Meaningful Use Matrix

Assumptions

• This estimated effort is based on 50 physician multi-specialty organization.
• It is intended to give a ballpark of effort involved and the numbers serve as estimates only.
• It does not necessarily scale linearly with number of providers or specialties.
• The effort only addresses four categories of effort – implementation), technical, interface and training.
• Categories of effort not addressed include project management, systems configuration and deployment, networking configuration and deployment, hardware (including desktop) deployment, and helpdesk and on-going support.

	Criteria	Threshold	Module	Typical EHR Phase	Implementation Effort	Interface Effort	Technical Effort	Training	Total
1	Electronically enter all orders for medications, laboratory, imaging and referrals.	80% of all patients	Order	III	220	100		80	400
2	Implement drug-drug, drug-allergy, drug- formulary checks.	100%	Base	I
3	Maintain an up-to-date problem list.	80% of all patients	Base	I	100	80		40	220
4	ePrescribe	75% of all permissible prescriptions	RX+	II	40			40	80
5	Maintain active medication list.	80% of all patients	RX+	II	120			20	140
6	Maintain active medication allergy list.	80% of all patients	Base	I	80			20	100
7	Record patient demographics (including race/ethnicity/language).	80% of all patients	Base	I		50			50
8	Record vitals signs for those age 2 and older, calculate BMI, and plot growth charts for children 2-20.	80% of all patients	Base	I	80			20	100
9	Record smoking status for patients 13 years old and older.	80% of all patients	Note	II
10	Incorporate clinical lab-test results into EHR as structured data.	50% of all lab results	Result	II	100	70		40	210
11	Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, research, and outreach.	N/A	Base	I	60	40			100
12	Report ambulatory quality measures to CMS or State	N/A			160		200	20	380
13	Send preventive/follow-up care reminders.	50% of patients over 50 years old	Base	I
14	Implement five clinical decision support rules relevant to specialty or high clinical priority and track compliance	N/A	Base	I
15	Check insurance eligibility electronically from public and private payers	80% of all patients	Base	I	40			20	60
16	Submit claims electronically to public and private payers.	80% of all patients	Charge	III		50			50
17	Provide patients with an electronic copy of their test results, problem list, medications, and allergies	Within 48 hours for 80% of those requesting	Base/Result/Rx+	II
18	Provide patients with timely electronic access to their lab results, problem list, medications, and allergies	10% of patients	Base/Result/Rx+/Patient Portal	II	200		40		240
19	Provide clinical summaries to patients for each office visit.	80% all office visits	Multiple
20	Electronically exchange problem list, medication list, allergies, and diagnostic test results among providers of care and patient authorized entities.	Test and demonstrate	Multiple
21	Perform medication reconciliation	80% of relevant visits or care transitions	Rx+	II
22	Provide summary care record for each transition of care and referral.	80% of care transitions and referrals	Multiple		60	40			100
23	Submit electronic data to immunization registries and actual submission where required and accepted.	Test and demonstrate	Base	I	40	120			160
24	Provide electronic syndromic surveillance data to public health agencies.	Test and demonstrate	N/A			150			150
25	Conduct or review a security risk analysis for protecting patient privacy.	100%	N/A