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HHS workgroup proposes easing requirements for meaningful use

We've been hearing for more than a month that some constituencies within HHS were interested in easing some of the requirements for meaningful use of EMRs. Now, the Health IT Policy Committee's workgroup on meaningful use is recommending that the agency do exactly that.

As the proposed requirements now stand, physicians and hospitals will have to meet 25 different measures to earn federal subsidies for EMRs in 2011 and 2012. But the workgroup now is suggesting that CMS drop drop as many as six of those measures that some see as onerous. "You can do things that are easy to measure, and you want to make sure it's done for some but not measures that force more manual labor," workgroup co-chair Dr. George Hripcsak said at a meeting last week, Government Health IT reports.

The other co-chair, Dr. Paul Tang, said that other Policy Committee workgroups are considering additional changes to the current proposal. He did not elaborate. The committee will take the recommendations from its workgroups and submit any proposed revisions to HHS by March 1. HHS is taking public comments on meaningful use through mid-March, and will finalize its regulations in the spring.

For more information:
- see this Government Health IT story

Related Articles:
Senate drops proposed expansion of 'meaningful use'
HHS hints at possible 'meaningful use' changes
Achieving meaningful use will require more than just implementing fancy tools

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Comments

The policies work group committee, is very courageous, to create improvement in changing the format for: demographics psychsocial, progress notes, doctors orders, nurses progress orders diagnostics,vital signs,etc.

However, the computerized EMR's software application is expected, to be obtainable and function on the operation which is commanded by either the nurse and or the doctor.

The collection of data input is considered for statistical usage and measured for either qualitative, quantitative and probability for making better decisions in modifications for quality client centered healthcare services, at cost effective prices, in a certain amount of time, while observing the desired outcome for patient care or remodifying his or her patient care so a better response to the care can be drawn out.

My point is create different departments for management of standard deviations, probabilities, etc.
This break down for job responsibilities can create jobs, improve moral, educate allied healthcare providers, and serves the community simultaneously.
team one
measure the time a patient waits to obtain medical care.
Team two
Measure the number of times the insurance changes from primary, secondary, tetiary, medicare or medicad.
Team three
measure the probability a patient having a benign/acute diease as oppose to chronic or malignant.
Team four
measure the number of patients agreeing to invasive procedures as oppose to noninvasive procedures.
Team five
measure the number of patients whom agree to diagnostic testing:
open vs closed
MRI vs Cat scan
Radiology vs ultrasoundsonography
PET vs Cat Scans
Flouroscopy vs Darwin Stint

The identifications can go on, but my point is, create medical statistic teams, which utilize a specific formula, both manually and computerized logic.

This way you have a back up plan, and you can add on more statistical methodologies; which create empowerment to medical arenas, patient care, communities, while improving quality and quantity safely and cost effectively, without forgetting about the enviornment.

Barb Guster PSR,BPS

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