Home > EHR, meaningful use, Medicare > HIT Policy Committee Meets, Approves Recommendations for Stage 3 Meaningful Use

HIT Policy Committee Meets, Approves Recommendations for Stage 3 Meaningful Use

On March 11, the HIT Policy Committee (HITPC) of the Office of the National Coordinator for HIT (ONC) approved the Meaningful Use (MU) Workgroup’s recommendations for Stage 3. Several members of the HITPC shared concerns about aspects of the recommendations and whether or not the suggested approach would be the best approach. One member questioned the representativeness of the MU Workgroup and expressed the need for more practitioners and vendors in that advisory body.

Ultimately, the workgroup’s recommendations were approved as expected and will soon move up to the ONC and the Centers for Medicare and Medicaid Services (CMS) as those agencies begin drafting the future Notices of Proposed Rulemaking for Stage 3 MU and the 2017 Edition EHR Certification Criteria. The ONC and CMS staff are free to use, or not use, the recommendations however they wish.

The HITPC-approved recommendation for the Stage 3 iteration of the “clinical decision support” objective includes imaging (and lab-test) order appropriateness alongside a handful other priority areas for CDS interventions. The HITPC-approved recommendations do not offer a Stage 3 iteration of the Stage 2 objective for “imaging results access.” Likewise, the recommendations do not include sharing imaging data as part of the suggested Stage 3 “patient view/download/transmit” (patient portal) objective. Unfortunately, the recommendations do not include any mention of increased flexibility, alternative compliance pathways, or major regulatory framework changes to reduce the burden of MU compliance for specialists. As always, the American College of Radiology will work to educate the regulatory agencies.

At the same HITPC meeting, CMS staff announced a new guidance that will allow prior MU participants and new participants to obtain a significant hardship exception for the inability to implement 2014 Edition certified products in time. The announcement was important for any physicians unable to take advantage of the other available significant hardship exception options.  Most radiologists are already covered by the other options.

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Categories: EHR, meaningful use, Medicare
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