In the blog written by John Lynn- There is NO EHR Mandate! states there is no “EHR Mandate” in 2015. He writes that one’s motivation to install an EHR system should be based on the practice’s particular financial situation.
However, if you have a significant # of Medicare patients there will be some meaningful use money available and limited reductions for items like E-Prescribing,
provided you have a meaningful use certified EHR.
If your cliental is non-Medicare you will not be affected. He believes that the meaningful use criteria will not spread to the other payers, but not everyone agrees on that point. Moreover, the historical basis of most CMS efforts is that the private world takes the experience gained, and imports it.
A substantial complaint about EHRs, in general, is that they are not user-friendly, decrease productivity, and increase costs. The incurred costs are both hidden and direct. Direct cost is principally the expense of installation, upkeep, training, and ongoing support. Hidden costs are “unintended consequences” and principally reflect underlying expenditure for offsetting inevitable decreases in individual productivity by adding personnel (scribes, Nurse Practitioners, Physician Assistants, and voice activated technology (Dragon). Another hidden cost is impaired provider-patient relationships. Because the provider spends more time with documentation than with patient interaction, dissatisfaction rates increase, reputations are injured, and the bottom line suffers.
The Electronic Health Record, if not excessively filled with clinically meaningless “meaningful use” criteria and other low priority data field items, has tremendous potential to be a tool to effectively improve overall care and the efficiency of care delivery. But right now, it is not.
XpressTechnologies was created “For Doctors by Doctors” and was used in EDs decades before Y2K, when the big push into electronic began. The Xpress team has unmatched experience in delivering and maintaining tools that make practice easier, keep patients safe, and support the economic infrastructure of any department or facility. Within the EHR industry, the Xpress team keeps a generally low profile, its economic goals reasonable, and its target market focused and manageable. In this way, the difficulties inherent in managing enterprise systems is averted; many larger system vendors today are simply unable to adequately create, service and maintain their systems. The Xpress platform is a simple, user-friendly system that includes the XpressCharts EHR, Xpress Practice Management, and Xpress Billing, and has been built to overcome commonly seen user obstacles while allowing practices to mix and match various components. For example, the XpressCharts paper module can still use E-Prescribing as well as billing to accomplish needs. Users are invariably impressed that the Xpress EHR achieves what it was designed to do: specifically to make the experience of being a provider more positive than negative.
Of course, insurance companies eventually will demand that payment will be based on electronic data points and eventually all will have to comply to survive. In the meantime, pick a system that works for you and has a long track record of success, like Xpress.