The Stage 1 Final Rules – and the Stage 2 and 3 Final Rules now being developed – are only milestones toward the ultimate goals of all EMR, HIE, and stimulus investments: An on-going, permanent, successful system which delivers substantial improvements in the quality and efficiency of patient care.
These have been precisely the goals of Elysium solutions through more than 16 years of its evolution, enhancement, and refinement through daily operational experience.
Stage I Final Rules
- Hospitals using Elysium can meet all interoperability requirements as defined in the Final Rules - as well as enable all of their ambulatory physicians to meet meaningful use.
- Ambulatory physicians using Elysium EMR will meet all 15 essential CORE Requirements under Stage 1 Final Rules for Meaningful Use. For a detailed listing of Stage 1 Core Requirements met by Elysium,
click here. - Optum EMR now meets 8 of 10 Stage 1 MENU Requirements. For a detailed listing of Stage 1 Menu Requirements met by Elysium, click here.
Stage 2 and Stage 3 Final Rules
Stage 2 and Stage 3 Final Rules for Meaningful Use have been deferred by ONC and CMS to allow evaluation of Stage 1 progress and issues. There is no indication, however, that any substantial requirement of the earlier Proposed Rules will be eliminated. Elysium solutions provide the underlying HIE technologies needed to satisfy all stages without the need for costly and disruptive system replacement or rebuilding.
- Bi-directional communication between all providers’ – regardless of EMR system.
- Public Health and CDC Reporting
- Secure Data Exchange - with other HIEs, NHIN, VA, Medicaid, PHRs, etc.
Looking Beyond Meaningful Use
Satisfying Meaningful Use is only the beginning. The system chosen today will be the system which must be used daily by all its participants for many years to come. It has always been clear that the system that works most easily and naturally with its users will be the most widely adopted and used. Ease of adoption and use by practitioners are the keys to success.
No system has more experience than Elysium – working for more than 16 years to provide interoperability for hospitals, clinical practices, and other community providers of every type. No EMR system is more interoperable, delivering clinical information in the most familiar and natural ways to each of its users. That’s what makes Elysium, truly and uniquely, a human Exchange.
Stage 1 Core Requirements – met with Elysium EMR
| Health Outcomes Policy Priority | Stage 1 Objectives – met by Elysium EMR |
|---|---|
| Improving quality, safety, efficiency, and reducing health disparities | 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 |
| Implement drug-drug, drug-allergy interaction checks | |
| Generate and transmit permissible prescriptions electronically | |
| Record demographics - preferred language - gender - race - ethnicity - date of birth | |
| Maintain an up-to-date problem list of current and active diagnoses based on ICD-9-CM or SNOMED CT | |
| Maintain active medication list | |
| Maintain active medication allergy list | |
| Record and chart changes in vital signs: - height - weight - blood pressure - Calculate and display: BMI - Plot and display growth charts for children 2-20 years, including BMI. | |
| Record smoking status for patients 13 years old or older | |
| Implement one clinical decision support rule relevant to specialty or high clinical priority along with the ability to track compliance that rule | |
| Report ambulatory quality measures to CMS or the States | |
| Engage patients and families in their health care | Provide patients with an electronic copy of their health information (including diagnostic test results, problem list, medication lists, and medication allergies) upon request |
| Provide clinical summaries to patients for each office visit | |
| Improve care coordination | Capability to exchange key clinicial information (for example problem list, medication list, medication allergies, diagnostic test results), among providers of care and patient authorized entities electronically |
| Ensure adequate privacy and security protections for personal health information | Protect electronic health information maintained using certified EHR technology through the implementation of appropriate technical capabilities. |
Stage 1 Menu Set – met with Elysium EMR
Any 3 required for Stage 1 eligibility
| Health Outcomes Policy Priority | Stage 1 Menu Objectives Met by Elysium EMR |
|---|---|
| Improving quality, safety, efficiency, and reducing health disparities | Implement drug-formulary checks |
| Incorporate clinical lab-test results into EHR as structured data | |
| Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, research, and outreach | |
| Engage patients and families in their health care | Provide patients with timely electronic access to their health information (including lab results, problem list, medication lists, medication allergies)within 4 business days of the information being available to the EP |
| Use certified EHR to identify patient-specific educational resources and provide those resources to the patient if appropriate | |
| Improve Care Coordination | The EP who receives a patient from another setting of care or provider of care or believes an encounter is relevant should perform medication reconciliation |
| Improve population and public health | Capability to submit electronic data to immunization registries and actual submission where required and accepted |
| Capability to submit electronic syndromic surveillance data to public health agencies and actual transmission according to applicable law and practice |