Some 74% of survey respondents indicated their organizations had either attested to having met the Stage 1 meaningful-use criteria or were confident their organizations would do so in 2012. (The survey was conducted from mid-November 2012 to mid-January 2013.) Another 23% said they wouldn't become meaningful users by the end of 2012, and 4% indicated they were unsure.
Confidence waned somewhat as these leaders looked ahead to Stage 2 and, especially, Stage 3. Asked if their organization would be able to meet Stage 2 by 2014, 62% said it was “highly likely” that they would. Another 20% indicated it was “somewhat likely,” 11% were “unsure” and 8% said it was either “somewhat unlikely” or “highly unlikely.”
Asked about meeting Stage 3 by 2016, only 43% indicated it was “highly likely” and 16% responded it was “somewhat likely.” Roughly one-third (34%) were “unsure” about Stage 3, while just 7% indicated it was either somewhat or highly unlikely.
One of the leaders whose organization has met Stage 1 meaningful use, but is concerned about Stage 2 and beyond is Dr. George Voigtlander, one of just three physicians at the Pawnee Rural Health Clinic, an 11-bed critical-access hospital in Pawnee City, Neb.
Stage 1 was “completed about six months ago,” Voigtlander says, but he gave the hospital's chances of meeting Stage 2 by 2014 as “somewhat unlikely” and Stage 3 as “highly unlikely,” largely because of continued fluidity of Stage 2 requirements and problems with the hospital's EHR vendor.
“We're working toward Stage 2,” he says. “What's actually required is still kind of a muddle. They haven't corrected some of the major defects in the system, the reliability issues. They promise a lot that they don't deliver.”