HIT in 2014: Portal Perils and Half-Built Houses

Scott Mace, for HealthLeaders Media , December 17, 2013

We do not know the extent of the trouble about to rain down on healthcare information technology, but it is out there, and will start pelting providers within weeks, not months.

Laura Kreofsky

Laura Kreofsky, Principal Advisor at Impact Advisors

A year from now, things will look different.

A year from now, ICD-10 will be paying the bills.

A year from now, Meaningful Use Stage 2 will be standard operating procedure for the considerable number of eligible hospitals and professionals who attested to Stage 1 in 2011 and 2012.

But between now and then, there is oh so much work left to do.

For some, peril will strike early in the year, as they realize the electronic health record software they bet on back then will still not be certified for Stage 2. We will see EHRs ripped and replaced. We do not yet know the extent of the damage about to hit healthcare, but it is out there waiting, and the peril will be upon providers within weeks, not months.

For others, achieving Stage 2 will feel more like death by a thousand cuts. That's what I hear from Laura Kreofsky, a principal advisor at Impact Advisors, based in Chicago, although Kreofsky hangs her hat in Portland, OR.

For two years, Kreofsky was Meaningful Use program director at Sutter Health. Now, at Impact, she advises other providers "while catching up on two years of sleep," she jokes.

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4 comments on "HIT in 2014: Portal Perils and Half-Built Houses"

Frank Poggio (12/18/2013 at 10:38 PM)
Correction.. For hospitals that's .33 reduction of the MBI. So for a 250 bed community hospital that would be roughly, $50mill*.008*.33 = $130k Hardly worth getting bent out of shape about when an EHR could cost $10+ million! ..LOINC codes are: A universal code system for identifying laboratory and clinical observations and results.

scottmace (12/18/2013 at 4:51 PM)
LOINC stands for Logical Observation Identifiers Names and Codes. More info at http://www.loinc.org.

Stuart Showalter (12/18/2013 at 9:46 AM)
For those unfamiliar with the term, it might have been nice to define "LOINC." Unless I missed something, I don't see that spelled out anywhere.




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