Measuring quality

The Health and Human Services Department’s proposed regulation for electronic health records contains 29 quality-oriented measures that eligible doctors and hospitals must implement to qualify for a portion of the $17 billion in incentive payments included in the economic stimulus law.

Eligible medical providers must:

  • Record 80 percent of patient orders in computerized form.
  • Maintain up-to-date electronic problem lists, medication lists and allergy lists for 80 percent of patients.
  • Transmit 75 percent of prescriptions electronically.
  • Record blood pressure and body mass index for 80 percent of patients.
  • Record whether a patient smokes.
  • Group patients by specific condition.
  • Send reminders about preventive and follow-up care to at least 50 percent of patients older than 50.
  • Implement at least five decision-support rules.
  • Provide an electronic copy of medical records to at least 80 percent of patients who request it within 48 hours.
  • Provide at least 10 percent of patients with timely electronic access to their health information.
  • Provide at least 80 percent of patients with clinical summaries of their office visits.
  • Demonstrate a capability to exchange health data electronically.
  • Reconcile medications for 80 percent of referred patients.
  • Perform at least one test in which immunization information is sent to a registry electronically.
  • Perform at least one test to send disease surveillance information to public health agencies electronically.
  • Perform risk analysis on patient records for the purpose of protecting security and privacy.

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