Let’s face it, nothing else takes place until the bills get paid and yes we need to have certified EHR systems that work, I agree, but priorities here just seem to be a little bit out of order.  The healthcare business is like any other with hospitals and doctors needing to project their income so they can adjust to new laws, buy additional software etc. but as the current system is operating now, it’s more like “Forest Gump Health Insurance”, you just don’t know what you are going to get, and thus how can those who provide the services we need budget and forecast.  image

Granted today with the news of the Senate not passing any legislation to block the 21% Medicare cut, the certification of EHRS gets nobody excited right now, again it’s a matter of priorities.  Here’s a perfect example of an insurer making a mistake, but do we call for any accountability here?  You can read the daily news and see what goes on in this area, no secrets there. 

WellPoint Rate Increase Math Error – Time For a “Department of Algorithms” So Everybody Knows the Formulas?

Here’s another good example of a Hospitalist with his own words on how his hospital, the utilization groups and peers don’t understand the algorithms and formulas that lead to how they are going to get paid. 

Hospitalists, Peer Committees and Utilization Struggle to Comprehend United HealthCare Algorithms

I have been talking about this in various posts now for about 2 years, prior to even our current administration and yet we have the world of the “non participants” that are making mistakes in trying to figure out what is good for “those guys over there”, with those guys being us. 

Senate panel Votes Negative on Public Insurance Option – They Don’t Understand The Algorithms

The insurance companies have created their own destiny here with their business models and the way they have conducted business over the years, nobody did this for them and it was all done with “business decision” based on analytical algorithms. 

Insurance Companies Under Attack with Lawsuits – Generated by Their Algorithms

ALGORITHMS – INFLUENCE OR MAKE ABOUT 99% OF ALL THE DECISIONS HAPPENING TODAY – WE NEED ALGORITHMIC CENTRIC LAWS!  Without these, how do we create audit tables that can not only audit health insurance and throw in the Federal Reserve as well. 

I just think we are putting the cart before the horse here without getting the “big picture” all together.  Nobody is excited about certification of EHRS in the real world, just primarily those on the web that follow technology are about the only ones and the real world and the one online are in fact two different worlds. I have to remind myself of that fact too at times and the best reminder in the world that helps me is to go out and be “hands on” with doctors and hospitals to see how the 2 worlds can somehow come together.  This is why I always say “first hand experience” is the best and participation is needed by all, not just us “little people” out here. 

Click on the image below and watch the Senate video from January of 2009 and see where this all is, very informative and shows little or no knowledge of Health IT, nor anyone taking a few minutes to read up before testimonies took place, like all of this is a brand new discovery, shocking and sad and explains why we are so far behind the 8 ball today.


Let’s do a simple analogy here, would you rather learn to drive a car from someone who has never driven a car but read a book on how to do it, or would you have more trust and faith in someone who actually does drive a car, case closed here on the analogy I believe.  We simply have our priorities mixed up here and the 2 worlds are not talking to each other.  Sure there is stimulus money to help out and that is a good thing by all means, but that doesn’t put food on the table.  BD  

WASHINGTON--(BUSINESS WIRE)--The Office of the National Coordinator for Health Information Technology (ONC) today issued a final rule to establish a temporary certification program for electronic health record (EHR) technology. The temporary certification program establishes processes that organizations will need to follow in order to be authorized by the National Coordinator to test and certify EHR technology.

“We hope that all HIT stakeholders view this rule as the federal government’s commitment to reduce uncertainty in the health IT marketplace and advance the successful implementation of EHR incentive programs.”

Use of “certified EHR technology” is a core requirement for providers who seek to qualify to receive incentive payments under the Medicare and Medicaid Electronic Health Record Incentive Programs provisions authorized in the Health Information Technology for Economic and Clinical Health (HITECH) Act. HITECH was enacted as part of the American Recovery and Reinvestment Act (ARRA) of 2009. The Centers for Medicare & Medicaid Services will soon issue final regulations to implement the EHR incentive programs.

ONC Issues Final Rule to Establish the Temporary Certification Program for Electronic Health Record Technology | Business Wire


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