August 30, 2010 – Computer Sciences Corp., a Falls Church, Va.-based consultancy, has published two comprehensive briefs outlining the top 10 meaningful use challenges for hospitals and eligible professionals.

Based on the final rule published in July, both briefs explain Stage 1 meaningful use objectives (criteria) in layman's terms with additional clarification when needed.

The two highest challenges for hospitals, according to CSC, are doing CPOE right the first time and helping physicians transition to competent and willing users of the EHR. For eligible providers, the top two are capturing the data and establishing effective workflows to reinforce data entry.

To understand the scope of work to establish meaningful use, "Dealing with ICD-10 at the Same Time," is the 10th of the top 10 challenges for hospitals and still a very significant task.

"Project leaders in hospitals should resist the temptation to consider this a revenue cycle project; it most be closely coordinated with work on the inpatient EHR (especially problem list and clinical documentation)," according to CSC. "Substantial efficiencies can be gained if coding for reimbursement (medical and procedure codes, present on admission) flows directly from routine documentation."


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