"You have to wonder if CMS was even ready for ICD-10 themselves, because they were just looking for exchange partners to start testing with, so it's not just the field that feels the pressure of this, but the government entities that have to implement them too," Branzell says.
"So much of what occurs now in Washington is us going there trying to create great relationships and try to foster trust, so we can help influence this process, rather than the opposite of that," Branzell says.
HHS in general and CMS in particular needs to "really reach out to organizations and try to understand what the needs are of the field to be able to be successful in these initiatives. Depending on the person or the leader, some are very good at that.
Former HHS Office of the National Coordinator head Farzad Mostashari "was very good at reaching out to people like myself and other organizational leaders and finding out what can be done to try to improve things," Branzell says. "There were several others. That has just not always been the case."