Meaningful Use

A collection of 30  Posts

Guest Article: What EHR buyers and health IT vendors can learn from the Nashville market

Zach Watson over at Technology Advice.com wrote a nice piece on EHR Trends in Nashville. I’m not a big fan of “trends” articles because trends aren’t that important, the implications of those trends and how to operationalize the implications are most important. I enjoyed Zach’s article so I asked him to tell us what those trends mean for EHR buyers and health IT vendors writ large. Here’s what Zach said:

EHR review site Software Advice recently published their 2014 Meaningful Use EHR Market Share Report (a SlideShare version is also available). They reported that in contrast to the buzz about this impending market consolidation, they found a trend toward fragmentation; in fact, the number of vendors in the health space with MU attestations actually grew 25% in the past year alone. The report was nice enough that I reached out to Melissa McCormack from Software Advice to see what further insights we could glean from the report.

Last week I presented the closing keynote at the Medical Design & Manufacturing (MD&M) West Conference & Exhibition in Los Angeles. MD&M has always been about what’s next in medical device design and this year’s event didn’t disappoint. While still being primarily focused on hardware, many smart device manufacturers came out to MD&M looking for advice on next generation architecture and thinking so that they could point their product roadmaps in the right direction.

We’re all familiar with the idea that medicine is, slowly but surely, going from a paper-native to a digital-native industry. Most of our processes and procedures were designed in an environment where information started on paper and then was either scanned as a PDF document or entered into a structured electronic record in some software. Our current processes assume that if our software systems ever failed, we have paper records and could continue standard medical care without the electronic versions for a period of time.

I’ve often said that Meaningful Use and the HITECH Act created false demand for EHRs and has (perhaps irrevocably) harmed innovation in the EHR space by standardizing features and function rather than outcomes and expectations. It’s a false demand because it concentrated too much on prescriptive, sometimes useless, and in many cases productivity-killing, functionality instead of focusing on what’s really needed — data interoperability and fostering innovation. John Halamka wrote something similar recently in his Advice to the new ONC chief (highlights in red below are mine, not John’s):

“Digital Health” is often centered on EHRs and Meaningful Use to the detriment of many other technologies that can help improve patient satisfaction. To help make sure that we don’t forget how useful modern technologies are to actually getting paid for medical services, I invited Jay Fulkerson, president and CEO of Health Payment Systems (HPS), to take us through the most important issues surrounding claims and payment tech. Prior to his role at HPS, Fulkerson served as chief executive officer of Touchpoint Health Plan (which was acquired by United Healthcare) so he knows the payment space pretty well.

The nice folks at Iron Mountain, a publicly traded storage and information management services company, reached out to me during the summer and asked what I think the challenges are around healthcare data management. They recorded my answers in a series of interviews published as part of National Health IT Week (Sep 16th-20th). Here’s the first of the series: Many of you probably already know Iron Mountain as a records management, data backup and recovery, document management, and secure shredding company because they’ve been doing that kind of work for years across many different industries.

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