Day: July 16, 2009

“Meaningful Use” – Tale of two words in Healthcare


Meaningful Use – That is it, those are the two words that is stirring up the healthcare providers, consultants, vendors,
lobbyists, bloggers, analysts in the US healthcare industry.

Its interesting to see a take on these two words after their new life as part of the HITECH (Health Information Technology for Economic and Clinical Health Act) investment act part of ARRA (American Reinvestment and Recovery Act), a stimulus plan for US recovery.

Who gave new life to this words: Department of Health and Human Services in US, who is going to be doling out ~30 billion USD in financial incentives for the adoption of electronic medical records in provider’s care infrastructure as part of the HITECT act, which is part of ARRA.

What caused the stir: HHS stated that funds will be distributed through Medicare and Medicaid incentive payments to EPs, physicians, and hospitals who are “meaningful EHR users.”

What “Meaningful Use” means and how do you define whether a doctor/provider is using technology in a meaningful way. Well that was the first reaction
of everyone in the industry. That was quite the sticker shock for getting money from the feds!

For example if I am using a car to drive to work, am I having a “Meaningful Use” of the car ? If I look from my perspective, of course yes, the meaningful use is Transportation. If you try to look from an environmentalist perspective, of course I am not a having a “meaningful use” of our planet by polluting it with my car.

That’s the way everyone involved in the US industry is looking it from their perspective and having war of words with it.
Here are some reactions in the industry:

From my friends at Medseek, they looked at it from the users(patient’s) perspective. Anything done in the name of tax payer’s money better be of “meaningful use” to the citizens.
http://medseekblog.typepad.com/medseek_weblog/2009/05/two-words-that-have-changed-healthcare-forever-meaningful-use.html

From Clickmark Research
outlook

On June 16th: HHS came up with a definition, which you can read here
http://healthit.hhs.gov/portal/server.pt/gateway/PTARGS_0_11113_872720_0_0_18/Meaningful%20Use%20Preamble.pdf

Quote from HHS “We recommend that the ultimate goal of meaningful use of an Electronic Health Record is to enable significant and measurable improvements in population health through a transformed health care delivery system”

The key words are “population health”. The definition of “meaningful use” is still in draft phase and it will be interesting to follow
how the HITECH investment act follows through to achieve improvements in population health while balancing the competing goals of healthcare providers.

Improvements in population health is key in terms of managing chronic diseases like diabetes, heart disease, COPD, asthma etc, which
is the key focus both in Canada and US.

More on “Meaningful Use” later…have a meaningful rest of the week and weekend that follows.

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