From John Moore: "Re: HITECH. It’s certainly generating a lot of conversation. In one sense, this is great, getting docs to adopt, etc., but based on what I have read and what I am seeing so far, could become an unmitigated disaster. Just too much $$$ flowing into a market too quickly, a market that can not wisely absorb this largesse." Below is a chart John (of Chilmark Research) put together.
The bottom line for physicians is that the sooner a physician is "meaningfully" using a "certified EHR," the more money he or she is eligible to recoup. The definition of "meaningful" is not clear, but includes electronic prescribing, the exchange of health information for coordination of care, and the ability to report on clinical quality measures. Perhaps a bigger and more controversial question is what is a "certified EHR vendor"? The legislation does not specifically say "CCHIT-certified," but surely the vendors of currently CCHIT-certified products will claim that’s the way to go. Will CCHIT be flooded with certification applications? Or will the non-certified vendors expand their lobbying efforts to ensure their clients (and potential clients) get a piece of the monetary action? And, if you are a provider looking to purchase an EMR today, do you risk investing in a non-CCHIT solution?
While EMR vendors may have spent a couple of days rejoicing over the bill’s passage, most are now evaluating if they have adequate implementation resources. Something to ponder: EMR vendors may have to prepare for the liability involved if their users aren’t able to meet the "meaningful" use required. Perhaps this bill also provides some stimulus for attorneys.
If you are interested in learning more about the stimulus package and its effect on healthcare, HIMSS is hosting a number of Webinars that highlight various aspects of HITECH and its implications. If you are attending HIMSS09, you can also check out the 10 sessions that HIMSS has added on the topic.
Practice Fusion announces that it now has over 13,000 users of its free, Web-based EMR.
A Detroit columnist rails against Compuware’s hiring of Kwame Kilpatrick, disgraced former mayor of Detroit and a prisoner until a few days ago, as a $100K sales rep for its Covisint physician portal business. "What does Compuware’s hire of Kilpatrick say about Detroit, its politics and its corporate culture? That they keep rewarding failure, for one. Karmanos & Co. say Kilpatrick is ‘uniquely qualified’ for this gig, but his speedy hire, no-business and no-healthcare background suggest otherwise."
A New England Journal of Medicine report concludes that more physicians are moving away from careers as solo practitioners and instead are taking salaried position that ensure more financial security and shorter work hours.
Lara Bruneau, MD joins the PracticeOne Medical Advisory Council in Family Medicine.
Cleveland Clinic collaborates with MinuteClinic to provide clinical consultations as backup to nurse practitioners in nine northeast CVS in-store MinuteClinics. The arrangement includes integration of their respective electronic medical records, with patient-approved access to the clinic’s Epic MyChart information.
Panasonic reveals a new personal blood pressure monitor that includes an SD card slot. Patients can upload their readings to a PC, either their own or that of their doctor.
NuPhysicia launches inPlace Medical Solutions to provide medical services to offshore oil rigs and other remote workers. The solution connects the workers and physicians via live, two-way videoconferencing.
Odd lawsuit: a woman taking generic metoclopramide claims she developed tardive dyskinesia and sues the generic manufacturer. The court dismisses her suit, so she sues original developer Wyeth instead, claiming it was "foreseeable" that her doctor read Wyeth’s literature. This new California interpretation of tort law now holds manufacturers responsible for the products of competitors.