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#68075 01/13/2016 7:59 PM
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FrankD Offline OP
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A sad day indeed with the announcement of the end of meaningful use.

Any eulogies?


Frank
Psychiatry
Orland Park, IL
FrankD #68076 01/13/2016 9:14 PM
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Don't get too excited, it will only be replaced by something more onerous and likely to reduce payments more. But hopefully a streamlined EHR will be possible.
Nah, can't make chicken salad out of chicken sh_t.

FrankD #68077 01/14/2016 12:32 AM
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I hadn't heard this. Is there a link?


Bert
Pediatrics
Brewer, Maine

FrankD #68079 01/14/2016 5:26 AM
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FrankD #68080 01/14/2016 9:39 AM
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Frank
Psychiatry
Orland Park, IL
FrankD #68084 01/14/2016 1:24 PM
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Good news! I was amused to read the quote from CMS chief, Slavic: "We have to get the hearts and minds of physicians back. I think we?ve lost them."


John Howland, M.D.
Family doc, Massachusetts
FrankD #68087 01/14/2016 1:47 PM
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Thanks.


Bert
Pediatrics
Brewer, Maine

FrankD #68088 01/14/2016 2:24 PM
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Quote
"The layers of requirements in Meaningful Use, the HIPAA Omnibus Rule, the Affordable Care Act, ICD-10 and (MACRA) are so complex and confusing that even government experts struggle to understand the implementation details," Halamka wrote. "Each of the regulations leads to various audits. My experience is that even the auditors do not understand the regulatory intent and ask for documentation that far exceeds the capabilities of existing technology."

thanks for the links.
I wonder if it is for real?


Tom Duncan
Family Practice
Astoria OR
FrankD #68097 01/14/2016 4:12 PM
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Unfortunately, private sector health care regulation is now such an enormous industry that there will always be intense lobbying for health care regulation. Too many people making money off the backs of patients, physicians and health care workers. The money in data mining in huge!


Frank
Psychiatry
Orland Park, IL
FrankD #68101 01/14/2016 10:21 PM
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Meaningful Use soon to become Meaningful Abuse. Stay tuned...


John
Internal Medicine
FrankD #68113 01/15/2016 2:08 PM
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I have strong faith in the federal government and CMS in particular.

Let's be sure to give them adequate resources, time and plenty of expert panels.

I am 100% sure that they have the ability, brainpower and motivation to come up with...



something worse than MU

/sarc off


Larry
Solo IM
Midwest
FrankD #68125 01/16/2016 8:10 AM
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What is AC and all the other EHR's companies thinking about this cluster duck?

One can only wonder how current EHR's will need to change to meet the 'new' needs as
dictated by CMS.

Apparently there is a law on Obamas desk waiting for his signature giving an out from the penalties for not meeting MU, is that even relevant now???

Just WOW!

FrankD #68128 01/16/2016 11:10 AM
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Unfortunately, private sector health care regulation is now such an enormous industry that there will always be intense lobbying for health care regulation. Too many people making money off the backs of patients, physicians and health care workers. The money in data mining in hug

The body of medicine, like the body of banking, education, religion -- name an important human activity -- has been infested with parasites.

Of course, I never met a parasite who didn't think he was an important and integral part of the organism, so it's all in the eye of the beholder, as usual.


Tom Duncan
Family Practice
Astoria OR
FrankD #68135 01/17/2016 7:32 PM
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Here's how I feel about the end of Meaningful Use!
Utube


Kevin Miller, MD
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Perfectly stated.


Frank
Psychiatry
Orland Park, IL
FrankD #68155 01/20/2016 9:19 AM
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Don't put on your party hats just yet.

Quote
One week after Andy Slavitt said meaningful use would be replaced soon, the acting Centers for Medicare and Medicaid Services administrator and national coordinator Karen DeSalvo made it clear that the changes would take time and that providers must still follow the current program.

http://www.healthcareitnews.com/new...desalvo-say-macra-changes-will-take-time

I'm sure what this means is the federal government, in its infinite wisdom, will replace MU with something even more difficult and useless.


Pete
Practice Manager
Physician's Office Resource, Inc.
FrankD #68176 01/22/2016 3:20 PM
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jimmie
internal medicine
gab.com/jimmievanagon






FrankD #68185 01/23/2016 10:43 AM
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The Feds aren't going to let doctors decide what is "meaningful", any more than they are going to let ranchers decide how to manage grazing lands. We are testing that one in SE Oregon --

I don't imagine MU could come to an armed standoff, but I wouldn't completely dismiss the idea, either. It's getting really frustrating.


Tom Duncan
Family Practice
Astoria OR
FrankD #68186 01/23/2016 12:05 PM
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Meaningful use is often times been meaningless. Worst of all it is always been backwards. Imagine if drivers were rewarded or penalized for features and safety issues and automobiles. For instance, you had to have side airbags installed in your 1959 Corvette. Not the best example, but maybe you get my drift.
Since the manufacturers or vendors of EHRs acted as if all of the meaningful use money was theirs by charging large sums of money to purchase or upgrade a system (present vendor excluded ), I believe the requirements should've been directly dropped upon the vendors. Yes they had to get certified, but look at how well interoperability works at present.
I have a tiny, tiny, Hope that the regulators will force vendors to provide truly interoperable systems. And provide the infrastructure (HIEs similar to the Fed regulating airports for instance). Oops, forgetting about TSA, ok bad example. Anyway one can hope for something meaningful.


Roger
(Nephrology)
Do the right thing. The rest doesn?t matter. Cold or warm. Tired or well-rested. Despised or honored. ? --Marcus Aurelius --
FrankD #68189 01/23/2016 1:05 PM
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Believe at the end of Slavitts statement about the end of MU where he was saying the overall idea of info gathering wasn't going to be abandoned the strongest statement appeared to say goal #1 was interoperability, wonder at whose cost?

[Linked Image from amazingcharts.com]

FrankD #68204 01/25/2016 1:54 PM
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Interoperability between hospital based EHR's looks to be on the horizon, citing a new agreement between EPIC and some of the other big players. How that will relate to ambulatory medicine has yet to be seen.

http://www.healthcareitnews.com/new...n-carequality-interoperability-framework


Pete
Practice Manager
Physician's Office Resource, Inc.

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