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Step 5: Achieve Meaningful Use Stage 2

Preventative Care


Use clinically relevant information to identify patients who should receive reminders for preventive/follow-up care and send these patients the reminders, per patient preference.


More than 10 percent of all unique patients who have had 2 or more office visits with the EP within the 24 months before the beginning of the EHR reporting period were sent a reminder, per patient preference when available.

Changes from Meaningful Use Stage 1:

The Preventative Care Objective changed from being a Menu Objective in Stage 1 (Patient Reminders) to a Core Objective in Stage 2.

 Stage 1Stage 2
Objective Send reminders to patients per patient preference for preventive/follow up care Use clinically relevant information to identify patients who should receive reminders for preventive/follow-up care
Measure More than 20% of all unique patients 65 years or older or 5 years old or younger were sent an appropriate reminder during the EHR reporting period Use EHR to identify and provide reminders for preventive/follow-up care for more than 10% of patients with two or more office visits in the last 2 years

Clinical Importance:

Patient reminders can be established within EHR systems to assist practices in managing their patient population. Practices can remind patients about upcoming appointments, preventative care needs such as cancer screenings, or flu shots, as an example. By managing their patient populations, practices are better able to improve the health and health care of their patients.

CMS Resources:

The following resources are available to help you meet the Preventative Care meaningful use core measure:

CMS EHR Incentive Program Frequently Asked Questions (FAQs)

National Learning Consortium Resources:

The NLC resources are examples of tools that are used in the field today, and that are recommended by “boots-on-the-ground” professionals. The NLC, in partnership with HealthIT.gov, shares this collective EHR implementation knowledge and resources throughout this site. 

National Learning Consortium Resources
Resource NameDescriptionSource

Communicating with Patients Electronically


[PDF - 163k] 

Guide for establishing practice policies and procedures for electronic communication with patients.

Center for Practice Improvement and Innovation, American College of Physicians (ACP)

Pediatric Rules and Reminders



Downloadable pediatric rules and reminders for the ambulatory environment to serve as examples of reminders that can be integrated into EHR systems and modified to fit the needs of the practice.

Agency for Healthcare Research and Quality (AHRQ)

Sending a Patient Reminder (HIE scenario, workflow, and specifications)


[DOCX - 1.1 MB]

A series of health information exchange (HIE) scenarios intended to provide a straightforward view into the standards, services and policies behind HIE solutions related to this Meaningful Use Measure.

ONC Office of Science and Technology

The material in these guides and tools represents the collective EHR implementation experiences and knowledge gained directly from the field of ONC’s outreach programs (REC, Beacon, State HIE) and through the Health Information Technology Research Center (HITRC) Communities of Practice (CoPs) in their performance of technical support and EHR implementation assistance to primary care providers. The information contained in these resources is not intended to serve as legal advice nor should it substitute for legal counsel. The resource list is not exhaustive, and readers are encouraged to seek additional detailed technical guidance to supplement the information contained herein.

Reference in this web site to any specific resources, tools, products, process, service, manufacturer, or company does not constitute its endorsement or recommendation by the U.S. Government or the U.S. Department of Health and Human Services.


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