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Stage 3 is the time to greatly reduce the number of
functional measures, ACP says in public comments
PHILADELPHIA, 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
letter submitted to the Health Information Technology Policy
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 Incentive Program, 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 Medical Informatics Committee and author of ACP's
"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
"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
ACP noted its support of the comments offered by HIMSS
Electronic Health Record Association (EHRA). In particular, ACP
supports the following EHRA recommendations:
ACP also asked the HITPC to consider previous
comments about Stage 2 for its final recommendations regarding
Stage 3 Meaningful Use measures.
About the American College of Physicians
The American College of Physicians is the largest
medical specialty organization and the second-largest physician
group in the United States. ACP members include 133,000 internal
medicine physicians (internists), related subspecialists, and
medical students. Internal medicine physicians are specialists who
apply scientific knowledge and clinical expertise to the diagnosis,
treatment, and compassionate care of adults across the spectrum
from health to complex illness. Follow ACP on Twitter