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Meaningful Use

To receive Michigan Medicaid EHR Incentive Program payments, EHs must show that they are “meaningfully using” certified EHR technology. EHs do this by meeting Centers for Medicare and Medicaid Services (CMS)-established MU objectives, which are specific, measurable ways in which an EHR can or must be used.

Certified EHR Technology (CEHRT)

Before EHs can meet MU requirements, they must acquire or have access to a CEHRT. EHR certification is conducted by an Office of the National Coordinator for Health Information Technology (ONC) Authorized Testing and Certification Body.

All certified EHR products appear on the Certified Health IT Products List (CHPL). Products can be certified as stand-alone EHRs, capable of meeting MU on their own, or as separate modules pieced together to achieve MU functionality. The CHPL will assign each EHR, or group of modules, a CMS EHR Certification ID. This ID is required for registration.

Find your Certified EHR product below:

ONC-Certified Health IT Product List

Adopting, Implementing or Upgrading (AIU)

In the first year of Michigan Medicaid EHR Incentive Program participation, EHs may skip meaningful use (MU) reporting and instead attest to adopting, implementing or upgrading to certified EHR technology (CEHRT). MU criteria must be met in subsequent years.

  • Adoption – The EH must have acquired CEHRT (e.g., through a purchase).
  • Implementation – The EH must have begun using CEHRT (e.g., by training staff or by entering patient demographic information into an EHR).
  • Upgrading – The EH must have expanded to CEHRT (e.g., by upgrading to certified EHR technology or adding new functionality to meet MU).

Most EHs choose to skip AIU and instead demonstrate meaningful use.

Meaningful Use (MU)

Please review the 2016 Tipsheet and the information below to understand how to meet the EHR Incentive Program requirements in 2016.


EH Modified Stage 2 Meaningful Use Objectives for 2015 Through 2017
  1. PROTECT PATIENT HEALTH INFORMATION
    Protect electronic protected health information created or maintained by the CEHRT through the implementation of appropriate technical capabilities.
  2. CLINICAL DECISION SUPPORT
    Use clinical decision support to improve performance on high priority health conditions.
  3. COMPUTERIZED PROVIDER ORDER ENTRY
    Use computerized provider order entry (CPOE) for medication, laboratory, and radiology orders directly entered by any licensed healthcare professional that can enter orders into the medical record per state, local, and professional guidelines.
  4. ELECTRONIC PRESCRIBING
    Generate and transmit permissible discharge prescriptions electronically (eRx).
  5. HEALTH INFORMATION EXCHANGE
    Health Information Exchange -The 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 provides a summary care record for each transition of care or referral.
  1. PATIENT-SPECIFIC EDUCATION
    Use clinically relevant information from CEHRT to identify patient-specific education resources and provide those resources to the patient.
  2. MEDICATION RECONCILIATION
    The eligible hospital, or CAH who receives a patient from another setting of care or provider of care or believes an encounter is relevant performs medication reconciliation.
  3. PATIENT ELECTRONIC ACCESS (VDT)
    Provide patients the ability to view online, download, and transmit their health information within 36 hours of hospital discharge.
  4. PUBLIC HEALTH REPORTING
    The eligible hospital or CAH is in active engagement with a public health agency to submit electronic public health data from CEHRT except where prohibited and in accordance with applicable law and practice.

Patient and family engagement (4 possible measures)

Patient safety (6 possible measures)

Care Coordination (1 possible measure)

Population/public health (9 possible measures)

Efficient use of healthcare resources (4 possible measures)

Clinical process/effectiveness (40 possible measures)

For additional information on the 2016 Program Requirements, please visit:
https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/2016ProgramRequirements.html

Further Assistance

Please click on the Contact button – at the top of every page – for further support on the Michigan Medicaid EHR Incentive Program.