Unintended Consequences of Meaningful Use

Sharon Stewart, Senior Consultant, ITMay, 2014

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The Calls You Don’t Want to Receive (or Miss)

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The Problem: Unpleasant Meaningful Use Surprises

Audit failuresVendor failuresEmployee and provider revolts

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Audit Failures – Uncertified EHR Version

Bought it – didn’t install itCertified for last yearMissing components

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Audit Failures – Incomplete System Coverage

Attest with departmental dataDepartmental system data missing

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Audit Failures – Incomplete Documentation

Allowable expense justification (CAH)Vendor logo missing

Clinical Quality

Unable to match attestation numbers

Clinical Quality Measures

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Audit Failures – That Pesky Risk Analysis

Risk analysis covers EHRRemediation plan documentationRemediation progress documentation

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Vendor Failures – Late to Deliver

Technically on time / practically too lateContract protections

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Vendor Failures – Missing a Detail

Certified to 2014 standardsUse the “CHPL” to checkPerpetual patching

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Vendor Failures – They Just Give Out

Get tired and quit, but don’t tell you“The Exemption” isn’t really

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Physician documentation tools are immaturePre-op order process doesn’t workMessy medication reconciliationDischarge process is still hybrid

Provider Revolts – Weak Solutions

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Provider Revolts – Customization: Blessing or Curse?

Improve your provider experienceExperts in short supplyProviders can’t tell

you what they need

Curse

Blessing

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Employee Revolts – Impacts on Nursing

Nursing as a solution for provider problemsTheir efficiency = your miss on MU

targets

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Employee Revolts – White Knight in the Pharmacy

Home meds for medication reconciliationCPOE glitch-catchersCPOE boo-boo catchersGood drug file design

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How to Succeed – It’s All About Communication

Monthly Meaningful Use reviewProvider process optimization – foreverVendor vigilance

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QuestionsSharon Stewart

Senior Consultant, IT, QHR105 Continental PlaceBrentwood, TN 37027

(615) 371-4560Sharon_stewart@qhr.com