Farzad Mostashari’s Post on Meaningful Use Stage 2 NPRM

I love that Farzad Mostashari and other people at HHS and ONC have been blogging about these exciting times in healthcare IT. Farzad recently did a post about the meaningful use stage 2 NPRM (see this Meaningful Use Monday post on Meaningful Use Stage 2). He starts off the post with some interesting numbers:

to date, more than 43,000 providers have received $3.1 billion to help make the transition to EHRs; the number of hospitals using EHRs has more than doubled in the last two years from 16 to 35 percent between 2009 and 2011; and 85 percent of hospitals now report that by 2015 they intend to take advantage of the incentive payments.

I’ve always found the ONC/CMS/HHS numbers to be a bit higher than reality. Although, I bet their hospital numbers aren’t too far off. There’s little doubt that hospitals are interested in EHR.

Farzad also offered the most succinct view of the 3 stages of meaningful use that I’ve seen. Here’s basically his vision for meaningful use:

  • Stage 1 (which began in 2011 and remains the starting point for all providers): “meaningful use” consists of transferring data to EHRs and being able to share information, including electronic copies and visit summaries for patients.
  • Stage 2 (to be implemented in 2014 under the proposed rule): “meaningful use” includes standards such as online access for patients to their health information and electronic health information exchange between providers.
  • Stage 3 (expected to be implemented in 2016): “meaningful use” includes demonstrating that the quality of health care has been improved.

I posted a comment on the blog post which is still waiting to be approved:

Some very interesting numbers and I appreciate the overall vision of what each stage will do. The first part of this post reminds me of what I heard at HIMSS, that ONC has become more of a marketing organization. I found that interesting since you could easily see why ONC is considered an EHR marketing organization.

These first year numbers are interest, but the second year numbers will matter even more. The first year numbers were likely those who already adopted EHR versus those that implemented EHR post-stimulus. Let’s hope the message that providers offer after they’ve implemented is that they love their EHR. If they start telling their colleagues that they hate the EHR that they were “forced” to implement because of the government carrots and sticks, then it will be quite disappointing.

About the author

John Lynn

John Lynn

John Lynn is the Founder of the HealthcareScene.com, a network of leading Healthcare IT resources. The flagship blog, Healthcare IT Today, contains over 13,000 articles with over half of the articles written by John. These EMR and Healthcare IT related articles have been viewed over 20 million times.

John manages Healthcare IT Central, the leading career Health IT job board. He also organizes the first of its kind conference and community focused on healthcare marketing, Healthcare and IT Marketing Conference, and a healthcare IT conference, EXPO.health, focused on practical healthcare IT innovation. John is an advisor to multiple healthcare IT companies. John is highly involved in social media, and in addition to his blogs can be found on Twitter: @techguy.