News | May 09, 2012

CHIME Asks for More Time to Meet Stage 2 MU

May 9, 2012 – The College of Healthcare Information Management Executives (CHIME) submitted its comments on the proposed rules for Stage 2 Meaningful Use (MU), calling for more time to allow healthcare organizations to better prepare.

Comments filed with both the Centers for Medicare & Medicaid Services (CMS) and Office of the National Coordinator for Health IT (ONC) identified concerns related to the proposed Stage 2 electronic health record (EHR) reporting period as well as CMS’ varying approach to clinical quality measures (CQMs). CHIME also made recommendations on all 42 proposed objectives for eligible professionals (EPs), eligible hospitals (EHs) and critical access hospitals (CAHs).

CHIME recommended that CMS allow EPs, EHs and CAHs to demonstrate MU during a continuous 90-day EHR reporting period for their first payment year in Stage 2, mimicking the approach used in Stage 1.

“To allow adequate time for application development, provider adoption and testing, CMS should follow the precedent set in Stage 1,” CHIME said. “And similar to Stage 1, the EHR reporting period would be any continuous 90-day period within the first payment year of
Stage 2 and a 365-day reporting period for all subsequent payment years within Stage 2.”

“We felt the approach taken in Stage 1 gave providers much-needed time to make sure the correct fields were populating and accurate Meaningful Use reports were being produced. We think a similar approach is needed for Stage 2 and beyond,” said Pam McNutt senior
vice president and chief information officer at Dallas-based Methodist Health System.

“While we appreciate the delay of Stage 2 to Fiscal Year 2014, that decision was necessary, given that no one would be in a position to meet Stage 2 requirements beginning Oct. 1, 2012,” added McNutt, a member of CHIME’s Policy Steering Committee. “By giving providers flexibility through a 90-day reporting window, CMS can ensure that more Stage 1 Meaningful Users will become Stage 2 Meaningful Users.”

In both letters, to CMS and ONC, CHIME commented on the challenges involved with clinical quality measures (CQMs). “The accurate reporting of quality measures is one of the most daunting challenges faced by providers today,” CHIME said. “Through our experiences with Stage 1, we found that although EHR products were able to automatically produce CQM reports, the data was inaccurate and largely incomparable across different providers.”

As part of Base EHR certification, CHIME urged ONC to require certification of EHR products to all CQMs needed to meet MU in each setting. CHIME wrote that “certification should include all CQMs for associated settings. And in order to minimize the costs of development and implementation, we recommend that ONC work with CMS to limit the total number of CQMs associated with each setting.”

“Quality measures are a vital component to increasing care efficiency, decreasing disparities and lowering costs,” said Elizabeth Johnson, vice president of applied clinical informatics at Tenet Healthcare and a member of CHIME’s Policy Steering Committee. “It is clear that
ONC recognizes the value of quality measures, but the state of quality measurement needs to mature. HHS has been working to harmonize CQMs across its various reporting programs; however, more must be done to make the quality metrics consistent and meaningful.”

CHIME’s comments include suggestions on all 42 objectives and measures for both ambulatory and inpatient settings of care.

While CHIME supported nearly every measure meant to meet each objective, member CIOs were concerned with the lack and types of menu options for EPs, EHs and CAHs. “The menu set for both EPs and hospitals is quite small in relation to the minimum number that
would need to be met, thereby providing relatively few options for EPs and hospitals,” the comment letter said. “A number of the proposed menu set objectives and measures also would have non-trivial cost implications for EPs and hospitals.” CHIME urged CMS to carefully assess both the number and feasibility of menu options for the average physician practice or the average hospital in finalizing its rule for Stage 2.

For more information: visit www.cio-chime.org

Related Content

Wake Radiology Launches First Installation of EnvoyAI Platform
News | Artificial Intelligence | June 13, 2018
Artificial intelligence (AI) platform provider EnvoyAI recently completed their first successful customer installation...
PACS and the Road to Reconstruction
Feature | PACS | June 05, 2018 | By Dave Whitney and Jef Williams
The PACS — picture archiving and communication systems — have been in existence for more than 45 years. One of the...
Intelerad Introduces InteleOne Maestro Enterprise Workflow Orchestration Solution
Technology | PACS Accessories | May 31, 2018
Intelerad Medical Systems announced the release of InteleOne Maestro, its new enterprise imaging workflow orchestration...
Konica Minolta Releases New Turn-Around-Time Feature for Exa Workflow
Technology | PACS | May 30, 2018
Konica Minolta Healthcare Americas Inc. will introduce a new worklist feature, Turn-Around-Time (TAT), for its Exa...
Illuminate and Medexprim Partner to Enhance PACS Data Mining
News | PACS | May 30, 2018
U.S.-based Softek Illuminate and the entrepreneurial French firm Medexprim will be combining, distributing and...
Intelerad Launches AI Initiative for Imaging Workflow Intelligence and Analytics
News | Artificial Intelligence | May 29, 2018
Intelerad Medical Systems announced the launch of its artificial intelligence (AI) initiative along with the expansion...
Australia's Largest Public Health System Selects Sectra for Enterprise Imaging IT Solution
News | PACS | May 24, 2018
Australia’s NSW Health signed a Proof of Concept agreement naming Sectra as the preferred vendor for a large enterprise...
Mach7 Technologies and Client Outlook Partner on Reconstructed Enterprise PACS Solution
News | Enterprise Imaging | May 23, 2018
May 23, 2018 — Mach7 Technologies and Client Outlook announced their expanded partnership to focus on today’s prevale
News | Enterprise Imaging | May 17, 2018
Enterprise imaging workflow software provider Laurel Bridge Software announced new capabilities for its Compass -...
EnvoyAI, TeraRecon and Insignia Bringing Artificial Intelligence to U.K. Customers
Technology | Advanced Visualization | May 11, 2018
EnvoyAI announced a new integration with Insignia Medical Systems’ InSight PACS (picture archiving and communication...
Overlay Init