As we’re all well-aware, CMS released the long-awaited MU Stage 2 Final Rule in August. Many HCIT pundits reviewed it as challenging but achievable. Most noted there will be a few new system capabilities needed to attain the higher performance required when combined with the existing capabilities from Stage 1.
Implied in the notion of “achievable” is “scalable.” We need the ability to scale up what we did to achieve MU Stage 1. And interesting, but sometimes not intuitively obvious, is the impact of organizational governance on scalability.
The need to meet the requirements set forth in the various stages of Meaningful Use is and will continue to be ubiquitous. Healthcare leaders, like it or not, recognized this fact, and most began mobilizing their organizations to ensure they could attest to Stage 1. The proof lies in the methodologies we’re using today for the things we do with, for instance, problem lists, CPOE, and quality measures.
However, not all methods are scalable. So as we move forward to MU Stage 2, I’d like to make some recommendations for those of you who are resilient, but who really don’t like surprises.
Using the graph above, let’s start by quickly reviewing the issue of methods and scalability.
In computer science, figuring out the prime numbers up to some scale such as 64 or 512 is a classic task. We’ll use this to learn how to plan and manage the organizational changes required to achieve Stage 2, and the associated attestation performance levels.