Tuesday, May 20, 2014

CMS rule to help providers make use of Certified EHR Technology

Rule also proposes to extend Stage 2 of the EHR Incentive Programs through 2016


Today, HHS published a new proposed rule that would provide eligible professionals, eligible hospitals, and critical access hospitals more flexibility in how they use certified electronic health record (EHR) technology (CEHRT) to meet meaningful use. The proposed rule, from the Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC), would let providers use the 2011 Edition CEHRT or a combination of 2011 and 2014 Edition CEHRT for the EHR reporting period in 2014 for the Medicare and Medicaid EHR Incentive Programs.

Beginning in 2015, all eligible hospitals and professionals would still be required to report using 2014 Edition CEHRT. Since the Medicare and Medicaid EHR Incentive Programs began in 2011, more than 370,000 hospitals and professionals nationwide have received an incentive payment.

“We have seen tremendous participation in the EHR Incentive Programs since they began,” said CMS Administrator Marilyn Tavenner. “By extending Stage 2, we are being receptive to stakeholder feedback to ensure providers can continue to meet meaningful use and keep momentum moving forward.”

The proposed rule also includes a provision that would formalize CMS and ONC’s previously stated intention to extend Stage 2 through 2016 and begin Stage 3 in 2017. These proposed changes would address concerns raised by stakeholders and will encourage the continued adoption of Certified EHR Technology.

“Increasing the adoption of EHRs is key to improving the nation’s health care system and the steps we are taking today will give new options to those who, through no fault of their own, have been unable to get the new 2014 Edition technology, including those at high risk, such as smaller providers and rural hospitals,” said Karen DeSalvo, M.D., M.P.H, M.Sc., national coordinator for health information technology.

Proposed changes to meaningful use timeline
First
Payment Year
Stage of Meaningful Use
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2011
1
1
1
2
2
3 -> 2
3
TBD
TBD
TBD
TBD
2012

1
1
2
2
3 -> 2
3
TBD
TBD
TBD
TBD
2013


1
1
2
2
3
3
TBD
TBD
TBD
2014



1
1
2
2
3
3
TBD
TBD
2015




1
1
2
2
3
3
TBD
2016





1
1
2
2
3
3
2017






1
1
2
2
3


Current Stage 2 Start Date


Proposed Stage 3 Start Date


You would be able to attest for MU:
If you were scheduled to demonstrate:
Using 2011 Edition CEHRT to do:
Using 2011 & 2014 Edition CEHRT to do:
Using 2014 Edition CEHRT to do:
Stage 1 in 2014
2013 Stage 1 objectives and measures
2013 Stage 1 objectives and measures
-or-
2014 Stage 1 objectives and measures
2014 Stage 1 objectives and measures
Stage 2 in 2014
2013 Stage 1 objectives and measures
2013 Stage 1 objectives and measures
-OR-
2014 Stage 1 objectives and measures
-OR-
Stage 2 objectives and measures
2014 Stage 1 objectives and measures
-OR-
Stage 2 objectives and measures


2 comments:

  1. Brian, I don't think the annual chart matches the table that came from CMS. Those who were supposed to attest for stage 2 in 2014 can attest using stage 1 measures instead. So I think the 2011 and 2012 rows should have a "1" in the 2014 column. Am I interpreting that correctly?

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    Replies
    1. I just cut and pasted the graphic from the CMS website so I hope that it is consistent with their other material...

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