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Wednesday, October 3, 2012

Time for procrastinating is over, folks

Failure to do Year One Stage One 90-day Meaningful Use attestation in 2012 will whack $5,000 off your aggregate incentive potential. Money on the table, my friends.

What does the Stage 1 Meaningful Use deadline really mean?
EHR Intelligence, Patrick Ouellette, October 3, 2012

BTW, See "Structured Procrastination"

I'm currently reading this book. It's hilarious. Heard the author interviewed on NPR, had to get it for my Kindle.


From the New England Journal of Medicine
Election 2012

Health Care Reform and the Presidential Candidates (free PDF)

The editors asked the Democratic and Republican presidential nominees, President Barack Obama and former Massa­chusetts Governor Mitt Romney, to describe their health care platforms and their visions for the future of American health care. Their statements follow.

Pretty interesting (if predictable). Side by side. Worth your time.


I'd been predicting to some of my colleagues at the office that the MSM pundit corps would declare Romney the "winner" tonight. They're the media equivalent of Vegas Sports Books. You want the "line" to stay close. Otherwise you can't make money. They want this to be a putative "nail-biter" right down to western time zone poll-closing times.

Sure enough. Never thought the President would pretty much just hand it to Mr. Romney, though. But, he did.

Pretty weak and shallow, the whole thing, coming from both debaters. And, Jim Lehrer looked like he was sweatin' being late for Bingo.

I was going to blog some more tonight (no shortage of things to discuss), but, nah, I'm goin' to bed.



Nice ONC blog report on Meaningful Use barriers.
Using Information about Challenges to EHR Adoption and Meaningful Use to Find Global Solutions
October 2, 2012, 2:36 pm
Lisa-Nicole Danehy, Project Officer, Regional Extension Center Program , and
Dawn Heisey-Grove, Public Health Analyst, Office of Provider Adoption Support

In November 2011, the Office of the National Coordinator for Health Information Technology (ONC) began working with the nation’s 62 Regional Extension Centers (RECs) to create a comprehensive dataset of challenges that providers are experiencing in the journey toward electronic health record (EHR) adoption and meaningful use.

RECs represent 136,000 primary care providers, approximately 45% of all United States providers, and serves as an early-warning system to ONC and others about what providers across the country might be experiencing as they work to achieve meaningful use of certified EHR technology. The dataset is also an important tool that the RECs use to target interventions that will help their providers achieve meaningful use...
Good information. Read the entire post. A couple of summary take-away graphics from their very nice deck (pdf).

Notice the "resolutions" tabulated for September 2012. Reflective of 2012 attestation Crunch Time? Maybe that and the fact that we've all been getting repeatedly admonished to "update your Barriers in Salesforce," the CRM from which ONC draws REC project performance data.

How about "challenges" and resolutions thereof stratified by EHR vendor? That's what I'd like to see, in particular given that
RECs represent 136,000 primary care providers, approximately 45% of all United States providers, and serves [sic] as an early-warning system to ONC...
Yeah. You have these data in the Salesforce CRM, ONC.

I might need a day to peel this onion back.

We represent nearly half of primary care? Too bad RECs appear to be expendable by next year.


Wednesday, October 03, 2012
Honesty and Good Sense on Electronic Medical Records From Down Under

Australians seem to not be as seduced by the Siren Song of cybernetic miracles as health IT leaders in the United States.

It took an Australian computer scientist at U. Sydney to dissect and perform a detailed analysis of the internals of an American EHR system, the results of which were disturbing to say the least.  This was a task the American members of the American Medical Informatics Association (AMIA) should have taken on.  It's not as if they're unaware of clinical IT problems...

I wrote about this Aussie thing in a prior post (Sept 22nd post). I will have more to say about this. I told this poster I was stealing this line:

"seduced by the Siren Song of cybernetic miracles"

Caption contest: "___________ lashed to the mast."


On the resistant MD's "I'm not a data entry clerk, dammit!"

GOP lawmakers urge halt on meaningful-use payments
By Jessica Zigmond and Joseph ConnPosted: October 4, 2012 - 5:00 pm ET
HHS should suspend incentive payments to providers in the electronic health-records program and delay penalties to those that do not integrate health IT until the federal department can define clear, interoperable standards, House Republican leaders suggested Thursday in a letter to HHS Secretary Kathleen Sebelius...
...ONC chief Dr. Farzad Mostashari, speaking to a conference of chief medical information officers in Chicago, when asked during a question-and-answer session about the letter, said that his office was initially created by executive order of Republican President George W. Bush and has ever since “has enjoyed bipartisan support.” But “a few weeks before an election is still the silly season,” Mostashari said. “That's what they call it in Washington.” 
Seventy percent of hospitals have registered for the EHR incentive payments, and 55% have received their first-year payments, Mostashari said. Healthcare organizations have made plans and are looking for that money to be paid. “This is a commitment that we cannot lightly pull back,” Mostashari said. “It's not just, 'you promised,' it's the importance of it.” But, he said, rescinding the program would require legislation that would have to pass both houses of Congress, be reconciled, and “the president would have to sign it.”
“Sometimes it's useful to remember how American government works,” he said.

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