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MU Stage 2 Requirements 'Overly Burdensome,' Say AHA, AMA

John Commins, for HealthLeaders Media, July 25, 2013

Umbdenstock and Madara offered four recommendations that they said could be implemented without changing the law.

  • Allow providers at Stage 1 to meet the requirements using either the 2011 certified Edition EHR, or the 2014 certified Edition EHR. This will allow more time for vendors to complete upgrades, allowing advanced providers to move ahead to Stage 2, while holding harmless those remaining or entering the program at Stage 1.
  • Establish a 90-day reporting period for the first year of each new stage of Meaningful Use for all providers, similar to what was done for Stage 1. This will allow upgrades to be spread out over time, rather than being clustered on certain dates.
  • Offer greater flexibility to providers in meeting Stage 2 to ameliorate the "all-or-nothing" problem, and recognize that the level of change in Stage 2 will take time to accomplish.
  • Extend each stage of Meaningful Use to no less than three years for all providers. This change recognizes that vendors need time to develop usable and safe upgrades, and providers need time to implement systems and optimize their use before undertaking yet another upgrade.

John Commins is a senior editor with HealthLeaders Media.

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1 comments on "MU Stage 2 Requirements 'Overly Burdensome,' Say AHA, AMA"


FlPoggio (7/25/2013 at 9:54 AM)
And keep in mind that all Stage 1 vendor certifications 'die' on 09/30/2013 for inpatient, and 12/31/2013 for Ambulatory. That means although providers can still attest to Stage 1 in 2014 (as late as September), they cannot use a vendors 2011 (Stage1) certification to do it. The vendor system must have passed 2014 test Criteria, which is what can be used for Stage 1 attestations. As correctly pointed out in the article as of this week there are very few vendors certified under the 2014 Edition Test Criteria. Why? Because the test criteria, just like the provider attestations, are far more complex and the criteria keep changing. For example, on July 14 ONC issued no less than 14 test script changes/revisions. That impacts almost 50% of the test scripts and clients I have been working with had to revise test applications and redo some software. Here we are some seven months into the program, and three months away for a drop dead date. Clearly there is a 'train-wreck' a coming but ONC seems to be oblivious. Frank Poggio The Kelzon Group KelzonGroup.com