Jul 10

Lisa Rosenbaum.

As Koppel explains, even something ostensibly simple, such as blood-pressure measurement, will get lost in translation due to the modifiers accompanying the amounts: standing, sitting, preinjection, labile, noncompliant. So imagine a common vocabulary for MRI reports or operative notes. Although market influence is indisputable, this explanation conflicts with the impression I got from Judy Faulkner, ceo of EHR maker Epic Systems, who advocates for government-created criteria. Whether other vendors are prepared to make their products interoperable, government often overrides industry’s financial passions to achieve a greater public good.It really is quantifiable and yet stubbornly not eminently. The purpose of widespread EHR adoption, as envisioned by the National government in 2008, was to permit a changeover from volume-centered to value-based payments: a digital infrastructure was needed for measuring quality. At the time, however, less than 17 percent of physician methods were using EHRs, and their systems often lacked necessary data-capture capabilities. Given the high up-front side costs and uncertainty regarding future returns, financial and cultural hurdles to adoption were formidable. Wachter interviewed three previous national coordinators for health information technology : the libertarian-inclined David Brailer, who has such faith in market-driven invention that he barely believed in the business he was leading; David Blumenthal, the consummate diplomat, whose $30 billion budget was 71,000 percent greater than Brailer’s and who, in precipitating widespread adoption, was arguably the most successful leader; and Farzad Mostashari, the most controversial perhaps, whose hard-line insistence on the need for Meaningful Use 2 has been widely criticized.