Following is a comprehensive first-look at the CMS proposed rule for Stage 2 of the electronic health records meaningful use program from Justin Barnes, co-chair of the Accountable Care Community of Practice and a vice president at physician vendor Greenway Medical Technologies:

From the checklist or foundational mentality of Stage 1, to the “prove it” or workflow design-compelling criteria seen in the Stage 2 quality measure proposals released February 23, the emphases on bona fide data exchange (mere testing is history), longitudinal care plans, evidence-based clinical decision support and single standards for everything from care summaries to vocabulary all signal the maturation of care coordination.

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