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Step 5: Achieve Meaningful Use Stage 2

Record Vital Signs

Objective:

Record and chart changes in the following vital signs: height/length and weight (no age limit); blood pressure (ages 3 and over); calculate and display body mass index (BMI); and plot and display growth charts for patients 0-20 years, including BMI.

Measure:

More than 80 percent of all unique patients seen by the EP have blood pressure (for patients age 3 and over only) and/or height and weight (for all ages) recorded as structured data.

Changes from Meaningful Use Stage 1:

 Stage 1Stage 2
Objective

Record and chart changes in vital signs:

  • Height
  • Weight
  • Blood pressure
  • Calculate and display BMI
  • Plot and display growth charts for children 2-20 years, including BMI

Record and chart changes in vital signs:

  • Height
  • Weight
  • Blood pressure (age 3 and over)
  • Calculate and display BMI
  • Plot and display growth charts for patients 0-20 years, including BMI
Measure For more than 50% of all unique patients age 2 and over seen by the EP, blood pressure, height and weight are recorded as structured data More than 80% of all unique patients seen by the EP have blood pressure (for patients age 3 and over only) and height and weight (for all ages) recorded as structured data

Clinical Importance:

Accurate, documented vital signs are an important component of patient care. They provide essential, baseline data for treatment decisions and historical trends. This historical information allows for recognition of acute or chronic changes that may prove significant.

CMS Resources:

The following resources are available to help you meet the Record Vital Signs 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

Quality Improvement in Medicaid Managed Care Toolkit

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Toolkit that identifies members of racial and ethnic subgroups to measure gaps in care and to explore ways to improve health care quality. Center for Health Care Strategies, Inc. (CHCS)

Million Hearts Toolkit

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Toolkits designed to help partners incorporate Million Hearts™ into their everyday work and enhance their heart disease and stroke prevention efforts.

Department of Health and Human Services(HHS)

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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