Man­dates ‘dec­i­mat­ing’ medicine

Modern Healthcare - - OPINIONS / EDITORIALS -

Our govern­ment is sys­tem­at­i­cally dec­i­mat­ing the prac­tice of medicine in the U.S. The CMS called a long over­due “timeout” and so­licited com­ments con­cern­ing how to rec­tify their dis­as­trous elec­tronic health-record man­dates. The cur­rent im­ma­ture, rushed, pro­pri­etary EHR tech­nol­ogy fails to meet the ob­jec­tives in­tended to im­prove qual­ity, safety and ef­fi­ciency of health­care. Un­scrupu­lous but ef­fec­tive lob­by­ists pro­moted cor­po­rate spon­sor­ship of the EHR data-min­ing scheme, with a play-or-pay fed­eral penalty for physi­cians.

Re­al­is­ti­cally re­work­ing the oner­ous man­dates con­cern­ing E-pre­scrib­ing, EHRs and the new In­ter­na­tional Clas­si­fi­ca­tion of Dis­eases, ICD-10, tak­ing into con­sid­er­a­tion what ac­tu­ally goes on when try­ing to care for pa­tients is the only way to move for­ward with govern­ment ob­jec­tives. Al­low doc­tors to treat pa­tients in ac­cor­dance with best sci­en­tific in­for­ma­tion in­stead of spend­ing their time at­tempt­ing to com­ply with non­sen­si­cal man­dates sold by in­sur­ance com­pa­nies and the IT in­dus­try to politi­cians and bu­reau­crats for a quick fix of a sys­tem with com­pli­cated prob­lems.

Cathy Poole, Med­i­cal prac­tice man­ager, High Point, N.C.

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