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Requirements

Requirements (Modified Stage 2)

 

The requirements to successfully demonstrate meaningful use were revised in the Final Rule, Stage 3 and Modifications to Meaningful Use in 2015 through 2017, published on October 6, 2015. According to CMS, the changes were made in response to feedback from all stakeholders (including providers and EHR vendors), with the goal of simplifying the program, reducing the burden on providers, and focusing on the more advanced use of EHRs, e.g., interoperability and quality reporting—the original intentions of the program.

Stage 2 is characterized by:

  • Increased interoperability and exchange of data between providers and with patients
  • Increased patient engagement in care
  • Higher thresholds and more complex requirements
  • Continued exclusions for some measures that may not be relevant to particular specialties or practice types
  • Clinical quality measure reporting

All providers report “Modified Stage 2”:

Beginning in 2015, all providers are considered to be at “Modified Stage 2”, with some accommodations (reduced thresholds and/or alternate exclusions) available to providers who were previously scheduled for Stage 1 in 2015, so that they do not have to meet requirements that they were not anticipating. Fewer such accommodations are available in 2016, and they will no longer be offered to new program participants from 2017 on.

Stage of Meaningful Use Criteria by First Year and Reporting Duration

First Year Demonstrating Meaningful Use

Stage of Meaningful Use

2015

2016

2017

2018

2019 and on

2011

Modified Stage 2
Any 90 Days

Modified Stage 2

Modified Stage 2 Calendar year
or
Stage 3* Any 90 Days

Stage 3*
Calendar Year

Stage 3*
Calendar Year

2012

Modified Stage 2
Any 90 Days

Modified Stage 2
Calendar Year

Modified Stage 2 Calendar year
or
Stage 3* Any 90 Days

Stage 3*
Calendar Year

Stage 3*
Calendar Year

2013

Modified Stage 2
Any 90 Days

Modified Stage 2
Calendar Year

Modified Stage 2 Calendar year
or
Stage 3* Any 90 Days 

Stage 3*
Calendar Year

Stage 3*
Calendar Year

2014

Modified Stage 2
with Accommodations
Any 90 Days

Modified Stage 2
Calendar Year

Modified Stage 2 Calendar year
or
Stage 3* Any 90 Days 

Stage 3*
Calendar Year

Stage 3*
Calendar Year

2015

Modified Stage 2
with Accommodations
Any 90 Days

Modified Stage 2
with limited Accommodations
Calendar Year

Modified Stage 2 Calendar year
or
Stage 3* Any 90 Days 

Stage 3*
Calendar Year

Stage 3*
Calendar Year

2016

NA

Modified Stage 2
with limited Accommodations
Calendar Year

Modified Stage 2 Calendar year
or
Stage 3 Any 90 Days 

Stage 3*
Calendar Year

Stage 3*
Calendar Year

2017

NA

NA

Modified Stage 2 Calendar year
or
Stage 3 Any 90 Days 

Stage 3*
Calendar Year

Stage 3*
Calendar Year

2018

NA

NA

NA
 

Stage 3*
Calendar Year

Stage 3*
Calendar Year

2019 and on

NA

NA

NA

NA

Stage 3*
Calendar Year

*Subject to finalization of the Stage 3 Rule
 

The table is a brief overview of EHR Incentive Programs In 2016 and 2017 Objectives and Measures for Eligible Professionals

  2016 2017
Objectives Stage 2 Scheduled Stage 1
(Accommodations*)
Stage 2
Protect Patient Health Information Conduct Security Risk Analysis Conduct Security Risk Analysis Conduct Security Risk Analysis
Clinical Decision Support (CDS)

1: 5 CDSs related to >=4 CQMs
2: Enable Drug-Drug & Drug-Allergy Checks

1: 5 CDSs related to >=4 CQMs
2: Enable Drug-Drug & Drug-Allergy Checks

1: 5 CDSs related to >=4 CQMs
2: Enable Drug-Drug & Drug-Allergy Checks

CPOE

1:>60% Medications
2:>30% Labs
3:>30% Radiology

1:>60% Medications
2:Could Exclude*
3:Could Exclude*

1:>60% Medications
2:>30% Labs
3:>30% Radiology

Electronic Prescribing >50% >50% >50%
Health Information Exchange >10% transitions: Summary of Care Sent Electronically >10% transitions: Summary of Care Sent Electronically  
Patient Specific Education >10% >10% >10%
Medication Reconciliation >50% >50% >50%
Patient Electronic Access (VDT)

1:Access >50%
2:VDT 1 Patient

1:Access >50%

2:VDT 1 Patient

1:Access >50%
2:VDT 1 Patient

Secure Messaging 1 Patient 1 Patient 1 Patient
Public Health Reporting Submit Electronically to 2 Registries Submit Electronically to 2 Registries Submit Electronically to 2 Registries
Clinical Quality Measures (CQMs) 9 CQMs over 3 Domains 9 CQMs over 3 Domains 9 CQMs over 3 Domains

*Exclusions available for some measures based on low volume, lack of relevance to practice, low broadband access.
**CMS FAQ #12985 (10/21/15) provides additional registry measure exclusions for 2015.

A more detailed description of the Modified Stage 2 objectives and measures for 2015, 2016, and 2017, including potential exclusions, can be found on the CMS website: Electronic Health Records (EHR) Incentive Programs section.

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