What are the Modified Stage 2 Meaningful Use requirements?


Stage 1 of Meaningful Use was the first of a series of three stages established by the EHR Incentive program that aim to help providers increase EHR adoption and improve the quality of care. Stage one was  geared towards basic data capturing and sharing.

Changes to Stage 1 in 2015

After ongoing feedback from medical providers, professional medical associations, and Congress, the Centers for Medicare and Medicaid Services (CMS) released changes to the Meaningful Use program on October 6, 2015. The intended aim of this Final Rule is to reduce the complexity of the EHR Incentive Program and address the many challenges that prevented providers from meeting Stage 2 Meaningful Use requirements.

As part of these changes, CMS has removed Stage 1 from the program in order to simplify the requirements by placing everyone into the same Stage. However, any providers who were scheduled to be in Stage 1 for 2015 will now be placed in “Modified Stage 2,” which only requires them to meet Stage 1 requirements.

Previously, Stage 1 requirement consisted of 13 Core measures and 9 Menu measures. Starting in 2015, every provider will complete and attest to 10 objectives, with one or several measures per objective. There is no longer a concept of “core” or “menu” measures.

Additionally, all providers will attest for a 90 day reporting period in 2015.

Modified Stage 2 Objectives

1. Protect Patient Health Information

2. Clinical Decision Support

3. Computerized Provider Order Entry (CPOE)

4. Electronic Prescribing

5. Health Information Exchange

6. Patient-Specific Education

7. Medication Reconciliation

8. Patient Electronic Access

9. Secure Messaging

10. Public Health

Modified Stage 2  Requirements and Exclusions

Providers in Modified Stage 2 for 2015 may be excluded from certain objectives or may attest to an modified objective if there was no equivalent for that objective in Stage 1. Please select the links above for specific exclusions and detailed information on how to meet each objective.

Clinical Quality Measure Requirements

In 2015, providers in all stages are required to report 9 CQMs across 3 NQS domains for Meaningful Use. Learn more about the CQM reporting requirements.

More Information

For more information about the EHR Incentive Program, you can visit Practice Fusion's Meaningful Use Center.

Meaningful Use & PQRS

  1. Where do I access the Meaningful Use dashboard and PQRS Clinical Quality Measures (CQM) report?
  2. How does the Meaningful Use Dashboard work?
  3. How do I attest for Meaningful Use?
  4. What are the Modified Stage 2 Meaningful Use requirements?
  5. What are the Stage 2 Meaningful Use requirements?
  6. What are the exclusions for Meaningful Use?
  7. How can I report CQMs for PQRS?
  8. What patients are counted for Meaningful Use?
  9. How do the components of a chart note relate to Meaningful Use?
  10. How do lab and image ordering relate to Meaningful Use?
  11. How do I export a patient record (clinical document)?
  12. How do I print the Meaningful Use Dashboard?
  13. How do I minimize or refresh CDS notifications?
  14. How can I send a referral using Direct Messaging?
  15. CQM: Cervical Cancer Screening (CMS 124v4/NQF 0032)
  16. CQM: Pneumonia Vaccination Status for Older Adults (CMS 127v4/NQF 0043)
  17. CQM: Preventive Care and Screening: Influenza Immunization (CMS 147v5/NQF 0041)
  18. Medicaid Meaningful Use Stage 2 Objective 8: Patient Electronic Access
  19. CQM: Diabetes: Foot Exam (CMS123v4/ NQF 0056)
  20. How does patient portal access and auto-invite relate to Meaningful Use?
  21. CQM: Closing the Referral Loop: Receipt of Specialist Report (CMS50v4/NQF N/A)
  22. Medicaid Meaningful Use Stage 2 Objective 9: Secure Electronic Messaging
  23. Medicaid Meaningful Use Stage 2 Objective 2: Clinical Decision Support
  24. CQM: Use of High-Risk Medications in the Elderly (CMS156v4/ NQF 0022)
  25. What constitutes a "unique" patient?
  26. Meaningful Use attestation for previous years
  27. Medicaid Meaningful Use Stage 2 Objective 3: CPOE for Medication, Lab, and Radiology Orders
  28. CQM: Diabetes: Low Density Lipoprotein (LDL) Management (CMS 163v3/ NQF 0064)
  29. CQM: Diabetes: Hemoglobin A1c Poor Control (CMS122v4/NQF 0059)
  30. CQM: Ischemic Vascular Disease (IVD): Complete Lipid Panel and LDL Control (CMS 182v4/NQF 0075)
  31. Medicaid Meaningful Use Stage 2 Objective 10: Public Health - Specialized Registry Reporting
  32. CQM: Dementia: Cognitive Assessment (CMS 149v4)
  33. How do Meaningful Use penalties work?
  34. CQM: Use of Imaging Studies for Low Back Pain (CMS166v5 / NQF 0052)
  35. CQM: Falls: Screening for Future Fall Risk (CMS 139v4/NQF 0101)
  36. How is CPOE for medication orders different from eRx?
  37. CQM: Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) (CMS 144v4/NQF 0083)
  38. How do I apply for a Meaningful Use Hardship Exception?
  39. CQM: Use of Appropriate Medications for Asthma (CMS 126v3/ NQF0036)
  40. CQM: Colorectal Cancer Screening (CMS130v4/ NQF 0034)
  41. CQM: Chlamydia Screening for Women (CMS 153v4/NQF 0033)
  42. CQM: Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents (CMS 155v4/NQF 0024)
  43. Medicaid Meaningful Use Stage 2 Objective 7: Medication Reconciliation
  44. CQM: Breast Cancer Screening (CMS 125v4/NQF N/A)
  45. CQM: Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented (CMS22v4, NQF: N/A)
  46. CQM: Diabetes: Eye Exam (CMS131v4 / NQF 0055)
  47. CQM: Functional Status Assessment for Complex Chronic Conditions (CMS90v5/ NQF N/A)
  48. CQM: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention (CMS138v3 / NQF 0028)
  49. Medicaid Meaningful Use Stage 2 Objective 5: Health Information Exchange
  50. CQM: Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan (CMS2v5 / NQF 0418)
  51. CQM: Controlling High Blood Pressure (CMS165v4 / NQF 0018)
  52. CQM: Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up (CMS69v4 / NQF 0421)
  53. CQM: Documentation of Current Medications in the Medical Record (CMS68v5 / NQF 0419)
  54. Medicaid Meaningful Use Stage 2 Objective 1: Protect Electronic Health Information
  55. What is Practice Fusion's certification number (ID)?
  56. CQM: Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic (CMS 164v4/NQF 0068)
  57. How do I register for the Medicaid Meaningful Use Program?
  58. Can I change, modify, or cancel my attestation?
  59. How do I choose my reporting period duration for Medicaid Meaningful Use?
  60. How do I calculate percentages for Meaningful Use with multiple EHRs?
  61. Medicaid Meaningful Use Stage 2 Objective 4: Electronic Prescribing (eRx)
  62. Medicaid Meaningful Use Stage 2 Objective 10: Public Health - Immunization Registry Data Submission
  63. Is Practice Fusion certified as a 2014 Meaningful Use Complete EHR?
  64. Patient records maintained in the EHR for Meaningful Use attestation
  65. How do I get my AIU letter from Practice Fusion?
  66. How do I report Clinical Quality Measures for Meaningful Use?
  67. Medicaid Meaningful Use Stage 2 Objective 6: Patient-Specific Education
  68. Do I have to meet all of the measures to achieve Meaningful Use?
  69. Can I switch between the Medicare and Medicaid EHR Incentive Programs?
  70. Are there patient education materials available in Spanish?
  71. How do I select or change my reporting period start date?
  72. When do I need to sign chart notes for Meaningful Use? Can I sign a chart after the reporting period?
  73. How do I contact CMS about the EHR Incentive Program?
  74. What is QCDR?
  75. How much are the Meaningful Use incentives?
  76. How do I qualify for Meaningful Use if I see patients in multiple locations?
  77. How many exclusions can each provider claim for meaningful use?
  78. What is Meaningful Use?
  79. Can I use multiple EHR's to qualify for Meaningful Use?
  80. Medicaid Meaningful Use Stage 2 Objective 10: Public Health - Syndromic Surveillance Data Submission
  81. How does the PQRS Clinical Quality Measures dashboard work?
  82. Does Practice Fusion support Patient-Centered Medical Home (PCMH)?
  83. Medicaid Meaningful Use Stage 2 Objective 10: Public Health Reporting
  84. What stage of Medicaid Meaningful Use am I in?
  85. How do I prepare for the PQRS Penalty Informal Review?
  86. How do I prepare for a Meaningful Use audit?
  87. What is Data Portability?
  88. CMS announcement: Enterprise Identity Management System (EIDM) Will be Unavailable the Weekend of March 24, 2017

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