If my facility is in year 2 of Stage 1 in in 2014, do I have to meet the View, Download & Transmit objective?

Yes, if your facility is attesting for year 2 of Stage 1 in 2014, your facility will have to meet measure A of View, Download & Transmit. This objective will replace the previous Stage 1 objectives of Provide patients with an electronic copy of their health information, upon request and Provide patients with an electronic copy of their discharge instructions at the time of discharge, upon request. The new objective is: Provide patients the ability to view online, download and transmit information about a hospital admission.
The new measure is: More than 50% of all patients who are discharged from the inpatient or emergency department (POS 21 or 23) of an EH or CAH have their information available online within 36 hours of discharge.
In Stage 2, an additional measure will be added. This states that more than 5% of all patients (or authorized representatives) who are discharged from the IP/ED (POS 21 or 23) of an EH/CAH view, download or transmit to a 3rd party their information during the EHR reporting period.