Changes in the quality of care during progress from stage 1 to stage 2 of Meaningful Use

David M. Levine*, Michael J. Healey, Adam Wright, David W. Bates, Jeffrey A. Linder, Lipika Samal

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

9 Scopus citations


Background: 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. Methods: Retrospective longitudinal evaluation of the quality of care delivered by outpatient physicians at an academic medical center in the transition between MU1 and MU2. Results: 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. Conclusion: 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.

Original languageEnglish (US)
Article numberocw127
Pages (from-to)394-397
Number of pages4
JournalJournal of the American Medical Informatics Association
Issue number2
StatePublished - Mar 1 2017


  • Electronic health records
  • Meaningful usequality improvement
  • Medical records

ASJC Scopus subject areas

  • Health Informatics


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