One of the objectives to demonstrate data exchange within Stage 2 of the electronic health records program is the ability to exchange a summary of care record with a provider using a different EHR, or proving you can do exchange by sending the record to one of two CMS test EHRs.

But there are flaws with the CMS EHRs--only providers accredited under the Direct Trust secure messaging initiative can complete a test. Consequently, CMS has issued new guidance on how to meet the criteria for meaningful use Measure 3 if a provider can’t test with another provider and doesn’t have access to a CMS EHR. Here is the guidance:

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