June 13, 2010
Big Winners of EMR Stimulus, Top EMR Companies and Effect of EMR Stimulus on EMR Adoption
Written by: JohnWelcome to my Sunday look back on past EMR posts. Tonight, I’ll look at 3 posts that I remember quite well and have actually referenced a number of times. Let’s also take a look at what’s happened since I posted them.
Big Winners from Obama EHR Stimulus HITECH – I loved this post. It was a really really early look at which stakeholders would benefit most from the $18 billion of EMR stimulus money. I still think the list is pretty accurate. If you disagree with the list, I’d love to hear it.
Top EMR Companies Method of Selecting an EMR – This is the type of post that I love to write, but I’m not sure how many people love reading them. However, the comments did highlight one interesting theme. People really are looking for help in selecting an EMR. It really did give me motivation to finally start selling my EMR selection book. I also just recently started a page listing a number of different EMR selection websites. Hopefully both can add some value for users.
Effect of Stimulus Package on EHR Adoption – I think this was a somewhat pivotal post for me. I sadly articulated the lack of value of the EMR stimulus money and how I believed that it wouldn’t have the desired effect on EMR adoption. However, it also helped me to realize and conclude how important it is for doctors to take their time selecting the right EMR and not be distracted by the EMR stimulus dollars. Something that I’ve repeated a lot the past year and a half.
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Sadly, all three posts appear percipient in their outlook on the EHR stimulus. I say sadly because after listening to Dr. Blumenthal and the members of the ONC policy/workgroups members during several online meetings, I believe they truly are trying their best to make this mandate a reality. I think your reasoning in “Effect of Stimulus Package on EHR Adoption” is spot on: if you don’t believe a tool will help you (or if you believe it will actually cost you more than help), then being offered more money (potentially) isn’t going to do much to change your mind.
It was really good post lot of useful information. On the point of usability and defining the term ‘meaningful use’, I would add further that the medical practitioners are looking to avail of this federal incentive by trying to comply with the definition of meaningful use but at the same time EHR providers are looking at their own set of profits.
This misunderstanding is mostly I believe as a result of wrong interpretation of the federal guidelines. The EHR providers need to look at these guidelines from the prospective of the practitioners who deal with different specialties.
Each specialty EHR has its own set of challenges or requirements which I believe is overlooked by im most EHR vendors in a effort to merely follows federal guidelines. This is resulting in low usability to the practitioners, thus less ROI, finally redundancy of the EHR solution in place.
I think ROI is very important factor that should be duly considered when look achieve a ‘meaning use’ out of a EHR solution. Though one may get vendors providing ‘meaning use’ at a lower cost, their ROI / savings through the use of their EHR might be pretty low when compared to costlier initial investment. Found a pretty useful ROI tool [http://www.waitingroomsolutions.com/wrs/emr-ehr-roi-calculator] that is pretty customizable and easy to use. It also accounts for the different specialty EHR’s too.