CMS retained the concepts of a core set of objectives and a menu set for Stage 2. Some of the objectives may include two or more measures that must be calculated. Additionally, CMS has removed clinical quality reporting from the core set objectives and incorporated it into the definition of meaningful user. Because of this, the count of requirements does not include clinical quality reporting. As such, to be successful in Stage 2, you need to report on 17 core objectives (21 measures) and three menu objectives (three measures). The full table of objectives and measures can be found here.
Core set objectives
The Stage 2 core set of objectives has essentially two components:
- The objectives from Stage 1 as amended by the Stage 2 regulation
- The menu set from Stage 1 with the exception of the objective pertaining to electronic syndromic surveillance
Many of the measure thresholds have been increased for Stage 2, so you need to make sure you meet these new thresholds. For a comparison of the Stages 1 and 2 requirements, visit the CMS website.
Menu set objectives
CMS has added new objectives and measures for the Stage 2 menu set. To be successful participants in the EHR Incentive Program, physicians need to meet the requirements for three out of the six objectives. The ACC anticipates that cardiologists will select three out of the first four listed below. The other two are less likely to be reported by cardiologists for various reasons.
- Imaging results consisting of the image itself and any explanation or accompanying information are accessible through Certified EHR
- Record patient family health history as structured data
- Record electronic notices in patient records
- Capability to identify and report specific cases to a specialized registry (other than a cancer registry), except where prohibited, and in accordance with applicable law and practice
- Capability to submit electronic syndromic surveillance data to public health agencies, except where prohibited, and in accordance with applicable law and practice
- Capability to identify and report cancer cases to a public health central cancer registry, except where prohibited, and in accordance with applicable law and practice
The ACC is pleased that reporting to the PINNACLE Registry meets the eligible professional objective of reporting to a specialized registry. Learn more about participating in the PINNACLE Registry.