Stage 2 Becomes an Uphill Battle

As of September 25, 2013, the list of EHR products certified for Meaningful Use Stage 2 is quite limited. Seventeen Ambulatory EHR products have been certified for Base EHR; of these, only five ambulatory products have been certified for recommended adult core CQMs for Eligible Providers. In a September 25 article in Modern Healthcare, Joseph Conn highlights the challenges this may pose for physicians and hospitals, particularly those who need to advance quickly from Stage 1 to Stage 2 in order to avoid penalties. At issue is the lack of certified systems that meet the Stage 2 requirements. Earlier this week, 17 Republican Senators wrote to HHS Secretary Kathleen Sebelius requesting a one-year extension of Stage 2 of the Meaningful Use program. This is the second time that an extension is being requested — the start date for Stage 2 Meaningful Use has already been pushed back by one year.

However, it is also a clear indication of the complexity changing from Stage 1 to Stage 2. EHR vendors have been slow to upgrade, certify, and test their systems to ensure that they will meet the more stringent Stage 2 requirements. According to Conn, “Experts say vendors are facing problems as they try to develop EHR systems capable of performing calculations for measures providers must report to the CMS under the Stage 2 meaningful-use requirements.”

This does not bode well for practices and hospitals that need to upgrade and have their staff sufficiently well trained and conversant with the systems in order to meet the new requirements. A filtered list of ambulatory products from the ONC’s Certified Health IT Product List is presented below.

Vendor Ambulatory Product List — 2014 Certified for Base EHR (17)


Vendor Ambulatory Product List — 2014 Certified for Recommended Adult Core CQMs for EPs (5)


Are you using an EHR that is not currently certified for Stage 2 Meaningful Use? What do you plan to do? Share your thoughts below.


5 responses to "Stage 2 Becomes an Uphill Battle"
  • September 26, 2013
    Jeff A

    I wouldn’t be too concerned.. Epic has 41% of market and Allscripts is another 11% so over half of the market is ready with those two alone.

  • September 27, 2013

    Not worried. They can keep their money. Ready to bail out of Medicare any way. And I am not the only one that I know of.

  • October 22, 2013

    Dont bail out of Medicare Go back to paper and take the penalty Its a lot cheaper and more productive than wasting your time energy and limited funds on this insanity

  • October 22, 2013
    Bill B

    I got the money from stage 1. So if I pay penalties for not complying with stage 2 it will come out even.

  • October 28, 2013
    Sarah Heiner MD

    I have Lytec MD, another McKesson product and am happy with it. I am hoping that they can make it stage 2 compatible. If not, I agree with Bill B, I cannot possibly afford to pour more money into a system that is only 2 years old, will just have to take the penalty. the feds need to expand the stage 2 requirement for a few more years.

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