CIOs and CMIOs Speak Their Minds about the Supreme Court Decision
Craig Joseph, Chief Medical Information Officer, Agnesian HealthCare, Fond Du Lac, Wisc.
Clearly, HITECH (and the Meaningful Use money that accompanies it) was not endangered by the SCOTUS decision. If the ACA were overturned, there was reasonable concern about CMS' Shared Savings program, value-based purchasing, and various quality improvement methodologies. That said, I think many CMIOs are confident that the train has left the station with regard to healthcare information technology. The future practice of medicine will require physicians (and the hospitals in which they practice) to prove they are providing quality, evidence-based care. This is impossible to do without HIT. So even without ACOs and the CMS programs, HIT will remain an inherently necessary ingredient for population management, evidence-based medicine, and quality healthcare.
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Michael Zaroukian, MD, Vice President and Chief Medical Information Officer, Sparrow Health System, Lansing, Mich.
I was frankly a little bit surprised, not necessarily at the outcome per se, but rather the way the Supreme Court split on it, and the legal argument for upholding the individual mandate on the basis of it being perceived, at least by Chief Justice Roberts, as the authority of Congress to tax, whereas the Commerce Clause was cited by the other members of the majority opinion as the argument they would have given.
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