Unintended Consequences of Meaningful Use in Healthcare Systems

In the world of healthcare IT, the implementation of Meaningful Use standards can lead to various unintended consequences such as audit failures, vendor failures, and employee revolts. Issues like incomplete documentation, late vendor deliveries, and weak solutions to provider challenges can disrupt the smooth functioning of healthcare organizations.

• Healthcare IT
• Meaningful Use
• Audit Failures
• Vendor Failures
• Employee Revolts

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1. Unintended Consequences of Meaningful Use Sharon Stewart, Senior Consultant, IT May, 2014

2. The Calls You Dont Want to Receive (or Miss) 2

3. The Problem: Unpleasant Meaningful Use Surprises Audit failures Vendor failures Employee and provider revolts 3

4. Audit Failures Uncertified EHR Version Bought it didn t install it Certified for last year Missing components 4

5. Audit Failures Incomplete System Coverage Attest with departmental data Departmental system data missing 5

6. Audit Failures Incomplete Documentation Allowable expense justification (CAH) Vendor logo missing Unable to match attestation numbers Clinical Quality Measures 6

7. Audit Failures That Pesky Risk Analysis Risk analysis covers EHR Remediation plan documentation Remediation progress documentation 7

8. Vendor Failures Late to Deliver Technically on time / practically too late Contract protections 8

9. Vendor Failures Missing a Detail Certified to 2014 standards Use the CHPL to check Perpetual patching 9

10. Vendor Failures They Just Give Out Get tired and quit, but don t tell you The Exemption isn t really 10

11. Provider Revolts Weak Solutions Physician documentation tools are immature Pre-op order process doesn t work Messy medication reconciliation Discharge process is still hybrid 11

12. Provider Revolts Customization: Blessing or Curse? Improve your provider experience Experts in short supply Providers can t tell you what they need Curse Blessing 12

13. Employee Revolts Impacts on Nursing Nursing as a solution for provider problems Their efficiency = your miss on MU targets 13

14. Employee Revolts White Knight in the Pharmacy Home meds for medication reconciliation CPOE glitch-catchers CPOE boo-boo catchers Good drug file design 14

15. How to Succeed Its All About Communication Monthly Meaningful Use review Provider process optimization forever Vendor vigilance 15

16. Sharon Stewart Senior Consultant, IT, QHR 105 Continental Place Brentwood, TN 37027 (615) 371-4560 Sharon_stewart@qhr.com 16