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Introduction to Healthcare and

Public Health in the US


Meaningful Use of Health
Information Technology
Lecture b
This material (Comp1_Unit10b) was developed by Oregon Health and Science University, funded by the Department of Health
and Human Services, Office of the National Coordinator for Health Information Technology under Award Number
IU24OC000015.
Meaningful Use (MU) of Health
Information Technology
Learning Objectives
Define meaningful use of health information technology in the
context of the Health Information Technology for Economic
and Clinical Health (HITECH) Act (Lecture a)
Describe the major goals of meaningful use (Lecture a)
Define the criteria for Stages 1 and 2 of meaningful use for
eligible professionals and eligible hospitals (Lecture b)
Describe the standards specified for Stages 1 and 2 of
meaningful use, including those devoted to privacy and
security (Lecture c)
Define the clinical quality measures (CQMs) for the
meaningful use program (Lecture c)
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Health IT Workforce Curriculum
Version 3.0/Spring 2012
Introduction to Healthcare and Public Health in the US
Meaningful Use of Health Information Technology
Lecture b
Meaningful Use Operationalized
Stage 1
Objectives announced in 2010
Program began payments on
January 1, 2011 for EPs
October 1, 2010 for EHs
Stage 2
Objectives announced in 2012
Start pushed back one year to 2014
Raised the bar, with additional emphasis on
patient engagement and health information
exchange

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Health IT Workforce Curriculum
Version 3.0/Spring 2012
Introduction to Healthcare and Public Health in the US
Meaningful Use of Health Information Technology
Lecture b
Criteria for Stages 1 and 2
of Meaningful Use
Core objectives all must be met
Menu objectives selected from set
Stage 1
EPs must meet 15 core and 5 of 10 menu objectives
EHs must meet 14 core and 5 of 10 menu objectives
For EPs and EHs, one menu objective must be a
public health measure
Stage 2
EPs must meet 17 core and 3 of 6 menu objectives
EHs must meet 16 core and 3 of 6 menu objectives

(Blumenthal, 2010; Metzger, 2012)

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Health IT Workforce Curriculum
Version 3.0/Spring 2012
Introduction to Healthcare and Public Health in the US
Meaningful Use of Health Information Technology
Lecture b
New Timeline For Stages
Of Meaningful Use Set In 2012
10.4 Chart : CMS.gov 2012
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Health IT Workforce Curriculum
Version 3.0/Spring 2012
Introduction to Healthcare and Public Health in the US
Meaningful Use of Health Information Technology
Lecture b
Eligible Professionals
Core Objectives
10.5 Chart : Metzger 2012
6
Health IT Workforce Curriculum
Version 3.0/Spring 2012
Introduction to Healthcare and Public Health in the US
Meaningful Use of Health Information Technology
Lecture b
Eligible Hospitals/Critical
Access Hospitals
Core Objectives
10.6 Chart : Metzger 2012
7
Health IT Workforce Curriculum
Version 3.0/Spring 2012
Introduction to Healthcare and Public Health in the US
Meaningful Use of Health Information Technology
Lecture b
Eligible Professionals, Eligible
Hospitals/Critical Access Hospitals
Core Objectives
10.7 Chart : Metzger 2012
8
Health IT Workforce Curriculum
Version 3.0/Spring 2012
Introduction to Healthcare and Public Health in the US
Meaningful Use of Health Information Technology
Lecture b
Eligible Professionals, Eligible
Hospitals/Critical Access Hospitals
Core Objectives (continued)
10.8 Chart : Metzger 2012
9
Health IT Workforce Curriculum
Version 3.0/Spring 2012
Introduction to Healthcare and Public Health in the US
Meaningful Use of Health Information Technology
Lecture b
Eligible Professionals, Eligible
Hospitals/Critical Access Hospitals
Core Objectives (continued)
10.9 Chart : Metzger 2012
10
Health IT Workforce Curriculum
Version 3.0/Spring 2012
Introduction to Healthcare and Public Health in the US
Meaningful Use of Health Information Technology
Lecture b
Eligible Professionals, Eligible
Hospitals/Critical Access Hospitals
Core Objectives (continued)
10.10 Chart : Metzger 2012

11
Health IT Workforce Curriculum
Version 3.0/Spring 2012
Introduction to Healthcare and Public Health in the US
Meaningful Use of Health Information Technology
Lecture b
Eligible Professionals, Eligible
Hospitals/Critical Access Hospitals
Core Objectives (continued)
10.11 Chart : Metzger 2012
12
Health IT Workforce Curriculum
Version 3.0/Spring 2012
Introduction to Healthcare and Public Health in the US
Meaningful Use of Health Information Technology
Lecture b
Eligible Professionals, Eligible
Hospitals/Critical Access Hospitals
Core Objectives (continued)
10.12 Chart : Metzger 2012
13
Health IT Workforce Curriculum
Version 3.0/Spring 2012
Introduction to Healthcare and Public Health in the US
Meaningful Use of Health Information Technology
Lecture b
Eligible Professionals
Core Objectives
10.13 Chart : Metzger 2012
14
Health IT Workforce Curriculum
Version 3.0/Spring 2012
Introduction to Healthcare and Public Health in the US
Meaningful Use of Health Information Technology
Lecture b
Eligible Professionals
Core Objectives
(continued)
10.14 Chart : Metzger 2012
15
Health IT Workforce Curriculum
Version 3.0/Spring 2012
Introduction to Healthcare and Public Health in the US
Meaningful Use of Health Information Technology
Lecture b
Eligible Hospital/Critical Access
Hospital Core Objectives
10.15 Chart : Metzger 2012
16
Health IT Workforce Curriculum
Version 3.0/Spring 2012
Introduction to Healthcare and Public Health in the US
Meaningful Use of Health Information Technology
Lecture b
Eligible Hospital/Critical Access
Hospital Core Objectives
(continued)
10.16 Chart : Metzger 2012
17
Health IT Workforce Curriculum
Version 3.0/Spring 2012
Introduction to Healthcare and Public Health in the US
Meaningful Use of Health Information Technology
Lecture b
Eligible Professionals
Menu Objectives
10.17 Chart : Metzger 2012

18
Health IT Workforce Curriculum
Version 3.0/Spring 2012
Introduction to Healthcare and Public Health in the US
Meaningful Use of Health Information Technology
Lecture b
Eligible Professionals
Menu Objectives
(continued)
10.18 Chart : Metzger 2012
19
Health IT Workforce Curriculum
Version 3.0/Spring 2012
Introduction to Healthcare and Public Health in the US
Meaningful Use of Health Information Technology
Lecture b
Eligible Hospitals/Critical Access
Hospitals Menu Objectives
10.19 Chart : Metzger 2012
20
Health IT Workforce Curriculum
Version 3.0/Spring 2012
Introduction to Healthcare and Public Health in the US
Meaningful Use of Health Information Technology
Lecture b
Eligible Hospitals/Critical Access
Hospitals Menu Objectives
(continued)
10.20 Chart : Metzger 2012
21
Health IT Workforce Curriculum
Version 3.0/Spring 2012
Introduction to Healthcare and Public Health in the US
Meaningful Use of Health Information Technology
Lecture b
Meaningful Use of Health Information
Technology
Summary Lecture b
Stage 1 of meaningful use was launched in
2010, with Stage 2 to be launched in 2014
Each of the stages has objectives for eligible
professionals and eligible hospitals.
All of the objectives are either core, which
means that all are required, or menu, which
means that some can be selected from a larger
group

Introduction to Healthcare and Public Health in the US
Meaningful Use of Health Information Technology
Lecture b
22
Health IT Workforce Curriculum
Version 3.0/Spring 2012
Meaningful Use of Health Information
Technology
References
References
Blumenthal, D. (2010). Launching HITECH. New England Journal of Medicine, 362, 382-385.
Blumenthal, D., & Tavenner, M. (2010). The meaningful use regulation for electronic health records.
New England Journal of Medicine, 363, 501-504.
Metzger, J. and Rhoads, J. (2012). Summary of Key Provisions in Final Rule for Stage 2 HITECH
Meaningful Use. Falls Church, VA, Computer Sciences Corp.
http://assets1.csc.com/health_services/downloads/CSC_Key_Provisions_of_Final_Rule_for_Stag
e_2.pdf.

Charts, Tables, Figures
10.4 Chart: CMS.gov; Stage 2. (2012). Retrieved December 2012, from Centers for Medicare &
Medicaid Services website: http://cms.gov/Regulations-and-
Guidance/Legislation/EHRIncentivePrograms/Stage_2.html
10.5-10.20 Charts: Metzger, J. and Rhoads, J. (2012). Summary of Key Provisions in Final Rule for
Stage 2 HITECH Meaningful Use. Falls Church, VA, Computer Sciences Corp.
http://assets1.csc.com/health_services/downloads/CSC_Key_Provisions_of_Final_Rule_for_Stag
e_2.pdf. (By Permission.)

23
Health IT Workforce Curriculum
Version 3.0/Spring 2012
Introduction to Healthcare and Public Health in the US
Meaningful Use of Health Information Technology
Lecture b

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