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Meaningful Health Care Informatics Blog

Dec 10 2012   10:40PM GMT

Meaningful use stage 2 revisions published by the HHS

Posted by: RedaChouffani
EHR, Meaningful use, Meaningful use stage 2

The Department of Health and Human Services (HHS) issued revisions to the 2014 Edition of Electronic Health Record (EHR) Certification Criteria, the Medicare and Medicaid Programs, and offered revisions to the EHR Incentive Program. This release also contains updates to stage 2 of meaningful use.

EHR certification specifications, adjustments to recently published measures around hospital lab order transmission measures, as clarification of patients’ capability to view health information electronically post-discharge were listed among the revisions.

One of the adjustments was to put an alternative measure for providing structured electronic lab results to ambulatory providers. Hospitals can meet either the existing measure or the alternative measure to satisfy the objective. The alternative measure states “Hospital labs send structured electronic clinical lab results to the ordering provider for more than 20 percent of lab orders received.”

The number of patients that should have the ability to view, download, and receive electronic medical information within 36 hours of their discharge was another area that received clarification in the revisions. In the previous measure the keywords “unique patients” were missed, and in order to adequately set the correct threshold, the measure was updated to reflect the current requirements. The object as listed was: Provide patients the ability to view online, download, and transmit information about a hospital admission.

Measures: (A) More than 50% of all patients who are discharged from the inpatient or emergency department (place of service (POS) 21 or 23) of an eligible hospital or critical access hospital (CAH) must have their information available online within 36 hours of discharge.

(B) More than 5% of all patients who are discharged from the inpatient or emergency department (POS 21 or 23) of an eligible hospital or CAH (or their authorized representative) must view, download or transmit to a third party their information during the EHR reporting period.

There were additional comments around some of the technical errors discovered and reported during the public comment period. One of the errors involved the clinical quality measure e-specification. HHS announced that they will continue to accept feedback from developers and vendors up until December 10th, 2012, and then will released a finalized version by the end of the year, in response to discovery of the error.

For additional details the full document is available for review.

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