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HIT in 2014: Portal Perils and Half-Built Houses

Scott Mace, for HealthLeaders Media, December 17, 2013

Fatigue May Set In
With $17 billion already handed out in incentive money for Meaningful Use, it's hard advice to hear. "Quite honestly, if we look ahead a year, we're going to be really tired as an industry," Kreofsky says.

"Everybody's going to have to push to get to Stage 2. We're going to be dealing with ICD-10, and there's going to be increasing pressure across the board for cost management, both capital and operating, so it then becomes incumbent for organizations to really look to find the value, the innovation, the return on investment, on things like analytics and patient engagement, population health."

ICD-10 will happen. It has to. Getting paid depends on it. But Kreofsky notes that if an eligible professional or eligible hospital fails Stage 2 MU in 2014, they would not attest and would not get their incentives for the 2014 reporting year, and they would be penalized—a 1% reduction in Medicare reimbursement—which would be incurred in 2016. That's the biggest looming threat.

It's no mere coincidence that Kreofsky used to train for triathlons with a CIO friend. Next year will feel like one too.


Scott Mace is senior technology editor at HealthLeaders Media.
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4 comments on "HIT in 2014: Portal Perils and Half-Built Houses"


Frank Poggio (12/18/2013 at 10:38 PM)
Correction.. For hospitals that's .33 reduction of the MBI. So for a 250 bed community hospital that would be roughly, $50mill*.008*.33 = $130k Hardly worth getting bent out of shape about when an EHR could cost $10+ million! ..LOINC codes are: A universal code system for identifying laboratory and clinical observations and results.

scottmace (12/18/2013 at 4:51 PM)
LOINC stands for Logical Observation Identifiers Names and Codes. More info at http://www.loinc.org.

Stuart Showalter (12/18/2013 at 9:46 AM)
For those unfamiliar with the term, it might have been nice to define "LOINC." Unless I missed something, I don't see that spelled out anywhere.