H P 2 0 20  Measures 
 
Hypertension                       Not Met                 Met                            Exceeded Immunization                      Not Met                 Met                            Exceeded Prenatal Care                       Not Met                 Met                            Exceeded Low Birthweight                 Not Met                 Met                            Exceeded Diabetes Control                 Not Met                 Met                            Exceeded Cervical Cancer                   Not Met                 Met                            Exceeded Tobacco Use                       Not Met                 Met                            Exceeded 
Tobacco Cessation              Not Met                 Met                            Exceeded 
N/A N/A N/A N/A N/A N/A N/A 
N/A 
 
Other Measure(s) Not Met Met Exceeded N/A 
 
 
 PCMH  Recognition  ( to be a drop-down)  
 
 
 
 
 
 
 
 
 
 
 
 
Site 1 
 
 
 
 
 EHR/HIT  
 
ONC-ATCB Certified EHR 
Not Implemented 
Not Implemented: No Eligible 
Providers at site 
 
 

EOHR Implemented Other HIT Not Implemented Other HIT 1 

Implemented 
Other HIT 1 Not 
Implemented 
 
 
 
N/A 
 
 
 
 
N/A 
Other HIT 2 
Implemented Other HIT 2 Not Implemented 
 
 
 
N/A 
 
 
 Narrative Sections  
 

 
 
Plans for Next Year: EHR Adoption + Implementation 
 
 
 
 
 
 
 
 
 
Plans for Next Year: Meaningful Use 
 
 
 
 
 
 
 
 
 
Plans for Next Year: Quality Improvement 
 
 
 
 
 
 
 
 
Customer Satisfaction 
 
 
 
 
 
 
 
 
Challenges and Barriers 
 
 
 
 
 
 
 
 
Lessons Learned 
 
 
 
 
 
 
 
 
Contingency Planning 
 
 
 
 
 
 
 
 
 
Additional Comments