A recent article published on EHRIntelligence.com focused on the Health IT Policy Committee’s newest draft recommendations for Stage 3 of EHR Meaningful Use. The suggestions center around quality, patient safety, and timely interventions through population health management and clinical decision support. It’s hoped that these suggestions for the eight objectives will lead to a transition from using EHRs for data entry to using comprehensive health IT infrastructure to provide patient-centered care with an emphasis on engagement, care coordination, and safety. The suggestions for the objectives include the following:
• Clinical decision support (CDS)
Stage 3 would expand the scope of clinical decision support to include newly recommended areas targeted for intervention.
• Care planning
Care planning will be a core measure for eligible hospitals and a menu measure for eligible professionals. Providers meeting this measure will be required to ensure that patients older than 65 have an advance directive recorded in the EHR.
• Electronic medication administration record
Hospitals will need to be able to automatically track medications from order to administration as a core measure in Stage 3
• Imaging in the EHR
Another potential menu item for EPs and core measure for hospitals is the capability to access images directly within the EHR in order to streamline the radiology process and reduce accidental duplication of lost test results.
• Clarifications to progress notes
Certified EHRs will be required to clarify the origin of every entry.
• Order tracking
This new menu objective for EPs will require providers to assist with follow-up on orders to improve the management and coordination of results.
• Unique device identifier (UDI)
As a new menu item for both hospitals and providers, organizations will be asked to record the UDI for all implantable devices in order to better track patient safety, product recalls, adverse events, and complications.
• Medication adherence
EHR products may be required to allow providers to access detailed medication and drug monitoring information in order to receive certification.