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	James L. Holly, M.D.

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In The News - An Appeal to CMS and ONC for a Temporary Exemption to Meaningful Use 2

An Appeal to CMS and ONC for a Temporary Exemption to Meaningful Use 2

James (Larry) Holly, M.D.
CEO, Southeast Texas Medical Associates (SETMA)
www.jameslhollymd.com

Adjunct Professor
Family & Community Medicine
University of Texas Health Science Center
San Antonio School of Medicine

Clinical Associate Professor
Department of Internal Medicine
School of Medicine
Texas A&M Health Science Center

December 5, 2013

Dear Ms. Tavenner and Dr. Reider:

This correspondence is an appeal from Southeast Texas Medical Associates, LLP (SETMA, www.jameslhollymd.com) in Beaumont, Texas, in regard to Meaningful Use 2 (MU2). It is founded upon SETMA’s vision for transformation of healthcare, which is the path for dynamic and sustainable change. Internalized values, a personal and collective vision and a generative passion for excellence in healthcare delivery are the fuel and energy for transformation in medicine. Reform is dependent upon external pressure, based on rules and regulations to sustain and guide change. Reform requires financial reward and/or threat of financial penalties to drive the process, while transformation is driven by a creative tension between one’s vision and one’s current reality. CMS and ONC will want to take care that attempts to improve care with reform does not adversely effect dramatic improvements through transformation.

Not being inherently creative, reform is dependent upon uniformity with all participants being required essentially to look alike; transformation will result in sustained, creative innovation, which will by its nature result in diversity. Transformation will be trail blazing with rapid innovation producing advances in healthcare improvement. Sometimes, reform will stifle creativity and transformation. To avoid this potential negative impact of well-intentioned reform, thoughtful leaders will recognize the need for innovative leaders and organizations to receive temporary exemptions from the rules and regulations which are the tools of reform.......

For complete letter

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