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2017 Modified Stage 2 Program Requirements for Eligible Hospitals, CAHs and Dual-Eligible Hospitals Attesting to CMS

CMS is renaming the EHR Incentive Programs to the Promoting Interoperability (PI) Programs to continue the agency’s focus on improving patients’ access to health information and reducing the time and cost required of providers to comply with the programs’ requirements. CMS is also in the process of finalizing updates to the programs through rulemaking. For more information, visit the landing page where CMS will publish updates and additional resources as soon as they are available.

On November 14, 2016, CMS published a final rule with comment period that included changes responsive to stakeholder feedback and will result in continued advancement of certified EHR technology. The finalized changes will also utilize and result in a program result in more focused on supporting interoperability and data sharing for all participants under the Medicare and Medicaid EHR Incentive Programs.

NOTE: All providers who have not successfully demonstrated meaningful use in a prior year and are seeking to demonstrate meaningful use for the first time in 2017 to avoid the 2018 payment adjustment must attest to Modified Stage 2 objectives and measures.

Returning hospitals must successfully attest to avoid the Medicare payment adjustment.

Objectives and Measures

  • All providers are required to attest to a single set of objectives and measures.
  • For eligible hospital and CAHs (including Dual-Eligible hospitals) attesting to CMS, there are 7 objectives.
  • For Modified Stage 2 in 2017, providers must attest to objectives and measures using EHR technology certified to the 2014 Edition. If it is available, providers may also attest using EHR technology certified to the 2015 Edition, or a combination of the two.
  • Please note there are no alternate exclusions or specifications available.

Changes to Specific Objectives and Measures

  • Removal of the Clinical Decision Support (CDS) and Computerized Provider Order Entry (CPOE) objectives and measures.
  • Reduction of the threshold for View, Download or Transmit (VDT) under the Patient Electronic Access Objective to at least one unique patient (or patient-authorized representative)
  • Addition of new naming conventions for measures.
  • Changes to measure calculations policy, which specifies that actions included the numerator must occur within the EHR reporting period if that period is a full calendar year, or if it is less than a full calendar year, within the calendar year in which the EHR reporting period occurs. Specific measures affected are identified in the Additional Information section of the specification sheets.

EHR Reporting Period

  • For all returning participants and all new participants, the EHR reporting period is a minimum of any continuous 90 days between January 1 and December 31, 2017.
  • For the 2017 EHR reporting period, the attestation deadline is February 28, 2018.
  • To avoid the 2018 payment adjustment, first time participants must attest by October 1, 2017.

Requirements for EHR Incentive Programs in 2017 Resources

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