CMS Issues Proposed Requirements for Stage 2 EHR
February 29th, 2012
On February 24, CMS released a Fact Sheet about its proposal for the Stage 2 meaningful use requirements of electronic health records (EHRs).
The new proposed rule primarily expands on Stage 1 requirements. For example, Providers will be required to report on 12 clinical quality measures (CQMs) in Stage 2. They were required to report on 6 in Stage 1. Other changes include making reporting which was optional in Stage 1, mandatory in Stage 2.
Per the Fact Sheet, proposed changes include:
- Changes to the denominator of computerized provider order entry (CPOE) (Stage 1 Optional, Stage 2 Required)
- Changes to the age limitations for vital signs (Stage 1 Optional, Stage 2 Required)
- Elimination of the “exchange of key clinical information” core objective from Stage 1 in favor of a “transitions of care” core objective that requires electronic exchange of summary of care documents in Stage 2 (Effective Stage 2)
- Replacing “provide patients with an electronic copy of their health information” objective with a “view online, download and transmit” core objective. (Effective Stage 2)
Specialists will be impacted more than primary care providers in Stage 2. Per the Fact Sheet meaningful use will require:
- Imaging results and information accessible through certified EHR technology
- Capability to identify and report cancer cases to a State cancer registry, except where prohibited, and in accordance with applicable law and practice
- Capability to identify and report specific cases to a specialized registry (other than a cancer registry), except where prohibited, and in accordance with applicable law and practice.
The proposed rule seeks to extend Stage 1 so that providers would have until 2014 to implement Stage 2. Per the Fact Sheet, the delay "would allow the needed time for vendors to develop Certified EHR Technology that can meet the Stage 2 requirements."
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