Although the Centers for Medicare and Medicaid Services established the Physician Quality Reporting System in 2006, for the past few years the pay-for-reporting program has pretty much been relegated to the back burner for most physician practices. Not by choice as much as by necessity.

Physicians have focused primarily on implementing electronic health records to meet Meaningful Use Stage 1 requirements. More recently some doctors have shifted their attention to actually starting to use the technology as directed by MU Stage 2. Many practices, however, are still reeling from EHR implementation fatigue and usability challenges and, instead, are concentrating efforts on learning how to adjust the workflows of their office staff and clinical teams in a way that supports optimal patient care and reform incentive models.

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