Meaningful Use Part Deux

The AMA News is listing some of the changes to come upon us in 2014.

Here are what EMRs will be expected to do in Stage 2 of the Meaningful Use criteria.   Some optional EMR functionality objectives in stage 1 would become mandatory in stage 2. Overall, physicians would need to use their EMRs to meet 20 functionality objectives at minimum levels to earn bonuses and avoid penalties.  I put in bold the ones I consider very questionable.   Patient portals and secure messaging sound great unless they are not paid for, which they are not.    Okay, take a look at the never ending hoops that are being added on and remember, it never ends.  

Core set (must meet all)

  • Use computerized physician order entry for medication, lab and radiology orders
  • Prescribe electronically
  • Record patient demographics
  • Record and chart vital signs
  • Record smoking status
  • Use clinical decision support
  • Incorporate clinical lab results into EMR
  • Generate lists of patients by specific condition
  • Set patient reminders for preventive and follow-up care
  • Provide patient portal access
  • Provide clinical summaries for patients
  • Identify education resources for patients
  • Use secure messaging with patients
  • Use medication reconciliation
  • Send summary of care records for referrals and care transitions
  • Send electronic data to immunization registries
  • Ensure EMR privacy and security

Menu set (must select and meet three)

  • Access imaging results
  • Record patient family histories as structured data
  • Send electronic syndromic surveillance data to public health agencies
  • Have ability to report cancer cases to state registries
  • Have ability to report noncancer cases to specialized registries
11140cookie-checkMeaningful Use Part Deux