Successful attestation to Meaningful Use Stage 1 and 2

Christina Caraballo, MBA is Healthcare Strategist for Get Real Health, Rockville, MD. www.getrealhealth.com

Yes, starting in 2014, all hospitals and EPs attesting to Meaningful Use Stage 1 OR Stage 2 will be required to use a 2014 Edition Certified EHR Technology.  

When Meaningful Use was first introduced, CMS published Meaningful Use Stage 1 and ONC published the 2011 Edition Certification, and then MU Stage 2 and the 2014 Edition Certification Criteria were released within days of one another.  This has caused some confusion because there is a misunderstanding that Stage 1 corresponds with the 2011 Edition and Stage 2 corresponds to the 2014 Edition, which is not the case.   As it stands, 2014 Edition Certified EHR Technology will be required to successfully attest to Stage 1 and Stage 2 Meaningful Use beginning in 2014 through 2016.  Starting in 2017, hospitals and EPs will be required to use the 2017 Edition, again, regardless of the stage for which they are attesting. 

Starting in 2014, the Stage 1 objectives to provide electronic copies of health information or discharge instructions and provide timely access to health information are replaced with objectives that allow patients to access their health information online.  While providers attesting to Meaningful Use Stage 1 will only be required to provide patients with timely access to health information, they will be required to do this via a 2014 Edition Certified product. That means that patients will have the ability to view, download and transmit their health information via human readable and machine readable Consolidated Clinical Document Architectures (C-CDAs). The use of the C-CDA is important to patients because it ensures that any MU-compliant organization and technology can accept and meaningfully use the data in their health record. 

Eligible Professionals

Core Objective: Provide patients the ability to view online, download, and transmit their health information within 4 business days of the information being available to the EP.

  • Stage 1 Measure: More than 50% of all unique patients seen by the EP  during the EHR reporting  period are provided timely  (within 4 business days after  the information is available to  the EP) online access to their health information subject to  the EP's discretion to withhold  certain information.  
  • Stage 2 Measure 1: More than 50 percent of all unique patients seen by the EP during the EHR reporting period are provided timely (available to the patient within 4 business days after the information is available to the EP) online access to their health information.
  • Stage 2 Measure 2: More than 5 percent of all unique patients seen by the EP during the EHR reporting period (or their authorized representatives) view, download, or transmit to a third party their health information.

Eligible Hospitals/Critical Access Hospitals

Core Objective: Provide patients the ability to view online, download, and transmit information about a hospital admission.

  • Stage 1 Measure: More than 50% of all patients who are discharged from the inpatient or emergency department (POS 21 or 23) of an EH or CAH have their information available online within 36 hours of discharge.
  • Stage 2 Measure 1: More than 50 percent of all unique patients discharged from the inpatient or emergency departments of the eligible hospital or CAH (POS 21 or 23) during the EHR reporting period have their information available online within 36 hours of discharge.
  • Stage 2 Measure 2: More than 5 percent of all unique patients (or their authorized representatives) who are discharged from the inpatient or emergency department (POS 21 or 23) of an eligible hospital or CAH view, download or transmit to a third party their information during the EHR reporting period. 

Resources:

www.healthit.gov

http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Meaningful_Use.html

Keywords: 
Meaningful Use, patient engagement