Core Measure 14
Electronic Exchange of Clinical Information
Objective:
Capability to exchange key clinical information (for example, problem list, medication list, medication allergies, and diagnostic test results), among providers of care and patient authorized entities electronically.
Measure:
Performed at least one test of certified EHR technology's capacity to electronically exchange key clinical information.
CMS Resources
The following resources are available to help you meet the Electronic Exchange of Clinical Information meaningful use core measure:
- EHR Meaningful Use Specification Sheet for Eligible Professionals – Core Measure 14 of 15 [PDF - 159k]
Related CMS EHR Incentive Program Frequently Asked Questions
Lessons from the Field
"Initiating an effort to exchange clinical information with another practice can be a daunting task. We recommend starting small and working with a familiar practice as a test bed prior to expanding your exchange with multiple physicians."
– Massachusetts Implementation and Optimization Organization Specialists in partnership with the Massachusetts eHealth Institute 
There are several benefits to a patient around the continuity of care when their healthcare information can be shared between multiple providers. However, for the full potential of this exchange to be realized, both technical and change management challenges must first be addressed. Providers should consider partnering with another practice within their region to tackle the requirement of sharing information together - so that the processes and trust can be developed on a small scale before expanding.
National Learning Consortium Resources
The following resources are examples of tools that are used in the field today to complete the electronic exchange of clinical information. These tools have been recommended by "boots-on-the-ground" professionals for use by others who have made the commitment to implement or upgrade to certified EHR systems.
Learn more about The National Learning Consortium.
Reference in this web site to any specific resources, tools, products, process, service, manufacturer, or company does not constitute its endorsement or recommendation by the U.S. Government or the U.S. Department of Health and Human Services.
| National Learning Consortium Resources | ||
|---|---|---|
| Resource Name | Description | Source |
|
Care Coordination
|
Toolkit to assist in the coordination of care at the practice, community, and state level. |
Medical Home Portal |
|
Health Information Technology Toolkit for Physician Offices
|
Toolkit that helps healthcare organizations assess their readiness, plan, select, implement, make effective use of, and exchange important information about clients. |
Stratis Health |
|
Systems Approach to Operational Redesign Workbook [PDF - 6.7Mb] |
Workbook to assist in examining current office processes, look at areas for improvement or change based on the transition from paper to computer, and to implement these changes in an office. |
MassPro |
|
Evaluation Toolkit Health Information Exchange Projects [PDF - 486 kb] |
Toolkit targeted towards health information exchange (HIE) projects to aid the process of creating an evaluation plan. |
Agency for Healthcare Research and Quality (AHRQ) |
|
Sharing Lab Results with another Provider (HIE scenario, workflow, and specifications) [PDF - 242 kb] |
A series of health information exchange (HIE) scenarios intended to provide a straightforward view into the standards, services and policies behind HIE solutions related to this Meaningful Use Measure.
|
ONC Office of Standards and Interoperability |
|
Checklist for Capability to Exchange Key Clinical Information [DOCX - 949 kb] |
Checklist that includes steps to test the capability to exchange key clinical information, perform the test, document test completion, and test EP's ability to receive and display a Continuity of Care Document/Continuity of Care Record (CCD/CCR).
|
Health Information Technology Research Center (HITRC) |
Related CMS EHR Incentive Program Frequently Asked Questions
- #3255 - For the meaningful use objective of "capability to exchange key clinical information," does exchange of electronic information using physical media, such as USB, CD-ROM, or other formats, meet the measure of this objective?
- #3359 - For the meaningful use objective of "capability to exchange key clinical information," what forms of electronic transmission can be used to meet the measure of the objective?
- #5985 - To meet the meaningful use objective “capability to exchange key clinical information,” can different providers of care (e.g., physicians, hospitals, etc.) share EHR technology and successfully meet this objective?
For additional questions around meaningful use, visit the CMS EHR Incentive Program Frequently Asked Questions (FAQs).
