for Stage 2? The first year of Stage 2 meaningful use under the Medicare and Medicaid electronic health records (EHRs) incentive programs begins in
2014 for eligible physicians and other health care professionals. Stage 2
brings changes to the program.
is a snapshot of some of the changes to core and menu requirements worth noting.
2 has 23 meaningful use criteria. Of those, 17 make up a core set, and six are in a menu
from which physicians must choose three. When selecting the menu criteria,
physicians need to choose three for which exclusions do not apply.
and drug-allergy interaction checks are no longer separate measures. They are
now incorporated in the clinical decision support measure.
up-to-date problem list, active medication list, and active medication allergy
lists are now part of the summary of care document.
checks are now part of the e-prescribing measure.
CORE! Secure messaging: At least 5 percent of the patients you see during a
reporting period must send you a secure message.
CORE! More than 5 percent of unique patients must view, download, or transmit
their health information.
CORE! The summary of care information is expanded.
MENU! Enter at least one electronic progress note you create, edit, and sign
for more than 30 percent of patients.
MENU! More than 10 percent of all imaging results are incorporated into the
MENU! Incorporate and review family health history for more than 20 percent of
MENU! Submit cancer case information into a cancer registry.
MENU! Successful ongoing submission of specific case information to a
quality measures (CQMs) are no longer a core objective, but you must report on
them to demonstrate meaningful use. CQMs are now integrated with the Physician
Quality Reporting System (PQRS).
reporting is now available for groups.
- 2014 only: A three-month
reporting period is allowed for physicians in their second or later year of the
meaningful use program. Reporting must align with calendar quarters. It cannot
be any 90 days as with first-year participants. Note: If reporting CQMs for
PQRS, that is a full-year reporting period.
see all of the Stage 2 meaningful use measures, view the TMA summary, or go to TMA's EHR Incentive Program Resource Center.
recognizes the complexities of the EHR incentive program and recommends
physicians struggling with it to consider contracting with one of the Texas
regional extension centers (RECs). Details about the REC program and which one
serves your area are available in TMA's Texas REC Resource Center.
you have questions about the EHR incentive program or need additional help,
contact the TMA HIT Helpline by telephone at (800) 880-5720 or by email.
Action, Oct. 15, 2013