MU Stage-1 Quick Reference Guide

This table gives a brief idea of increasing denominator & numerator in InSync. For detailed steps, click the help icon for each core and menu set measure.

Core / Menu Set

Criteria to increase denominator in InSync

Criteria to increase numerator in InSync

CORE 1: COMPUTERIZED PROVIDER ORDER ENTRY (CPOE)
•An encounter should have been started or an existing encounter should have been edited within reporting period for an active patient.
•Medication should have been prescribed/managed/renewed during reporting period (with or without CPOE).

 
•Medication should have been prescribed/managed/renewed during reporting period (with CPOE only) within the encounter.

CORE 2: IMPLEMENT DRUG- DRUG AND DRUG- ALLERGY INTERACTION CHECKS
•THIS CORE HAS YES/NO ATTESTATION.

 

CORE 3: MAINTAIN AN UP- TO- DATE PROBLEM LIST OF CURRENT AND ACTIVE DIAGNOSES
•An encounter should have been started or an existing encounter should have been edited within reporting period for an active patient.

 
•Problem list should have been recorded.

Note: Alternatively,

oThe “No known problem” check box can also be selected.
oThe “Auto copy to problem list” check box can be selected while recording diagnosis.

CORE 4: E-PRESCRIBING (ERX)
•An encounter should have been started within reporting period for an active patient.
•Medication should have been prescribed during reporting period.
•Prescribed medication should have been electronically transmitted to pharmacy.
 

CORE 5: MAINTAIN ACTIVE MEDICATION LIST
•An encounter should have been started or an existing encounter should have been edited within reporting period for an active patient.
•Medications should have been prescribed/ managed within reporting period.

Note: Alternatively, the “Does not take medication” check box can also be selected.

CORE 6: MAINTAIN ACTIVE ALLERGY LIST
•An encounter should have been started or an existing encounter should have been edited within reporting period for an active patient.
•Allergies should have been recorded within reporting period.

Note: Alternatively, the “No Known Allergies”   check box can also be selected.

 

CORE 7: RECORD DEMOGRAPHICS
•An encounter should have been started within reporting period for an active patient.

 
•Patient’s demographic details such as DOB, sex, race, ethnicity, and preferred language should have been recorded.

Note: Alternatively, the “Patient declined / unable to provide Race, Ethnicity and /or Preferred Language” check box can also be selected.

 

CORE 8: RECORD AND CHART CHANGES IN VITAL SIGNS
•An encounter should have been started or an existing encounter should have been edited within reporting period for patients 3 years or above.
•Patient’s following vital information should have been recorded:
oHeight and Weight
oBlood Pressure.

Note: If the Blood Pressure or Height & Weight is not applicable to your practice, select “Exclude Blood Pressure” or “Exclude Height & Weight” check box prior to generating the report.

CORE 9: RECORD SMOKING STATUS FOR PATIENTS 13 YEARS OR OLDER

 
•Patient’s age should have been 13 years or more.
•At least one encounter should have been started or an existing encounter should have been edited within reporting period for an active patient.
•Smoking status should have been recorded within or outside encounter.

Note: Alternatively, the “Patient is non-smoker” check box can also be selected.

CORE 10: REPORT AMBULATORY CLINICAL QUALITY MEASURES TO CMS

 

•THIS CORE HAS YES/NO ATTESTATION.

CORE 11: IMPLEMENT ONE CLINICAL DECISION SUPPORT RULE RELEVANT TO SPECIALTY OR HIGH CLINICAL PRIORITY ALONG WITH THE ABILITY TO TRACK COMPLIANCE TO THAT RULE
•THIS CORE HAS YES/NO ATTESTATION.

CORE 12: PROVIDE PATIENTS WITH TIMELY ELECTRONIC ACCESS TO THEIR HEALTH INFORMATION
•An encounter should have been started within reporting period for an active patient.
•Encounter should have been ended within 4 business days from visit date.
•The patient should have been given access on the patient portal (InTouch) application.

CORE 13: PROVIDE CLINICAL SUMMARIES FOR PATIENTS FOR EACH OFFICE VISIT
•An encounter should have been started within reporting period.
•Clinical Summary should have been provided to the patient within 3 business days of patient visit.

Note: If patient portal access is granted to the patient, upon ending an encounter within 3 business days, Clinical Summary is automatically made available for patient’s online access. Such patient visit is considered as qualifying instance.

 

CORE 14: CAPABILITY TO EXCHANGE KEY CLINICAL INFORMATION AMONG PROVIDERS OF CARE AND PATIENT AUTHORIZED ENTITIES ELECTRONICALLY
•THIS CORE HAS YES/NO ATTESTATION.

CORE 15: PROTECT HEALTH INFORMATION
•THIS CORE HAS YES/NO ATTESTATION.

MENU SET 1: CAPABILITY TO SUBMIT ELECTRONIC DATA TO IMMUNIZATION REGISTRIES
•THIS CORE HAS YES/NO ATTESTATION.

MENU SET 2: CAPABILITY TO SUBMIT ELECTRONIC SYNDROMIC SURVEILLANCE DATA TO PUBLIC HEALTH AGENCIES
•THIS CORE HAS YES/NO ATTESTATION.

MENU SET 3: IMPLEMENT DRUG FORMULARY CHECKS
•THIS CORE HAS YES/NO ATTESTATION.

MENU SET 4: INCORPORATE CLINICAL LAB TEST RESULTS AS STRUCTURED DATA
•Laboratory order (manual or electronic) should have been placed during reporting period.
•Number of results received electronically or added manually for the laboratory orders that are placed during reporting period will increase the Numerator value.

MENU SET 5: GENERATE LISTS OF PATIENTS BASED ON SPECIFIC CONDITION TO USE FOR QUALITY IMPROVEMENT, REDUCTION OF DISPARITIES, RESEARCH OR OUTREACH

•THIS MENU SET HAS YES/NO ATTESTATION.

MENU SET 6: SEND REMINDERS TO PATIENTS PER PATIENT PREFERENCE FOR PREVENTIVE /FOLLOW UP CARE
•Patient’s age should be 65 years or older or 5 years or younger.
•The Health Maintenance Due Letter should be generated for active patients.

MENU SET 7: USE CERTIFIED EHR TECHNOLOGY TO IDENTIFY PATIENT- SPECIFIC EDUCATION RESOURCES AND PROVIDE TO PATIENT, IF APPROPRIATE
•An encounter should have been started within reporting period for an active patient.
•Education material should have been provided to the patient.

Note: If patient portal access is granted to the patient, upon selection of illness codes in Diagnosis page or Problem List page or prescribing medication or ordering electronic lab, the education material is automatically made available for patient's online access with instant email notification. Such patient is considered as qualifying instance.

 

MENU SET 8: MEDICATION RECONCILIATION

 
•An encounter should have been started or an existing encounter should have been edited within reporting period and the Transition of Care check box should have been selected.
•Either medication reconciliation should have been actually performed or an option should have been opted as an indication that the medication reconciliation is performed.

MENU SET 9: SUMMARY OF CARE RECORDS FOR EACH TRANSITION OF CARE/REFERRALS
•An encounter should have been started or an existing encounter should have been edited within reporting period for an active patient.
•Referrals should have been recorded in the system.
•Clinical information should have been provided along with the referral summary.

 

Generating MU-1 Report as per Old CMS criteria

When generating MU-1 report as per old CMS criteria (Select to generate report as per old CMS criteria till 2013 check box is checked), following 3 cores are added to the report.

 

Note: When you generate report as per old CMS criteria, the “Core 12: Provide Patients with timely electronic access to their health information” becomes Menu Set 7 with variation in the percentage required to fulfill MU-1 criteria. Because of this replacement, the sequence of existing Menu Set 7, 8, and 9 changes to Menu Set 8, 9, and 10 respectively.

 

Core / Menu Set

Criteria to increase denominator in InSync

Criteria to increase numerator in InSync

 

CORE 10: REPORT AMBULATORY CLINICAL QUALITY MEASURES TO CMS

 

•THIS CORE HAS YES/NO ATTESTATION.

 

CORE 12: PROVIDE PATIENTS WITH AN ELECTRONIC COPY OF THEIR HEALTH INFORMATION, UPON REQUEST
•The patient should have requested the electronic copy of the health information report within reporting period.
•The patient should have been provided with the electronic copy of the health information report within 3 business days of the requested date

 

CORE 14: CAPABILITY TO EXCHANGE KEY CLINICAL INFORMATION AMONG PROVIDERS OF CARE AND PATIENT AUTHORIZED ENTITIES ELECTRONICALLY
•THIS CORE HAS YES/NO ATTESTATION.

 

MENU SET 7: PROVIDE PATIENTS WITH TIMELY ELECTRONIC ACCESS TO THEIR HEALTH INFORMATION
•An encounter should have been started within reporting period for an active patient.
•Encounter should have been ended within 4 business days from visit date.
•The patient should have been given access on the patient portal (InTouch) application.