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The Impact of Meaningful Use on EHR Development

Posted on July 22, 2014 I Written By

John Lynn is the Founder of the blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of and John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

I’ve been getting a really strong response to my post calling for EHR vendors to expand their definition of customer service. Although, the title doesn’t do the post justice since I also talk about the impact of meaningful use on EHR development. Many of the readers of EMR and HIPAA (and if you don’t read EMR and HIPAA you should go subscribe to the emails now) have highlighted some important points I wanted to share with a broader audience.

First, Peggy Salvatore provides this insight about the impact of billions of dollars of EHR incentive money:

Almost 15 years ago, I wrote material for Intel (the computer chip company) based on research they were doing on physician workflow to make EHRs more usable. It was one of the early efforts to tackle this issue. I mention this to say that a lot of spade work has been done in this field but (in my humble opinion) government regulation has gotten in the way of software businesses trying to build electronic patient record products that work for the end users. Experience has shown time and again that customers will drive product improvements, and the same is true in the healthcare industry as in all others. The government has wasted tens of billions of dollars requiring systems be installed to meet timelines that were not realistic given the budgets and time available, or, to this point, to install products that were not really ready for prime time. Let the customers – in this case – the providers and the patients – drive development and you will end up with products that solve problems, not create them.

Brenden Holt, CEO of Holt Systems, offers this startling commentary on the EHR industry:

To me it is more clear. EHR Vendors, large and small and all points in between are currently working on the support nightmare (R&D and Direct Support) of Meaningful Use. It is the same when CCHIT was coming out, and not much different then the 100′s, if not 1000′s, of current copy cat products, all in one way or another a copy of the master Logician (GE).

Innovation does not bring in customers in the current environment. Government Adherence and more importantly relationships (Marketing and Sales) accomplish this. That is to say products need to be improved upon, but only to the extent of meeting the Government Regulatory Demands and the demands of the Large Organizations that are buying these things in bulk.

Innovation is available, but more then likely will take some time, as will thinking of how we document patient care as a whole, which is antequated methodology.

So as a CEO of a software company, one in the sea of many, I will say, innovation will happen when the phones get off the hook form highly demanding end users who want to make sure the MU is met and a Government Final Ruling that will get Government out of Development. Government is a terrible manufacture of innovation. One other major issue is that the end users don’t really want to pay for the innovation, if the EHR is working they are happy with the LOB application. That in and off itself is a issue, new features don’t translate to higher fees, the opposite is the case, less features in a Free Package can be much more attractive as both meet the basic LOB requirements.

We are the US, as much as the rest of the world tries, inguinity is what makes us great, our leading export, but in this vertical it is all but dead.

Catherine Huddle offered this insight about MU not just derailing EHR development innovation, but also possibly making things worse:

As for MU, as an EHR vendor I would agree that it and related government programs such as PQRS and PCMH have significantly derailed most other product development. Not only was Stage 2 a development “hog” but it brought in required changes that are often unnatural in a practice’s workflow and overly complicated.

MU has changed the goal from delivering what providers need to finding the best way to deliver MU to make it easiest for the providers and other staff – while still trying to make other improvements to the EHR. Unless the government repeals MU and the Medicare penalties the winning EHRs will be the ones that make MU as easy as possible.

While there’s plenty to be pessimistic about what’s happened with EHR, I’m still optimistic that we’ve passed through the meaningful use waters and that the future will bring forth opportunity for EHR development innovation. I’m hopeful (although not 100% certain) that the people in Washington have seen the toll that meaningful use has paid on the industry and they’ll lighten the load so that EHR vendors can start listening to end users instead of regulators.

EHR and Rural Healthcare Providers

Posted on July 12, 2011 I Written By

CEO of Laser Logics, Inc., serving healthcare entities in the areas of information technology, security, and authorized partner of CCHIT/ONC Certified EHR system SuiteMed IMS Electronic Health Records system. Focus on healthcare consulting nationally with focus on rural healthcare providers. EHR planning, custom return on investment calculator, project management, implementation, customization, workflow analysis, training, billing, and on-going support. Masters Degree in Healthcare Administration Bachelors Degree in Business Management Associates Degree in Paralegal Contact information:

Guest Post: Diane Matthews, MHA, is a the CEO of Laser Logics and Suitemed Solutions.  Laser Logics focuses on providing comprehensive IT services to healthcare.  SuiteMed Solutions helps doctors looking for comprehensive EHR Solutions.

Rural healthcare providers seem to be facing more obsticles with the following issues regarding EHR: cost, functionality to cost, effective training, implementation, support, IT hardware backend.

Strengthening the rural areas with technology advances in healthcare increases positive healthcare outcomes and reduces associated costly risks attributable to chronic diseases. I have lived in rural farm country side nearly all my life and I see the struggles of these rural healthcare providers. But, I also see the impact of lack of healthcare to children and elderly persons who simply have no means to travel 90 miles round trip for a doctor’s appointment. This is a crisis!

If we do not empower our rural healthcare providers with usable beneficial technology that is cost advantageous, then combined with reduced healthcare reimbursements and higher out of pocket costs that most rural families simply cannot afford, we are going to be losing our rural healthcare providers simply because they can afford to keep the doors open.

Cost is a huge factor. But a good healthcare EHR consultant not only focuses on the EHR software itself it is showing healthcare providers a wealth of avenues that can be effectively leveraged together to bring those implementation costs significantly down. Depending upon the healthcare facility this could be Section 179, American Disabilities Act, Green Tax Incentives, Federal 340B programs – it isn’t just one stimulus program – it is leveraging them all collectively and effectively together to yield the most advantageous outcome for the rural healthcare provider.

Something else I am seeing is a lot of rural healthcare providers are going with brand well known names in commercial EHR.  However, once the check is written the interest and commitment to the rural healthcare providers dwindles to non-existent. Then, what has happened is money that couldn’t afford to be thrown away in essence has possibly leaving no room to try again.

Rural healthcare providers need to invest their research into not EHR vendors but EHR consultants who look at the bigger picture of the healthcare entity and the community at large with focus on their unique needs. Organize group on-site training to reduce costs. An outstanding EHR consultant is going to view this as an opportunity to bring cutting technology to the hands of those who might not otherwise have an opportunity to receive it. Done right, while the EHR consultant may not have a high profit margin, the payoff will be seen with positive referrals from happy rural health entities, development of long term professional relationships, and being a responsible source in narrowing the gap in rural America between technology and healthcare.

What specific challenges do rural healthcare providers face with EHR?

What proposed resolutions to these challenges can be had to reduce EHR barriers for the rural healthcare providers?