A coalition of 25 consumer groups and unions is asking federal officials to hold firm on more stringent criteria for Stage 2 of electronic health records meaningful use, and expressing support for going further.

For instance, because patients still trust their providers more than other information sources, holding providers accountable for actual usage of a patient Web portal "is entirely appropriate and we strongly urge ONC to resist pressure from the provider community to absolve them from responsibility for making these services available and useful to their patients," according to a comment letter to the Office of the National Coordinator.

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