Which MU measures will I report?
Eligible Providers (EPs)—
EPs are required to report on:
- Each of the 15 measures in the EP core set, and
- Five (5) of the 10 measures in the EP menu set.
The EP menu set includes 2 measures related to public health:
- Test/submit data to IZ registries, and
- Test/submit syndromic surveillance data to public health agencies.
EPs are required to report on at least one of those public health measures as part of the 5 they choose from the menu set.
In other words:
Core set: EPs report on all 15 measures, and
Menu set: EPs report on 1 public health measure and 4 other measures (a total of 5 menu set measures) OR EPs report on 2 public health measures and 3 other measures (a total of 5 menu set measures).
Eligible Hospitals(EHs)—
EHs are required to report on:
- Each of the 14 measures in the EH core set, and
- Five (5) of 10 measures in the EH menu set.
The EH menu set includes 3 measures related to public health:
- Test/submit data to IZ registries,
- Test/submit reportable lab results to public health agencies, and
- Test/submit syndromic surveillance data to public health agencies).
EHs are required to report on at least one of those public health measures as part of the 5 they choose from the menu set.
In other words:
Core set: EHs report on all 14 measures, and
Menu set: EHs report on 1 public health measure and 4 other measures (a total of 5 menu set measures) OR EHs report on 2 public health measures and 3 other measures (a total of 5 menu set measures) OR EHs report on 3 public health measures and 2 other measures (a total of 5 menu set measures.
EPs/EHs—
Other than the public health measure requirement, there aren't really any guidelines about which menu set measures to choose. The EP/EH can report zero denominators (e.g., if an EP/EH does not transition/refer any patients to other providers or care settings, they would have a zero denominator for the "summary of care record" measure), but CMS wants EPs/EHs to choose menu set measures that are relevant to their practice/facility and not report zero denominators if at all possible.
Many EPs/EHs will probably select the "generate patient lists" measure, which can be met by running a list of patients with a specific condition, like diabetes. Many EPs/EHs are already providing patient education materials and will probably select the "provide patient education resources to more than 10% of patients" measure. It will be up to each EP/EH to determine which measures are most applicable to their practice/facility and which they can meet.
Resources—
CMS has published Meaningful Use Specification Sheets that detail the requirements for each measure for EPs and EHs. These are available at http://www.cms.gov/EHRIncentivePrograms/30_Meaningful_Use.asp#BOOKMARK6.