The comment period for “Electronic Health Record Incentive Program-Stage 2” closes Monday.
If you have not yet read CMS-2012-0022-0001, now is the time.
Civerex displays an active interest in evolving EHR technology and I am reproducing below a copy of our comment #81005bf1 to regulations.gov where we predict the outcome of a forced move away from patient centric to statistical reporting of abstract aggregate measures.
Here below is an extraction of the text of our commentary:
We did a search on “performance” across the Stage 2 NPRM and our comment is that whereas FFS allowed a focus on patient care under the false belief that “more is better”, we predict that any shift to Performance Based Reimbursement is going to abstract this focus to aggregate measures which will not be perceived as “hands on” controllable.
Civerex has developed an “earned value” model (on spreadsheet) that allows healthcare providers to track progress toward meeting individual patient objectives, thereby providing a foundation for aggregate measures.
The use of a model of this type would allow healthcare professionals to feel that they have control over the measures they will be required to report on (i.e. managing individual patients efficiently will lead naturally to better aggregate outcomes).
We are willing to contribute this algorithm for general use so long as there is a credit line showing Civerex as the developers of the algorithm.
See a writeup on “Adaptive Case Management Earned Value Matrix Model” at
We are hoping they will take us up on our offer.