Philip A. Verhoef, MD, PhD
Potential Conflicts of Interest: None disclosed.
Verhoef PA. Meeting Meaningful Use Criteria and Managing Patient Populations. Ann Intern Med. 2013;159:717-718. doi: 10.7326/0003-4819-159-10-201311190-00015
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Published: Ann Intern Med. 2013;159(10):717-718.
TO THE EDITOR:
I read with interest DesRoches and colleagues’ article (1) on assessing physician use of EHRs and whether such use was meaningful, as outlined by the Centers for Medicare & Medicaid Services. The fundamental flaw in the authors’ research question (and in the Centers for Medicare & Medicaid Services’ misguided use of this metric) is that the meaningful use criteria pertain to patient care, but the commercially available EHRs are invariably designed to optimize billing and insurance reimbursement. Thus, the finding that fewer than 1 in 10 physicians reported being able to use their systems to meet meaningful use criteria is hardly surprising.
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