This week, I came upon two blog posts that I thought were interesting in light of my last EMR Straight Talk post, which suggested that EHR adoption was being driven to the tipping point by the meaningful use incentives. Increasing numbers of physicians—many of whom were initially motivated by the government’s incentives—are beginning to question the real value of complying with the program’s ever-more-demanding requirements. Whether or not meaningful use thrives as the program progresses will ultimately be determined by the physician market, but sentiment is clearly mounting that too much is being demanded.
In a recent post on the venerable HIStalk blog, Dr. Jayne reminds physicians of why they went into medicine, and she challenges the government to justify new requirements by “providing concrete evidence that jumping through the hoops you’re holding in front of us will actually help patients in a truly meaningful way.” Analyzing the trade-off between the incentives and productivity, she worries about not only the impact on physician income, but also the impact on the number of patients who can receive care. I particularly appreciated her conclusion that what we should be seeking is “evidence-based Meaningful Use.”
An editorial published on the AMA’s American Medical News website, titled “Meaningful Use’s Stage 2: A Recipe for Failure,” highlights the AMA’s concerns about the Proposed Rule, concluding that the requirements are simply “too demanding” and will turn physicians into cynics, rather than participants in the EHR program.