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    Mostashari's biggest Meaningful Use regret and health IT's future

     

    ME: Can you comment on the fact that EHRs are one of the main drivers of physician burnout? How can we move past physicians being data collectors to restoring their role as caregivers?

    FM: I think there are a lot of factors that are driving burnout. I don't know that the data is clear. I think that one of the major causes of burnout isn't the EHR per se. It is this loss of control and feeling that you're not in control and that there's a whole host of things, whether it's prior authorizations, whether it's a big insurer telling you what they're going to pay you and it's less than Medicare pays, whether it's the rising cost of everything and the decreasing reimbursement for everything and new rules that come out that you can't even understand.

    I had one good friend who closed down the doors of her practice. And it wasn't because of the EHR. And it wasn't because of Meaningful Use or ACOs. It was the accumulated frustrations of trying to be a small business owner and trying to stay independent with all of this stuff coming on [physicians].

    The key is two things. One, if you're in a kayak in the rapids, you have to lean in and dig your paddle in and push ahead. If you lean back, you're done. You're going to flip over. So be more active. Don't be passive. Take control. Step two is join together with others to increase your power, increase your control, increase your ability to have someone else help you deal with that crap, deal with the quality reporting, deal with the EHR optimization, deal with the ACO regulations.

    So I think that's the solution—not to retreat into some direct primary care model. That, to me, is not a solution for all of our docs to say, “I'm not going to take insurance.“ That's not the solution. We have to find ways of coping with the change and feeling more in control.

    ME: Will America ever achieve EHR interoperability, or will we be torn apart by competing corporate interests who use HIPAA as their defense more to increase their profits than to protect anyone's privacy?

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    • Anonymous
      This from a man who benefits directly from all of us 'paddling harder'. I'm done paddling harder. I'm paddling smarter, and it's called DIRECT PRIMARY CARE.
    • Anonymous
      This from a man who benefits directly from all of us 'paddling harder'. I'm done paddling harder. I'm paddling smarter, and it's called DIRECT PRIMARY CARE.

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