"Now we've got some chances to fix stuff, so I think ONC and CMS are both very strongly interested in getting the right things moving in the right direction."
Continuing the direction analogy, Branzell says "we're probably heading in the correct north direction overall. The difference is we're not heading true north yet, which is fine early in a journey, when you're only 50 miles away from your original starting point, if you're only a few degrees off.
"But if you're a thousand miles down your journey, and you start off a few degrees off, you're a long way from your target line. We're still early enough in the journey that we've got to make some of these corrections, and really a lot of this does have to do with the way the law was written, [and] the way the interpretation of standards and certification requirements come out."
Branzell astounded me at one point, noting that some providers are on not just their second, but their third electronic health record implementation.
It's actually not that inconceivable. In the initial rush for the ONC incentive money, too many organizations picked more than one EHR, one for inpatient records and one for outpatient records. That was bound to be trouble.
Not only that, but large organizations have been gobbling up practices and smaller organizations all this time. Numerous acquired facilities have been ripping and replacing their first choice of EHR to match the new parent company's preference.