| Core Objectives (Practices Achieving Objective) | Menu Objectives (Practices Achieving Objective) |
|---|---|
| 1. Use computerized order entry for medication orders (n = 8) | 1. Implement drug formulary checks (n = 8) |
| 2. Implement drug–drug and drug–allergy checks (n = 8) | 2. Incorporate clinical lab test results into certified EHR as structured data (n = 5) |
| 3. Electronically generate and transmit permissible prescriptions (n = 8) | 3. Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, research, and outreach (n = 8) |
| 4. Record demographics (n = 8) | 4. Send reminders for preventive/follow-up care to patients per patient preference (n = 5) |
| 5. Maintain an up-to-date problem list of current and active diagnoses (n = 7) | 5. Provide patients with timely electronic access to their health information (including lab results, problem list, medication lists, allergies) (n = 5) |
| 6. Maintain active medication list (n = 8) | 6. Use certified EHR to identify patient-specific education resources and provide to patient if appropriate (n = 6) |
| 7. Maintain active medication allergy list (n = 8) | 7. Perform medication reconciliation when relevant (n = 6) |
| 8. Record and chart changes in vital signs (n = 8) | 8. Provide summary care record for transitions in care or referrals (n = 5) |
| 9. Record smoking status for patients ≥13 years old (n = 8) | 9. Capability to submit electronic data to immunization registries and actual submission* (n = 6) |
| 10. Implement one clinical decision support rule (n = 7) | 10. Capability to provide electronic syndromic surveillance data to public health agencies and actual transmissions* (n = 3) |
| 11. Report ambulatory quality measures to CMS or the state (n = 7) | |
| 12. Provide patients with an electronic copy of their health information upon request (n = 8) | |
| 13. Provide clinical summaries of each office visit to patients (n = 8) | |
| 14. Capability to exchange key clinical information electronically among providers and patient-authorized entities (n = 6) | |
| 15. Protect electronic health information (privacy and security) (n = 7) |
Core and Menu objectives can be found at http://www.healthit.gov/providers-professionals/step-5-achieve-meaningful-use-stage-1.
↵* Menu objective 9 or 10 was required as a public health objective.
CMS, Centers for Medicare and Medicaid Services; EHR, electronic health record.