Meaningful Use Stage 3 (MU3) Objectives 1 & 2

1. Introduction 

• Purpose: This guide provides comprehensive, step-by-step instructions on how to achieve compliance and obtain credit for Objective 1 (Protect Electronic Health Information) and Objective 2 (Electronic Prescribing) within the Meaningful Use Stage 3 (MU3) framework. 

• Key Features: Security risk assessment procedures, electronic prescribing workflows, and compliance documentation. 

2. MU3 Objective 1: Protect Electronic Health Information 

Overview 

Objective 1 focuses on safeguarding electronic health information (EHI) through risk assessment and security measures. 

Steps to Obtain Credit 

1. Complete a Security Risk Analysis (SRA) Questionnaire: 

• Accessing the Questionnaire:  

• Use the provided link (typically found in internal documentation). 

• Enter the link into your web browser and press Enter. 

• You will be redirected to a OneDrive page hosting four essential documents. 

2. Downloading the Required Documents: 

• Download all four documents to your computer. 

• Three documents are from NYC REACH, designed to assist with the analysis. 

• Locate the file starting with “DIY-H IT”—this is the actual Security Risk Analysis (SRA) form. 

3. Completing the SRA: 

• Open the DIY-H IT document. 

• Carefully read and answer all questions related to data security and risk management. 

• Ensure all responses are accurate and reflect your current security practices. 

4. Saving Your Work: 

• Once completed, save the document securely on your computer. 

• Keep a backup copy in a secure, access-controlled location. 

5. Documentation: 

• Maintain the completed SRA as part of your compliance records. 

• This document may be required for audits or regulatory reviews. 

3. MU3 Objective 2: Electronic Prescribing 

Overview 

Objective 2 focuses on ensuring secure, efficient, and accurate electronic prescribing processes. To receive credit, the following criteria must be met: 

• Formulary Check Enabled: 

• Prescriptions Sent Electronically ≥ 60% of the Time 

Steps to Obtain Credit 

1. Activate the Formulary Check: 

• In iClinic:  

1. Click on the Settings Icon. 

2. Navigate to E-Prescription and select Options. 

3. Locate the Formulary Check setting. 

4. Ensure the option labeled “Yes” is selected (indicated by a black dot). 

5. Click Save to confirm the settings. 

2. Sending Prescriptions Electronically: 

• Entering a Prescription: 

1. In the Prescription Section of the current visit OR the Active Medication List in the medical history, click New. 

2. Select the medication from:  

• The Medication Database OR 

• Your personalized My Drug List. 

3. Complete all required fields accurately (e.g., dosage, frequency, instructions). 

4. Click Save to finalize the entry. 

• Formulary Check Confirmation: 

0. After saving, the system will automatically run a formulary check. 

1. A colored circle indicator (red or green) with an affinity icon will appear to the left of the medication name.  

• Green Circle: Medication is covered. 

• Red Circle: Medication is not covered or has restrictions. 

3. Transmitting the Prescription: 

• Steps to Send:  

1. Select the prescription by checking the corresponding box. 

2. Click Send eRx. 

3. A confirmation window will appear—click Send eRx again to transmit the prescription. 

4. Compliance Requirements: 

• Ensure at least 60% of all prescriptions are sent electronically to meet compliance standards. 

• Regularly review prescribing data to track compliance rates. 

4. Troubleshooting Tips 

• Security Risk Analysis (SRA) Issues: 

• Ensure the latest version of the SRA form is downloaded. 

• Verify internet connection if having trouble accessing OneDrive. 

• Contact IT support for document access issues. 

• Formulary Check Not Functioning: 

• Double-check the E-Prescription Settings to confirm the formulary check is enabled. 

• Refresh the page or log out and log back in if changes do not apply immediately. 

• Prescription Sending Errors: 

• Ensure all mandatory prescription fields are filled. 

• Confirm that patient information is up-to-date. 

• Contact technical support for persistent transmission issues. 

5. Support Guidelines 

• In-App Support: Use the help feature within iClinic for quick troubleshooting. 

• Compliance Team: Reach out to your organization’s compliance officer for regulatory guidance. 

• Technical Support: Contact IT support for technical issues related to electronic prescribing or SRA documentation. 

Thank you for following the MU3 compliance process. This guide ensures you meet regulatory standards while maintaining secure, efficient healthcare practices.