Latest Commentary

Should the DoD be entitled to its own definition of interoperability?

I think we've stumbled upon one the biggest barriers to interoperability between the Department of Defense (DoD) and the Department of Veterans Affairs (VA): there's no real consensus on...

CMS was right to hold off on CJR health IT quality measure

The Centers for Medicare & Medicaid Services is very keen on moving away from a fee-for-service healthcare system to value based reimbursement in order to improve care coordination and reduce...

EHRs must be able to anticipate, handle present and future crises

Electronic health records have the potential to improve patient care for problems we can predict, such as reducing urinary tract infections and identifying patients who haven't received their flu shots. But they still appear to be unable to handle some of the more current and unanticipated medical problems, and that should give everyone pause.

OIG's work plan shifts review of EHRs, warns of further scrutiny

A focus on electronic health records and health IT by the Department of Health and Human Services' Office of Inspector General shows no signs of abating, as evidenced by its 2016 work plan, issued Nov. 2. But its priorities certainly have evolved.

Patient IT disparities hurt everyone's health

There's yet more evidence that health IT isn't meeting its Triple Aim of better care, efficiency and improved population health--and in some ways is making things worse.  

Can vendors make health data interoperability a reality without government force?

It's only fitting that the new trailer for the next Star Wars movie was released just as the Empire--the EHR vendor community--strikes back in the battle for health data interoperability....

EHR donation programs now under the microscope

There's been a lot of media attention on interoperability and of information blocking by providers and vendors, from calls to increase decertification of electronic health record products that don't share data, to allegations that the activity is anticompetitive. So it was only a matter of time before someone pointed out that information blocking can violate the healthcare trifecta legal heavy hitters: the Anti-Kickback statute, the Stark Law and the False Claims Act.

Meaningful Use not working? Demote it

For Meaningful Use, 2015 has not been the best of times. A recap of what's happened to the electronic health record incentive program so far includes: The Medicare Access and CHIP...

Don't let the new IOM report become yesterday's news

Once again, the venerable Institute of Medicine has published an important work on healthcare and patient safety, this time on diagnostic errors. The 369-page report, "Improving Diagnosis in Health Care," released Sept. 22, found that most of us will experience a misdiagnosis in our lifetime. And not surprisingly, EHRs and health IT are front and center in the report in both a positive and a negative way.

RWJF's report on MU gives validity to pausing Stage 3

It's not often that you see one report hedge its bets so often regarding whether something is working. But that's exactly what the Robert Wood Johnson Foundation's (RWJF) annual health IT report does regarding the Meaningful Use program.