To prove meaningful use of electronic health records, providers must collect, organize and report data culled from certified electronic health records systems showing that they meet certain measures for quality of care. But they don't send electronic data to the Centers for Medicare and Medicaid Services, as the agency hasn't got the I.T. capability to accept it two-and-one-half years after the HITECH Act became law.

Maybe CMS was too busy mandating that providers upgrade their information technology applications and skill sets on a fast track to bother with getting it own I.T. house in order. And the agency's nonchalance at fixing its I.T. gaps continues, as officials in July proposed that quality measures in Year 2 of meaningful use would again be proven through attestation, as it won't be ready to accept electronic data.

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