Connecting Vision with Technology

HCIC was founded in 1990 to assist organizations in health care information technology management. HCIC has evolved into a healthcare consulting organization that focuses on optimizing information resources, people, systems, and technology via demonstrated expertise in value based planning, systems management, organizational readiness assessment, process improvement, healthcare standards advisement, health information exchange, and technology integration.

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Truven Top 100 Hospital Scores Measure 'Leadership Impact'

Congratulations to our clients Virginia Hospital Center and MedStar St. Mary's who made the top 100 list. The Truven list is different than other scorecards as it is designed to measure "the impact of hospital leaders, and what they emphasize within their organizations providing a longer-term picture of the impact of leadership in driving improvement forward."

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Meaningful Use Readiness Achievement of MU Benefits & Provider Adoptions
Program Management Portfolio Management for a Medical Center
Strategic Planning Development of IS Strategic Plan
Clinical Systems Program planning for Clinical Systems
Contract Negotiation Alignment of Incentives
Market Analysis Viability of HIE Market
Strategy & System Selection Replacement of a Medical Information System
Administrative Data Exchange Planning & Implementation Support
Clinical Data Strategy Clinical Data Product Analysis

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Hot Topics

August 2014

Meaningful Use continues to dominate headlines this season, as news comes from CMS that fewer than 4% of hospitals, and just over 1% of eligible professionals, have reached the threshold for Stage 2 of Meaningful Use. Although eligible professionals have until the end of this calendar year to qualify, hospitals have only until the end of the fiscal year (September 30), which means that any hospital hoping to qualify for Stage 2 Meaningful Use in 2014 must already be in the 90-day attestation period (unless a last minute extension is granted).

Two recent articles highlight the dilemma facing hospitals. The first article, from the Journal of Health Affairs, concentrates on the significant progress that has been made by the profession in adopting EHRs, but also reveals the low rate of achievement of Stage 2 Meaningful Use. The second article, from Modern Healthcare, focuses on the significant financial impact that may be felt by hospitals and professionals that fail to qualify for Stage 2 Meaningful Use.

The irony is that those organizations facing this dilemma are, almost by definition, institutions that had made decisions to implement EHRs long before the advent of the Stimulus Act and Meaningful Use regulations – which means that the earlier adopters may, in fact, be punished for having adopted EHR technology before the incentives existed.

CMS has finished receiving comments on possible delays of Stage 2, and final regulations and possible modifications are expected shortly. In the meantime, several HCIC clients, although reporting significant challenges in meeting Stage 2, have found creative ways to meet the thresholds for qualification. Most of our clients are finding the greatest challenges with meeting requirements for patients’ Viewing, Downloading, and Transmitting (VDT) health information, with others reporting difficulties meeting requirements for Transitions of Care, as well as with Clinical Quality Measures.

On a more positive note, one recent study shows that hospitals with advanced EHRs have reported savings of almost 10% compared to hospitals that do not have them, suggesting that some of the promise of EHRs is being borne out.

We congratulate our clients on their accomplishments, as well as all hospitals and eligible professionals who are meeting the increasingly challenging requirements for meeting Meaningful Use.

Hot Topics in Health Care is a quarterly feature produced by Jim Oakes, Principal, Health Care Information Consultants.