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• Adopting a flexible approach for meeting meaningful use
• Aligning quality measure requirements with meaningful use requirements to reduce the reporting burden and overlapping penalties
• Ensuring EHR clinical decision support and quality measures are current and follow the latest clinical evidence to improve care for patients
• Restructuring and simplifying the EHR certification to focus on key areas like interoperability and usability
• Making some of the most challenging objectives optional (e.g., view, download and transmit, transitions of care, secure messaging)
• Placing less focus on primary care for stage 3 meaningful use by expanding the options for health IT objectives to meet the needs of specialists
• Requiring physicians to meet no more than 10 requirements for health IT objectives for stage 3 meaningful use

The AMA also made recommendations for improving stages 1 and 2 of the meaningful use program. It is advocating for the removal of penalties for physicians who are attempting to meet program requirements, but have not yet met 100% of requirements. The AMA recommended that CMS and ONC remove penalties for physicians who meet at least 50% of stage 1 and 2 requirements.