A Presentation to HIMSS in North Dakota

This morning, I joined a HIMSS group in North Dakota to discuss Meaningful Use Stage 2, Health Information Exchange, and Personal Health Records.

Here are the slides I used.

I was asked an interesting question about the transition from Stage 1 to Stage 2.

The Stage 2 Final Rule notes that as of 2014, any provider or hospital attesting to Stage 1 must use Stage 2 certified technology.   Since the capabilities of Stage 2 certified technology are different than Stage 1, the nature of meaningful use changes for those who begin the program late.

The details of the changes  to Stage 1 Core and Menu set objectives over time is summarized in this excerpt from the Stage 2 final rule.

A summary table of the effects is below, illustrating that the number of objectives changes as the certified technology changes.   I hope you find this useful.

EPs

	Stage 1 (2011-2012)	Stage 1 (2013)	Stage 1 (2014+)
Core	15	13	13
Menu	5 of 10	5 of 10	5 of 9

Hospitals

	Stage 1 (2011-2012)	Stage 1 (2013	Stage 1 (2014+)
Core	14	12	11
Menu	5 of 10	5 of 10	5 of 10