Proposed requirements for Stage 2 of the EHR meaningful use program raise the bar too high “and are not feasible for the majority of hospitals to achieve,” the American Hospital Association contends in a comment letter to the Centers for Medicare and Medicaid Services.

For hospitals and eligible professionals, AHA recommends preserving the current approach of a core set of required objectives and a menu set that gives providers some options, introduce all new objectives through the menu set, move menu items to the core at the same performance threshold set in Stage 1, and remove measures that make the performance of providers contingent on the actions of others.

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