The title says it all just about. The problem is that we have too many folks in area of making decisions without enough Health IT in their background. This is not to say they are not smart people because they are but not enough Hands On Health IT people. I do this blog every day and being I wrote an EMR and know coding and also have over 25 years of sales experience behind me, I have a very different look on how all of this is coming together. In short – it’s a big mess. 
I see grants thrown around right and left, cities paying health insurance premiums for dead employees and basically a data system that does not collaborate very well when you bring all the vendors and CIOs together, but they have the job of making it do that. Nobody is really collaborating out there, it’s a buzz word but boy do we see innovation up to our ears and the algorithms that can take time and maybe make money. It’s sprint race to the finish. The more policies and rules that are put out there, the more complicated it gets, again not having people with Health IT hands on experience is driving what is a good effort down the tubes, there’s just no getting around it. (image from Brainstuck) (They have shirts that say this too)<grin>
On the other hand, those in this for profit are definitely protecting their interest and setting up the algorithms to do so. Slowly we are coming the realization with data aggregated and used by multiple sources that you can’t just holler “hey IT guys this what I want come build it”. We used to be able to do that but not today as things are much more complicated and there a ton more code out there that has to work together, all from different developers and companies.
The folks with the IT background are trying to explain this in a way that the Non IT folks will understand but it’s not happening. Look at medical device companies and the software problems as there have been deaths, safety issues with programmers being pushed to the limit to hurry it up and get the product out there. We hear all of this from the FDA standpoint and I said all this would come up, back then the coders were probably being rushed on software for medical devices to get it out there as fast as they can for a sale. I know I would certainly not like to be in a position to debug an implanted device software system myself and investors from all walks again have pushed this envelope.
We have the same thing happening here, non hands on IT folks pushing the envelope and we will have same results. I see already with researching and doing this blog.
So what do we do, create a hedge fund and bet against it <grin>. That’s how Wall Street would do it. 
These guys are not a happy bunch and all responsibility falls back to them. Again, it comes down to having the people with hands on experience to understand all the processes and when you rush all the coding and complexities, we are headed for a sinking ship with a few big tow boats required to pull it out and repair. Shoot I have had CIOs thank me for bringing this fact to light.
CIO Confidence In Meaningful Use Drops-The New Left Curve of Technology That Arrives Daily Contributes-Don’t Burn These Folks Out
I started saying this at the beginning of the Obama administration days and it’s starting to come to fruition. The next best thing is to get those Algo Men in place along with a full on battery of IT hands on experts to not get lead into and area of deception as that happens. You can’t get around the fact that 8 years of a prior administration without developing any real government IT infrastructure is not going to come back and bite us, as this what we see. 
IT’S ALL ABOUT THOSE ALGORITHMS AND THAT IS WHY THAT WORD CARRIES CENTER STAGE HERE AT THE MEDICAL QUACK AS EVERYTHING IS A PROCESS CREATED TO RUN A SYSTEM.
We have good stuff happening with CMS doing a major IT infrastructure upgrade but gee they are having to make up for a ton of lost time, again the prior 8 years of being asleep at the wheel and the non participants in general consumer literacy making laws add to it. I have yet to find but a few “Health IT” experts that even use a personal health record but so many write about them like they are experts and what’s up with that as those are consumer products for everyone. One thing like about Microsoft too is that they pretty instill this in their culture, you’re going to use the software of the company where your work, same thing for experts in healthcare at government levels I think. Use some of these consumer products or try the out for at test run at least so one can be a hands on expert.
CMS Releases Plan for a Much Needed IT Infrastructure Upgrade With Computers, Data Systems And Those Updated Algorithms
Perhaps once we come to the conclusion that everything in healthcare cannot run on Pay for Performance and processes needs their due time we can come back to sanity again.
Oh yes, one more item, let’s make collaboration more than just a buzz word. BD
So it begins. With the new year, provider organizations can register for electronic health records meaningful use incentive payments under the HITECH Act.
Registration requires organizations to provide demographic information and ID numbers that will be entered into a new system designed to administer the meaningful use program.
From there, organizations-anytime they are ready in fiscal year 2011 for hospitals and calendar year 2011 for eligible professionals-can begin a 90-day meaningful use reporting period. Beginning around April 4, organizations that have completed the reporting period and can attest that they are meaningful users can apply for first-year incentive payments.
http://www.healthdatamanagement.com/issues/19_1/its-showtime-for-meaningful-use-41624-1.html?pg=1
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