Cinda Beckers article on the Governance Institutes annual conference is dead-on when it questions whether morticians can qualify as independent directors on hospital boards.
Later, Becker refers to governance experts as kids on the playground rather than rabbinical thinkers. Is she supporting a single-payer system in reverse, from the grave to the cradle? The whole thing is confusing to me ... and to hospital trustees, which is one of her key points. Bravo for the provocative thoughts.
John E. ButzelManaging partnerOlney AssociatesBoston
Docs arent only players needed in IT game
Regarding Joseph Conns "AHIC wants to mandate e-prescribing for Medicare docs":
While cutting through physicians on the way to the proposed slam dunk, one cannot ignore the 7-footers crowding the key.
Physician offices already e-prescribing cannot use the technology with several national pharmacy benefits managers, or PBMs. Furthermore, regulations forbid e-prescription transmittal for certain prescriptions. Not including the reticent PBMs, state boards of pharmacy and federal regulatory agencies in this play for pay scenario curtail the efficiency and safety gains sought by such a mandate.
While I can accept that we, as physicians, must step up efforts to utilize information technology resources, making physicians out to be the only impediment to a more efficient system is wearing thin.
Jon Seager, M.D.Hartville, Ohio
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