A.S.S. (4/2/14) Needless to tweet (but I’m sure to do so anyway), this blog post generated a lot of disagreement on Twitter. I’m prepending the choicest here, in what is called an “antescript.” In contrast to a postscript, it occurs at a document beginning. (Skip to blog post.)
@wareFLO yea, you &10k others knew ICD-10 would get delayed TODAY…you'd get the Amazing Webster Award if you predicted it 2-3 weeks ago 🙂
— Steve Sisko (@ShimCode) April 1, 2014
.@ShimCode The Amazing Webster Award! I like that. Lesson: don't bet on lobbyists, regulatory capture, or government mandates < bet on value
— Charles Webster, MD (@wareFLO) April 1, 2014
3 kinds of #HITsm peeps right now: against #icd10delay, for #icd10delay, and want to appear to have correctly predicted #SGR outcome #ICD10
— Charles Webster, MD (@wareFLO) March 31, 2014
@wareFLO – Which one are you? 🙂
— Ken Congdon (@KenOnHIT) March 31, 2014
@wareFLO – Ah, so you were #HITsm peep number 3 🙂 #ICD10
— Ken Congdon (@KenOnHIT) April 1, 2014
@wareFLO Your point is sunk cost of past investments in #icd10 doesn't make it worth moving forward?
— davidfcarr (@davidfcarr) April 1, 2014
.@davidfcarr Not necessarily, but much reaction #ICD10delay based emotionally on what's already been invested. Illogical, irrational #ICD10
— Charles Webster, MD (@wareFLO) April 1, 2014
.@davidfcarr Simply asking for estimates of *prospective* benefits vs costs of #ICD10 Have asked 4 them repeatedly. Know of any? TX advance
— Charles Webster, MD (@wareFLO) April 1, 2014
@wareFLO @davidfcarr There's a lot to be said for regulatory consistency. Not sure if it equates to a dollar value, though …
— Loran Cook (@loranstefani) April 1, 2014
@wareFLO good firms don't bet on complying w/ mandates. With ICD-10, good firms got hosed by politicians. Toss 'em out in Nov and 2016!
— Steve Sisko (@ShimCode) April 1, 2014
@wareFLO Good firms spent scarce capital and labor on ICD-10 when it could have been allocated elsewhere. Capisce?
— Steve Sisko (@ShimCode) April 1, 2014
@wareFLO @ShimCode Live by the sword… die by the sword.
— Mark Buffington (@MarkBuffBIP) April 1, 2014
.@wareFLO @ShimCode not wanting to use garbage software = luddite in healthcare
— Harold Smith III (@haroldsmith3rd) April 1, 2014
@wareFLO Charles, did I say “doctors are Luddites?” Where? Please take another look at my tweets and be accurate about what you say! #icd10
— Steve Sisko (@ShimCode) April 1, 2014
.@ShimCode What do @AmerMedicalAssn & @MGMA have in common? Physicians. AMA represents them. MGMA CEO is MD. You're referring to who? #ICD10
— Charles Webster, MD (@wareFLO) April 1, 2014
@wareFLO It’s both. Do you think ‘good firms getting hose’ and ‘consulting firms making money’ are mutually exclusive? They aren't. #icd10
— Steve Sisko (@ShimCode) April 1, 2014
.@ShimCode 'Do you think ‘good firms getting hose’ & ‘consulting firms making money’ are mutually exclusive?' < Unfortunately I don't #ICD10
— Charles Webster, MD (@wareFLO) April 2, 2014
@GovHITeditor OK, but #icd10delay cliffhanger down 2 wire. BTW hard to predict synergy w/#MeaningfulUse: resource contention vs EHR data ROI
— Charles Webster, MD (@wareFLO) April 1, 2014
@wareFLO Indeed. On both counts.
— Tom Sullivan (@GovHITeditor) April 1, 2014
A.S. (3/31/14) Well, ICD-10 was delayed for a year, to 2015. I wrote the blog post below the day before the vote. Today tweets containing #ICD10, #ICDdelay, #nodelay and #SGR flew fast and furiously. I predicted the outcome before the vote and extracted what I believe is the fundamental lesson.
I predict #SGR will pass.
— Charles Webster, MD (@wareFLO) March 31, 2014
I called it. #ICD10 #icd10delay #nodelay https://t.co/KZNniHJBm3 RT @wareFLO: I predict #SGR will pass.
— Charles Webster, MD (@wareFLO) March 31, 2014
Too many people "bet" on #ICD10 & #MeaningfulUse The delay & hardship exceptions are indeed capricious. Lesson: focus on value, not lobbies.
— Charles Webster, MD (@wareFLO) March 31, 2014
I was a premed Accounting major (from the perennially ranked #1 University of Illinois Department of Accountancy). I believe in cost-justifying anything by anyone, from me to companies to the government. I’m against stuff that harms physician workflow, productivity, and professional satisfaction (best route to patient satisfaction with their physician). So anyway, I’ve been following the debate about ICD-10 and tweeted a link to Kyle Samani’s Why ICD-10?
My, my, my!
I think Kyle wins the debate hands down, but this is the quote from a comment counterargument that gobsmacked me.
“I’ve read all of Halamka’s posts. He’s a smart guy for sure. If you want to take an Expected Value approach to making decisions then probably 80% of the things we do and what the government mandates wouldn’t pass muster. IMO a weak argument.”
The crazy thing is I get the same basic argument from lots of people! That and apparent inability to understand the concept of sunk cost re the potential ICD-10 delay.
.@GovHITeditor @MedPractices
Dear Hospital CIO,
RE #ICD10 delay …
Sunk Cost http://t.co/3IxbhNzgkn
Yours truly,
Accounting Premed
— Charles Webster, MD (@wareFLO) March 29, 2014
Normally I absolutely hate animated GIFs. However, this one for “puzzlement” has a big strong Expected Value!