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Almost all the comments here have to do with features not structure. There are two ways to build this structure. First is the way every other industrialized nation has gone, centralizing of healthcare into government hands. The 70 health entities are nothing more than this – admission of failure. While outcomes have proven this method to be superior to the US in most outcomes, like all socialist style, demand side economic systems, innovation and research suffer.

We have a chance to really lead by devising a new system – government regulation of the structure not the features. Like government control of the roads – we don’t tell people what cars to drive or where they can stop or not but we only set the standard “rules of the road” so there is uniform use but in individual ways. The pallet with the paint but people can paint what they want.

Right now we have everyone chirping in on what they think a picture should look like not the formula for the paint. If we want any kind of meaningful use EMR developers need paint formulas that will be accepted not elements of what a picture looks like. To get the latter means “impossibility.”

Companies, particularly large companies, are out to protect their interests, in fact it is their ethical responsibility. It is the ethical responsibility of government to protect the freedom and happiness of the people. It is in healthcare companies interest to confuse and prevent uniform standards. The company that controls the road controls the trucking on that road.

We need a government mandated and controlled structure. DICOM formats, HL7 interchange, the afore mentioned Formulary structure, forced IT network communication structure etc etc.

Doctors are not idiots, they will not accept the “to be meaningful use” it must have. If we have the structures mentioned above rationalized EMR companies will flood the market with software doctors WANT not need.

In Boston, didn’t you rationalize the system there? You did it with one vendor! That is impractical unless we want socialized medicine, which we don’t, but the principle is the same, a rationalized infra-structure – only through regulation not meddling in personal enjoyment or should I say physician’s practices.

Please comment unless, this blog is just public relations written by a ghost writer.

CEOmike

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  • Brian Ahier says:
    November 28, 2009 at 10:33 pm

    There is a December 16 meeting of HIT Policy Committee’s Nationwide Health Information Network (NHIN) Workgroup, but I can not find anything on the web site about the upcoming meeting. I imagine that this meeting will work to to provide recommendations to the National Coordinator on a policy framework for the development and adoption of a nationwide health information technology infrastructure that permits the electronic exchange and use of health information as is consistent with the Federal Health IT Strategic Plan and that includes recommendations on the areas in which standards, implementation specifications, and certification criteria are needed.
    Since the NHIN Workgroup has been charged with creating a policy and technical framework that allows the internet to be used for the secure and standards-based exchange of health information, in a way that is open to all and fosters innovation. Will background material on testimony from stakeholder groups be made available, and will the meeting by webcast?

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  • Rajiv Kapur, Ph.D. says:
    November 29, 2009 at 1:22 pm

    Hi;

    Would appreciate clarification on a couple of Qs related to Meaningful Use Requirements and HITECH incentive payments.

    The August 2009 Health IT Policy Council Recommendations to National Coordinator for Defining Meaningful Use includes a footnote:
    “The HIT Policy Committee recommends that incentives be paid according to an “adoption year” timeframe rather than a calendar year timeframe. Under this scenario, qualifying for the first-year incentive payment would be assessed using the “2011 Measures.” The payment rate and phaseout of payments would follow the calendar dates in the statute, but qualifying for incentives would use the “adoption-year” approach.”

    Does this imply that hospitals first qualifying for HITECH incentive payments starting in FY 2013 would do so using the 2011 meaningful use measures for the first two years of incentives (FY 2013 and FY 2014) and then qualify for incentive payments for FY 2015 and FY 2016 using 2013 measures?

    Also can a hospital qualify for incentive monies in 2011 and 2012, not qualify in 2013 then qualify in 2014 and 2015? Or are “breaks” not allowed, meaning in this situation the hospital would lose eligibility for incentive monies in 2013 and qualify for 2014?

    Thanks,

    Rajiv

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