Accepted for/Published in: JMIR Medical Informatics
Date Submitted: Sep 12, 2023
Date Accepted: Aug 17, 2024
Unintended Consequences of Meaningful Use
ABSTRACT
Interoperability has been designed to improve the quality and efficiency of healthcare. Interoperability allows the Centers for Medicare and Medicaid Services to collect data on quality measures as part of meaningful use. Covered providers who fail to provide data have lower rates of reimbursement. Unintended consequences arise in each step of this process. Providers are not reimbursed for the extra time required to generate data. Patients don’t have control over when and how their data are provided to or used by the government. Large datasets increase the chances of an accidental data breach or intentional hacker attack. After detailing the issues, we describe several solutions, including an Appropriate Data Use Review Board. It is designed to oversee certain aspects of the process and ensure accountability and transparency.
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