The House Appropriations Committee approves the VA’s requested 2014 budget line item of $252 million for an integrated electronic health record, then adds another $92 million, but mandates that no money be released except for an open architecture system that will serve as the sole EHR for the VA and DoD.
A Deloitte survey of US physicians finds that 75 percent believe that Meaningful Use holds promise for improved efficiency but that reduced costs resulting from the use of EHRs is inflated and that ultimately care will cost more, not less.
Wake Forest Baptist Medical Center reports operational income losses attributed to problems with its Epic implementation after spending $13 million directly on Epic and $8 million on implementation expenses. The hospital also reports $26 million in lost margin due to volume disruptions during initial go-live and post go-live optimization. Baptist was already scheduled to complete a staff reduction of 950 employees by June 30, but will now implement additional immediate cost-cutting measures. Moody’s has downgraded its long-term debt rating.
Laura Kreofsky, principal at Impact Advisors and director of Sutter Health’s Meaningful Use program, discusses the need for organizations to operationalize Meaningful Use-related projects by moving them from small project teams to increasingly stretched IT departments. Due to this shift, she predicts widespread organizational "MU fatigue" by 2015.