Table 1.

Changes in the electronic health record incentive program

Objective	MU1a	Modified MU2b	Advancing Care Informationc
	(Percents are of eligible patients)
Protect patient health information	Security analysis	Security analysis	Security analysis
Clinical Decision Support				Alternate proposal:
No. of rules	1 rule; 100%	5 rules; 100%	N/A	3 rules; 100%
Drug-drug and drug-allergy checks	100%	100%	N/A	100%
Computerized provider order entry: medication, laboratory, radiology	30%, 30%, 30%	60%, 30%, 30%	N/A	Alternate proposal:
				1 order for each
Electronic prescribing	40%	50%	1 prescription
			Submit numerator/denominator
Health Information Exchange
Transition of care or referral summary in EHR	N/A	100%	N/A
Summary transmitted	50% (any medium)	10% electronically	1 electronically
Patient-specific education	10%M	10%	Submit numerator/denominator
Medication reconciliation	50%M	50%	1 transition of care or referral patient
Patient Electronic Access
Provide access	10%M (50% upon request)	50%	Submit numerator/denominator
View, download, or transmit	N/A	1 patient	1 patient
Secure electronic messaging	N/A	1 patient	1 patient
Public health reporting: immunization, syndromic surveillance, specialized registry	1 test submissionM	Active engagement	Active engagement (all but immunization optional)
Patient-generated health data	N/A	N/A	1 patient

^aMeaningful Use stage 1 objectives (2013 definition).⁷ MU1 menu objectives are designated with superscript M. No designation indicates a core objective.

^bMeaningful Use stage 2 objectives (2015 definition).⁸ Note that the original MU2 measures were modified in 2015. The modification ended the distinction between core and menu objectives and lowered the bar for most measures.

^cProposed Advancing Care Information Program.⁹