AHA recommends changes to improve EHR quality measures process

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The AHA today voiced support for certain changes included in an interim final rule for Stage 2 of the Medicare and Medicaid electronic health record programs, such as the use of a case threshold for reporting electronic clinical quality measures that exempts hospitals with a small number of relevant cases from reporting on the measures. In addition, AHA urged the Centers for Medicare & Medicaid Services and Office of the National Coordinator for Health Information Technology to improve the process for developing and testing electronic CQMs before they go into final regulations. AHA noted the rushed timeline and lack of opportunity to review the electronic specifications for Stage 2 CQMs before they were published and subsequently corrected, and expressed concern that a rushed approach could lead to measures that cannot be implemented. "Hospitals are investing considerable financial and human capital in implementing EHRs and need certainly that the technology supports the development of valid, reliable and feasible automated measurement," AHA Executive Vice President Rick Pollack wrote.

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