Meaningful Use Grids: Quick Reference to Navigation

Most days I typically have my nose buried in either the Meaningful Use or Standards and Certification Criteria final rules (in a majority of cases both) searching for answers to questions I’ve received. Finding the right place quickly often proves to be the most difficult challenge. This led me to look for a way to more efficiently find the relevant parts of the rules. With the help of some of my staff, we developed quick reference grids to accomplish this goal.

Now that I’ve field tested these grids (I primarily use the combined grid), I thought others might find them just as useful. The grids capture, in one place, the meaningful use objectives, measures, and exclusions, and the correlated certification criteria and standards. They also reference the relevant preamble page ranges associated with each requirement from both of the respective rules.

Each grid follows the same format:

  • The first main column references meaningful use objectives and measures and serves as the anchor around which the rest of the grid is organized. The core set objectives and measures are listed first followed by the menu set objectives and measures.
  • The second column references the certification criteria that correlate with each meaningful use objective and measure. Note, the combined version includes colored text for two purposes: 1) to identify certification criteria that are specific to either ambulatory (blue) or inpatient (red) settings; and 2) to call out wording nuances that are unique to an ambulatory or inpatient specific certification criterion where we have combined the ambulatory and inpatient certification criteria to save space. Where black text is used, the certification criterion is the same for both settings.
  • The third column identifies the standard(s) and implementation specifications referred to by each certification criterion, where applicable.

Select here to download the combined grid [PDF - 364 KB]: Includes EP/EH&CAH objectives and measures as well as the standards and certification criteria for both ambulatory and inpatient settings.

Select here to download the EP/ambulatory setting only grid [PDF - 311 KB]: Includes only the EP objectives and measures and the standards and certification criteria for the ambulatory setting.

Select here to download the EH&CAH/inpatient setting only grid [PDF - 309 KB]: Includes only the EH&CAH objectives and measures and the standards and certification criteria for the inpatient setting.

Please note that these are unofficial recitations of only a portion of the regulations. The official version of all federal regulations is published in the Code of Federal Regulations (CFR). Additionally, while we have done our best to make sure there are no typos, if you happen to identify one (that doesn’t already exist in the rules) please let us know by shooting an e-mail to onc.request@hhs.gov with “quick reference grids” in the subject line and enough detail for us to find and correct the typo. If we create a second version, we’re considering adding links to applicable FAQs. Feel free to leave a comment below if you think that would be helpful.

Finally, thanks to Jennifer Frazier and Mike Lipinski on my team for the hard work on these.


View Section 508 compliant versions of resources in this blog post:

10 Comments

  1. John Travis says:

    Steve

    Thank you for this resource! I think it helpful to have this kind of consolidation.

    John

  2. S Steinbrook says:

    I would like to suggest that when implementing EHR that another identifier be given to the patient instead of the Social Security #. The Social Security Number is already being over utilized and maybe a Health Identification Number (or HIN#) could be used instead when using EHR? The Social Security Number should be used later in life when collecting Social Security, not everytime you walk into a doctors office or fill a presciption. Thank you for your time.

  3. April says:

    SS# is a key to identity theft, and I agree that social security number should Not be used for healthcare.

  4. We are quite concerned about what a CCD has in it for posting to a patient portal. Our patients are all minors, so their parents are the ones who have access to their portal, and rightly so. However, as a child grows up, other issues come up, such as patient confidentiality in the even of an office visit for birth control pills, concern about pregnancy or treatment for sexually transmitted diseases. Teenagers have a right to seek this care in Kansas without it being disclosed to their parents. Any ideas on this? Is there a way to block this info? The patient (the teenager) has a right to the information, but the parent has access to the portal.

    What about when the child has turned 18 and we must have a release for information to the parents, but the 18-year-old doesn’t change the user name and/or password, because, you know, teenagers ….? We have to make the information available to the patient, but the parent has access.

    This doesn’t even address when a child is taken into custody by the state, or there is a fear and office visit to determine if abuse has occurred. Both parents still have a right to or actual access to this portal and all the information that it shows, including addresses and phone numbers.

    Lab results could be “abnormal” but reviewed (and they are all reviewed) and determined to be “unremarkable” and therefore not a matter of concern. We see patients calling in anxiety about their child’s results.

    And what about litigious parents? Or “second-guesser” internet parents? Wheeeeeee ….

  5. Jess says:

    You rock Steve. I didn’t remember/know that you did these and they are great. Freshly downloaded to my iPad to travel with. Great tools!

    - Jess

  6. Val says:

    A Social Security number (in whole or in part) should not be required by anyone except HR or the Social Security Administration/State/Federal Department of Revenues. No retailer or hospital should or anyone else should require this number. I agree a national ID for all citizens would be better identification and a social security # or part thereof should only be used for transactions that actually necessitate it – employment records. In no way, should any social security number in whole or in part be transmitted over the intranet. If included in the EHR and transmitted to other facilities, doctor’s offices, labs, etc the patient loses control of where a very important part of patient identify theft is being transmitted.

  7. LYNN PENCE says:

    Please answer this question or give me reference site to find the answer. Meaningful Use criteria for Stage One.
    Is VTE required for meaningful use stage 1 when it is not yet required for CMS measure submission?

    Thanks,
    Lynn

  8. BBCOR says:

    Great information, thanks.

  9. Accounting Classes Online says:

    I agree with Steinbrook. Social Security numbers are being over utilized as it is. Originally they were only meant for a numbering system in the SS program. Now we have to use them for almost every form we need to proof ID. It’s not safe. I would like to suggest that when implementing EHR that another identifier be given to the patient instead of the Social Security #.

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