2014 - PCMH3B

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3.B Clinical Data

The practice uses an electronic system with the functionality in factors 6 and 7 and records the information in factors 1–5 and 8–11 as structured (searchable) data:

1. An up-to-date problem list with current and active diagnoses for more than 80 percent of patients.
2. Allergies, including medication allergies and adverse reactions,* for more than 80 percent of patients.
3. Blood pressure, with the date of update, for more than 80 percent of patients 3 years and older.
4. Height/length for more than 80 percent of patients.
5. Weight for more than 80 percent of patients.
6. System calculates and displays BMI.
7. System plots and displays growth charts (length/height, weight and head circumference) and BMI percentile (0-20 years) (NA for adult practices).
8. Status of tobacco use for patients 13 years and older for more than 80 percent of patients.
9. List of prescription medications with date of updates for more than 80 percent of patients.
10. More than 20 percent of patients have family history recorded as structured data.
11. At least one electronic progress note created, edited and signed by an eligible professional for more than 30 percent of patients with at least one office visit.

Description	Example/Screenshot/Documentation	Source	Date Added
Description of how to achieve Meaningful Use for relevant clinical measures in PCC EHR	Document describing MU reporting in PCC EHR	PCC EHR	07/03/14