In response to "Numbers worse than they look":
I am uncertain whether to be unsympathetic to those hospitals that they cannot meet all (or any?) of the Stage 1 meaningful-use requirements or simply disbelieving.
I am a tad more concerned about the implied "entitlement" to meaningful-use-based incentive dollars expressed in these discussions. Zero of the meaningful-use criteria can be met? That is, less than 80% of patients have an allergy or med list (of any sort) in the chart; less than 50% have weight and blood pressure recorded; less than 50% have smoking status recorded; there is no drug-allergy or drug-drug checking for med orders, etc.? These and others of the criteria do not set incredibly high standards for a healthcare organization that has implemented an EHR, at least in Stage 1 ...
Harris StutmanExecutive director, clinical informaticsMemorialCare Health SystemFountain Valley, Calif.
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