title: Changes in the quality of care during progress from stage 1 to stage 2 of Meaningful Use.
abstract: The Centers for Medicare and Medicaid Services (CMS) canceled Meaningful Use (MU), replacing it with Advancing Care Information, which preserves many MU elements. Therefore, transitioning from MU stage 1 to MU stage 2 has important implications for the new policy, yet the quality of care provided by physicians transitioning from MU1 to MU2 is unknown.
  
  
  
  Retrospective longitudinal evaluation of the quality of care delivered by outpatient physicians at an academic medical center in the transition between MU1 and MU2.
  
  
  
  Between MU1 and MU2, 4 measures improved: hypertension control (35% vs 40%), influenza immunization (63% vs 68%), tobacco use assessment/counseling (86% vs 96%), and diabetes control (93% vs 96%; P all <.01). One worsened: senior weight screening/follow-up (54% vs 49%; P  < .01). Two were unchanged: chlamydia screening and adult weight screening/follow-up.
  
  
  
  In this single-site study, when clinicians progressed from MU1 to MU2, 4 quality measures improved, 2 were unchanged, and 1 worsened. Analysis of national data should guide policy decisions about the content of MU's successor.
authors: Division of General Internal Medicine and Primary Care, Brigham and Women's Hospital, Boston, Massachusetts, USA.|Harvard Medical School, Boston, USA.
authors: David M
authors: DM
authors: Levine
authors: Division of General Internal Medicine and Primary Care, Brigham and Women's Hospital, Boston, Massachusetts, USA.
authors: Michael J
authors: MJ
authors: Healey
authors: Division of General Internal Medicine and Primary Care, Brigham and Women's Hospital, Boston, Massachusetts, USA.|Harvard Medical School, Boston, USA.
authors: Adam
authors: A
authors: Wright
authors: Division of General Internal Medicine and Primary Care, Brigham and Women's Hospital, Boston, Massachusetts, USA.|Harvard Medical School, Boston, USA.
authors: David W
authors: DW
authors: Bates
authors: Division of General Internal Medicine and Primary Care, Brigham and Women's Hospital, Boston, Massachusetts, USA.|Harvard Medical School, Boston, USA.
authors: Jeffrey A
authors: JA
authors: Linder
authors: Division of General Internal Medicine and Primary Care, Brigham and Women's Hospital, Boston, Massachusetts, USA.|Harvard Medical School, Boston, USA.
authors: Lipika
authors: L
authors: Samal
mesh_terms: D000046:Academic Medical Centers; D000293:Adolescent; D000328:Adult; D000368:Aged; D001835:Body Weight; D001900:Boston; D002690:Chlamydia Infections / Q000175:diagnosis; D003920:Diabetes Mellitus / Q000628:therapy; D057286:Electronic Health Records; D005260:Female; D006801:Humans; D006973:Hypertension / Q000628:therapy; D007252:Influenza Vaccines; D008297:Male; D062527:Meaningful Use; D008875:Middle Aged; D010818:Practice Patterns, Physicians' / Q000592:standards* / Q000706:statistics & numerical data; D011787:Quality of Health Care; D012189:Retrospective Studies; D064424:Tobacco Use; D014481:United States; D055815:Young Adult
chemical_list: D007252:Influenza Vaccines
keywords: electronic health records; meaningful use; medical records; quality improvement