Eligible Hospital Supported Measures

2020

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Clinical Quality Measures
Promoting Interoperability Measures for Medicare/Dual-Eligible
Promoting Interoperability Measures for Medicaid

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Clinical Quality Measures for:

IQR, Medicare/Dual-Eligible, Medicaid PI Hospital and The Joint Commission - ORYX

 

Measure Description
ED-2 Median Time from Admit Decision to ED Departure for Admitted Inpatients
PC-05 Exclusive breast milk feeding during the newborn's entire hospitalization
STK-2 Ischemic stroke: Discharged on Antithrombotic Therapy (prescribed or continued)
STK-3 Ischemic stroke: Anticoagulation Therapy for Atrial Fibrillation/Flutter
STK-5 Ischemic stroke: Antithrombotic Therapy By End of Hospital Day 2
STK-6 Ischemic stroke: Discharged on Statin Medication (prescribed or continued)
VTE-1 Venous Thromboembolism Prophylaxis
VTE-2 Venous Thromboembolism Prophylaxis - Intensive Care Unit



Promoting Interoperability (Objective) Measures for Medicare/Dual-Eligible

 

Security Risk AnalysisProtect ePHI by implementing appropriate technical, administrative and physical safeguards

Measure Description
e-Prescribing Generate and transmit permissible prescriptions electronically
Query of Prescription Drug Monitoring Program (PDMP) For at least one Schedule II opioid electronically prescribed using CEHRT during the performance period.
Support Electronic Referral Loops by Sending Health Information Creates or electronically exchanges a SOC record for transitions of care and referrals or new patients
Support Electronic Referral Loops by Receiving and Incorporating Health Information Perform a clinical information reconciliation (medications, allergies, problem lists) where at least one SOC was received for transitions of care, referrals, or new patients
Provide Patients Electronic Access to Their Health Information Provide patients the ability to view online, download, and transmit their health information within 36 hours of hospital discharge
Immunization Registry Actively engaged to submit Immunization data and receive forecasts from the registry or IIS
Syndromic Surveillance Actively engaged to submit syndromic surveillance data from an urgent care setting
Electronic Case Actively engaged to submit case reporting of reportable conditions
Public Health Registry Actively engaged to submit data to a Public Health Registry
Clinical Data Registry Actively engaged to submit data to a Clinical Data Registry
Clinical Data Registry (Multiple Submissions) Actively engaged to submit data to multiple Clinical Data Registries
Electronic Laboratory Result Actively engaged to submit electronic reportable laboratory (ELR) results
Security Risk Analysis Protect ePHI by implementing appropriate technical, administrative and physical safeguards

 

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Promoting Interoperability (Objective) Measures for Medicaid

Measure Description
View, Download or Transmit (VDT) Actively engage with the electronic health record made accessible by the provider
Secure Messaging Send a secure electronic message using CEHRT to the patient, or respond to a secure message sent by the patient
Patient Generated Health Data Patient generated health data or data from a nonclinical setting is incorporated into the CEHRT for more than 5 percent of all unique patients discharged during the reporting period
CDS Interventions Use clinical decision support (5 interventions) to improve performance on high-priority health conditions
Drug Interaction Implement drug-drug and drug-allergy interaction checks
CPOE Medications Use computerized provider order entry (CPOE) for medication orders
CPOE Laboratory Use computerized provider order entry (CPOE) for laboratory orders
CPOE Diagnostic Imaging Use computerized provider order entry (CPOE) for diagnostic imaging orders
e-Prescribing Generate and transmit permissible prescriptions electronically
Send a Summary of Care Creates or electronically exchanges a SOC record for transitions of care and referrals
Request/Accept Summary of Care Requests or accepts an electronic SOC record for transitions of care and referrals or new patients
Clinical Information Reconciliation Perform a clinical information reconciliation (medications, allergies, problem lists) for transitions of care and referrals
Provide Patient Access Provide patients the ability to view online, download, and transmit their health information within 36 hours of hospital discharge
Patient-Specific Education Provide patient-specified educational resources
Immunization Registry Actively engaged to submit Immunization data and receive forecasts from the registry or IIS
Syndromic Surveillance Actively engaged to submit syndromic surveillance data from an urgent care setting
Electronic Case Actively engaged to submit case reporting of reportable conditions
Public Health Registry Actively engaged to submit data to a Public Health Registry
Clinical Data Registry Actively engaged to submit data to a Clinical Data Registry
Clinical Data Registry (Multiple Submissions) Actively engaged to submit data to multiple Clinical Data Registries
Electronic Laboratory Result Actively engaged to submit electronic reportable laboratory (ELR) results
Security Risk Analysis Protect ePHI by implementing appropriate technical, administrative and physical safeguards

 

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