7. Medication Reconciliation

This lesson will demonstrate the steps necessary to meet the Meaningful Use requirement for Medication Reconciliation.


SOAPware 2011 or later must be used.

Note: To determine the version of SOAPware being used, Click on Help > About SOAPware. This will open a window which will show the version and build of SOAPware currently in use.


This requirement will be tracked via the Meaningful Use Dashboard.

Measure Criteria

Objective: The EP who receives a patient from another setting of care or provider of care or believes an encounter is relevant should perform medication reconciliation.

Measure: The EP performs medication reconciliation for more than 50 percent of transitions of care in which the patient is transitioned into the care of the EP.

For more detailed information on this measure, please Click on the "Reference" link below. This CMS documentation includes information on exclusions, attestation requirements, a definition of terms and important additional information.


Reference: CMS: Medication Reconciliation

Measure Calculation

Denominator: The number of face-to-face encounters that have the "Incoming Transition of Care Patient" box checked within the Meaningful Use Patient Dashboard.  By placing a check in this box, this will add "Medication Reconciliation" to the Patient Dashboard list.

Numerator: The number of encounters in the denominator for whom the physician has indicated that the active medications list has been reconciled during this encounter.  When a user clicks on the "Medication Reconciliation" item in the Patient Dashboard, they will be asked the following question: "Will the patient's Active Medications list be reconciled during this encounter?".  If the user answers yes, this will be counted in the numerator.  If the users answers no, it will not be calculated in the numerator.

Threshold: The resulting percentage must be more than 50%.

* Scoring is individual, provider-based and not practice-wide.

Keep Active Medications Up to Date

Keep Active Medications Up to Date

This step is likely already being done for Maintain Active Medications List. Refer to the link for more information on how this is accomplished in SOAPware.

Tracking Medication Reconciliation

Tracking Medication Reconciliation

In order to track medication list reconciliation for transition of care in the MU Dashboard, you will need to follow a very specific workflow. To learn how to set a patient as a Transition of Care patient and to track medication reconciliation, see: Transition of Care - Medication List Reconciliation

Meaningful Use Dashboard

Meaningful Use Dashboard

This measure is tracked in the Meaningful Use Dashboard under "Medication Reconciliation". The Meaningful Use Dashboard can be accessed by selecting SOAPware > Meaningful Use Dashboard.

The Meaningful Use Dashboard will display the Numerator, Denominator and percentage for this measure, as well as, graph the Trend for the dates selected.  Please see the following link for instructions on using the Meaningful Use Dashboard: Meaningful Use Dashboard.

*Note: The dashboard icon will display a gray X if the threshold for this measure has not been met for the selected reporting period. The icon will change to a green check mark once the threshold for the meaningful use measure has been met.