Home > EHR, meaningful use, Medicare > Meaningful Use Workgroup Drops the Ball on Promised Specialty-Related Functional Measure Recommendations for Stage 2

Meaningful Use Workgroup Drops the Ball on Promised Specialty-Related Functional Measure Recommendations for Stage 2

When the Office of the National Coordinator for HIT (ONC) HIT Policy Committee Meaningful Use (MU) Workgroup advanced its Stage 2 recommendations to the full committee in early June, it did so with the caveat that the workgroup would reconvene to develop additional recommendations related to specialty documentation, exclusions, and functional measure refinements related to imaging.  During the August 22 MU Workgroup conference call, it was signaled that these recommendations for specialists have once again been postponed until Stage 3 or later.

If this sounds like deja vus, it is because this same promise was made once or twice during the Stage 1 advisory committee discussions in 2009.  At that time, HIT Policy Committee members prioritized the workflow and technology needs of preventive service providers to develop their MU recommendations, promising to come back in Stage 2 to work on specialized medicine.

Where does this leave specialists and MU?  The Stage 2 rulemakings within the Centers for Medicare and Medicaid Services and ONC are ongoing, and the staff have the same problem now that they had during the Stage 1 rulemakings in 2009-2010.  That is, most Medicare-participating physicians are eligible for the EHR Incentive Program, but the guidance provided by federal advisers is clinically relevant to only about one-third of those physicians who are eligible.  Thus, the agency personnel drafting the proposed rules need to think up potential solutions on their own.

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Categories: EHR, meaningful use, Medicare
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