CHIME: Mostashari Urges Focus on MU Hardship Exemptions

Scott Mace, for HealthLeaders Media , October 10, 2013

Before Mostashari left ONC, the office announced that effective October 4, the management team would be led by Jacob Reider who will serve as acting national coordinator, Lisa Lewis would serve as acting principal deputy, and Joy Pritts would continue to serve as chief privacy officer.

Reider was scheduled to speak at the CHIME conference, but the October 1 government shutdown and strict government rules led to that presentation being cancelled. Reider was even prohibited from traveling at his own expense to the event, CHIME officials said.

Mostashari took the occasion to outline a series of concerns he has about the Meaningful Use program moving forward:

On Business Practice Challenges
"We may have the right incentives and we may have the right information, but too many people, [and] too many institutions don't know how to do this new form of delivery. We can talk about population health management all day long. We can even buy population health management software. But changing, flipping practice, flipping the hospital, changing so that everything doesn't have to take place in an eight-minute doctor's visit that is what we could get reimbursed under fee-for-service, creating standing orders and protocols, that's a cultural challenge. That's not an IT challenge. That's a business practice challenge."

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