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Examples and strong arugment for The HITECH Act established the Medicare and Medicaid EHR Incentive Programs through which eligible hospitals and physicians could acquire certified EHRs and receive incentive payments. The expectation is that they can demonstrate meaningful use to “improve quality, safety, efficiency, and reduce health disparities, engage patients and family, and improve care coordination, and population and public health” (HealthIT.Gov, 2015, para. 1). The criteria for meaningful use have evolved over time, with three stages: Stage 1 (2011-2012) focused on data capture and sharing, Stage 2 (2014) focused on advancing clinical processes, and Stage 3 (2016) focused on improved outcomes (Buchbinder & Shanks, 017).

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