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CMS Releases MU Stage 2 Guide

Posted on September 17, 2013 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

CMS has released a new resource, An Eligible Professional’s Guide to Stage 2 of the EHR Incentive Programs, which provides a comprehensive overview of Stage 2 of the EHR Incentive Programs to eligible professionals. The guide outlines criteria for Stage 2 meaningful use, 2014 clinical quality measure reporting, and 2014 EHR certification.

The guide’s table of contents makes it easy for you to navigate through Stage 2 topics. Interactive tabs included at the bottom of each page allow you to transition between different chapters.

Chapters include:

  • What is Stage 2 of the EHR Incentive Programs?
  • What are the requirements under Stage 2 of Meaningful Use?
  • How will clinical quality measures (CQMs) change?
  • Resources

The guide can be found on the Educational Resources page of the EHR website.

Meaningful EHR Use, Meaningful Use Stage 2, and Robotic Glove – Around HealthCare Scene

Posted on September 2, 2012 I Written By

Katie Clark is originally from Colorado and currently lives in Utah with her husband and son. She writes primarily for Smart Phone Health Care, but contributes to several Health Care Scene blogs, including EMR Thoughts, EMR and EHR, and EMR and HIPAA. She enjoys learning about Health IT and mHealth, and finding ways to improve her own health along the way.

EMR and HIPAA

Meaningful Use Stage 2 Final Rule: What You Need to Know—At Least For Now

This is a great summary of meaningful use stage 2. It’s a real practical look at what you should expect from meaningful use stage 2.

A Smart Approach to Medicine and Social Media

Dealing with patients via the Internet and social media may seem daunting. When should it be done, and what limits should be maintained? Katherine Rourke takes ideas from an article about handling social media communication with patients, written by Dr. Vartabedian, and contributes her thoughts as well.

10 Ways to Meaningful EHR Use for Doctors

With the frustration that sometimes comes with implementing an EHR, some doctors may just want to give up. However, beyond that initial frustration, it can be very helpful is the creators keep a few things in mind. This post contains a list of 10 ways developers can do this, created by Rob Lamberts, MD. It includes ideas like allowing e-prescription for all controlled drugs, and requiring all visits to have a simple summary.

ACOs

A number of really interesting ACO stats. Plus, there’s a great look at who will be driving the ACO. Will it be the payers, physicians or hospitals? This is a challenging question and the battle between the various stakeholders is on.

Hospital EMR and EHR

Hospitals Adjusting to Meaningful Use Stage 2 Rules

With all the complaints that came with MU Stage 1, there was bound to be many with the release of MU Stage 2 rules. Unfortunately, it is something that cannot really be avoided, just adjusted to. The HIE requirements do, surprisingly, seem to be light. Anne Zieger talks about how hospitals are adjusting, and some thoughts on the recently released rules.

Smart Phone Health Care

Robotic Glove That Diagnoses Illnesses: Coming To A Doctor’s Office Near You – #HITsm Chat Discovery

A new invention may create less visits to the doctor’s office. Created by two engineers and a med student at Harvard, the robotic glove supposedly can detect many different illnesses, such as breast cancer or enlarged lymph nodes. It has not been released yet, but it hopefully will eventually reach it’s way to consumers.

Laser Developed to Detect a Person’s Vegetable Intake – #HITsm Chat Discovery

It won’t be hard for doctors to detect a person’s diet soon. A laser has been developed which measures the level of carotenoids present in a person body. The fiber optic probe is placed on a person’s hand, and within seconds, and accurate reading is available. There are many possibilities that arise with this invention – to aiding in studies, to determining whether a person’s diet is contributing to their health problems.

Meaningful Use Stage 2 Final Rule Published

Posted on August 23, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

UPDATE: For those not wanting to go through all 672 pages of the meaningful use stage 2 final rule, ONC has put out this summary PDF.

Today, CMS publishes the meaningful use Stage 2 Final rule in the Federal Register. The MU stage 2 final rule is 672 pages long.

The HHS press release announcing the EHR incentive money stage 2 final rule also offered these important points to note:

  • Make clear that stage two of the program will begin as early as 2014. No providers will be required to follow the Stage 2 requirements outlined today before 2014.
  • Outline the certification criteria for the certification of EHR technology, so eligible professionals and hospitals may be assured that the systems they use will work, help them meaningfully use health information technology, and qualify for incentive payments.
  • Modify the certification program to cut red tape and make the certification process more efficient.
  • Allow current “2011 Edition Certified EHR Technology” to be used until 2014.

The second point annoys me a little after hearing about some of the EHR certification fraud and issues it could cause providers that attest to meaningful use.

The press release also offered the following EHR incentive participation numbers:
-120,000 Eligible Health Professionals have participated
-3,300 Hospitals have participated
-More than half of all eligible hospitals and critical access hospitals and 1 out of every 5 eligible health care professionals

Watch for more detailed coverage of the meaningful use stage 2 final rule in our ongoing Meaningful Use Monday series.

Meaningful Use Stage 2 Comment Period Ends May 7th

Posted on May 4, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

ONC and CMS sent out the following email about the meaningful use stage 2 comment period. It closes very soon and so I encourage everyone to submit their comments on meaningful use stage 2. I’m a real proponent of the benefits of crowd sourcing and if enough people comment on meaningful use stage 2, I think we’ll receive the benefits of the crowd participating in the discussion and improving MU stage 2. I encourage doctors in particular to share their comments on the meaningful use stage 2 NPRM.

Please note that the comment period closes on Monday, May 7 for the notices of proposed rule-making (NPRMs) for Stage 2 of meaningful use and updated certification criteria.

The Office of the National Coordinator for Health IT (ONC) rule proposes the capabilities and related standards and implementation specifications that Certified EHR Technology will need to include to, at a minimum, support the achievement of “meaningful use” by eligible health care professionals beginning with the EHR reporting periods in FY/CY 2014. The rule also proposes revisions to the permanent certification program for health information technology, which include changing the name of the program to the “ONC HIT Certification Program.”

ONC’s rule complements the newly released Centers for Medicare & Medicaid Services (CMS) proposed rule for Stage 2 of the EHR Incentive Programs, clarifying the specifications necessary to meet the criteria for these programs.

Comments Can Be Submitted in 4 Ways

Both ONC and CMS rules identify that comments can be officially submitted in 4 ways:

  1. Electronically through www.regulations.gov – this is the preferred method
  2. Regular mail
  3. Express mail or overnight mail
  4. Hand-delivered/courier

Faxes are not accepted.

To enhance the public comment experience, ONC and CMS have made a copy of the rule available in Microsoft Word to make it easier those who comment to access and copy portions of their proposed rule for use in their individual comments.  Visit http://www.healthit.gov/providers-professionals/meaningful-use-stage-2 for more information.

Meaningful Use Stage 2 Guidelines in Digestable Format

Posted on March 8, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

John Crankshaw and Jonathan Ploudre have put together a look at the meaningful use stage 2 guidelines in the most digestable format I’ve seen. You can find the PDF of their MU stage 2 guidelines here. I wish that it was a webpage instead of a PDF, but beggars can’t be choosers I guess.

I haven’t dug into the document completely to verify the accuracy of every single thing, but I did check a bunch of them and they were spot on. I think doctors will really love this summary of the meaningful use stage 2 guidelines. Hopefully many doctors will look it over and provide comments during the meaningful use stage 2 comment period. You have until May 7, 2012 to comment on MU stage 2.

Meaningful Use Stage 2 is Here! Are You Ready?

Posted on March 2, 2012 I Written By

Priya Ramachandran is a Maryland based freelance writer. In a former life, she wrote software code and managed Sarbanes Oxley related audits for IT departments. She now enjoys writing about healthcare, science and technology.

MU Stage 1 has found some slow-moving and grudging acceptance. According to this news brief from Fierce EMR, a good 42% of providers offices have already attested for MU Stage 1, while another 17% plan to attest within the next year. However, there is also a large number – 39% – who have no plans to do so in the near feature.

The reasons cited include changing technological requirements and budgetary concerns. And in the midst of all this drama, CMS is waiting in the wings with Stage 2 Meaningful Use. The Stage 2 Requirements will be published in the Federal Register on March 4 (Here’s a good meaningful use stage 2 summary for providers).

Are we truly ready for MU Part Deux? I’m not sure we are, and I’m not sure that’s the right question to ask. I’m almost giddy with the promise that MU Stage 2 offers – with greater interchange of information, in standardized formats, and public health reporting realizing its full potential. Maybe a few years into the future, I’ll break a leg skiing in the Swiss Alps and my attending physician there will be able to look up my EHR on his local software. I mean Stage 2 doesn’t come with promises of true international portability of data, but getting past Stage 2 will mean we’re that much closer to true health information flow (if we get state exchanges to effectively exchange information or significant benefits to public health reporting, CMS will declare MU Stage 2 a success.)

Even if you think MU is a load of bunk, you can still be an essential part of the process by participating in the comment stage.

Here’s a direct link to MU Stage 2 rundown published by CMS. The document has details on how you can send CMS your comments.

All comments will go on the regulations.gov website. I’m going to be watching that space in the next two months.