DNA Tests and Meaningful Use Humor – Fun Friday
It’s Friday, so time for a little humor to start your weekend. First up is one that regular readers of this site will appreciate when it comes to the now tainted phrase: meaningful use: This Dilbert comic seemed particularly relevant given that 23andMe just got FDA authorization for their consumer genetic health risk reports. Have a great weekend! Related Posts National Patient Identifier, Allscripts Discontinues MyWay, EHR Incentive Payments Stopped, and Remotoscope — Around Healthcare Scene Hospitals, Representative Ask For Extension of EMR “Safe Harbor” Eyes Wide Shut: Meaningful...
Source: EMR and HIPAA - April 14, 2017 Category: Information Technology Authors: John Lynn Tags: Healthcare HealthCare IT Meaningful Use 23andMe Dilbert DNA Testing Fun Friday Healthcare Humor Healthcare IT Humor Source Type: blogs

Evidence-Based Diagnosis and Faith-Based Solutions
By KIP SULLIVAN, JD It’s official: the Medicare Payment Advisory Commission (MedPAC) has at long last decided that MACRA’s MIPS (Merit-based Incentive Payment System) can’t work. MedPAC reached this decision at its January 12 and March 2, 2017 meetings. Its principle rationale was that measuring “merit” (quality and cost) at the individual physician level, which is what MIPS requires CMS to do, is not possible. As one MedPAC staff person put it at the January meeting, “A redesign of the MIPS program should build off a clear-eyed assessment of the limit of the national Medicare program’s ability to assess ...
Source: The Health Care Blog - April 11, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Kip Sullivan MACRA MedPAC MIPS Source Type: blogs

Study: “Information Blocking” By Vendors And Providers Persists
A newly-released study suggests that both EHR vendors and providers may still be interfering with the free exchange of patient healthcare data. The researchers concluded that despite the hearty disapproval of both Congress and healthcare providers, the two still consider “information blocking” to be in their financial interest. To conduct the study, which appears in this month’s issue of The Milbank Quarterly, researchers conducted a national survey between October 2015 and January 2015. Researchers reached out to leaders driving HIE efforts among provider organizations. The study focused on how often information bl...
Source: EMR and HIPAA - April 6, 2017 Category: Information Technology Authors: Anne Zieger Tags: EHR Electronic Health Record Electronic Medical Record EMR Healthcare Healthcare Interoperability HealthCare IT HIE Hospital EHR Data Interoperability EHR Interoperability EMR Interoperability Information Blocking Patient Data Ex Source Type: blogs

A new focus: How to become empowered patients
Attention, kind readers. After years of doing this blog in fits and starts — particularly the two-year gap while I was essentially prohibited by a full-time employer from writing about health IT here or anywhere else but that company’s site — I have decided to refocus on healthcare consumers rather than industry insiders. The “Meaningful HIT News” name itself has become dated, given that the Meaningful Use program from which this blog takes its name has evolved and kind of fallen out of favor. For those not up on the lingo, “meaningful use” is the standard healthcare providers must meet to...
Source: Neil Versel's Healthcare IT Blog - March 30, 2017 Category: Information Technology Authors: Neil Versel Tags: Healthcare IT empowered patients patient safety Source Type: blogs

A new focus: How to become empowered patients
Attention, kind readers. After years of doing this blog in fits and starts — particularly the two-year gap while I was essentially prohibited by a full-time employer from writing about health IT here or anywhere else but that company’s site — I have decided to refocus on healthcare consumers rather than industry insiders. The “Meaningful HIT News” name itself has become dated, given that the Meaningful Use program from which this blog takes its name has evolved and kind of fallen out of favor. For those not up on the lingo, “meaningful use” is the standard healthcare providers must meet to...
Source: Neil Versel's Healthcare IT Blog - March 30, 2017 Category: Information Technology Authors: Neil Versel Tags: Healthcare IT empowered patients patient safety Source Type: blogs

Deloitte Survey on Value-Based Care
We have written for years about the transition in health care from volume-based to value-based payment models. But the process has been a slow one. According to the Deloitte 2016 Survey of US Physicians, a nationally representative sample of 600 US primary care and specialty physicians, confirms the slow pace of adoption of value-based payment models among physicians. Generally, physicians are reluctant to bear financial risk for care delivery. Yet many physicians conceptually endorse some of the principles behind value-based care, such as quality and resource utilization measurement. The survey results suggest that financ...
Source: Policy and Medicine - March 24, 2017 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

The Misguided EHR Replacement Decision
This post is part of the Breakaway Thinking blog post series which is sponsored by Breakaway Learning Solutions, a Conduent Company. Almost every healthcare organization I meet is talking about how to get better adoption of their EHR software. They’ve implemented their EHR as part of a massive go live. Many are even doing fine with programs like meaningful use and are working on MACRA. However, they all realize that adoption of their EHR software be end users could be better than it is today. During these conversations, it’s easy to see how some organizations slip into the thinking that if they replaced their E...
Source: EMR and HIPAA - March 22, 2017 Category: Information Technology Authors: John Lynn Tags: EHR EHR Optimization Electronic Health Record Electronic Medical Record EMR HealthCare IT EHR Replacement EHR Training EHR Use EMR Replacement Source Type: blogs

The Law of Diminishing Returns of Ethicism
SAURABH JHA MD Many allege that the FIRST trial, which randomized surgical residencies to strict versus flexible adherence to duty hour restrictions, was unethical because patients weren’t consented for the trial and, as this was an experiment, in the true sense of the word, consent was mandatory. The objection is best summarized by an epizeuxis in a Tweet from Alice Dreger, a writer, medical historian, and a courageous and tireless defender of intellectual freedom. @RogueRad @LVSelbs @ethanjweiss @Skepticscalpel Consent to experimentation. Consent. Consent. Am I not being clear? — Alice Dreger (@AliceDreger) Nov...
Source: The Health Care Blog - March 20, 2017 Category: Consumer Health News Authors: at RogueRad Tags: Uncategorized Source Type: blogs

The New FDA Commissioner: Interesting Conflicts
By SAURABH JHA, MD That the appointment of Scott Gottlieb to head the FDA has elicited a decidedly mixed response is a good thing. I fear consensus as much as the late Christopher Hitchens loved dissent which, he believed, was an indicator of a healthy democracy, which means that rather than facing the morgue, the US might be going through her healthiest days in these times. Gottlieb has served on the boards of industry, and earned a nifty pocket money doing so. Detractors argue that he’s unfit to head the FDA because of his financial conflict of interest (FCOI). I will not revisit the arguments for and against physicia...
Source: The Health Care Blog - March 11, 2017 Category: Consumer Health News Authors: at RogueRad Tags: Economics Source Type: blogs

The New FDA Commissioner
By SAURABH JHA, MD That the appointment of Scott Gottlieb to head the FDA has elicited a decidedly mixed response is a good thing. I fear consensus as much as the late Christopher Hitchens loved dissent which, he believed, was an indicator of a healthy democracy, which means that rather than facing the morgue, the US might be going through her healthiest days in these times. Gottlieb has served on the boards of industry, and earned a nifty pocket money doing so. Detractors argue that he’s unfit to head the FDA because of his financial conflict of interest (FCOI). I will not revisit the arguments for and against physicia...
Source: The Health Care Blog - March 11, 2017 Category: Consumer Health News Authors: at RogueRad Tags: Economics Source Type: blogs

A Great Leap Forward (Or Backward) For the National Health IT Agenda?
By JOHN HALAMKA, MD At HIMSS, I listened carefully to payers, providers, patients, developers, and researchers. Below is a distillation of what I heard from thousands of stakeholders. It is not partisan and does not criticize the work of any person in industry, government or academia. It reflects the lessons learned from the past 20 years of healthcare IT implementation and policymaking. Knowing where we are now and where we want to be, here are 10 guiding principles. 1. Stop designing health IT by regulation Through its certification program, ONC directs the specific features, functionality, and design of electronic healt...
Source: The Health Care Blog - March 5, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

10 next steps for the national health IT agenda
At a pivotal moment for healthcare, it ' s time to reform regulatory approaches, improve access to data for care coordination and establish a national patient ID, says John Halamka, MD – who offers some perspective to CMS and ONC on the future of MACRA, interoperability and more.   (Source: Healthcare IT News Blog)
Source: Healthcare IT News Blog - March 1, 2017 Category: Information Technology Tags: Government & amp; Policy MACRA Meaningful Use Privacy amp; Security Quality and Safety Source Type: blogs

Next Steps for the National Healthcare IT agenda
At HIMSS, I listened carefully to payers, providers, patients, developers, and researchers.  Below is a distillation of what I heard from thousands of stakeholders.It is not partisan and does not criticize the work of any person in industry, government or academia.  It reflects the lessons learned from the past 20 years of healthcare IT implementation and policymaking.  Knowing where we are now and where we want to be, here are 10 guiding principles.1. Stop designing health IT by regulationThrough its certification program, ONC directs the specific features, functionality, and design of electronic ...
Source: Life as a Healthcare CIO - March 1, 2017 Category: Information Technology Source Type: blogs

Is DRexit Next?
By NIRAN AL-AGBA, MD Sean MacStiofain said “most revolutions are caused… by the stupidity and brutality of governments.” Regulation without legitimacy, predictability and fairness always leads to backlash instead of compliance. Here’s a prediction for you: If something is not done to stop MACRA implementation, more physicians will opt-out of Medicare and Medicaid than is fathomable. Once DRexit begins, there will be no turning back. The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) is destructive to the physician patient relationship because it prevents physicians from prioritizing patient care. ...
Source: The Health Care Blog - February 24, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs