Latest Commentary

Medical malpractice: How EHRs are changing the game

EHRs not only are transforming how healthcare is performed, they're also on the cusp of reshaping the law surrounding that care. Are they the right changes? Or do we need to take a step back and reassess them?

Meaningful Use is not the right model for a telemedicine incentive program

Telemedicine has been receiving a lot of media attention recently, with initiatives in Congress, the Federation of State Medical Board's Interstate Licensure Compact now ready to launch, and more health insurers than ever paying for it. So I'm a bit surprised that a recent proposal published in Telemedicine and e-Health has garnered so little attention, positive or negative.

We need to get to the root of the coordination of care problem

Why is there still such as disconnect between the Meaningful Use program's vision of interoperability and its use in the real world?

Not all EHR research can be taken at face value

Electronic health record research is typically scientific, evidence-based, reliable and authoritative. But sometimes a study seems to miss the mark. Case in point: the venerable Journal of the American College of Cardiology has just published a new study that found that EHR-using hospitals did not have higher quality of care for Ischemic stroke patients than hospitals using paper records.

Let's move from patient safety research to patient safety accountability

I've expressed concern before that ONC paints a Pollyanna portrait of its success. So I found its recent issue brief on health IT and patient safety refreshing. Yes, it's a very rosy...

EHR fraud: A slippery slope

The future of health IT was looking pretty rosy this week in the afterglow of last week's annual Healthcare Information and Management Systems Society conference in Chicago. Interoperability....

Stage 2 patient engagement should be voluntary during MU sorting-out process

The Centers for Medicare & Medicaid Services and the Office of the National Coordinator for Health IT don't seem to get a break these days, do they? This year so far has been pretty hectic...

Congress is its own roadblock to interoperability

The Office of the National Coordinator for Health IT has received a large number of comments on its draft interoperability road map. Some commenters have praised it; others have offered criticisms....

Meaningful Use alignment efforts may drive docs, hospitals apart

There is no doubt that different stakeholders will have varying views about the proposed rule implementing Stage 3 of the Meaningful Use program. But ironically, the rule, which is intended to further align two particular groups of stakeholders--physicians and hospitals--may actually drive them away from each other.

Meaningful Use Stage 3 not the end of government health IT involvement

Assuming Stage 3 is even needed, what happens when it's over? Does the government pack up its health IT bags and go home?