Issue link: https://viewer.e-digitaledition.com/i/90666
use of reminders and patient education (prompted by the EHR), and medication reconciliation. The most challenging new measures will undoubtedly be using secure messaging to communicate with patients as well as the requirement to provide patients the ability to view online, download and transmit their health infor- mation. Both of these measures require that at least 5% of patients actually use these features. CMS recognizes there will be many practices that need time to upgrade their EHR systems to 2014-certified technology that will support Stage 2, and the agency has provided a one-time accommodation to ease the impact. For 2014 only, all EPs, regardless of their stage of meaningful use, will have a three-month reporting period rather than a full year. Although conducting a security risk analysis is a core measure in both Stage 1 and Stage 2, this will likely receive much more attention in the coming months. The Best Practices Deserve The Best Facilities At Upstate Bone and Joint Center 6620 Fly Road, East Syracuse, NY The risk analysis is a formal review of an organization's implementation of the Health Insurance Portability and Accountability Act (HIPAA) Security Rule that went into effect in 2005. This analysis must be conducted and/or reviewed at least annually. In addition, practices must implement any security updates needed to correct security deficiencies identified during the process. The Office of Civil Rights (OCR) is responsible for administering and enforcing the regulations included in the Privacy, Security and Breach Notification rules. The HITECH Act requires compliance audits of HIPAA- covered entities and their business associates. OCR has contracted with the consulting firm KPMG to perform these audits. The initial round has already been completed, and the enforcement efforts will continue to escalate. Also worth noting about the Stage 2 rule is that it has already created political controversy. House Republicans recently sent a letter to Health and Human Services Secretary Kathleen Sebelius complaining that the measures are weak and should be made more challenging and focused on different goals. According to CMS, there are addi- tional details about Stage 2 forthcoming. Practices should check the CMS website from time to time to understand how these changes may impact them. Extra time will likely be needed to plan for changes to practice operations and to acquire and/or upgrade to the proper EHR technology. Practices should not linger too far behind the curve, since Stage 3 of meaningful use is set to be implemented in 2016. 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