Thanks absolutely loads, Jon.
I completely agree with your analysis.
Meaningful use and excellent practice are largely at odds with each other.
I am getting to like the electronic medical record -- at least, AC
When I talk to people who use EPIC or Cerner products, and when I try to make sense of a hospital history and physical or discharge note, I am simply appalled. Their outpatient notes are even worse.
If that is the future of medical communication, I can only shake my head in disbelief.
Apparently Mr. Duncan from Liberia told the admitting clerk he was from Liberia, and that he had been exposed to Ebola. Apparently the doctor didn't have time to take his own history, and either didn't see, or didn't believe the "history" the clerk put in. At any rate, the EMR in this case (and many others) turns clerks into clinicians -- they are responsible for the patients' histories -- and clinicians into clerks-- physicians have to transcribe their own notes and fill out all the papers. What a mess.
I, too, have abandoned MU after 3 years, and will take the penalty -- my calculations are the same as yours. I just hope the Feds don't come after the money they have already paid me because I folded early.
I actually believe I am using AC "meaningfully" -- but without lying, I can't claim to meet the standard of MU2, let alone MU3.
