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Meaningful Use Stage 3 Timeline – Meaningful Use Monday

Posted on November 19, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 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.

The big meaningful use news this week was the release of the meaningful use stage 3 recommendations (PDF) that the meaningful use workgroup released to the public. Some on Twitter thought that this was the meaningful use stage 3 rule that could be commented on. This is not open for public comment yet, but should be soon.

In fact, Healthcare IT News listed the following timeline for meaningful use stage 3:

  • Dec. 21, 2012 – RFC deadline
  • January 2013 – ONC to synthesize the RFC comments for HIT Policy committee workgroups to review
  • February 2013 – The workgroups will reconcile RFC comments
  • March 2013 – The workgroups will present a revised draft of Stage 3 requirements to ONC
  • April 2013 – ONC is expected to approve final Stage 3 recommendations
  • May 2013 – ONC will transmit final Stage 3 recommendations to HHS

That’s a pretty aggressive timeline to have meaningful use stage 3 published by May 2013. If my dates are right, meaningful use stage 3 won’t be effective until 2016. I like that ONC wants to get the MU stage 3 out soon so that no one can use not having the meaningful use details as an excuse for not complying. However, I also don’t think ONC should rush the process either. We have to live with meaningful use, good and bad, for a long time to come.

I’d love to hear what you notice in the meaningful use stage 3 proposal (PDF). We’ll be sure to cover it a lot more in the future.

Planning for Stage 3 is Underway – Meaningful Use Monday

Posted on August 20, 2012 I Written By

Lynn Scheps is Vice President, Government Affairs at EHR vendor SRSsoft. In this role, Lynn has been a Voice of Physicians and SRSsoft users in Washington during the formulation of the meaningful use criteria. Lynn is currently working to assist SRSsoft users interested in showing meaningful use and receiving the EHR incentive money.

Lynn Scheps is Vice President, Government Affairs at EHR vendor SRSsoft. In this role, Lynn has been a Voice of Physicians and SRSsoft users in Washington during the formulation of the meaningful use criteria. Lynn is currently working to assist SRSsoft users interested in showing meaningful use and receiving the EHR incentive money. Check out Lynn’s previous Meaningful Use Monday posts.

At the HIT Policy Committee’s meeting on August 1st, the Meaningful Use Workgroup presented its preliminary recommendations for meaningful use Stage 3. Giving plenty of advance warning regarding its intentions for Stage 3, the Policy Committee hopes to avoid the type of timing issues that led to the postponement of Stage 2. The committee plans to send its final recommendations to HHS by May 2013, well in advance of the earliest timeline for Stage 3—2016. In light of this schedule, the initial recommendations are being formulated before we know how Stage 2 will be finalized and before we can fully evaluate Stage 1. Hopefully, as the planning process advances, the committee will have the time to take into account the experience of participating providers. 

As outlined in the preliminary recommendations, Stage 3 would intensify Stage 2’s emphasis on interoperability and patient engagement and expand on care coordination, quality and safety, and population health. It would foster a new model of care that is team-based, outcome-oriented, and geared toward population management. To accomplish this, it would include—among other requirements —expansion of clinical decision support, including tracking of compliance; electronic management of referrals; and enabling patients to update or correct information that is in their chart. 

Lest you think that a plan for Stage 3 means that the end is now in sight, sit back and take a deep breath. The plan envisions a Stage 4!

Meaningful Use Measures: Electronic Copy of Health Information – Meaningful Use Monday

Posted on July 11, 2011 I Written By

Lynn Scheps is Vice President, Government Affairs at EHR vendor SRSsoft. In this role, Lynn has been a Voice of Physicians and SRSsoft users in Washington during the formulation of the meaningful use criteria. Lynn is currently working to assist SRSsoft users interested in showing meaningful use and receiving the EHR incentive money.

Meaningful Use Core Measure: More than 50% of all patients who request an electronic copy of their health information are provided it within 3 business days.

Exclusion: Any EP who receives no requests for this information in electronic format.

 This measure is distinguished from  the clinical summary measure, (discussed in the previous Meaningful Use Monday post), in two major ways:

1)      “Electronic copy of health information” covers all health information that the provider has regarding the patient, whereas the “clinical summary” is a snapshot of a particular visit.

2)      This measure is driven by requests made by patients or their agents—electronic access must be provided in response to at least 50% of the specific requests received by a provider. By contrast, clinical summaries have to be provided for 50% of office visits, regardless of whether or not the patient asked to receive the information. 

The measure is limited to the information that is contained electronically in the EHR, and it can be delivered in any electronic format, including patient portal, CD, USB fob, etc. 

An interesting note about the future of this measure: The Meaningful Use Workgroup has recommended to the HIT Policy Committee that this measure be dropped in Stage 2 because it is incorporated into other objectives. There is already a menu measure in Stage 1 that requires providing “timely electronic access to health information.”

Lynn Scheps is Vice President, Government Affairs at EHR vendor SRSsoft. In this role, Lynn has been a Voice of Physicians and SRSsoft users in Washington during the formulation of the meaningful use criteria. Lynn is currently working to assist SRSsoft users interested in showing meaningful use and receiving the EHR incentive money. Check out Lynn’s previous Meaningful Use Monday posts.