Calling All EH EP CAH

Meaningful Use Stage 2 Criteria: Calling All EPs, EHs, CAHs

Meaningful Use Stage Criteria were released on February 23 for Eligible Professionals (EPs), Eligible Hospitals (EHs), and Critical Access Hospitals (CAHs). Predictably, there has been wide coverage of the Notice of Proposed Rule Making (NPRM). Here are some good resources to help AmericanEHR users get a good understanding of the proposed rule. Be sure to reply to this post to share your comments.

If you’re in the mood for a one-hour video from HIMSS12, here’s Dr. Farzad Mostashari’s recorded presentation. Dr. Mostashari is the National Coordinator for Health Information Technology.

Here is a quick summary from HealthData Management.

The Advisory Board Company posted the Whiteboard Story — a single page with all of the Stage 1 and proposed Stage 2 criteria. The detail is impressive.

From John Halamka’s Life as a Healthcare CIO, a nice summary with external links and references to specific section of the NPRM. In addition, Dr. Halamka put together 15 slides summarizing key points.

Steven Waldren from the American Academy of Family Physicians was interviewed by Healthcare IT News.

American Medical News published an article on 3/5/12 that provides a good list of the Core and Menu objectives for Eligible Professionals.

Ashish Ja authored a blog for Health Affairs here.

And finally, here’s link to HIMSS Meaningful Use OneSource. From this landing page, HIMSS provides links to a series of documents breaking down the MU requirements for Eligible Hospitals and Eligible Professionals.

During the Health Information Technology Policy Committee Meaningful Use Work Group call on March 6, Robert Anthony presented these slides, which do an excellent job of covering all of key elements of MU Stage 2. Some key slides from this presentation are below (click on slide to enlarge).

Comparison of Stage 1 and Stage 2 Objectives

  • Note that exclusions NO LONGER count to meet one of the menu objectives
  • All denominators include all patient encounters at outpatient locations equipped with Certified EHR Technology

Stage 2 Core EP Objectives

Note: Bolded bullets represent new objectives; bolded percents represent different thresholds from Stage 1.

Stage 2 Menu EP Objectives

Stage 2 Clinical Quality Measures (CQMs)

CMS is proposing to change the requirements for CQM reporting as outlined in this slide:

What do you think about MU Stage 2? What did CMS get right? What could be improved? The comment period is open until May 7, 2012. Post your concerns here and contribute to the dialogue.


2 responses to "Meaningful Use Stage 2 Criteria: Calling All EPs, EHs, CAHs"
  • March 17, 2012
    Barry Waters

    In my humble opinion the Government should cancel incentives to implement EHRs until the many serious problems are solved. Here is an example. I foolishly jumped on the bandwagon a year ago, got rid of paper, and entrusted my patients and practice to product X. The EHRs parent company has decided to terminate my particular product so it can focus resources on its more expensive flagship product. (Let me translate – so they can make more money.) Unfortunately, this will place a terrible burden, financial and otherwise, on my and the other impacted offices. Medical data must be re-entered. A new system must be purchased, learned and customized. More lost revenue, distraction from the important aspects of patient care and more chance for medical errors. Until the Government figures out how to protect patients and physicians from the vagaries of EHR vendors, encouragement to move to EHRs must be put on hold.

  • April 19, 2012
    Michael A Sills

    adopted an EHR. Enormous expense. Workflow slowed to a crawl. I’ve seen more errors in a short time than is acceptable with well-spelled medications and diagnoses incorrectly placed on a patient’s record at the touch of a button by doctors and their ‘helpful’ staff trying to familiarize themselves with it’s use. Who says this makes for better care, safer care, more cost efficient care? It sickens me that our profession has jumped all over this without question. It certainly is creating a new lucrative I.T. industry!

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