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Want to Fail? Approach Stage 2 Like Stage 1 (Part 2)

September 28, 2012
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Can You Achieve Meaningful Use Stage 2 Using Your Current Methods?


In Part 1 of this blog, we discussed the fact that the approaches we used to achieve Stage 1 of Meaningful Use may not be sufficient to move forward to achieve Stage 2.  The fact is, we all must be flexible as the various MU stages become more complex.  This means everyone involved in MU at your hospital needs to honestly accept the need for change when necessary, and then be willing member of the team dedicated to reaching your goals.


The following chart lists the four specific examples I’ll be using in this post to show you where change will be necessary.  As in Part 1, Approach 1 represents what we used for Stage 1, while Approach 2 is what we’ll likely need to achieve Stage 2.



Specific MU Stage 2 Examples


1.   Governance – We have seen that most organizations are discovering misplaced decision rights, as well as policy decision times that usually span weeks or months related to HCIT.  The results are false starts and delays, always with project-eroding frustration.  Given the October 2013 deadline, many organizations need to examine and refresh their governance.   See “Secrets of EMR Governance.”  Note the 10 DOs and DON’Ts.


2.   CPOE – Here, a pragmatic and exquisite focus on how order sets are used for common conditions is essential.


a.   How broadly are order sets being used and how much time is required when they are used? 

b.   Do they ensure the clinical quality standards, especially those specified by your Stage 2 deployment, that are relatively automatic and appropriate?  




Part 2 has cleared up a number of questions I had. However, you also created a new one.

Your final sentence reads, "The most improtant factors will be understanding and communicating your own local practice experience."

I'm not relating well to that statement. Could you please explain its meaning? I think I've had a disconnect here.


Thanks for your comment. The emphasis in that sentence should have been on "local practice experience." So, for example, if you don't have a 24 hour pharmacy with PharmDs and adequate nursing, you wont be able to use the Medication Reconciliation practices that demand those resources.

That said, you can certainly exploit talent that other organizations may not have.

Similarly, local practices can be enhanced by bringing in new talent, on a temporary or more permanent basis.

The point is, attention to approaches necessary to achieve the Stage 2 requirements under the 2014 edition rules is necessary. The Users and their practices are as much a part of the outcome as the technology!

Several folks have asked for clarification on item 3c above. HIMSS members can get a free copy of the PDF when logged in.

The audio and the integrated presentation version are available here:

Thanks HIMSS eLearning for everything you do.