EMR Name/ Cerner PowerChart
Model Ambulatory (PowerWorks
ASP)
EMR Vendor Cerner Corporation
Objective Stage 1 Objectives
Number Eligible Professionals
Use CPOE for medication
orders directly entered by any
licensed healthcare
professional who can enter
orders into the medical record
1 per state, local and
professional guidelines
Implement drug-drug and
drug-allergy interaction checks
2 for the entire EHR reporting
Generate and transmit
permissible prescriptions
electronically (eRx).
3
Core Set of Measures
Stage 1 Measures EMR Module/ Feature
Eligible Hospitals and CAHs
Use CPOE for medication More than 30% of unique Yes. This is available through electronic orders
orders directly entered by any patients with at least one in PowerChart Ambulatory EHR.
licensed healthcare medication in their medication
professional who can enter list seen by the EP or admitted
orders into the medical record to the eligible hospital’s or
per state, local and CAH’s inpatient or emergency
professional guidelines department (POS 21 or 23)
have at least one medication
order entered using CPOE
Implement drug-drug and The EP/eligible hospital/CAH Yes. This is available in the EHR. Multum
drug-allergy interaction checks has enabled this functionality MediSource drug database is used.
period
More than 40% of all Yes. ePrescribing is a built-in feature of the
permissible prescriptions EHR.
written by the EP are
transmitted electronically
using certified EHR technology.
 Core Set of Measures
Objective Stage 1 Objectives Stage 1 Measures EMR Module/ Feature
Number Eligible Professionals Eligible Hospitals and CAHs
Record demographics Record demographics More than 50% of all unique Yes. These demographics can either be
o preferred language o preferred language patients seen by the EP or documented in the EHR, or they can
o gender o gender admitted to the eligible automatically flow through to the EHR via an
o race o race hospital’s or CAH’s inpatient or interface to a practice management (PM)
o ethnicity o ethnicity emergency department (POS system.
4
o date of birth o date of birth 21 or 23) have demographics
o date and preliminary cause recorded as structured data
of death in the event of
mortality in the eligible
hospital or CAH
Maintain an up-to-date Maintain an up-to-date More than 80% of all unique Yes. This is available through the problem list
problem list of current and problem list of current and patients seen by the EP or in the EHR.
active diagnoses active diagnoses admitted to the eligible
hospital’s or CAH’s inpatient or
emergency department (POS
5 21 or 23) have at least one
entry or an indication that no
problems are known for the
patient recorded as structured
data.

Maintain active medication list Maintain active medication list More than 80% of all unique Yes. The EHR contains an active medication list.
patients seen by the EP or
admitted to the eligible
hospital’s or CAH’s inpatient or
emergency department (POS
21 or 23)have at least one
6
entry (or an indication that the
patient is not currently
prescribed any medication)
recorded as structured data
 Core Set of Measures
Objective Stage 1 Objectives Stage 1 Measures EMR Module/ Feature
Number Eligible Professionals Eligible Hospitals and CAHs
Maintain active medication Maintain active medication More than 80% of all unique Yes. The EHR contains an allergy list.
allergy list allergy list patients seen by the EP or
admitted to the eligible
hospital’s or CAH’s inpatient or
emergency department (POS
21 or 23) have at least one
7
entry (or an indication that the
patient has no known
medication allergies) recorded
as structured data

Record and chart changes in Record and chart changes in For more than 50% of all Yes. This is available in the EHR.
vital signs: o vital signs: unique patients age 2 and over
Height o Height seen by the EP or admitted to
o Weight o Weight eligible hospital's or CAH's
o Blood pressure o Blood pressure inpatient or emergency
8
o Calculate and display BMI o Calculate and display BMI department (POS 21 or 23),
o Plot and display growth o Plot and display growth height, weight and blood
charts for children 2-20 years, charts for children 2-20 years, pressure are recorded as
including BMI including BMI structured data

Record smoking status for
patients 13 years old or older
9
Record smoking status for
patients 13 years old or older
More than 50% of all unique Yes. This is available in the EHR.
patients 13 years old or older
seen by the EP or admitted to
the eligible hospital's or CAH's
inpatient or emergency
department (POS 21 or 23)
have smoking status recorded
as structured data

Objective Stage 1 Objectives
Number Eligible Professionals
Implement one clinical
decision support rule relevant
to specialty or high clinical
10
priority along with the ability
to track compliance that rule
Core Set of Measures
Stage 1 Measures EMR Module/ Feature
Eligible Hospitals and CAHs
Implement one clinical Implement one clinical Yes. This is available in the EHR.
decision support rule relevant decision support rule
to specialty or high clinical
priority along with the ability
to track compliance that rule

Report ambulatory clinical
quality measures to CMS or
the States
11
Report hospital clinical quality
measures to CMS or the States
For 2011, provide aggregate
numerator, denominator, and
exclusions through attestation
as discussed in section II(A)(3)
of this final rule
Yes. Currently, the PowerWorks Advanced
Reporting (PAR) standard package can be used
for 2011 self-attestation.

For 2012, electronically submit Yes, this will be available.

the clinical quality measures as
discussed in section II(A)(3) of
this final rule

Provide patients with an
electronic copy of their health
information (including
diagnostic test results,
problem list, medication lists,
12
medication allergies), upon
request
Provide patients with an
electronic copy of their health
information (including
diagnostic test results,
problem list, medication lists,
medication allergies), upon
request
More than 50% of all patients Yes. This is available through Cerner's patient
of the EP or the inpatient or portal solution, which is included in our
emergency departments of meaningful use package.
the eligible hospital or CAH
(POS 21 or 23) who request an
electronic copy of their health
information are provided it
within 3 business days

Objective Stage 1 Objectives
Number Eligible Professionals
13
Provide clinical summaries for
patients for each office visit
14
Capability to exchange key
clinical information (for
example, problem list,
medication list, medication
15 allergies, diagnostic test
results), among providers of
care and patient authorized
entities electronically
Protect electronic health
information created or
maintained by the certified
EHR technology through the
16
implementation of
appropriate technical
capabilities
Objective Stage 1 Objectives
Core Set of Measures
Eligible Hospitals and CAHs
Provide patients with an
electronic copy of their
discharge instructions at time
of discharge, upon request
Capability to exchange key
clinical information (for
example, problem list,
medication list, medication
allergies, diagnostic test
results), among providers of
care and patient authorized
entities electronically
Protect electronic health
information created or
maintained by the certified
EHR technology through the
implementation of
appropriate technical
capabilities
Menu Set of Measures
Stage 1 Measures EMR Module/ Feature
More than 50% of all patients Yes. This is available through Cerner's patient
who are discharged from an portal solution, which is included in our
eligible hospital or CAH's meaningful use package.
inpatient department or
emergency department (POS
21 or 23) and who request an
electronic copy of their
discharge instructions are
provided it
Clinical summaries provided to Yes. This is available in the EHR.
patients for more than 50% of
all office visits within 3
business days
Performed at least one test of Yes. Continuity of Care Documents (CCDs) can
certified EHR technology's be rendered and sent by the system in
capacity to electronically accordance with necessary standards.
exchange key clinical Capabilities are available in the EHR for
information generating and storing a CCD. The ability to
accept a CCD is available through Cerner's
consumer portal.
Conduct or review a security Yes. This is available in the EHR. Appropriate
risk analysis per 45 CFR technical capabilities are part of all Cerner
164.308 (a)(1) and implement solutions.
security updates as necessary
and correct identified security
deficiencies as part of its risk
management process
Stage 1 Measures EMR Module/ Feature

Objective Stage 1 Objectives
Number Eligible Professionals
Eligible Professionals
Implement drug-formulary
checks
17
18
Incorporate clinical lab-test
results into certified EHR
technology as structured data
Incorporate clinical lab-test
results into certified EHR
technology as structured data
19
Core Set of Measures
Eligible Hospitals and CAHs
Eligible Hospitals and CAHs
Implement drug-formulary
checks
Record advance directives for
patients 65 years old or older
Incorporate clinical lab-test
results into certified EHR
technology as structured data
Incorporate clinical lab-test
results into certified EHR
technology as structured data
Stage 1 Measures EMR Module/ Feature
The EP/eligible hospital/CAH Yes. This is available in the EHR. Multum
has enabled this functionality MediSource drug database is used.
and has access to at least one
internal or external drug
formulary for the entire EHR
reporting period
More than 50% of all unique Yes. This is available in the EHR.
patients 65 years old or older
admitted to the eligible
hospital's or CAH's inpatient
department (POS 21) have an
indication of an advance
directive status recorded
More than 40% of all clinical Yes. This is available in the EHR via an inbound
lab tests results ordered by lab interface.
the EP or by an authorized
provider of the eligible
hospital or CAH for patients
admitted to its inpatient or
emergency department (POS
21 or 23) during the EHR
reporting period whose results
are either in a
positive/negative or numerical
format are incorporated in
certified EHR technology as
structured data

Objective Stage 1 Objectives
Number Eligible Professionals
Generate lists of patients by
specific conditions to use for
quality improvement,
20
reduction of disparities,
research or outreach
Send reminders to patients per
patient preference for
preventive/ follow up care
21
Provide patients with timely
electronic access to their
health information (including
lab results, problem list,
medication lists, medication
allergies) within four business
22
days of the information being
available to the EP
Use certified EHR technology
to identify patient-specific
education resources and
provide those resources to the
23 patient if appropriate
Core Set of Measures
Eligible Hospitals and CAHs
Generate lists of patients by
specific conditions to use for
quality improvement,
reduction of disparities,
research or outreach
Use certified EHR technology
to identify patient-specific
education resources and
provide those resources to the
patient if appropriate
Stage 1 Measures EMR Module/ Feature
Generate at least one report Yes. This is available through PowerWorks
listing patients of the EP, Advanced Reporting (PAR), Standard Package.
eligible hospital or CAH with a
specific condition
More than 20% of all unique This is future functionality. Anticipated release
patients 65 years or older or 5 is Q4 2010.
years old or younger were sent
an appropriate reminder
during the EHR reporting
period
More than 10% of all unique Yes. This is available through Cerner's patient
patients seen by the EP are portal solution, which is included in our
provided timely (available to meaningful use package.
the patient within four
business days of being
updated in the certified EHR
technology) electronic access
to their health information
subject to the EP's discretion
to withhold certain
information
More than 10% of all unique Yes. This is available through the EHR in
patients seen by the EP or conjunction with ExitCare or Krames.
admitted to the eligible
hospital's or CAH's inpatient or
emergency department (POS
21 or 23) are provided patient-
specific education resources

Objective Stage 1 Objectives
Number Eligible Professionals
The EP, eligible hospital or
CAH who receives a patient
from another setting of care or
provider of care or believes an
encounter is relevant should
24 perform medication
reconciliation
Core Set of Measures
Stage 1 Measures EMR Module/ Feature
Eligible Hospitals and CAHs
The EP, eligible hospital or The EP, eligible hospital or Yes. This is available in the EHR.
CAH who receives a patient CAH performs medication
from another setting of care or reconciliation for more than
provider of care or believes an 50% of transitions of care in
encounter is relevant should which the patient is
perform medication transitioned into the care of
reconciliation the EP or admitted to the
eligible hospital's or CAH's
inpatient or emergency
department (POS 21 or 23)

The EP, eligible hospital or
CAH who transitions their
patient to another setting of
care or provider of care or
refers their patient to another
25
provider of care should
provide summary of care
record for each transition of
care or referral
The EP, eligible hospital or
CAH who transitions their
patient to another setting of
care or provider of care or
refers their patient to another
provider of care should
provide summary of care
record for each transition of
care or referral
The EP, eligible hospital or
CAH who transitions or refers
their patient to another
setting of care or provider of
care provides a summary of
care record for more than 50%
of transitions of care and
referrals
Patient care summaries can currently be
printed/faxed. Continuity of Care Documents
(CCDs) can be rendered and sent by the system
in accordance with necessary standards.
Capabilities are available in the EHR for
generating and storing a CCD. The ability to
accept a CCD is available through Cerner's
consumer portal.

Capability to submit electronic
data to immunization
registries or Immunization
Information Systems and
actual submission in
accordance with applicable
law and practice
26
Capability to submit electronic
data to immunization
registries or Immunization
Information Systems and
actual submission in
accordance with applicable
law and practice
Performed at least one test of Yes. Cerner currently submits to immunization
certified EHR technology's registries in 7 states. Submission to
capacity to submit electronic immunization registries in all states is
data to immunization anticipated for Q4 2010.
registries and follow up
submission if the test is
successful (unless none of the
immunization registries to
which the EP, eligible hospital
or CAH submits such
information have the capacity
to receive the information
electronically)
 Core Set of Measures
Objective Stage 1 Objectives Stage 1 Measures EMR Module/ Feature
Number Eligible Professionals Eligible Hospitals and CAHs
Capability to submit electronic Performed at least one test of Yes. Full functionality will be available in Q4
data on reportable (as certified EHR technology's 2010.
required by state or local law) capacity to provide electronic
lab results to public health submission of reportable lab
agencies and actual results to public health
submission in accordance with agencies and follow-up
applicable law and practice submission if the test is
27 successful (unless none of the
public health agencies to
which eligible hospital or CAH
submits such information have
the capacity to receive the
information electronically)

Capability to submit electronic
syndromic surveillance data to
public health agencies and
actual submission in
accordance with applicable
law and practice
28
Capability to submit electronic
syndromic surveillance data to
public health agencies and
actual submission in
accordance with applicable
law and practice
Performed at least one test of Yes. This is available in the EHR.
certified EHR technology's
capacity to provide electronic
syndromic surveillance data to
public health agencies and
follow-up submission if the
test is successful (unless none
of the public health agencies
to which an EP, eligible
hospital or CAH submits such
information have the capacity
to receive the information
electronically)