ACP recommends Stage 3 Meaningful Use focus on measuring improvements in health outcomes

January 15, 2013

Stage 3 Meaningful Use measures need to focus more on measuring improvements in patient health outcomes rather being than a large and growing collection of functional measures, the American College of Physicians (ACP) says in a letter submitted to the Health Information Technology Policy Committee (HITPC).

While praising the HITPC and its Meaningful Use Work Group for their diligence and hard work in developing recommendations for the Meaningful Use portion of the EHR , ACP noted that the proposed Stage 3 measures appear nearly identical in structure to those in previous stages.

"Stage 3 of Meaningful Use should encourage patients and practices to innovate, discovering creative ways to use the certified EHR technology they worked so hard to implement in Stages 1 and 2 and determining what has the greatest beneficial impact on the healthcare quality and value for patients, families and communities," said Michael H. Zaroukian, MD, PhD, FACP, FHIMSS, chair of ACP's Committee and author of ACP's letter.

"A number of the proposed Stage 3 measures necessitate significant increases in clinical documentation, involve new and potentially complex workflows, are likely to be difficult for many eligible professionals to understand and implement, or depend on technologies that are not yet widely deployed or shown to be usable in busy practices," he added.

ACP's letter included the following specific concerns and suggestions:

  • Do not introduce new functions without appropriate testing.
  • Choose additional EHR provider note documentation requirements wisely and reduce existing requirements that do not add value.
  • Require usability testing with a specific focus on reducing data collection burdens.
  • Do not add functional requirements that have not been adequately defined.
  • Understand the implications of intensively focusing vendor programming capacity on Meaningful Use requirements, leaving them with little capacity to optimize the expanded capabilities added to meet Stage 1 and 2 certification criteria.
  • Consider the direct and indirect cost implications to EPs when adding new Meaningful Use requirements.
"We believe the some of the proposed Stage 3 requirements are likely to result in new, inefficient workflows and activities that shift physician focus away from the intended goal of patient-centered care and toward an excessive focus data collection for purposes that conflict with the physician's sense of what is most important for quality, safety, and value," Dr. Zaroukian said.

ACP noted its support of the comments offered by HIMSS Electronic Health Record Association (EHRA). In particular, ACP supports the following EHRA recommendations:

  • Focus primarily on encouraging and assisting providers to take advantage of the substantial capabilities established in Stages 1 and especially Stage 2, rather than adding many new meaningful use requirements and product certification criteria.
  • Given recent experience with Stage 2, reconsider and extend the timeline for initiating Stage 3.
  • Meaningful use and functionality changes for Stage 3 should focus on interoperability as a priority area.
  • Invest in quality measure alignment, infrastructure, and standards.
ACP also asked the HITPC to consider previous comments about Stage 2 for its final recommendations regarding Stage 3 Meaningful Use measures.

Explore further: ACP Immunization Advisor app makes it easier for doctors to identify vaccines for patients

Related Stories

ACP Immunization Advisor app makes it easier for doctors to identify vaccines for patients

July 2, 2012
The latest vaccine indications are available for doctors and other clinicians through the ACP Immunization Advisor app currently available for iPhone and iPad at http://immunization.acponline.org/app.

Reduce health care spending in socially and fiscally responsible manner, ACP to Congress

September 12, 2011
Recommendations to reduce federal health care spending in a socially and fiscally responsible manner today were made in a letter to the Congressional Joint Committee on Deficit Reduction from the American College of Physicians ...

Internists say physician-led quality initiatives could be solution to Medicare payment problems

July 24, 2012
"Repeal of Medicare's Sustainable Growth Rate (SGR) is essential, but repeal by itself will not move Medicare to better ways to deliver care," David L. Bronson, MD, FACP, president of the American College of Physicians (ACP), ...

ACP's Ethics Manual examines emerging issues in medical ethics

January 2, 2012
The American College of Physicians (ACP) has released the sixth edition of its Ethics Manual, published as a supplement to the current issue of Annals of Internal Medicine, ACP's flagship journal, and available online at ...

ACP and SGIM find the PCMH model aligns with principles of medical ethics and professionalism

July 30, 2012
The American College of Physicians (ACP) and the Society of General Internal Medicine (SGIM) explore the ethical dimensions of the patient-centered medical home (PCMH) in a new position paper published by the Journal of General ...

Recommended for you

Study finds walnuts may promote health by changing gut bacteria

July 28, 2017
Research led by Lauri Byerley, PhD, RD, Research Associate Professor of Physiology at LSU Health New Orleans School of Medicine, has found that walnuts in the diet change the makeup of bacteria in the gut, which suggests ...

Sugar not so sweet for mental health

July 27, 2017
Sugar may be bad not only for your teeth and your waistline, but also your mental health, claimed a study Thursday that was met with scepticism by other experts.

Could insufficient sleep be adding centimeters to your waistline?

July 27, 2017
Adults in the UK who have poor sleep patterns are more likely to be overweight and obese and have poorer metabolic health, according to a new study.

Vitamin E-deficient embryos are cognitively impaired even after diet improves

July 27, 2017
Zebrafish deficient in vitamin E produce offspring beset by behavioral impairment and metabolic problems, new research at Oregon State University shows.

The role of dosage in assessing risk of hormone therapy for menopause

July 27, 2017
When it comes to assessing the risk of estrogen therapy for menopause, how the therapy is delivered—taking a pill versus wearing a patch on one's skin—doesn't affect risk or benefit, researchers at UCLA and elsewhere ...

Blowing smoke? E-cigarettes might help smokers quit

July 26, 2017
People who used e-cigarettes were more likely to kick the habit than those who didn't, a new study found.

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.