The AHA hasn't released a response to the criticism, but a review of public comments on the MU Stage 2 proposal demonstrates that the AHA is not alone in challenging what many in the healthcare industry view as an ambitious program.
Among the common themes: hospital MU performance shouldn't be dependent upon actions not fully under hospital control, measures that require adherence from a party other than the physician should be eliminated, and all electronic health record (EHRs) should be certified to all core quality measures (CQM).
Here are some of the comments:
The College of Healthcare Information Management Executives (CHIME), which represents 1,400 healthcare CIOs: CHIME wants to require certification of EHR products to all CQMs needed to meet meaningful use in each setting. "Through our experiences with Stage 1, we found that although EHR products were able to automatically produce CQM reports, the data was inaccurate and largely incomparable across different providers."
In its 46-page comment letter CHIME requests that the time to make online access of hospital information available to the patient be extended from 36 hours to four business days. It also objects to the requirement that 10% of discharged patients be able to view or download their information online. This echoes a common sentiment from commenters stating that providers' performance on MU objectives shouldn't be dependent on what their patients do or choose not to do.
CHIME also asks CMS to follow the precedent set with Stage 1 to allow providers to demonstrate meaningful use of EHRs during a continuous 90-day reporting period. It would also