CHIME Recommends Waiting On Meaningful Use Stage 2 - InformationWeek

InformationWeek is part of the Informa Tech Division of Informa PLC

This site is operated by a business or businesses owned by Informa PLC and all copyright resides with them.Informa PLC's registered office is 5 Howick Place, London SW1P 1WG. Registered in England and Wales. Number 8860726.

IoT
IoT
Healthcare // Electronic Health Records

CHIME Recommends Waiting On Meaningful Use Stage 2

While the government wants to implement Stage 2 Electronic Health Records and MU quickly, it shouldn't move forward until a third of eligible hospitals and providers have demonstrated progress under Stage 1, said the College of Healthcare Information Management Executives.

Health IT Boosts Patient Care, Safety
(click image for larger view)
Slideshow: Health IT Boosts Patient Care, Safety

The government should not move its Meaningful Use program into Stage 2 until it has sufficient time to assess the progress of Stage 1, according to the College of Healthcare Information Management Executives (CHIME), which made the recommendation to the HIT Policy Committee on proposed Stage 2 measures.

"CHIME believes that it would not be prudent to move to Stage 2 until about 30% of (eligible hospitals and eligible providers) have been able to demonstrate EHR MU under Stage 1," the organization's comment letter (PDF) read. "We believe this approach would strike a reasonable balance between the desire to push EHR adoption and MU as quickly as possible, and the recognition that unreasonable expectations could end up discouraging EHR adoption if providers conclude that it will be essentially impossible for them to qualify for incentives."

Providers may seek to qualify for incentives by achieving meaningful use objectives for Stage 1 by Sept. 30, 2012, but legislation establishing the EHR Incentive Program does not lay out hard-and-fast deadlines for initiating the second stage of the program, with its subsequent set of objectives.

CHIME also recommended that CMS/ONC retain the core and menu-set dynamic utilized in crafting Stage 1 measures, but cautioned against adding any requirements to Stage 2 core measures that did not appear in Stage 1 at all.

In response to specific proposed objectives for Stage 2, CHIME recommended CMS:

-- Not require a large number of CDS rules be used: "The goal at this point should not be use of a large number of CDS rules but effective use of a smaller number," CHIME said. "EHR technology should be capable of implementing CDS rules identified as appropriate by EHs and EPs, and MU criteria should not become a 'back door' means for the federal government to interfere with the practice of medicine."

-- Focus on CPOE, not electronic clinician documentation: "We believe it is premature to focus on electronic notes, largely due to a lack of physician readiness," the comments said. "For the foreseeable future, we believe it is much more important to focus attention on CPOE, especially with CDS, than on electronic notes."

-- Provide an opt-out option on the proposed objective for HIE which would require that a provider connect to at least three external providers in a primary referral network. CHIME stated it is "extremely concerned. Whether there is a functioning HIE in an area is totally beyond the control of EHs and EPs. We believe that an EH or EP should be able to opt out of the HIE requirement if reasonable access to an HIE is not possible."

We welcome your comments on this topic on our social media channels, or [contact us directly] with questions about the site.
Comment  | 
Print  | 
More Insights
News
Top 10 Data and Analytics Trends for 2021
Jessica Davis, Senior Editor, Enterprise Apps,  11/13/2020
Commentary
Where Cloud Spending Might Grow in 2021 and Post-Pandemic
Joao-Pierre S. Ruth, Senior Writer,  11/19/2020
Slideshows
The Ever-Expanding List of C-Level Technology Positions
Cynthia Harvey, Freelance Journalist, InformationWeek,  11/10/2020
White Papers
Register for InformationWeek Newsletters
Video
Current Issue
Why Chatbots Are So Popular Right Now
In this IT Trend Report, you will learn more about why chatbots are gaining traction within businesses, particularly while a pandemic is impacting the world.
Slideshows
Flash Poll