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    Eligible Provider & Hospital Updates for Meaningful Use Results from Stage 2 Final Rule

    Final Changes

    ​Use CPOE for medication orders directly entered by any licensed healthcare professional who can enter orders into the medical record per state, local and professional guidelines​​​

    ​Change: Addition of an alternative measure​

    More than 30 percent of medication orders created by the EP or authorized providers of the eligible hospital's or CAH's inpatient or emergency department (POS 21 or 23) during the EHR reporting period are recorded using CPOE

    Effective: 2013 - Onward​ (Optional)​

    Generate and transmit permissible prescriptions electronically (eRx)​
    Change: Addition of an additional exclusion

    Any EP who: does not have a pharmacy within their organization and there are no pharmacies that accept electronic prescriptions within 10 miles of the EP's practice location at the start of his/her EHR reporting period.

    Record and chart changes in vital signs​
    Change: Addition of alternative age limitations

    More than 50 percent of all unique patients seen by the EP or admitted to the eligible hospital's or CAH's inpatient or emergency department (POS 21 or 23) during the EHR reporting period have blood pressure (for patients age 3 and over only) and height and weight (for all ages) recorded as structured data

    Record and chart changes in vital signs​
    Change: Addition of alternative exclusions

    Any EP who

    (1)  Sees no patients 3 years or older is excluded from recording blood pressure;

    (2)  Believes that all three vital signs of height, weight, and blood pressure have no relevance to their scope of pra​ctice is excluded from recording them;

    (3)  Believes that height and weight are relevant to their scope of practice, but blood pressure is not, is excluded from recording blood pressure; or

    (4)  Believes that blood pressure is relevant to their scope of practice, but height and weight are not, is excluded from recording height and weight.