The Holy Ehr Wars
"In the same solar daytime the LORD made a covenant alongside Abram, saying, Unto thy seed accept I given this land, from the river of Arab Republic of Egypt unto the keen river, the river Euphrates:" --Genesis 15:18
Some 4 chiliad years later, after numerous detours, major reach reductions, tragedies, compromises too constant upheaval, the Promised Land projection is real much a messy function inwards progress. This is the nature of keen promises, too inwards the hither too now, nosotros are contemplating nonetheless another, albeit smaller, promise: ““Hospitals, physicians too other wellness aid providers are clearly taking payoff of recent incentives to encompass the promise of technology [emphasis added],” said John R. Lumpkin, MD, MPH, senior vice president at the Robert Wood Johnson Foundation.” The Promise of Technology, equally y'all may accept guessed, was non made to us past times the Lord Almighty, but instead it seems to endure a production of spontaneous creation alongside mysterious origins.
Influenza A virus subtype H5N1 few years ago, earlier the incentives mentioned past times Dr. Lumpkin became available, at that topographic point were dozens of EMR vendors trying to sell software to physicians too hospitals, too similar every vendor of whatever product, they were actively too creatively marketing their wares. Save fourth dimension too coin was a mutual marketing slogan. EMR websites were sporting all sorts of fancy calculators comparison the costs of doing work concern on newspaper to doing work concern on a computer. The costs of novel charts, dividers, paper, ink cartridges, each nautical chart pull, forms, printing paper, etc. were carefully added too compared to the most nothing cost of using software instead. Some fancier calculators fifty-fifty factored inwards the rent for the additional infinite needed for nautical chart racks. There were estimates of the number of FTEs that could endure allow go, or used for worthier causes, too the number of additional patients y'all tin see, if y'all only purchase this or that EMR. Some vendors went equally far equally advertising improve aid for patients, alongside advanced features similar automated lab results, pre-built clinical templates too clinical determination support. Folks were kicking tires, shopping or so too buying when convinced past times ads, sales guys too gals, or fifty-fifty a special discount for the calendar month of August. It was a market, similar selling beer, or cars.
But too then something foreign happened. The U.S.A. of America Government became a believer inwards the EMR vendors’ marketing slogans. Health aid was expensive too non equally proficient or equally accessible equally it could be, too the EMR vendors hope of saving fourth dimension too coin patch providing improve aid was the perfect solution, especially since nobody else had anything to offer. Thus the Promise of Technology was born alongside a silverish spoon inwards its mouth, too was similar a shot too extensively showered alongside millions too billions of incentives too resources. The messages on EMR vendors’ websites changed practically overnight from preaching to the infidels to preaching to the choir. Get your incentives, guaranteed, or your coin back, was the novel slogan. It wasn’t similar selling beer anymore. It became missionary work. And, similar all keen mythological promises, the religious belief based on the Promise of Technology developed its high-priests, prophets, masses of passive followers, skeptics, too blasphemous heathens destined for martyrdom. The Holy Wars are at nowadays inwards amount swing.
Obviously, since the Promise of Technology is promoted past times the federal government, its campaigns are improve coordinated, improve funded too improve staffed, too frequently the amount color, multi-media splendor is breathtaking. The latest artillery salvo brings to behavior the forces of mighty institutions, such equally the Robert Wood Johnson Foundation, the Mathematica Policy Research too the Harvard School of Public Health, inwards a glossy 82 page written report cleverly titled “quibble alongside the details here. In addition, the Medicaid programme for the misfortunate paid out $4.2 Billion to most 80,000 eligible professionals too 3,000 hospitals for adopting, implementing or upgrading their EHR, too $820 Million dollars to 8,187 eligible professionals too 1,197 hospitals for truly coming together Meaningful Use requirements past times Feb 28, 2013.
The non-believers come upward inwards many flavors too equally ever inwards history, are disorganized, fearful, delusional too inwards vehement disagreement alongside each other. There are those who query exclusively the particulars of the Technology, but basically believe inwards the Promise, too real carefully profess their deep belief inwards magic inwards every article or persuasion slice criticizing the electrical current province of Technology. This is a real various grouping ranging inwards interests from those who aspire to endure the high-priests of a novel (e.g. open-source, modular, iPad based, interoperable) Promise of Technology to Electronic Health Records Seen equally Key Tool for Hospital Nurses”. These things brand the manufacture headline intelligence for a few days too and then are promptly eclipsed past times some other spectacular fireworks display from the Promise of Technology bottomless arsenal.
As of June 2013 CMS has paid out over $15.5 Billion inwards combined Medicare too Medicaid incentives to wealthy individuals too corporations, too spent hundreds of millions to a greater extent than inwards grants, operations too consent manufacturing efforts. The solar daytime chop-chop approaches when the Promise of Technology volition endure running out of cash to sustain enthusiasm of the masses for the projected decades-long trek through the desert, but resourceful leaders should care to elicit additional infusions of dollars past times hitting various budget rocks truly hard, too peradventure other miracles volition occur equally well.
There are likewise the poorest of the poor, the schoolchildren on military machine bases too Native American reservations whose lives are beingness derailed for the lack of $67 million, which is 20% of what CMS paid out inwards Meaningful Use incentives only inwards the calendar month of June. No, the Promise of Technology did non get sequester cuts, but it’s non similar the billion dollar bills spent on Meaningful Use are rigged to explosive devices designed to blow upward if misused to assist a kid inwards remove either.
Influenza A virus subtype H5N1 few years ago, earlier the incentives mentioned past times Dr. Lumpkin became available, at that topographic point were dozens of EMR vendors trying to sell software to physicians too hospitals, too similar every vendor of whatever product, they were actively too creatively marketing their wares. Save fourth dimension too coin was a mutual marketing slogan. EMR websites were sporting all sorts of fancy calculators comparison the costs of doing work concern on newspaper to doing work concern on a computer. The costs of novel charts, dividers, paper, ink cartridges, each nautical chart pull, forms, printing paper, etc. were carefully added too compared to the most nothing cost of using software instead. Some fancier calculators fifty-fifty factored inwards the rent for the additional infinite needed for nautical chart racks. There were estimates of the number of FTEs that could endure allow go, or used for worthier causes, too the number of additional patients y'all tin see, if y'all only purchase this or that EMR. Some vendors went equally far equally advertising improve aid for patients, alongside advanced features similar automated lab results, pre-built clinical templates too clinical determination support. Folks were kicking tires, shopping or so too buying when convinced past times ads, sales guys too gals, or fifty-fifty a special discount for the calendar month of August. It was a market, similar selling beer, or cars.
But too then something foreign happened. The U.S.A. of America Government became a believer inwards the EMR vendors’ marketing slogans. Health aid was expensive too non equally proficient or equally accessible equally it could be, too the EMR vendors hope of saving fourth dimension too coin patch providing improve aid was the perfect solution, especially since nobody else had anything to offer. Thus the Promise of Technology was born alongside a silverish spoon inwards its mouth, too was similar a shot too extensively showered alongside millions too billions of incentives too resources. The messages on EMR vendors’ websites changed practically overnight from preaching to the infidels to preaching to the choir. Get your incentives, guaranteed, or your coin back, was the novel slogan. It wasn’t similar selling beer anymore. It became missionary work. And, similar all keen mythological promises, the religious belief based on the Promise of Technology developed its high-priests, prophets, masses of passive followers, skeptics, too blasphemous heathens destined for martyrdom. The Holy Wars are at nowadays inwards amount swing.
Obviously, since the Promise of Technology is promoted past times the federal government, its campaigns are improve coordinated, improve funded too improve staffed, too frequently the amount color, multi-media splendor is breathtaking. The latest artillery salvo brings to behavior the forces of mighty institutions, such equally the Robert Wood Johnson Foundation, the Mathematica Policy Research too the Harvard School of Public Health, inwards a glossy 82 page written report cleverly titled “quibble alongside the details here. In addition, the Medicaid programme for the misfortunate paid out $4.2 Billion to most 80,000 eligible professionals too 3,000 hospitals for adopting, implementing or upgrading their EHR, too $820 Million dollars to 8,187 eligible professionals too 1,197 hospitals for truly coming together Meaningful Use requirements past times Feb 28, 2013.
The non-believers come upward inwards many flavors too equally ever inwards history, are disorganized, fearful, delusional too inwards vehement disagreement alongside each other. There are those who query exclusively the particulars of the Technology, but basically believe inwards the Promise, too real carefully profess their deep belief inwards magic inwards every article or persuasion slice criticizing the electrical current province of Technology. This is a real various grouping ranging inwards interests from those who aspire to endure the high-priests of a novel (e.g. open-source, modular, iPad based, interoperable) Promise of Technology to Electronic Health Records Seen equally Key Tool for Hospital Nurses”. These things brand the manufacture headline intelligence for a few days too and then are promptly eclipsed past times some other spectacular fireworks display from the Promise of Technology bottomless arsenal.
As of June 2013 CMS has paid out over $15.5 Billion inwards combined Medicare too Medicaid incentives to wealthy individuals too corporations, too spent hundreds of millions to a greater extent than inwards grants, operations too consent manufacturing efforts. The solar daytime chop-chop approaches when the Promise of Technology volition endure running out of cash to sustain enthusiasm of the masses for the projected decades-long trek through the desert, but resourceful leaders should care to elicit additional infusions of dollars past times hitting various budget rocks truly hard, too peradventure other miracles volition occur equally well.
Collateral Damage
And too then at that topographic point are the poor, the sickest too the most vulnerable; those who pay the highest cost before, during too inwards the aftermath of all Holy Wars. The White House has a map on its website to response a elementary question: “How volition the sequester wound your state?”, too wound it will. Tens of thousands of children volition non endure receiving immunizations, millions of dollars inwards disaster relief volition non endure available, thousands of teachers volition endure fired, millions of meals volition non endure delivered to sick too homebound seniors, construct clean air too H2O volition no longer endure protected, thousands of schools volition non endure able to assist children who are poor, disadvantaged or accept special needs too early on instruction for misfortunate kids volition endure practically eliminated. Influenza A virus subtype H5N1 map of local reactions too reports from all over the province is maintained past times the Center for American Progress.There are likewise the poorest of the poor, the schoolchildren on military machine bases too Native American reservations whose lives are beingness derailed for the lack of $67 million, which is 20% of what CMS paid out inwards Meaningful Use incentives only inwards the calendar month of June. No, the Promise of Technology did non get sequester cuts, but it’s non similar the billion dollar bills spent on Meaningful Use are rigged to explosive devices designed to blow upward if misused to assist a kid inwards remove either.
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