Physicians, professional societies, and EHR vendors are now aligned against the complexity and pace of the meaningful use program. In my last two EMR Straight Talk posts, I shared my concerns about the future of the meaningful use program. My letter to Farzad Mostashari relayed the rampant dissatisfaction expressed by physicians about the program’s complexity, the government’s unrealistic expectations, and the impact on physician productivity. In my last post, Physicians Are Crying “Uncle!”, I discussed how physicians and the professional societies that represent them are demanding that the runaway meaningful use train be slowed. Of paramount concern to physicians is the fact that the EHR usability they crave is being sacrificed in the pursuit of certification.
EHR vendors collectively expressed their concerns in a comment letter from the HIMSS EHRA (Electronic Health Record Association) to the HIT Policy Committee about the initial proposal for Stage 3, and their message was in synch with that of the physicians and their societies. The vendors focused on the government’s interference with their ability to innovate, and they expressed their frustration over being unable to creatively address the needs and demands of physicians for new capabilities:
The needs of such experienced and often sophisticated [physician] users will best be met by market innovation, while extensive and detailed standardized requirements dictated by the federal government are not only unnecessary but may actually interfere with the pace and direction of needed innovations.
Vendors advocate, as I do, for the government to limit its focus to overarching issues like ensuring interoperability, and they argue against the government simply piling on more new measures. The opportunity to innovate is being thwarted by government programs that force vendors to devote all available resources to an ongoing chase after continually changing certification requirements.
Rarely do we see such close alignment between physicians and vendors on any matter. If CMS and ONC continue plowing ahead, ignoring the pleas of these major stakeholders, history will deem them to have been woefully negligent stewards of a program that started out with such laudable goals.