gov.

http://www.cms.gov/


Meaningful Use Modified Stage 2 – 2017 2014 Edition CEHRT Eligible Professionals Attestation Disclaimer: Meaningful Use attestation confirms the use of a certified Electronic Health Record (EHR) to regulatory standards over a specified period of time. Evident and TruBridge Meaningful Use certified products, recommended processes and supporting documentation are based on Evident’s interpretation of the Meaningful Use regulations, technical specifications and vendor specifications provided by CMS, ONC and NIST. Each client is solely responsible for its attestation being a complete and accurate reflection of its EHR use during the attestation period and that any records needed to defend the attestation in an audit are maintained. With the exception of vendor documentation that may be required in support of a client’s attestation, Evident and TruBridge bear no responsibility for attestation information submitted by the client.