William A. Hyman

Reducing Burden and Saving Money

By William A. Hyman – The latest final rule release on physician payments is replete with assertions of burden reduction and cost savings. Without various addenda, the rule comes in at a mere 2378 pages, 2063 for the discussion and 315 for the rule itself.


Why Aren’t Prompts Followed?

By William A. Hyman – One feature of EHRs is the ability to provide prompts to clinicians about the care being provided to their patients. Such prompts, generally called Clinical Decision Support are usually driven by practice guidelines or derived from AI efforts.


ONC Asking Questions

By William Hyman – The ONC has released via the Federal Register a Request for Information (RFI) on the EHR Reported Program which was established by the 2017 21st Century Cures Act. Overarching questions that arises in this regard is given that health IT must achieve certification,


Revisiting the Hype Curve

By William Hyman – Hype is defined as promoting or publicizing something, often exaggerating its importance or benefits. In our business, hype has been associated with EHRs and some of its associated elements such as Computer Decision Support, Artificial Intelligence, Interoperability and blockchain.


What Makes a Best Practice Best?

By William Hyman – “Best Practice” is a popular descriptor for a variety of processes and activities. A recent search of HITECH Answers produced 13 items with Best Practice in the title.



How to Get Better While Being the Same

By William A. Hyman – I listened to an interesting webinar that was promoted here on the ABCs of the QPP: Understanding the Proposed 2019 QPP Rule. One thing that was reinforced to me was that scoring schemes are inherently arbitrary and subject to manipulation.


A New Use for Onerous Requirements

By William A. Hyman – It is well recognized by users of EHRs that CMS/ONC reporting and use requirements are burdensome and often not connected with desirable patient outcomes, and certainly not connected with efficient operations.