It’s easy to come in and be the “Monday Morning Quarterback” especially when you look at data.  I recommend watching video #1 in the footer of this blog, “Context is Everything” before you get too carried away here with this report.  You can take data and put the focus on anywhere you want, I know I have done it and the challenge here is to do it right with the “correct” context.  In reading this article, I don’t see that at all.  image

The GAO office is way above their heads if you will and it just is what it is.  To go back in retrospect and not have “lived” through the experience and all the emerging technologies that also took place during the stimulus program for medical records incentives is almost impossible. There were tons of challenges and it’s not like the old days where data was in silos either. 

Dr. Halamka At HIMSS - Providers Are Getting to the Breaking Point Trying To Figure Out How To Survive..He Gets A Lot of Emails…

Stating that “strategy” lacked…well you had a brand new ONC office and you know it takes time and you can’t expect miracles so again I think they did a good job with what they had to work with not to mention the short time element.  Nobody seems to take into consideration how new technologies with medical records during this time were emerging right and left and thus new areas to qualify to keep up with the technology were constantly on a roll.  Try that on for size, ok?

These are the “spreadsheet” folks over at the GAO and their focus is analytics and not “data mechanics” in the overall review.  You might as well forget about Meaningful Use 3 as in it’s present form, it’s become very complex like everything else out there.  Here’s another example of the “syndrome” in action with CMS announcing no delay to ICD10?  They were not even going to test originally and this is the work of digital illiterates with no data mechanics input, aka the “algorithm fairy seekers” again.  Myself, having a choice of reality or fairies, I pick the real world as you still have humans writing code and algorithms and that’s what runs the complex IT Infrastructures we have today.  To gain credibility it would seem to serve them better to “test” first and then make an announcement, a tech folks know this is what should be done by all means as that’s the way it works and no technologist would make such a statement without testing as of course “it’s their neck on the line”. 

CMS Says No More Delay on ICD-10, Why Doesn’t CMS Wait and Complete More Testing First Before Announcing Such

So in summary to state that CMS and ONC lack critical information, well who in the world imagetoday does not lack critical information?  We all lack critical information and thus so I don’t see where this report uncovered anything substantial at all.  It’s that “Sebelius Syndrome” that keeps growing and growing with unrealistic expectations coming from those who still believe in the “Algorithm Fairies” with little or no comprehension of time elements and “data mechanics”.  They want too much too soon and the reality of complex digital IT infrastructures just gets swept under the carpet.  Visit the Algo Duping/Killer Algorithm page for videos that help explain how all of this works today. 

How’s this project going to be accomplished too one might ask with OIG reviewing Healthcare. Gov project?  It’s the same thing and partly where I came up with the “Sebelius Syndrome” coin. 

Sebelius Asks Inspector General To Review Healthcare.Gov, How Many JBoss, Red Hat, Linux, Oracle, MarkLogic And Other Experts Does OIG Have? Time Elements of Baking A Cake From Scratch With Writing Custom Code Was Just Not There..

The old saying “walk a mile in my shoes” seems to be very appropriate here as being in touch with reality and where the virtual and real worlds mix and don’t mix is a very big deal today. .  BD

Those Damn “Killer Algorithms” Keep Screwing Up Obamacare, One more Delay Added for Small Businesses, Static Text Laws and Digital Technology Crossing Hairs, We Continue To Endure the Constant Rise And Fall Of The Machines…


The GAO recently took a swipe at the government's Meaningful Use EHR Incentive Program, saying it lacked strategy and called for action to establish a strategy in order to achieve its goals, especially those aimed at improving care.
Specifically, GAO called for establishing a strategy to better ensure the reliability of clinical quality measures, known as CQM, and collected using EHRs and develop and use outcome oriented performance measures to monitor progress toward goals.

As Pamela McNutt, senior vice president and CIO of Methodist Health System in Dallas, told Healthcare IT News in an interview last month, "This notion that we're going to extract every piece of data that we need to do clinical quality reporting solely from the electronic medical record is folly."

http://www.healthcareitnews.com/news/gao-hits-ehr-incentive-program-hard-0?topic=,08,29

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