Faking Meaningful Use Data

Recently, eClinicalWorks agreed to pay $155 million to settle a lawsuit it faked meaningful use certification.

The DOJ alleges that eClinicalWorks opted to added the 16 drug codes necessary for certification into its software rather than enable the product to access those from a complete database, failed to accurately record user actions with audit log functionality, did not always accurately record diagnostic imaging orders or conduct drug-drug interaction checks and, finally, eClinicalWorks did not satisfy data portability requirements designed to enable doctors to transfer patient data to over vendor’s EHRs.

To be honest, I am not really sure what this means because the whole meaningful use is a fake in itself. It has done nothing to improve healthcare.  I do bet this is the tip of the iceberg, though, of companies finding ways to game the system. I see more of these settlements coming especially when I see this:

The lawsuit was originally filed by whistleblower Brendan Delaney, who at the time was a software technician at the New York City Division of Health Care Access and Improvement. He will receive approximately $30 million as part of the resolution.

Some technician is going to get quite popular soon.   No more dungeons and dragons for him or her.

Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  5 comments for “Faking Meaningful Use Data

  1. Steve O'
    June 4, 2017 at 12:41 pm

    PS: Note that our British friends are again victims of a psychotic rampage – seven dead and 21 in critical condition. In the midst of an election that conveys the future of the NHS, which has been tattered and struggling, surgeons and physicians race in to treat crush injuries, deep facial stabbings and lacerations, all sorts of horrors. Who is fighting to save these lives? The same disreputable bunch, those Doctors (ugh) who are getting whipped about with the same, if not worse, performance mandates.
    If they had to fly in doctors from across the country because they did not staff them well enough at home, well – who’s to blame? Or if they’ve been using locums, and got caught in a shift of covering surgeons, well, who’s to blame?
    I’ll bet some pinhead at the BMJ/NHS will review the records of those who were treated – especially those who had bad outcomes – and find shocking deficiency in the medical records. People will nod sagely – and then cut the NHS budget again, with the warning to try better next atrocity.
    They are no more sane across the pond than we are here.

  2. Steve O'
    June 4, 2017 at 12:32 pm

    It is very important to manufacture meaningless standards, or else there would be no way to disclose shocking noncompliance with standards. Impeding the actual delivery of service? That’s so old-fashioned a concept! It’s better to place control strings into the body of the Healthcare Assembly Line to speed up the belt, and show how poor the care is, when measured by measurements designed to show poor care.
    It’s a similar technique as finding the average employee performing at below-average targets – it’s a great excuse!
    Meaningful use is a brilliant phrase – I’m sure that Orwell would be jealous.

  3. John Parkin M.D.
    June 4, 2017 at 9:21 am

    If something is not worth doing in the first place, it certainly is not worth doing well.

  4. June 4, 2017 at 8:12 am

    Wait until MACRA goes into full effect. More fraud to come.

  5. Pat
    June 4, 2017 at 6:55 am

    So a gov’t snoop is paid a huge bounty for fingering a vendor with deep pockets over some nebulous standards that are no good to anyone except the enforcers. What kind of uptight, mirthless commissariat is the “Division of Health Care Access”, and what sort of loser would even want to work for them? Everyone will pile on to a (maybe) corrupt company while ignoring the larger corruption of gov’t-directed health care.

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