Reporting requirements will undoubtedly increase with Meaningful Use. Replacing paper potentially faster than any other point in a health system will change the tenants of the traditional health establishment because structured information does a far better job at enforcing quality of care and improving population health. Health Information Technology tools like Decision Support, Clinical Repositories and databases are many times still tucked behind sophisticated Storage Area Networks, Networks, and Interface engines. A percentage of the stakeholders requiring meaningful data may really not know how to request it in an HC Enterprise. They know what they would do, left alone, with an IT Analyst to quantify it on behalf of meaningful use. As we debate our philosophies on the possibilities, we jeopardize care for the patient, and raise questions on care quality because of the applications, the lack of applied standards, and interoperability challenges.
Now we have registries, mostly undervalued and misunderstood and loosely interpreted. Today, these registries (such as disease registries) are really databases that collect clinical data on patients with a specific disease (diabetes, asthma, CHF, hypertension, etc); however is that not what the traditional decision support or a clinical repository is supposed to be for the enterprise? Lots of confusion and I would like to hear your thoughts?