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Recovery audit contractors (RACs) and electronic health records (EHRs) include highly sensitive information that should be managed carefully to avoid adverse outcomes. Careless management of this information can lead to leaks of private data, which may lead to significant legal and image problems. Thus, Centers for Medicare and Medicaid Services (CMS, 2010) developed a meaningful use policy to improve quality, safety, efficiency, and reduce health disparities. At the same time, the policy aims at improving the coordination of multidisciplinary teams and while maintaining privacy and security (CMS, 2010). There are three primary components of meaningful use. First, the technology should be used only in a meaningful manner, for instance, e-prescribing (CMS, 2010). Second, EHRs should be used to exchange information between care providers (CMS, 2010). Finally, EHRs should be used to submit clinical quality measures (CMS, 2010). While principles of the meaningful use policy are adequate, their application led to the creation of several rather strict policies that limit EHR use.
Meaningful use policy requires significant resources to make sure that EHR databases and interfaces adhere to the standards. This is associated with increased costs that hospitals cannot reimburse. Since IT budgets in health care organizations are usually rather limited, authorities are forced to spend money on compliance assurance rather than on the development of functions and features that stakeholders need. As a result, meaningful use resulted in low flexibility and quality of EHR systems (Slight et al., 2015). Thus, CMS should focus on modifying the policy to make it more flexible without decreasing the quality of information security.
Reference
Centers for Medicare and Medicaid Services. (2010). Medicare & Medicaid EHR incentive program. Web.
Slight, S., Berner, E., Galanter, W., Huff, S., Lambert, B., & Lannon, C. et al. (2015). Meaningful Use of Electronic Health Records: Experiences from the Field and Future Opportunities. JMIR Medical Informatics, 3(3), e30.
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