I spend a lot of time counseling clients that, although they may be able to check the box for attestation, they’re cheating themselves and their patients out of the improvements that systems were intended to drive.
The above quote was from a post by Dr. Jayne on HIStalk. Her comment really struck me on a number of levels. The first is that I know so many organizations that met the rule of the law when it came to meaningful use, but definitely didn’t meet the spirit of the law.
Dr. Jayne is so right that many organizations that just slapped an EHR in there in order to get the EHR incentive money cheated themselves and their patients out of benefits that could have been achieved. I realize the economic realities associated with waiting, but I think we’re going to suffer some long term consequences from all the rushed implementations that jimmy rigged things to meet the letter of the law as opposed to using the meaningful use regulations to improve the care they provide.
However, I’d take Dr. Jayne’s analysis one step further. It’s worth considering if doctors chasing the EHR incentive money and showing meaningful use are cheating themselves and their patients. Those fans of meaningful use will probably think I’m just being negative. Most doctors will likely think it’s a very good question.
The reality I’ve seen is that the happiest doctors I know chose to shun meaningful use and some of them are now laughing at their physician friends that are busy clicking meaningful use check boxes. Ok, most of them aren’t evil enough to laugh. However, in their heads they’re thinking how grateful they are that they chose not to pursue meaningful use. It’s not hard to make an argument for why not doing meaningful use is in the best interest of your patient.
My takeaway from the experience of the meaningful use “gold rush” was to slow down and think rationally. Mistakes happen when you make irrational choices. Taking the time to make a well thought out business decision is key when evaluating any software implementation and government program. Even a software implementation with $36 billion of government incentive money attached to it.