New Stage 2 Meaningful Use Tool

The Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC) have a new tool to help you meet the meaningful use Stage 2 transitions of care measure. The EHR Randomizer allows physicians to exchange data with a designated test electronic health record (EHR) system to meet part of the measure.

The transitions of care requirement includes three measures. The EHR Randomizer assists in meeting the third measure, which requires you to: 

  • Conduct at least one successful electronic exchange of a summary-of-care document with a recipient who has EHR technology developed by a different company, or
  • Conduct at least one successful test with the CMS designated test EHR during the EHR reporting period. 

CMS and ONC have chosen McKesson and Meditech as test EHRs. The agencies have asked other EHR technology developers to participate in the test program.

Follow these steps to use the EHR Randomizer: 

  1. Register online with EHR Randomizer. Your EHR technology will pair automatically with a different test EHR from a list of authorized systems.
  2. Send a Consolidated Clinical Document Architecture (CCDA) summary-of-care record to the test EHR. Make sure the test CCDA document you submit doesn't contain actual patient data.  

Within one day of the test transmission, the test EHR will email you a notification of success or failure. Keep the notification as proof of meeting the transitions of care measure.

For more detailed information, view the EHR Randomizer Test Instructions.

For more information about the EHR Medicare and Medicaid meaningful use incentive programs, see the TMA website or contact TMA's Health Information Technology Department by telephone, (800) 880-5720, or by email

Action, March 3, 2014

Last Updated On

October 19, 2015