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    (Eavesdropping at a major medical meeting)

    Why you should address what’s on the mind of staff before others ‘hear’ it


    1.     Certification is a big topic of confusion.

    In most cases, there are two categories: those who are already certified because their office either required it or supported it as a condition of hiring, or those who have worked in your office for years and are now being made to become certified.

    The second group is terrified of having to take the exam because they may have been told that if they don’t pass it, they will lose their jobs. Or, if they were not told this, they perceive that would be the outcome.

    There is still a great deal of confusion on who needs to be certified.

    Whether you are in ophthalmology or optometry, if you are entering lab orders/results, ultrasound testing (not IOLMaster) but definitely A and B Scans, as well as some forms of pachymetry and ocular coherence tomography, you must be “certified something” in order to comply for Meaningful Use.

    This rule boggles my mind as the emphasis is on certification of the staff entering the information into the CPOE portion of the chart versus focusing the certification on the person performing the test.

    Staff blames you for making them become certified. You need to educate them to Meaningful Use and ensure that they are aware of the continual changes and updates. Decreeing the need to be certified after years of telling them it wasn’t required sends a mixed message that they interpret as: “You are looking for a way to fire me.” I have had managers report that staff refuse to do certification and want help in scripting the message that they need to do this.

    Educate them, encourage them, and help then get the materials they need. They can do the COA—they just haven’t taken a test in 10 years and are afraid.

    2. "Meaningful Use" means nothing

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