Eyeworld Daily News

2016 ASCRS New Orleans Daily Wednesday-Ezine

EyeWorld Today is the official daily of the ASCRS Symposium & Congress. Each issue provides comprehensive coverage editorial coverage of meeting presentations, events, and breaking news

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14 EW SHOW DAILY Wednesday, May 11, 2016 measure management, IT manage- ment, and resource management. Under measure management, he said that you need to know if there's someone monitoring your measures. You need to have a point person with an appropriate level of knowl- edge. IT management is also key. Whether you choose to have some- one in house or by contract, compe- tency is the most important factor, and this can drive success or failure, Mr. Koch said. Meanwhile, under resource management, Mr. Koch stressed the importance of who is handling this. Is there dedicated staff? Is it some- one's secondary responsibility? Or is someone doing it by default? Affect is also important, which is where factors like practice size, practice type, and practice culture come into play. Under the primary issue of impact, Mr. Koch highlight- ed the penalties associated with the various programs. EW Editors' note: Ms. Roy has financial interests with NextGen Healthcare (Irvine, California). Mr. Koch has financial interests with Allergan (Dublin), Genentech (San Francisco), and Regeneron (Tarrytown, New York). by Ellen Stodola EyeWorld Senior Staff Writer HIT symposium highlights Meaningful Use ple who do nothing more than write letters when you are audited, she added. This includes a full team of attorneys and government analysts who spend their days reading rules. This is a large amount of resourc- es, time, and money that could be spent on more productive things. On the user side, Ms. Roy said that overly complex rules and impact on the physician workflow combine to equal physician fatigue. Additionally, constant changes result in MU fatigue. Interoperability is also an issue. "If we can't get it right, there's no way that you can," Ms. Roy said. Patient engagement and security risk analysis are also challenges. Ms. Roy said that she's noticed more problems with security in small practices than with the large practices because processes have not been put in place. Also addressed were specific MU2 modified challenges, largely related to the health information exchange, the patient electronic access measure, and public health reporting. Mr. Koch presentation was titled "Does One Size Fit All?" He covered the primary issues that affect success or failure. In highlighting manage- ment, he specifically spoke about of administrative burdens, and interoperability (immature stan- dards and associated cost). There is overreach in the certification process as well, she said, and a lot of criteria to go through to make the system MU certified and compliant. All that development time could otherwise be better spent on making work- flows easier. There is an administrative bur- den because we have to employ peo- T his year's Health Informa- tion Technology (HIT) sym- posium focused on import- ant things to know about Meaningful Use in 2016. Candace Simerson, COE, Min- neapolis, moderated the symposium, with panelists Hayley Boling, MBA, Elkhart, Indiana, William Koch, COA, COE, Dallas, and Tera Roy, Charlotte, North Carolina. Ms. Roy spoke about Meaning- ful Use from the vendor perspective. Her presentation gave a recap of the Meaningful Use (MU) program, looked at specific MU challenges for the software industry, and covered issues that she sees trending with attesters across the nation. In 2014, we reached a pivotal point, she said. CMS was aware that vendors and providers were un- prepared for Stage 2. They allowed physicians still in Stage 1 to remain in Stage 1, but vendors were not allowed, she said. Vendors spent a great amount of time trying to un- derstand the overly complex rules. Surprisingly, Ms. Roy said that only 15% of previously successful Medi- care Meaningful Users have attested to MU Stage 2. For electronic health care ven- dors, Ms. Roy said there's a feeling of CMS/ONC overreach and that they have a limited understanding of the software industry. She thinks there is a lack of understanding of the effect this has on the clients and users as it "trickles down." She also sees misalignment of certification with MU, development Mr. Koch discusses factors that affect success and failure in a practice.

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