Unintended Consequences of Meaningful Use
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Unintended Consequences of Meaningful Use Sharon Stewart, Senior Consultant, IT May, 2014
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Unintended Consequences of Meaningful Use. Sharon Stewart, Senior Consultant, IT May, 2014. The Calls You Don’t Want to Receive (or Miss). The Problem: Unpleasant Meaningful Use Surprises. Audit failures Vendor failures Employee and provider revolts. - PowerPoint PPT Presentation
Transcript of Unintended Consequences of Meaningful Use
Unintended Consequences of Meaningful Use
Sharon Stewart, Senior Consultant, ITMay, 2014
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The Calls You Don’t Want to Receive (or Miss)
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The Problem: Unpleasant Meaningful Use Surprises
Audit failuresVendor failuresEmployee and provider revolts
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Audit Failures – Uncertified EHR Version
Bought it – didn’t install itCertified for last yearMissing components
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Audit Failures – Incomplete System Coverage
Attest with departmental dataDepartmental system data missing
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Audit Failures – Incomplete Documentation
Allowable expense justification (CAH)Vendor logo missing
Clinical Quality
Unable to match attestation numbers
Clinical Quality Measures
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Audit Failures – That Pesky Risk Analysis
Risk analysis covers EHRRemediation plan documentationRemediation progress documentation
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Vendor Failures – Late to Deliver
Technically on time / practically too lateContract protections
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Vendor Failures – Missing a Detail
Certified to 2014 standardsUse the “CHPL” to checkPerpetual patching
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Vendor Failures – They Just Give Out
Get tired and quit, but don’t tell you“The Exemption” isn’t really
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Physician documentation tools are immaturePre-op order process doesn’t workMessy medication reconciliationDischarge process is still hybrid
Provider Revolts – Weak Solutions
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Provider Revolts – Customization: Blessing or Curse?
Improve your provider experienceExperts in short supplyProviders can’t tell
you what they need
Curse
Blessing
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Employee Revolts – Impacts on Nursing
Nursing as a solution for provider problemsTheir efficiency = your miss on MU
targets
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Employee Revolts – White Knight in the Pharmacy
Home meds for medication reconciliationCPOE glitch-catchersCPOE boo-boo catchersGood drug file design
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How to Succeed – It’s All About Communication
Monthly Meaningful Use reviewProvider process optimization – foreverVendor vigilance
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QuestionsSharon Stewart
Senior Consultant, IT, QHR105 Continental PlaceBrentwood, TN 37027
(615) [email protected]
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