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Stalled EMR/EHR innovation Due to Stimulus Focus?

Vendors race to certify their applications to ensure certification by 2011 and meet Meaningful Use requirements. Have doctor’s (i.e., potential customers of these EMR/EHR applications) shifted the requirements from new, innovative functionality for their practice and patients to a focus more on how to gain access to the Federal stimulus money?

One could argue that the government, along with the certification commission, have determined which pieces of the standards and requirements for interoperability and functionality every vendor must provide to a customer. This is now done in conjunction with “Meaningful Use” requirements to ensure stimulus money will be accessible by the doctors. The thought is that a certified EMR/EHR will lead to better patient care and lower costs, yet I wonder if this has stalled innovation somehow.

While speaking to people in the industry, this question comes up frequently, and vendors seem to have shifted their focus to make their software certifiable, although their customers may not find it “meaningful.” The result:  losing the focus on innovation which set vendors apart. There are many niche vendors with great innovative software who do not fit into the current certification program or simply do not have the funds to alter their software to meet the general requirements. Will doctor’s using software from those vendors sacrifice functionality that fits them to get the incentive money instead?

I am interested to start a discussion on this topic as I am sure many of you have great points on this topic.

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Posted in EHR, EMR, Meaningful Use
  • Craig G

    I look at the volume of concepts that come from my customer based and it’s frustrating to put all that on hold for the duration required to be certified. Our product was never intended to be a total solution for every clinic and yet it provides significant advantages that compensate for a lack of functionality that we’ve found little demand for. Spending R&D dollars to catch up on requirements we decided were not in our best interest because of these broad strokes requirements is having an impact on our ability to respond to actual physician needs.

  • Todd Shillam

    There are simply too many differences between the developers of EMR solutions with respect to indexing and organizing data. The graphical interfaces may differ, but the database schema must share common characteristics to support interoperability; thus, some basic standards need to be in place via some governing body (i.e. CCHIT) to ensure the data can be transmitted on health information exchanges.

    As you suggest, there is going to be some lost functionality for businesses (i.e. long-term or post-acute). Some facilities that provide not only clinical support, but also psychiatric services (i.e. developmentally disabled or mental health) might find a certified EMR system may lack features needed for a more comprehensive system.

    What I have concern about is the much overlooked need to incorporate features to support post-acute and long-term care programs that often go beyond clinical supports. Often rehabilitation centers have the added component of psychiatric supports that are undoubtedly related to the wellness of people. At many long-term care facilities (i.e. SNFs, ICF-MRs, etc.) nearly 90 percent of medical care is provided locally and not at community hospital or medical providers.

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