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

John Commins, for HealthLeaders Media , July 25, 2013

Umbdenstock and Madara said the aggressive Stage 2 deadline is also complicated by the demands for transitioning to ICD-10 by Oct. 1. 2014. "Furthermore, some providers are reporting significant challenges with the usability of their current certified EHRs, a situation that will be exacerbated as vendors channel their efforts to managing a nation-wide transition to the 2014 Edition," the letter stated.

The AHA and AMA said they were also concerned that the existing deadlines would "exacerbate the digital divide" that now exists between small and rural hospitals and physician groups and their larger urban counterparts.

"Given this complexity and level of difficulty, a program with an 'all-or-nothing approach'—in which failure to meet any individual part of an objective, or missing a threshold by a small amount, leads to overall failure in meeting Meaningful Use—is overly burdensome," the letter says. "This seems especially true given that any provider failing to successfully transition to Stage 2 will not only miss an incentive payment but also receive a future payment penalty. Providers who fail to enter the program for the first time in 2014 will also receive future payment penalties."

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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




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