Gwendolyn,
My dad has done a bit of genealogical investigative work and traced the origins of our surname to Oldham County, Kentucky to the 1790's when the courthouse burned with the records. I have a suspicion we are Irish, as there is a small village south of Longford with the same name.
To the matter at hand, the MU thing. I had a hunch after the initial 3-6 months of conversion from paper to electronic records that my efficiency in the office would improve, which did pan out, and more than made up for my investment to go from paper to electronic.
But when I started to incorporate Updox about one year into it and then the portal I was pleasantly surprised that my efficiency improved even further. I saw no reason to go after any of the MU money for that reason alone, but as you indicate I think there will be pay for performance issues coming down the pike.
Pay for performance is the stronger reason in my mind not to do any MU or PQRS. I may be wrong, but unless you cherry pick your patient type, there will likely be reduction in reimbursement because of poor quality metric scores. I am of the opinion gathering the granular data will further reduce efficiency in the office.
I want to make it entirely clear, that these thoughts are made without any political, religious or any other designs, and Bert(administrator)may correct me, but I think rational objective thought is still allowed on the user board.
I hope this helps.
