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The VA waitlist debacle: Don’t blame the VistA EHR system

Edmund Billings, MD
Tech
July 6, 2014

Without a doubt, the death of American veterans as a result of the VA waitlist debacle is tragic and unacceptable. The Obama administration must move quickly and deliberately to fix the underlying problems and restore faith in the agency.

If these issues were common throughout the VA network of hospitals and clinics, it might make sense to consider dramatic, earth-shaking alternatives like moving veterans to private providers and shuttering the …

Read more…

The VA waitlist debacle: Don’t blame the VistA EHR system

Psychiatric hospitals need meaningful use incentives

Edmund Billings, MD
Tech
May 22, 2014

Imagine you go to work one day and your boss says all employees will be evaluated based on the performance of a new set of job skills that require additional training and, perhaps, new computer hardware and software. The boss also announces that some employees will be reimbursed for the cost of acquiring these skills and tools. You aren’t among this privileged group.

In government, this is called an unfunded …

Read more…

Psychiatric hospitals need meaningful use incentives

ICD-10 will lead to the perfect storm in health care

Edmund Billings, MD
Tech
December 22, 2013

Let me concede from the outset that I lean toward the negative — dire predictions, worst-case scenarios, a bit of doom and gloom, etc.

But I ask you, oh gentle, patient reader, how could I not?

Let’s go to the satellite. You can see warm air from a low-pressure system (meaningful use stage 2, not changed dramatically by the one-year extension) collide with cool, dry air from a high-pressure area (the turmoil …

Read more…

ICD-10 will lead to the perfect storm in health care

Why it’s risky to pay for a proprietary health IT system

Edmund Billings, MD
Tech
May 10, 2013

“No aspect of health IT entails as much uncertainty as the magnitude of its potential benefits.”

A few years into the Meaningful Use program, it seems this quote from a 2008 Congressional Budget Office report entitled “Evidence on the Costs and Benefits of Health Information Technology” may have been written with the assistance of a crystal ball.

Fast forward to 2013.

“Just from reading a week’s worth of news, …

Read more…

Why it’s risky to pay for a proprietary health IT system

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  • Most Popular

  • Past Week

    • How hindsight bias distorts clinical medicine

      Olumuyiwa Bamgbade, MD | Physician
    • Institutional distrust in health care: Why a doctor lost faith

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    • Do no harm: Why physician burnout requires bottom-up reform

      Desiree Francis, MD | Physician
    • Independent medical practice: Why private clinics are essential

      Marcelo Hochman, MD | Physician
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      Molly Candon, PhD and Daniel Clauw, MD | Conditions
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      The Podcast by KevinMD | Podcast
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      Constantine Ioannou, MD | Physician
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      The Podcast by KevinMD | Podcast
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      Harvey Max Chochinov, MD, PhD | Conditions
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