tag:blogger.com,1999:blog-4384692836709903146.post7754817069277074534..comments2024-03-27T09:55:23.143-07:00Comments on Dispatch from the Digital Health Frontier: The Meaningful Use Workgroup RecommendationsJohn Halamkahttp://www.blogger.com/profile/04550236129132159307noreply@blogger.comBlogger2125tag:blogger.com,1999:blog-4384692836709903146.post-14417591913679387292014-02-19T11:13:21.136-08:002014-02-19T11:13:21.136-08:00To start, I love the 3 questions you challenged ea...To start, I love the 3 questions you challenged each Meaningful Use 3 recommendation with. They provide for a realistic, "do we <i>really</i> need this/can we <i>really</i> do this" evaluation of each recommendation.<br /><br />Another discussion question for <i>5. Clinical Documentation</i><br /><br />It has been proven that copy/paste functionality in EHRs can be dangerous to patients for a multitude of reasons. But is there evidence that functionality analogous to "track changes" in Microsoft Word will <i>improve the safety of care?</i> Prospectively, no. I can't think of a meaningful way in which this could aid in the quality, safety, efficiency, or affordability of care.<br /><br />Retrospectively? Maybe. But among all the other reporting/documenting/etc. requirements organizations are faced with, when will they ever have time to go back through their "track changes" and perform an analysis of the consequences of poor copy/paste use?<br /><br />I think a lot of these Meaningful Use 3 recommendations are items that would be "nice to know" but are not something that need to be immediately addressed by healthcare organizations. Small, retrospective studies can be done by independent (or government-funded) research groups to aggregate conclusions - such as the effects of copying and pasting in EHRs.<br /><br />I love the question you raise here, "... and the tension that such regulations create by prescribing functionality in products, reducing the ability of organizations and vendors to set their own priorities." It feels like EHR vendors are always trying to "catch up" to the latest code sets, regulations, and functionality standards - where would vendors be now if they were able to use those thousands of programming hours on creative/innovative endeavors and special projects? There's lots of exciting healthcare technology and ideas out there but it will take years to fully enter the market if large vendors continue to be under so much regulatory stress.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-46165379498123983142014-02-04T07:01:55.755-08:002014-02-04T07:01:55.755-08:00Hi John!
I just read your post: "Five Pieces ...Hi John!<br />I just read your post: "Five Pieces Of Advice For Karen DeSalvo". Well written and valid points. From a standards perspective, we have begun an effort to harmonize HQMF and HeD into one model. Check out HL7 if you are interested!Anonymousnoreply@blogger.com