Meaningful Use or Meaningful Confusion? Part 3 of 3

medical-moneyThis is Part 3 of our Three-part Blog Series, “Introduction of Stage 3,” which outlines the objectives finalized for Stage 3 under the October 16, 2015 Final Rule.

Meaningful Use was introduced as part of the HITECH Act as a means to encourage healthcare providers to adopt electronic health records, and also begin to shift to additional quality care metrics. Yet, since Meaningful Use began in 2011, there have been many critics who assert that the program does not achieve the meaning in Meaningful Use.  As such, there have been multiple iterations of the rule and the various stages.  We will present to you the latest changes that you need to know in this three part blog post series.

Part three of the series, “Introduction of Stage 3” outlines the objectives finalized for Stage 3 under the October 16th Final Rule.  You can view Part One of our series, “Changes for 2015” here.  Part Two of our the series, “Changes for 2016-2017” can be viewed here.


Optional 2017 Reporting and Required 2018 Reporting

Stage 3 will be available for attestation in 2017, although it won’t be required as previously thought. Eligible Providers will be given the option of attesting to Stage 3 in 2017 for a 90 day reporting period.  In 2018, all Providers, regardless of what stage they were scheduled to be on, are to attest to Stage 3 Objectives for a calendar year reporting period.  The optional year in 2017 will allow providers to “test the waters” with a shorter reporting period and begin preparing for Stage 3 before they are required to implement it.


Eight Objectives

Unlike previous iterations of Meaningful Use, there are no Core and Menu Objective Sets, only required Objectives. Modified Stage 2 set the tone by absorbing previous measures into one set of measures, a precedent that Stage 3 will follow. Stage 3 features many measures from previous of versions of Meaningful Use, often with higher thresholds and less exclusions.


Stage 3 Objectives Summary

Objective 1 Protect Patient Health Information Conduct a Security Risk Analysis within the Reporting Period (RP)
Objective 2 Electronic Prescribing More than 60% of permissible prescriptions written by the Eligible Provider (EP) in the RP are queried for a drug formulary and transmitted electronically
Objective 3 Clinical Decision Support 1 – Implement five Clinical Decision Support Rules related to four or more Clinical Quality Measures
2 – Enable Drug-Drug and Drug-Allergy interaction checks for the entire RP
Objective 4 Computerized Provider Order Entry (CPOE) 1 – More than 60% of Medication orders during the RP are created through CPOE
2 – More than 60% of lab orders during the RP are created through CPOE
3 – More than 60% of radiology orders during the RP are created through CPOE
Objective 5 Patient Electronic Access 1 – More than 80% of unique patients seen by the EP during the RP are provided timely access to view online, download, or transmit their health records and can be accessed using the application of the patient’s choice
2 – More than 35% of patients seen by the EP in the RP receive patient specific education resources that were identified by the CEHRT and receive electronic access to those materials
Objective 6 Coordination of Care through Patient Engagement 1 – More than 10% of unique patients seen by the EP during the RP views online, downloads, or electronically transmits their health information or accessing their health information from an application of their choice
2 – More than 25% of unique patients seen by the EP during the RP are sent an electronic message using the secure messaging feature of CEHRT
3 – For more than 5% of unique patients seen in the RP by the EP, patient-generated health data or data from a non-clinical setting is incorporated into the CEHRT
Objective 7 Health Information Exchange 1 – For more than 50% of transitions of care and referrals, the EP that refers the patient should create and electronically exchange the summary of care record using CEHRT
2 – For more than 40% of transitions of care or referrals received by the EP where the EP has never encountered the patient, the EP receives and incorporates into the patient’s record an electronic summary of care document
3 – For more than 80% of transitions of care or referrals received by the EP where the EP has never encountered the patient, the EP performs clinical information reconciliation
Objective 8 Public Health and Clinical Data Registry Reporting 1 – Immunization Registry Reporting
2 – Syndromic Surveillance Reporting
3 – Electronic Case Reporting
4 – Public Health Registry Reporting
5 – Clinical Data Registry Reporting


Still confused? Do you need one-on-one guidance regarding your organization? We can help!  Please contact our Meaningful Use Expert, Kathryn Ayers Wickenhauser ( for guidance about how these changes impact you.

Healthcare Lunch & Learn



Enterprise Bank & Trust, DataFile Technologies, Forbes Law Group, LLC and Polsinelli Shughart are pleased to bring you another event in our complimentary Lunch and Learn series, The Changing Malpractice Environment: Tort Reform, Cyber Liability and Medical Risk Management. This class is led by Robert S. Thompson, Director of Business Development for MMIC Group.

During this presentation, we will touch on the recent tort reform changes, issues related to cyber liability in the medical practice and general office risk management topics including:

  • patient communication
  • communication among the healthcare team
  • jousting, documentation and patient orientation

Date | Time of Event:
Thursday, November 1, 2012
11:30 AM – 11:45 AM | Lunch will be provided.
11:45 AM – 1:00 PM | Program and discussion.


The FREE lunches are presented in an open format, are approximately two (2) hours in length and are eligible for Continuing Education Credits! Save the date for this November 1st event.


Who Should Attend:

  • Practice Administrators
  • Office Managers
  • Compliance Officers
  • Healthcare Executives

We hope you will join us!

Cost: FREE
Date and Time: November 1, 2012, 11:30am-1:30pm
Location: Polsinelli Shughart Law Office – Country Club Plaza
7th Floor Conference Center
700 W. 47th Street
Kansas City, MO 64112
Underground parking is available.
*Note: More details will be sent to registrants before the event.


2012 eClinicalWorks National Users Conference




Gaylord National Resort & Convention Center
201 Waterfront Street
National Harbor, Maryland 20745
Tel: 301-965-2000October 25th – 28th, 2012eClinicalWorks Event Planning Team:
Tel: 508-948-2630
E-mail: specialevents@eclinicalworks.comEvent Registration: Sign Up Now
Hotel Reservations: Book Now

Webinar: Release of Information and eFiling for NextGen® Users


Join DFT’s own EMR enthusiast Andrea Umbreit as she reviews the benefits of outsourcing your medical records management during this webinar called “Release of Information and eFiling for NextGen Users.” You’ll learn how to streamline internal processes and save yourself endless hours of records tedium and frustration – all at a cost that will probably surprise you!

DataFile Technologies is excited to offer outsourcing options to practices that have migrated to NextGen’s electronic records platform. Save time and money with DataFile – from release of information to incoming medical records management, outsourcing can make your life easier and the practice more efficient.

Topics to be covered:

  1. Release of Information: outsourcing opportunities to optimize your NextGen EMR.
  2. eFiling of Incoming Documents: The value of your time, and the importance of accuracy and accountability.
  3. Case Studies and Return on Investment: When you should and shouldn’t outsource medical records management in your clinic.

Please complete the form below to access the archived recording of the webinar.

eClinicalWorks RoadShow (Tampa)