I am of a differing opinion of "lab reconciliation" and mind you my answer is based on how I balance the patient portal and #ProjectedEHR and nothing at all to do with MU.
In my opinion, what works best for me is to make the annual visit one year in advance, then send out a postcard reminder one month in advance (reminding to have labs drawn several days before visit) and patient will be the one to do their own reconciliation when they open up their results on their portal.
At the visit the HL7 imported results can then be displayed graphically over time for maximum education, ie. response to treatment such as falling HgA1C, LDL, and triglycerides individually demonstrated on large screen TV as I review along with on my Chromebook remote controlling my dual monitored desktop at visit.
The 250 patients out of 1050 plus without a portal, we send lab results via mail and/or discuss at visit. Those with PDF lab results we cannot graph out over time but can project last year result on large TV while looking at most recent on paper at visit.
I realize this does not meet the MU requirement but in my mind uses the HL7 feature to graph and teach visually on large TV screen at visit, patient able to review labs in comfort of home before visit to conjure up questions right before visit, make better use of every one's time.
I have my own opinion of MU....
http://www.medicalpracticeinsider.com/news/value-saying-no-mu-attestationhttp://jimmievanagon.wordpress.com/2014/08/08/a-thank-you-to-madelyn-kearns/
