Skip to content Skip to navigation

AMA: Stage 2 Proposal Too ‘Cumbersome’

May 8, 2012
by Gabriel Perna
| Reprints

The Chicago-based American Medical Association (AMA) officially submitted its comments this week on the proposed rule for Stage 2 of the Medicare/Medicaid meaningful use electronic health record (EHR) program. Overall, the association said it was supportive of widespread adoption and meaningful use of EHRs by physicians, but thought the Stage 2 proposal was too cumbersome and would make successful physician participation extremely difficult.

“Due to physicians’ limited ability to exchange data with other health care partners, many of the proposed Stage 2 measures will require extensive manual data entry, which is not an efficient way of practicing medicine or improving quality care outcomes for patients,” AMA Board Chair-elect Steven J. Stack, M.D., said in a statement.

The AMA made several recommendations to the Office of the National Coordinator for Health IT (ONC). Among those suggestions were to ‘delete the high thresholds for new measures and for measures that cannot be met due to the lack of available, affordable, well-tested tools or exchange capabilities.’ The group also asked for the elimination of back-dating the meaningful use penalty program and to establish a number of exemption categories for hardship cases.

Other changes recommended by the AMA were:

  • Evaluate Stage 1 to inform the final Stage 2 requirements;
  • Create more flexibility in meeting measures including exclusion and relevancy factors;  
  • Incorporate more focus on measures within a physician’s control;
  • Include any proposed new measures for Stage 2 in the menu set of options;  
  • Allow a significant good faith effort to meet measures in Stage 2 to count for incentives and for avoiding penalties;    
  • Synchronize and improve the overlapping health IT and quality program requirements; 
  • Establish an appeals process under both the meaningful use and e-prescribing programs; and
  • Reduce the burden and add flexibility in regard to clinical quality measure (CQM) reporting and requiring testing of electronic specifications prior to use of a CQM.  

“Overall, the proposed Stage 2 requirements need to provide more flexibility to foster widespread EHR adoption,” Dr. Stack said in a statement. “Physicians are at varying stages of implementing health IT into their practices and should get credit for making a good faith effort to meet the meaningful use requirements.”

Topics

News

Report: 88 Percent of All Ransomware Is Detected in Healthcare Industry

July 27, 2016
A report from Omaha, Neb.-based Solutionary, a cybersecurity service provider, found that 88 percent of all ransomware detected in the second quarter of 2016 was within the healthcare industry.

ONC Data Reveals Top Vendors Used for Meaningful Use Program

July 27, 2016
The Office of the National Coordinator for Health Information Technology (ONC) has released data for the health IT vendors most used by providers participating in the Medicare EHR Incentive Program.

Survey: Majority of Hospitals Face Challenges, Lack of Readiness for eCQM Data Reporting

July 26, 2016
More than three-fourths of hospitals, or 78 percent, still have work ahead of them in order to successfully submit electronic clinical quality measures (eCQM) data as part of the Hospital Inpatient Quality Reporting (IQR) program by the Feb. 28, 2017 deadline.

HHS to Fund Cybersecurity Information Sharing Organization

July 26, 2016
The U.S. Department of Health and Human Services plans to fund a cybersecurity information sharing and analysis organization for the healthcare and public health sector.

Study: Medical Students Use EHRs to Track Former Patients

July 26, 2016
Medical students are continually using electronic health records (EHRs) in training, using the technology to track former patients after they have left one’s direct care, according to new research published in JAMA Internal Medicine.

NewYork-Presbyterian Launches Enterprise-Wide Digital Health Services Platform

July 26, 2016
NewYork-Presbyterian, a New York City-based integrated healthcare delivery system comprised of nine hospitals, is rolling out a new suite of digital health services, NYP OnDemand, with a particular focus on expanded telehealth services.

athenahealth Says it will Cover MIPS Payment Penalties for Customers

July 25, 2016
athenahealth has said that if customers using the company’s athenaOne services get hit with Merit-Based Incentive Payment System (MIPS) payment penalties, it will cover the financial consequences for those unsuccessful practices.

OIG Study Finds 60 Percent of Hospitals Experienced EHR Disruptions, Highlights Importance of Contingency Plans

July 25, 2016
Close to 60 percent of hospitals have experienced an unplanned disruption to their EHR systems and a quarter of those hospitals experienced delays in patient care as a result, according to a study released by the HHS Office of Inspector General (OIG).

University of Mississippi Medical Center Agrees to Pay $2.75M to Settle Potential HIPAA Violations

July 25, 2016
The University of Mississippi Medical Center (UMMC) has signed a resolution agreement with the U.S. Department of Health and Human Services Office for Civil Rights (OCR) following an investigation of a data breach of unsecured PHI that occurred in 2013.

HHS Grants $36M in Funding for Health IT Improvement

July 25, 2016
Health and Human Services (HHS) Secretary Sylvia M. Burwell has announced more than $36 million in funding for 50 Health Center Controlled Networks (HCCNs) that will aim to greatly increase health IT support across the country.

Study: Data-Driven Physiologic Alarm Parameters Can Help Reduce Alarm Fatigue

July 22, 2016
Alarm fatigue from clinical decision support systems is a significant hazard in hospitals. In a recent study, researchers found that tailoring bedside monitor alarm limits using data-driven physiologic parameters can mitigate alarm fatigue.

New CMS Initiative will Leverage Predictive Modeling to Prevent Heart Attacks and Strokes

July 22, 2016
A new program released by the Centers for Medicare & Medicaid Services (CMS) will aim to decrease cardiovascular disease risk by leveraging data analytics by assessing an individual patient’s risk for heart attack or stroke and applying prevention interventions.

Justice Department, State Attorneys General Sue to Block Anthem, Aetna Deals

July 21, 2016
The U.S. Department of Justice announced Thursday that the department, along with attorneys general from multiple states, filed lawsuits to block Anthem’s proposed acquisition of Cigna and Aetna’s pending acquisition of Humana.

Study: Large Health Systems Investing in Strategic Initiatives to Address Patients’ Social Needs

July 21, 2016
Several health systems have been investing core operating dollars to address the social needs of patients in order to improve overall health outcomes, and are integrating that work into core clinical systems, according to a new study from the Bridgespan Group.

Survey of Health IT Pros Reveals High and Frequent Stress Levels

July 21, 2016
A survey of approximately 500 health IT professionals by HealthITJobs.com has revealed that 55 percent of such professionals are frequently or constantly stressed, and 38 percent say their stress is high or extremely high.

Pages