Among the reasons why federal officials recently proposed new flexibility in the electronic health records meaningful use program was the inability of vendors to get their products ready in time for Stage 2.

Stakeholder pleas that the final timetable for Stage 2 was unrealistic--particularly with ICD-10 compliance looming at the same time--had landed on deaf ears. The government was not attuned to the vendor community, recalls Stephen Dart, product manager for mobile and EHR products at ambulatory software firm ADP AdvancedMD. That was borne out on May 6 when the Centers for Medicare and Medicaid Services announced that only four hospitals and 50 physicians had attested for Stage 2.

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