HHS asked by Senate committee leaders to postpone stage 3 MU | Ed Marx comments on delaying stage 3 meaningful use | CIOs are prepared for transition to ICD-10 codes, CHIME says
October 1, 2015
CHiME Healthcare CIO SmartBrief
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HHS asked by Senate committee leaders to postpone stage 3 MU
A letter was sent by Sens. John Thune, R-S.D., and Lamar Alexander, R-Tenn., to HHS Secretary Sylvia Mathews Burwell asking that the agency postpone the implementation of stage 3 meaningful use and instead phase in the final stage as the other stages of the program are successfully implemented. The senators noted that only 40% of eligible hospitals and 12% of eligible physicians have complied with the complex requirements of stage 2 MU. "Pausing the Stage 3 rules will also enable the department to ensure its final rules align with the new payment models created by the Medicare Access and CHIP Reauthorization Act, which created the Merit-Based Incentive Payment System," the senators wrote, joining 116 House members who have also called for delayed implementation of stage 3 MU. Health Data Management (9/30)
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Ed Marx comments on delaying stage 3 meaningful use
Ed Marx
(Ed Marx, NYC HHC IT leadership team)
We all know that the longer a program exists, the likelihood of failure increases exponentially. Think back on projects you were involved in that failed. I suspect most of them were over a year in length. Time is cruel when it comes to programs and projects. The longer the duration, the more opportunity for things to go wrong, for the vision to morph, for motivation to dwindle and, frankly, for the problem being addressed to no longer be an issue.

So it is with meaningful use. It was a super program when it was first envisioned. It had fairly tight time frames given the length of time it takes to select and implement electronic health records. Big vision for a big problem. It worked! We saw the rate of adoption increase year over year. We saw requirements rise with evolving maturity to a focus on interoperability and optimization.

But, after so many years, support and interest have waned. Organizations have secured the majority of potential funding, and the motivation is no longer there. It can be argued that the original challenge of widespread adoption has been secured. Perhaps Congress should not only delay stage 3 but forgo the program altogether.
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Strategy & Leadership
CIOs are prepared for transition to ICD-10 codes, CHIME says
CHIME has released a statement saying its members are prepared for the implementation of ICD-10 codes today. "After years of implementing new IT systems, testing and training, hospital CIOs are ready for the switch. ... During the weeks and months ahead, CIOs will closely monitor how the transition is going and ensure that their organizations are positioned to take full advantage of the benefits of the new coding system," said CHIME Chairman Charles Christian and CHIME President and CEO Russell Branzell. BeckersHospitalReview.com (9/30)
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Technology Spotlight
Report examines trends in global HIT market from 2015 to 2020
A ReportsnReports study predicts a 13.4% compound annual growth rate for the global health care IT market from 2015 to 2020, primarily driven by the rising demands for EHRs and health information exchanges. A 16.4% CAGR within the five-year period is expected for the health care provider solutions segment, which posted the biggest market share last year. AuntMinnie.com (free registration) (9/30)
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Medical app market valued at $489M in 2015, report says
A Kalorama Information report said the value of the medical application market is $489 million this year. The report also said almost 40% of sales came from tools that are designed to track wearer health. MobiHealthNews.com (9/30)
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Management & Operation
Business managers, docs have opposing views on ICD-10 transition
Recent surveys show that doctors and business managers have different views on whether the ICD-10 transition will affect practices' revenues and cash flows. A SERMO survey found that 93% of doctors believe the new coding system will cause payment delays in the coming weeks, and 91% agreed that payment delays will still be experienced after the Medicare payment accommodation period. On the other hand, RelayHealth Financial surveys indicate that only 8% of revenue cycle and business managers agree that ICD-10 will cause payment delays. Health Data Management (9/30)
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Pa. provider reaches Stage 7 in HIMSS Analytics' EMRAM
Reading Health System has received the Stage 7 EMR Adoption Model designation from HIMSS Analytics for outstanding use of EMRs and other health technologies to advance patient care. The provider has improved the nursing documentation process by integrating some medical devices, and structured documentation has also helped streamline the workflow of physician leaders in the hospital, HIMSS said. Healthcare IT News (9/29)
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Regulatory & Legislative
HHS offers $685M in grants to push care coordination
Universities, state health departments, health care systems and professional groups will share $685 million from HHS to increase collaborative care and better manage patients with chronic conditions. The grants will be used for education, training and investment in health IT, quality improvement and coordination of care programs and are part of a larger initiative to transform the health care system to one that rewards outcomes. The Wall Street Journal (tiered subscription model) (9/29), Modern Healthcare (tiered subscription model) (9/29)
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Market Focus
Telehealth service launched at Miss. pharmacy
Patients in Flora, Miss., can now consult remotely with medical practitioners through a telehealth service introduced by TelehealthONE with Fred's pharmacy. This is the first Fred's location to host the telehealth service. Fred's Chief Operating Officer Mike Bloom said the company plans to expand the service to more locations. The Commercial Appeal (Memphis, Tenn.) (free content) (9/30)
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Most Wired at CHIME15
The 17th annual Most Wired Survey shows that hospital and health systems are making great progress in utilizing information technology to connect with patients. As a proud sponsor of the award, CHIME is pleased to highlight Most Wired recipients at the CHIME15 Fall CIO Forum in recognition of their great achievements. The Forum will include congratulatory acknowledgements throughout the event, as well as activities exclusive for award recipient representatives. Additionally, CHIME15 offers attendees opportunities to learn about the IT strategies and processes that were employed to achieve Most Wired status and setting the bar for health data security and patient engagement. Register today.
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AEHIX town hall meeting
The first AEHIX town hall meeting will take place in Orlando, Fla., as part of the inaugural AEHIX15 Fall Forum. Attendees will have the opportunity to learn about the benefits of their membership, interact with the AEHIX board members and help to shape the future direction of the associations. Due to the tremendous support of the AEHIX Foundation members, registration for the AEHIX15 event is free! Even if you're not a member, application is quick, easy and provided at no cost though the end of 2015. Learn more.
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The most courageous act is still to think for yourself. Aloud."
-- Coco Chanel,
fashion designer
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