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Top Five Healthcare IT Issues for 2010

October 13, 2009
by Pete Rivera
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Let's get all the Blog contributors working on a Top Five IT issues list for 2010. I will take the first stab and say:

  1. ICD-10 Preparation
  2. HITECH Act
  3. EHR Interoperability
  4. CPOE Integration
  5. Impact on Healthcare Reform

So what do you think makes the list, should be added or should be #1?



I believe that HIEs / RHIOs are not sustainable without ongoing subsidy and feel that the administration should have taken a stronger position in ARRA to focus on a state or federally based HIE network that would (unfortunately) have to be subsidized by the taxpayers. Millions if not billions are being invested in regional HIEs that are redundant and will be at risk of collapsing under their own weight.

Thanks Paul. Good point. The EHR Interoperability will be key to any RHIO, national EHR or PHR integration. I personally envision a clearinghouse that would mine the data and provide subscribers with the information. To your point, standards similar to the HIPAA 837/835 codes would have to be developed.

I think the national EHR roll out plan needs to be changed to something that will work. Until then, all other issues take a back seat. The current strategy using HIEs/RHIOs won't work. Add to that the fact that there are no standards, and yet providers keep installing systems based on mythical goals and planning to meet goals of MU that will not matter.

I think it goes back to the connectivity. There are so many issues around the information exchange, that makes it extremely difficult. What are other issues that others are seeing?

Great idea Pete - Here are mine:

1. RAC Audits
2. Meaningful Use Compliance (we want our money!)
3. ICD-10 Prep
4. HIPAA 5010 Prep
5. CPOE Integration

Interesting that RAC Audits made #1 on your list. You think organizations will ramp up compliance software projects?

Absolutely Neal. It really is about the Return on Investment. Unless somebody can come up with a true business case to do a RHIO, the government will have to step in, fund, manage and set the standards.

I am intrigued that Paul thinks the HIE/RHIO strategy is fatally flawed. Do others agree? What are some alternatives? And since so many people are already getting on this bandwagon, is it too late to shift direction now?