Rasu Shrestha, MD, MBA, is the Vice President of Medical Information Technology and Medical Director of Interoperability & Imaging Informatics, University of Pittsburgh Medical Center, Pittsburgh, PA, and a member of the Applied Radiology Editorial Advisory Board. 

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Wednesday, April 04, 2012
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Meaningful imaging

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By Rasu Shrestha, MD, MBA

Wednesday, April 4, 2012

As the recently announced Stage 2 Meaningful Use (MU)  proposal sinks in, folks are starting to wake up to the fact that imaging is finally being given some recognition in the MU circles. However, some are slightly disappointed that imaging was not deemed a required core component, but made an optional menu item. The proposed Stage Two Meaningful Use Criteria objectives proposes that more than 40% of scans and tests whose result is one or more images ordered by certain individuals or entities during the EHR reporting period are accessible via Certified EHR Technology. The ONC is also considering that 10% of scans accessible through Certified EHR Technology be exchanged with another provider of care.


Dr. Farzad Mostashari, National Coordinator for Health Information Technology, calls 2012 the “Year of Meaningful Use” – with the aim to get 100,000 healthcare providers paid under the incentive programs by year’s end. Increasing the adoption and meaningful use of healthcare IT is crucial to moving the needle towards safer, better coordinated patient-centered care. With imaging being such an integral part of the healthcare delivery paradigm, it is even more important today to ensure that the industry continues to get pushed to be more inclusive of imaging and image sharing – for this is the essence of improving coordination of care. 

Posted by cristen bolan at 04/04/2012 12:12:14 PM | 


Dr. Shrestha - excellent post and compliments on keeping imaging at the center of the discussion. Somewhat disappointing that imaging isn't a core requirement, rather a menu item, but it is an improvement on where we were before Stage 2 was posted.

Hopefully we will continue to see the importance of imaging increase relative to Meaningful Use.

Regards,
Shannon
Posted by: shannon@swerb.com ( Email: | Visit ) at 4/10/2012 7:30 AM


Good post Dr.Shresta. Do you think the meaningful use paradigm would eventually hit the Radiology Contrast-Agent-Dose & Radiation-Dose informatics as well?

Regards,
Sridhar
Posted by: Sridhar B ( Email: | Visit ) at 6/6/2012 11:00 AM


Thanks for the comment. Yes, that is a necessity. However, many believe that the focus of MU 2 is still too narrow, and does not fully account for these in enough detail. We should use the momentum to push ahead with the movement to establish guidelines for capturing, recording and reporting key parameters such as radiation dose.
Posted by: Rasu Shrestha MD ( Email: ) at 6/7/2012 6:54 AM


My feeling is that for Radiology to have a voice, they have to participate.

This means starting at Stage 1, collecting data, and attesting. The shear number of "excluded", low menu set compliance and "does not apply" attestations will speak volumes about the opportunity for the MU program to impact imaging in Stages 2/3.

The loudest voice for imaging comes from participation in the program.
Posted by: Bob Cooke ( Email: | Visit ) at 2/22/2013 9:22 AM


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