Jumpstart toolkit for Stage 2 Meaningful Use Proposed Rules

Today ONC and CMS issued two proposed rules to define Meaningful Use Stage 2 EHR Incentive Program parameters and criteria (use of certfied EHR systems, objectives/measures, and quality measures), as well as Standards and Certification Criteria that EHR systems/modules must support to pass certification.

A few burning questions you might ask,
1) What's the difference between stage 1 and stage2?
2) What do I need to do to conform to stage2 if you already conformed to stage 1

First, What is the difference between stage 1 and stage 2

1) There are more rules in Stage 2 than the ones in Stage 1 as shown below



2) In MU Stage 1, all rules are lumped together, make it harder for EH/CAH/EP to comply with. MU Stage 2 rules are categorized into three progressive levels



Below figure shows the rules for ambulatory setting




MU Stage 2 also mandates new/additional standards at Transport, Functional, Security and Content level, below is the few content standards specified




Secondly, What do I need to do to conform to stage2 if you already conformed to stage 1

Follow the below two lists, identify the capabilities that need to be improved, and new capabilities to be implemented.

Below is the list of revised certification criteria,





Below is the list of NEW certification criteria



[Source of the material: The slides here are extracted from Steve Posnack's presentation to the HIT Standards Committee]