Obsession With Meaningful Use Could Backfire - InformationWeek
Obsession With Meaningful Use Could Backfire
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User Rank: Moderator
11/3/2011 | 11:31:11 PM
re: Obsession With Meaningful Use Could Backfire
Well you might want to add on the GE Centricity issue needing a software update before they can attest.


Sadly we have too many folks at HHS and at the ONC who have never written a stick of code to understand all the processes and mechanics and thus we get deadlines that make CIOs nuts. Also fair to recognize that technology in the last couple years has moved up to rocket speeds too so add that to executive figure heads who never wrote a stick of code and you have some good, but lost people as there's no substitute for hands on knowledge.

A bit of satire here, but what do you expect from the ONC when you have HHS sponsoring a Facebook contest for an app to use for a disaster. Well do you consider riots a disaster...I would not applicable and an act of Congress may follow to spell out exactly what their app may really be able to do, not to mention a tiny bit of privacy here:) Again, the lack of hands on coding somewhere along the line makes for more errors and just unrealistic deadlines.

You have Todd Park over there who has done some great things with websites and data and nothing wrong with that at all but he came from outside of government and we miss the meshing of business ethics with the government needs, so little off balance there. Blumenthal picked his exit at the right time as things were changing fast.

Heck I have been trying to pry a few from the ONC to talk about their own PHR or other consumer IT use, but no luck as we seem stuck on "its for those guys over there" and they don't share so again do they participate as consumers? It would really be nice to hear and that would do wonders for consumers. Every time they venture over into the consumer side I call it "magpie healthcare" because I never see anything to where they take a few moments and step into the consumer shoes but rather cling tight to the "expert" titles that maybe too many of use today think is important.


So let's come back around to an ACO and involving the consumer...duh...kind of hard as an ACO is not a rigid structured program and rules get written as you go along. More important to me though is the care I get and the less hoops my doctor has to jump through and not spend an undue amount of time on administration, the happier I am. I spoke this year at the e-MDs annual meeting and they really did a great job with educating attendees and knocking themselves out to help. e-MDs was started by and is still run by doctors so they get it as they are big but not under the corporate umbrellas we see today. e-MDs actually was the first vendor who attested and their MDs received their incentives too.

We all know we need to save money and start an ACO of some sort, but whether or not it all falls into place as designed remains to be seen. Again, some folks in executive positions that have written a stick of code would really help as now Ms. Sebelius has to rely on HealthIT information from those folks and can't make her own decisions without consulting and I think the same goes for most of the ONC folks. This is just the way of the world anymore and not directed at anyone in particular.

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