Meaningful Use Overview


Meaningful Use Overview​

The American Recovery and Reinvestment Act of 2009 (ARRA) was signed into law by President Obama on February 17, 2009. The law includes the Health Information Technology for Economic and Clinical Health ACT (HITECH Act), which was intended to accelerate the adoption of health information technology (HIT) and the use of qualified electronic health record systems (EHRs).

The EHR Incentive Program (Meaningful Use) provides payment to eligible professionals, eligible hospitals, and critical access hospitals (CAHs) when they meet a set of standards for the use of federally certified EHR technology (CEHRT) as part of their practice. Meaningful Use was established as a progressive, 3-stage program:

  • Stage 1: Use of CEHRT for data capturing & sharing (began in 2011 - complete)

  • Stage 2: Use of CEHRT to advance clinical processes (began in 2014 - complete)

  • Stage 3: Use of CEHRT to move toward improved health outcomes. Beginning with the 2019 reporting year, all Meaningful Use participants will attest to Stage 3 requirements.

Meaningful Use Requirements for 2018 Reporting Year

All Eligible Providers (EPs) participating in Meaningful Use in 2018 must adhere to the following requirements:

  •  The reporting period for EPs attesting in 2018 is any 90 continuous days, January 1-December 31, 2018.

  • EPs may choose to attest to either modified Stage 2 objectives OR Stage 3 objectives.

  • EPs may use 2014 Edition Certified EHR Technology (CEHRT), 2015 CEHRT, or a combination of 2014 & 2015 CEHRT)

Stage 2 Objectives:

  1. Protect electronic protected health information

  2. Use clinical decision support

  3. Use computerized provider order entry

  4. Generate and transmit prescriptions electronically

  5. Use Health Information Exchange for care transitions or referrals

  6. Identify and provide patient-specific education resources

  7. Perform medication reconciliation

  8. Provide patients with electronic access to their health information

  9. Use secure electronic messaging to communicate with patients

  10. Actively engage in public health reporting

Stage 3 Objectives:​​

  1. Protect electronic protected health information

  2. Generate and transmit prescriptions electronically

  3. Implement clinical decision support

  4. Use computerized provider order entry

  5. Provide patients with electronic access to their health information and patient-specific education

  6. Use CEHRT to support coordination of care

  7. Use health information exchange to support care transitions and referrals

  8. Actively engage in public health reporting

AAP neither maintains nor endorses a specialized registry that satisfies the requirements for the Public Health Reporting Objectives (modified Stage 2 or Stage 3). CMS has a non-comprehensive Centralized Repository of public health and clinical data registry reporting options available here

Meaningful Use Quality Measure Reporting

In March 2018, CMS provided updated requirements for Medicaid EHR Incentive Program Quality Measure Reporting in 2018.

  • EPs must report on 6 clinical quality measures (CQMs)

  • EPs must choose from the updated list of available measures, distributed by CMS

  • The reporting period for CQMs is the full calendar year (January 1-December 31, 2018)

  • Each state Medicaid program determines whether EPs will submit CQMs electronically using CEHRT or if EPs will attest to the measures

Meaningful Use Resources from CMS

General Information About the Medicaid Meaningful Use Program

Each state coordinates their own Medicaid EHR Incentive Program. State-specific issues that directly impact pediatricians' participation in Meaningful Use include:

  • Does your state include CHIP patients as part of the 20% Medicaid patient volume?

  • Is the Medicaid patient volume based on the calendar year, or the selected 90-day reporting period?

You can find contact information for your state's program here.​

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