Transcript Unintended Consequences of Meaningful Use

Unintended Consequences
of Meaningful Use
Sharon Stewart, Senior Consultant, IT
May, 2014
The Calls You Don’t Want to Receive (or Miss)
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The Problem: Unpleasant Meaningful Use Surprises
 Audit failures
 Vendor failures
 Employee and provider revolts
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Audit Failures – Uncertified EHR Version
 Bought it – didn’t install it
 Certified for last year
 Missing components
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Audit Failures – Incomplete System Coverage
 Attest with departmental data
 Departmental system data missing
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Audit Failures – Incomplete Documentation
 Allowable expense justification (CAH)
 Vendor logo missing
 Unable to match attestation
numbers
 Clinical Quality Measures
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Audit Failures – That Pesky Risk Analysis
 Risk analysis covers EHR
 Remediation plan documentation
 Remediation progress documentation
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Vendor Failures – Late to Deliver
 Technically on time / practically too late
 Contract protections
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Vendor Failures – Missing a Detail
 Certified to 2014 standards
 Use the “CHPL” to check
 Perpetual patching
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Vendor Failures – They Just Give Out
 Get tired and quit, but don’t tell you
 “The Exemption” isn’t really
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Provider Revolts – Weak Solutions
 Physician documentation tools are immature
 Pre-op order process doesn’t work
 Messy medication reconciliation
 Discharge process is still hybrid
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Provider Revolts – Customization: Blessing or Curse?
 Improve your provider experience
 Experts in short supply
 Providers can’t tell
you what they need
Curse
Blessing
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Employee Revolts – Impacts on Nursing
 Nursing as a solution for provider problems
 Their efficiency = your miss on MU
targets
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Employee Revolts – White Knight in the Pharmacy
 Home meds for medication reconciliation
 CPOE glitch-catchers
 CPOE boo-boo catchers
 Good drug file design
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How to Succeed – It’s All About Communication
 Monthly Meaningful Use review
 Provider process optimization – forever
 Vendor vigilance
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Sharon Stewart
Senior Consultant, IT, QHR
105 Continental Place
Brentwood, TN 37027
(615) 371-4560
[email protected]
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