GE Healthcare Camden Group Insights Blog

The Next Phase of the Meaningful Use Journey: Stage 3 is On the Horizon

Posted by Matthew Smith on Apr 3, 2015 1:08:00 PM

By Cindy Barrett, LPN, Senior Consultant, and Leslie Madden, Consultant, The Camden Group

Stage3If achieving Meaningful Use is on your radar, the proposed rule for Stage 3 has been released and is open for public comment. For those who are already in the middle of their Meaningful Use (“MU”) journey, Stage 3 will hold its own share of challenges, as we’ve seen in the transition from Stage 1 to Stage 2. But if you’re looking at working toward attesting for the first time, consider the opportunity to do so sooner rather than later. Stage 3 builds upon the framework established in Stage1 and Stage 2, with further expansion proposed for Stage 3.

The Stage 3 objectives will eliminate some of the more easily attainable measures from Stage 1 and Stage 2, or increase the threshold requirements to meet those measures. Additionally, Stage 3 contains two major proposed reporting changes of note. First, in 2018, all providers must attest to Stage 3 Meaningful Use objectives, regardless of where they are on their MU journey. Secondly, everyone will attest for a 365-day reporting period in 2018, thus eliminating the 90-day reporting periods with which we are familiar for first time adopters. Expanded measure requirements for things such as patient engagement and data reporting will pose challenges for many providers and hospitals to meet all the objectives in Stage 3, and that includes many who have already completed successful attestations to MU Stages 1 and 2. And, if you are just starting on your MU journey, Stage 3 patient engagement, CPOE, and e-prescription requirements will be a drastic shift in process for you and/or your patient population.

The spirit of the proposed rule reportedly demonstrates an intended response to take into consideration the input received during Stages 1 and 2, while maintaining long term goals of the overall EHR incentive program like interoperability and enhanced use of EHR applications. The proposed Stage 3 rule is composed of 8 objectives- fewer in number than previous stages, but increasingly more difficult to achieve. Don’t let the lower number of objectives fool you. It’s a combination of higher thresholds for existing measures, enhanced system requirements, and increasing burdens for providers and hospitals to meet measures for patient engagement, care coordination and health information exchange. Once again, there will be challenges for vendors to meet timelines to comply with these requirements, and increasing costs to providers and hospitals in technology and resources to meet and sustain these objectives in your practice setting. 

While Stage 3 is expected to be the final stage of the Federal EHR Incentive Program, MU is not going away. Currently in an incentive phase, there are penalties phases in the coming years, and the expected standard is that everyone will meet and maintain these objectives to help achieve improved clinical outcomes and efficiencies, as well as cost reductions across the care continuum for years to come.

MU is truly a journey, with winding paths, bumpy roads and a course that promises hurdles and obstacles along the way. Whether the trip will result in the anticipated destination…..we’ll have to wait and see. What we do know is that the expectations for participation are not going away, and those who choose not to take the journey will find the price to pay only getting steeper with each passing year.


CindyBMs. Barrett is a senior consultant with The Camden Group, with over 30 years of clinical experience in the healthcare field. She specializes in collaborating with electronic medical record (“EMR”) implementation support teams to facilitate and build processes, workflows, post-implementation support, and optimization as it applies to EMR solutions. Ms. Barrett is recognized for her expertise in EMR clinical workflow analyses, technical EMR system builds, training oversight, and practice support during pre-implementation, implementation, go-live, and post go-live. Ms. Barrett has helped organizations achieve Meaningful Use and implement processes and care team models to support Patient-Centered Medical Home development. She may be reached at cbarrett@thecamdengroup.com or 512-795-5500.


lmaddenMs. Madden is a consultant with The Camden Group, with over 15 years of experience working with medical groups and physician practices. With strong knowledge of practice operations, Ms. Madden helps practices improve their billing/collections processes, assists with managed care contracting, establishes front office procedures, improves financial performance, and implements overall practice management approaches. She may be reached at lmadden@thecamdengroup.com or 512-795-5500.


Topics: Meaningful Use, CMS, Cindy Barrett, Stage 3 Meaningful Use, Leslie Madden

Free Webinar: Implementing Quality-Based Programs in a Medical Practice

Posted by Matthew Smith on Jan 28, 2014 4:47:00 PM

Health Directions, Webinar


Wednesday January 29, 2014

11:00 AM to 12:00 PM (CST)

Beginning this year, the reporting of clinical quality measures (CQMs) has changed for all providers participating in the Medicare EHR Incentive Program.

All providers will be required to report CQMs, based on the new criteria, in order to demonstrate Stage 1 and Stage 2 Meaningful Use.

Target Audiences:

  • Providers
  • Physician Office Practice Managers
  • Nurses
  • Quality Improvement Staff
  • Health IT Personnel


This webinar will:

  • Provide information on Clinical Quality Measuresto facilitate reporting quality data reporting for Meaningful Use and Physician Quality Reporting System (PQRS) programs
  • Use a case study to demonstrate how to implement a quality-based program


Lucy Zielinski, CCSP, Vice President of Health Directions, LLC

Zielinski has more than 25 years of experience in all aspects of practice management, population health management, clinical integration, physician alignment, PQRS and PCMH initiatives. She has a broad background in practice management and is well recognized for her ability to assist physicians in making and executing complex business decisions. She has in-depth knowledge of all aspects of practice management from business operations to quality programs.

Cindy Barrett, LPN, Senior Associate of Health Directions, LLC

With more than 30 years of clinical experience in the ambulatory environment, Barrett collaborates with EMR implementation support teams to facilitate and build process, workflows, post-implementation support and optimization as it applies to the EMR module. She is recognized for her expertise in EMR clinical workflow analyses, technical EMR system builds, training oversight, and practice support during pre-implementation, implementation, go-live and post go-live. Additionally, Barrett works with health care teams on several quality reporting programs, including Meaningful Use, PQRS and PCMH initiatives.


Topics: EHR, Electronic Health Records, Health Directions, CQM, Webinar, Telligen, Lucy Zielinski, Cindy Barrett

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