NOSH ChartingSystem

A new open source health charting system for doctors.

Meaningful Use

You’ve come to this page thinking that NOSH ChartingSystem is Certified for Meaningful Use.  Sorry, but that is not the case.  You can see this page for reasons why.  However, what I will make the case for is that NOSH ChartingSystem meets most of the criteria for Meaningful Use and more out of the box.  Below is a list of the criteria for Stage 1 and Stage 2 for Meaningful Use and where NOSH ChartingSystem meets these criteria.  I’ll be updating this chart as more objectives become defined in the future as well as the status of the only functionality missing in NOSH ChartingSystem.

Status for NOSH ChartingSystem Core Objectives Measure
Functional Computerized provider order entry (CPOE) More than 30% of unique patients with at least one medication in their medication list seen by the provider have at least one medication order entered using CPOE
Partial – needs SureScripts or DrFirst API to join network; will initiate Kickstarter campaignto cover the costs of joining SureScripts Network. E-Prescribing (eRx) More than 40% of all permissible prescriptions written are transmitted electronically using the EHR
Functional Report ambulatory clinical quality measures to CMS/States For 2012, electronically submit clinical quality measures
Functional Implement one clinical decision support rule and the ability to track compliance with the rule Implement one clinical decision support rule
Functional Provide patients with an electronic copy of their health information, upon request More than 50% of all unique patients of the EP, eligible hospital or CAH who request an electronic copy of their health information are provided it within 3 business days
Functional Provide clinical summaries for patients for each office visit Clinical summaries provided to patients for more than50% of all office visits within 3 business days
Functional Drug-drug and drug-allergy interaction checks The EP/eligible hospital/CAH has enabled thisfunctionality for the entire EHR reporting period
Functional Record demographics: preferred language, gender,race, ethnicity, date of birth, More than 50% of all unique patients seen by the EP or admitted to the eligible hospital or CAH have demographics as recorded structured data
Functional Maintain an up-to-date problem list of current and active diagnoses More than 80% of all unique patients seen by the EP or admitted to the eligible hospital or CAH have at least one entry or an indication that no problems are known for the patient recorded as structured data
Functional Maintain active medication list More than 80% of all unique patents seen by the EP or admitted to the eligible hospital or CAH have at least one entry (or an indication that the patient is not currently prescribed any medication) recorded as structured data
Functional Maintain active medication allergy list More than 80% of all unique patents seen by the EP or admitted to the eligible hospital or CAH have at least one entry (or an indication that the patient has no known medication allergies) recorded as structured data
Functional Record and chart vital signs: height, weight, blood pressure, calculate and display BMI, plot and display growth charts for children 2-20 years, including BMI For more than 50% of all unique patients age 2 and over seen by the EP or admitted to the eligible hospital or CAH, height, weight, and blood pressure are recorded as structured data
Functional Record smoking status for patients 13 years or older More than 50% of all unique patients 13 years or older seen by the EP or admitted to the eligible hospital or CAH have smoking status recorded as structured data
Functional Capability to exchange key clinical information among providers of care and patient-authorized entities electronically Performed at least one test of the certified EHR technology’s capacity to electronically exchange key clinical information
Functional Protect electronic health information Conduct or review a security risk analysis per 45 CFR 164.308(a)(1) and implement updates as necessary and correct identified security deficiencies as part of the EP’s, eligible hospital’s or CAH’s risk management process
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