Achieving Stage 2 is so much more difficult than achieving Stage 1. According to some reports, many healthcare providers will be caught off guard.

Many thresholds will increase significantly in Stage 2, so health-care providers who are not yet accustomed to performing at levels specified in Stage 1 may have a hard time operating or even meeting the increased levels specified in Stage 2.

In some cases, health-care providers have delayed addressing certain measures.