I hate writing. But, I love data and I love research. So, when I volunteered to write about meaningful use, I had no idea what to write about, and cursed myself for volunteering.
Here was my starting perspective: Meaningful Use 2015-2017 Modifications, Stage 3 Final Rules, and the 2015 Certification Criteria had recently been published, and my job is specific only to Eligible Hospital (EH) Meaningful Use measures, no EP (Eligible professionals). Then CMS Acting Administrator Andy Slavitt indicated to the audience at the J.P. Morgan Healthcare Conference in January 2016, that Meaningful Use will likely end in 2016.
So, I hunkered down and started researching the subject. I found that physicians were the most vocal against meaningful use, vendors obviously promoted the benefits of meaningful use and hospitals were fairly non-existent in the conversation. This made sense since physicians were the least likely to benefit from meaningful use. Here are some of the more provoking perspectives as they relate to data and analytics on both sides of the conversation of the current and ongoing meaningfulness of meaningful use.
Cost and Value:
Laundry list: (Source: “Cancel, Don't Delay, Meaningful Use Stage 3 For Electronic Health Records.” Forbes. Sept 30, 2015)
Coordination of Care:
Multiple Examples of Success Stories & Case Studies: (Source: Meaningful Use Data and Case Studies. HealthIT.gov. Last updated: Mar 19, 2013)
One of the most interesting items I came across was the JASON Report on Data for Individual Health. There are eight findings that you can read through, but the one finding that struck me the most was:
There is an explosion of data from many and varied sources. Yet there is little understanding of how to parse, analyze, evaluate, merge, and present these data for individuals and for the health care team. The health data infrastructure currently does not have the capability to make the data accessible in usable form, including the associated meta-data and provenance.
I’ve worked with data my whole career and really thought we’d be further along using the power of data. Meaningful use--with all the good, bad and meaningful—needed to happen for the industry to move to the point of data “explosion.” But I agree with Dr. John Halamka and others: We need to retire meaningful use certification and regulation and move on to the next phase. We need to put more effort into learning health-systems as outlined in the JASON report -- where information can be transferred, assessed from one team or community to another, effortlessly and securely. Let’s hope this happens sooner than later.
Has meaningful use sufficiently moved the healthcare to where we need to be to support a value-based system in terms of data and analytics? What do you think will become of meaningful use in 2016 and beyond? What should the future of meaningful use look like? Let’s hear what you think!
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Posted Under: Clinical Business Intelligence