The NOT SO meaningful use of your EHR: Tell us about it!

July 1, 2015

The NOT SO meaningful use of your EHR: Tell us about it!

Our Washington representatives recently attended a meeting of physician organizations to discuss the newly published proposal for Stage 3 of the “meaningful use of electronic health records (EHR)” program. Medical societies expressed widespread frustration with the direction the government is taking with the proposed Stage 3 requirements and the fact that physicians are being held accountable for meeting standards that are beyond their control. Some of the specific concerns include:

  • Lack of interoperability: Blame here was squarely on vendors who have developed and sold products that do not allow, and in some cases actually impede, data sharing.
  • Patient engagement with their EHR: Physicians should not be held accountable for patients’ failure to access their EHR.
  • Poor quality measures: Many of the quality measures embedded in the meaningful use rules are of little or no value and do nothing to promote good clinical practice.
  • Hardship exemptions: There should be additional hardship exemptions for physicians in small practices or who are close to retirement.

The AMA has requested specialties ask their members to report problems they are having in meeting the current meaningful use requirements. This type of anecdotal information could be very helpful in getting CMS to either delay or modify the Stage 3 requirements.

The Advocacy Council wants to hear from you! Have you experienced difficulties with meeting current Stage 1 or Stage 2 meaningful use requirements, or even given up? We need SPECIFIC examples; the Advocacy Council can't act on your behalf if we don't know the issues! Email us at

CMS PQRS listserv message: Additional information on July transition from IACS to EIDM

The Centers for Medicare & Medicaid Services (CMS) would like to remind Physician Quality Reporting System (PQRS) participants and their staff of an important system update scheduled to be in place on Monday, July 13.

The Individuals Authorized Access to CMS Computer Services (IACS) system will be retired, but current IACS user accounts will transition to an existing CMS system called Enterprise Identity Management (EIDM). The EIDM system provides a way for business partners to apply for, obtain approval of, and receive a single user ID for accessing multiple CMS applications. Please read below for important information and tips to help make sure the transition runs smoothly for PQRS participants and their staff.

Useful information and tips for existing PQRS users:​

  • Existing PQRS IACS users, their data and their roles will move to EIDM and will be accessible from the “CMS Secure Portal” portion of the CMS Enterprise Portal at
  • Users will then access the “PQRS Portal” to submit data, retrieve submission reports, view feedback reports and conduct various administrative and maintenance activities.
  • Users should ensure that their IACS account is active and current, and that they’re able to log in.
  • Users should not register for a new account in EIDM prior to the system update on July 13. This will only complicate moving their IACS account to the new EIDM system.
  • For additional information, reference the EIDM Quick Reference Guides, which will be available in July on the Physician and Other Health Care Professionals Quality Reporting Portal, and the CMS EIDM User Guide.

Useful information and tips for new PQRS users:​

For additional assistance regarding IACS or EIDM:

Contact the QualityNet Help Desk at 1-866-288-8912 (TTY 1-877-715-6222) from 7 a.m. to 7 p.m. CT, Monday through Friday, or via email at

CMS PQRS listserv message: Additional information on July transition from IACS to EIDM

 Register now for a MLN Connects® National Provider Call to get an overview of the 2016 Medicare Physician Fee Schedule (MPFS) Proposed Rule. This presentation will cover proposed updates to the Physician Quality Reporting System (PQRS), Value-Based Payment Modifier (Value Modifier), Electronic Health Record (EHR) Incentive Program, and Comprehensive Primary Care (CPC) Initiative. A question and answer session will follow the presentation.

To Register: Visit MLN Connects® Event Registration. Space may be limited, register early. Agenda:

  • Proposed changes to PQRS reporting mechanisms, individual measures, and measures groups for inclusion in 2016
  • Proposed PQRS reporting criteria for Payment Year 2016
  • Criteria for satisfactorily reporting to avoid a PQRS negative payment adjustment and an automatic Value Modifier downward payment adjustment in 2018
  • Certification requirements for reporting electronic clinical quality measures in the Medicare EHR Incentive Program, PQRS, and the CPC Initiative
  • A move towards the Merit-based Incentive Payment System and Alternative Payment Models, based on the amendment of the Medicare Access and CHIP Reauthorization Act of 2015

Target Audience: Physicians, Medicare eligible professionals, therapists, medical group practices, practice managers, medical and specialty societies, payers, and insurers.

This MLN Connects Call is being evaluated by CMS for CME and CEU continuing education credit (CE). Refer to the call detail page for more information.