MU Stage-2 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 1A: CPOE FOR MEDICATION ORDERS
•An encounter should have been started within reporting period for an active patient.
•Medication should have been prescribed/managed/renewed during reporting period (with or without CPOE).

 
•Only the medications that are prescribed/managed/renewed during reporting period will be considered for numerator increase.

CORE 1B: CPOE FOR RADIOLOGY ORDERS
•An encounter should have been started within reporting period for an active patient.
•Radiology order should have been placed during reporting period (manual or electronic).
 
•Radiology order should have been placed during reporting period (manual or electronic).

CORE 1C: CPOE FOR LAB ORDERS
•An encounter should have been started within reporting period for an active patient.
•Laboratory order (manual or electronic) should have been placed during reporting period.

 
•Laboratory order should have been placed during reporting period (manual or electronic).

CORE 2: E-PRESCRIBING (ERX)
•An encounter should have been started within reporting period for an active patient.
•Medication should have been prescribed during reporting period.
•Drug formulary check should have been performed for all the medications prescribed during the reporting period.
•Prescribed medication should have been electronically transmitted to pharmacy.
 

CORE 3: 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.

 

CORE 4: RECORD AND CHART CHANGES IN VITAL SIGNS
•An encounter should have been started within reporting period for an active patient.
•Patient’s following vital information should have been recorded:
> Height/length (all ages) and Weight

  (all ages)
> Blood Pressure (only patients aged 3

  and over

 

CORE 5: 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 within reporting period for an active patient.

 
•Smoking status should have been recorded within or outside encounter.

CORE 6: USE CLINICAL DECISION SUPPORT TO IMPROVE PERFORMANCE ON HIGH-PRIORITY HEALTH CONDITIONS
•THIS CORE HAS YES/NO ATTESTATION.

CORE 7A: PATIENT ELECTRONIC ACCESS - PATIENT PORTAL ACCESS
•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 an access on the patient portal (InTouch) application.

 

CORE 7B: PATIENT ELECTRONIC ACCESS - VIEW, DOWNLOAD, OR TRANSMIT
•An encounter should have been started within reporting period for an active patient.
•Patient portal user should have accessed or transmitted the clinical summary by clicking any of the following buttons: View, Download, or Transmit, within or outside reporting period.

 

CORE 8: PROVIDE CLINICAL SUMMARIES FOR PATIENTS FOR EACH OFFICE VISIT
•An encounter should have been started within reporting period for an active patient.
•Clinical Summary should have been provided to the patient within 1 business day.

CORE 9: PROTECT ELECTRONIC HEALTH INFO
•THIS CORE HAS YES/NO ATTESTATION.

CORE 10: INCORPORATE CLINICAL LAB TEST RESULTS AS A STRUCTURED DATA
•An encounter should have been started within reporting period for an active patient.
•Laboratory order (manual or electronic) should have been placed during reporting period.
•The laboratory result should have been received electronically, manually, or as a part of structured result.

CORE 11: GENERATE LISTS OF PATIENTS BY SPECIFIC CONDITIONS TO USE FOR QUALITY IMPROVEMENT, REDUCTION OF DISPARITIES, RESEARCH, OR OUTREACH
•THIS CORE HAS YES/NO ATTESTATION.

 

CORE 12: 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
•At least 2 encounters should have been started prior to 24 months from reporting period for an active patient.
•At least 1 reminder should have been sent to the patient within the reporting period.

CORE 13: USE CLINICALLY RELEVANT INFORMATION FROM CERTIFIED EHR TECHNOLOGY TO IDENTIFY PATIENT-SPECIFIC EDUCATION RESOURCES AND PROVIDE THOSE RESOURCES TO THE PATIENT
•Encounter should have been started with POS Code as “11-Office” or “71 - State or Local Public Health Clinic”.
•Education material should have been provided to the patient.

CORE 14: MEDICATION RECONCILIATION
•At least one encounter should have been started that has either “New Patient” option selected or else both “Existing Patient” and “Provision of Summary…” check box 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.

CORE 15A: PROVIDE SUMMARY OF CARE RECORD TO PATIENT FOR EACH TRANSITIONS OF CARE AND REFERRALS
•Referrals should have been recorded in the Treatment Plan section.
•Clinical information should have been provided by selecting the “Provided Clinical Information” check box along with the referral summary.

CORE 15B: TRANSMIT SUMMARY OF CARE RECORD FOR EACH TRANSITIONS OF CARE AND REFERRALS
•Referrals should have been recorded in the Treatment Plan section.
•Clinical information should have been electronically transmitted along with the referral summary.

CORE 16: IMMUNIZATION REGISTRIES DATA SUBMISSION

•THIS CORE HAS YES/NO ATTESTATION.

CORE 17: USE SECURE ELECTRONIC MESSAGING

•An encounter should have been started within reporting period for an active patient.
•Provider should have received a message from the patient portal user within reporting period.

MENU SET 1: SYNDROMIC SURVEILLANCE DATA SUBMISSION
•THIS MENU SET HAS YES/NO ATTESTATION.

MENU SET 2: RECORD ELECTRONIC NOTES IN PATIENT RECORDS
•An encounter should have been started within reporting period.
•At least one charting element should have been recorded within reporting period.

MENU SET 3: IMAGING RESULTS
•An encounter should have been started within reporting period for an active patient.
•Radiology order should have been placed during reporting period (manual or electronic).

 
•The radiology result should have been received electronically, manually, or as a part of imaging result.

MENU SET 4: RECORD FAMILY HEALTH HISTORY
•An encounter should have been started within reporting period.
•Patient's family history for any of these family members "father, mother, child, brother, sister" should have been recorded with illness from IMO search (within or outside reporting period).

 

MENU SET 5: REPORT CANCER CASE
•THIS CORE HAS YES/NO ATTESTATION.

MENU SET 6: REPORT SPECIFIC CASE
•THIS CORE HAS YES/NO ATTESTATION.