An Alternative Proposal for Certification

Some have suggested that my comments over the past few months about the Meaningful Use program, MACRA/MIPS, and Certification imply that we should just give up - throw out the baby with the bath water.That’s not what I’ve written.Here’s a clarification.I believe MACRA/MIPS is the right trajectory - create a set of desirable policy outcomes, then enable clinicians to choose technology, quality measures, and process improvements that are relevant to their practice.Although the current MACRA formula is overly complex, it’s the right idea and I’m confident that CMS will revise the notice of proposed rulemaking appropriately.    My metric for MACRA’s success is simple - can a clinician keep three goals in mind while seeing a patient and be rewarded if successful i.e.Ensure care is delivered in the most appropriate location in the community (urgent care, home care, rural hospital)Focus on wellness/preventionAvoid redundant and unnecessary testing, medications, and proceduresMy issue is that MACRA currently “inherits” the flawed 2015 Certification Rule that is a kitchen sink of immature standards and a black hole for developers.   Overly zealous regulatory ambition resulted in a Rule that has basically stopped industry innovation for 24-36 months since it has listed every use case for every purpose including those unrelated to Meaningful Use and MACRA.   For vendors, every “OR” means an “AND” - developers must implement everything in the R...
Source: Life as a Healthcare CIO - Category: Information Technology Source Type: blogs