The proposal is a byzantine menu of options for providers, with the common running theme of providing relief from deadlines which would have come crashing down upon their heads this October. "Although 2014 Edition CEHRT may be available for adoption, there is a backlog of many months for the updated version to be installed and implemented so that providers can successfully attest for 2014," the NPRM states.
The NPRM proposes that providers be able to continue using 2011 edition certified software, or a combination of 2011 and 2014 certified software, during calendar year 2014, but withhold incentive payments for any provider still running 2011 edition software.
The comment period for this proposed rule ends July 21, and CHIME for one, likes what it sees.
"CHIME supports the new pathways as defined in the proposed rule," CHIME's letter to CMS reads:
"We believe these options will provide needed flexibility for EHR optimization, encourage continued participation in the program and help maintain the upward trajectory of EHR adoption in the US. This is a necessary extension to give policymakers time to evaluate past experience and incorporate lessons learned into the third stage of Meaningful Use."
But a theme of public comment so far is that even a one-year relaxation of stage 2 deadlines is not enough.