This is Matt Murray, M.D.'s Typepad Profile.
Join Typepad and start following Matt Murray, M.D.'s activity
Join Now!
Already a member? Sign In
Matt Murray, M.D.
Pediatric emergency medicine, quality care and health IT
Interests: I am a pediatric emergency medicine physician at Cook Children’s Health Care System in Fort Worth, Texas, with over 20 years of clinical experience. In addition to clinical practice, my passion is to improve the quality of healthcare through the broad adoption and effective use of health information technology (IT). I led Cook Children’s through a conversion to a fully electronic medical record from 2002-2009. During that time we achieved Leapfrog recognition for the successful implementation computerized physician order entry. After returning to full-time clinical work in 2009, I began using my health IT knowledge and expertise to participate in community-wide health IT initiatives to improve quality of healthcare. I have served on multiple local and statewide health IT task forces, committees and boards. I currently serve as Chairman of the Texas Medical Association’s Health IT Committee. I am a board member of the Dallas Fort Worth Hospital Council Foundation which serves as a catalyst in the North Texas to help providers collect and use health data from over 80 hospitals to improve quality of care across the region. I have been appointed to several task forces under the Texas Health Services Authority, which is working to improve health information exchange across Texas, including the Privacy/Security Task Force and the Collaboration Council. Through these entities I am involved with health IT advocacy, health IT policy development, education of health IT stakeholders, promoting the adoption of electronic health records and helping to shape the maturation of health information exchange in Texas. I strive to bring a patient-centered focus to health IT planning efforts, advocate for development health IT tools that fit within the clinician’s work flow and financial constraints, and promote fair and ethical use of quality metrics in healthcare. In 2012 I was recognized as one of the Modern Healthcare Top 25 Clinical Informaticists.
Recent Activity
This week eClinicalWorks resolved a lawsuit by agreeing to pay $155 million for falsely claiming it met Meaningful Use (MU) EHR certification criteria. Although the behavior of eClinicalWorks was wrong, we have a much more serious problems inflicted inflicted by the government-run Meaningful Use EHR certification criteria. Continue reading
Posted Jun 2, 2017 at Digitized Medicine
In the doctor's real world e-prescribing tools are not easy-to-use, intuitive or hassle-free. Instead they are cumbersome and remain prone to some easily-preventable medication errors. In the real world of the pharmacist, it is not efficient to manually transcribe into their own system the e-prescription information I sent. They might have to use two screens to accomplish that task, or they might print my e-prescription and then transcribe it into their system. That printer is likely to be in the far corner of the room. Continue reading
Posted May 6, 2017 at Digitized Medicine
It is remarkable to sit down one night to write a policy proposal, then 6 weeks later see it become new national policy at the American Medical Association (AMA), even if it does get watered down a little bit in... Continue reading
Posted Jun 15, 2016 at Digitized Medicine
...it is time to urge Congress to create a National Health IT Safety Center that can implement an effective EHR safety program designed to reduce EHR-related patient safety risks. Continue reading
Posted May 23, 2016 at Digitized Medicine
It is important for physicians to be aware that effective EMR back up and restore tools/processes not only protect the practice against virtual disasters such as cybertacks, but also against physical disasters. Fire, wind, water and human error can destroy EMR systems just as thoroughly as a ransomware attack, and do so more commonly. Continue reading
Posted May 18, 2016 at Digitized Medicine
I think it is vital to change this adversarial perception. This will involve a cultural change at CMS. Perhaps the most important tactical change to pursue is moving away from rewarding/penalizing the achievement of specific targets, and moving toward innovative programs that reward practices for making incremental improvements in quality care. Continue reading
Posted Nov 3, 2015 at Digitized Medicine
Image
Many physicians who use an electronic health record (EHR) are having difficulty realizing value in their investment. A recent KLAS survey found that more than one out of every four physician practices are so dissatisfied with their EHR that they... Continue reading
Posted Jul 22, 2015 at Digitized Medicine
Texas Representative Ted Poe has introduced H.R. 2126, the Cutting Costly Codes Act of 2015. This legislation would prohibit the federal government from requiring physician offices to comply with the proposed transition to ICD-10 codes. “The new ICD-10 codes will... Continue reading
Posted May 18, 2015 at Digitized Medicine
My primary concern is that decisions being made by payors on the use of quality metrics are too often resulting in unfair or unethical use of quality metrics. Continue reading
Posted Jan 20, 2015 at Digitized Medicine
I have consistently advocated for skipping ICD-10 and initiating an unprecedented effort to accelerate the development of ICD-11-CM. Although I still believe this strategy to be the one best aligned with quality care, I fear that the sunken ICD-10 costs... Continue reading
Posted Sep 13, 2014 at Digitized Medicine
The idea’s time has come. The U.S. healthcare system needs a national, independent entity empowered by Congress to oversee health IT patient safety. Now. In today's world a health IT-related patient safety issue that is identified by a physician practice... Continue reading
Posted Jul 7, 2014 at Digitized Medicine
From a national policy perspective, ICD-11 is not found anywhere on the U.S. dial. Not even a preliminary roadmap to ICD-11 has been proposed. I believe this to be a serious risk to our nation’s health IT planning efforts, and... Continue reading
Posted Apr 25, 2014 at Digitized Medicine
ICD-10 is so “last century”. The United States did not adopt ICD-10 twenty years ago when the standard was first developed. The current version of ICD-10 that the United States is designated to adopt is based primarily on the international... Continue reading
Posted Apr 2, 2014 at Digitized Medicine
Incidental to the AMA's opposition to the SGR fix bill is that they fail to actively support the one-year delay of ICD-10 that is included in that bill. Interesting ploy--oppose a bill that you could live with. If their opposition... Continue reading
Posted Mar 28, 2014 at Digitized Medicine
The American Medical Association (AMA) failed to complete their homework assignment before concluding in a report that skipping ICD-10 to move directly to ICD-11 is not a feasible option. Just like CMS (see CMS prematurely dismisses the alternative option to... Continue reading
Posted May 17, 2013 at Digitized Medicine
In this scenario the imaginary national health IT nervous system is analogous to the real-life health IT infrastructure being developed at the national and state levels through National Health Information Network (NHIN) Direct project and the State Health Information Exchange (HIE) Cooperative Program. The charged impulses represent each patient’s electronic health information. The axons represent each physician’s cable to the Internet. The gap or synapse represents the present-day constraints on our ability to send and receive electronic health information to one another. Continue reading
Posted Apr 10, 2013 at Digitized Medicine
Physicians are disturbed when patient care is put at risk due to a problem caused by their use of an electronic health record (EHR). Although they will generally tolerate the situation when their reported problem is effectively managed in a... Continue reading
Posted Jan 10, 2013 at Digitized Medicine
I strongly oppose use of quality measures that incentivize or penalize physicians based on their ability to influence patient actions when those actions are beyond reasonable control of physicians or if there is no evidence linking such actions to improvements... Continue reading
Posted Oct 9, 2012 at Digitized Medicine
"The decision to mandate ICD-10 for covered entities has already been made." This response in the ICD-10 final rule published last Friday by the Department of Health and Human Services (HHS) bluntly spurns the option of foregoing ICD-10 to implement... Continue reading
Posted Aug 25, 2012 at Digitized Medicine
As discussed in my post "New Texas Privacy Law Increases Privacy Protections and Physician Cyber Liability Risks", House Bill 300 (HB 300) strengthens protection of patients' electronic health information in Texas beyond HIPAA and becomes effective on September 1, 2012.... Continue reading
Posted Jun 1, 2012 at Digitized Medicine
As discussed in my post "New Texas Privacy Law Increases Privacy Protections and Physician Cyber Liability Risks", Texas House Bill 300 (HB 300) strengthens protection of patients' electronic health information in Texas beyond HIPAA and becomes effective on September 1,... Continue reading
Posted May 23, 2012 at Digitized Medicine
Perhaps the optimal pathway to ICD-11 really is through the ICD-10, but we need a more comprehensive analysis to make a better-informed decision. Let’s put on the table the total costs and impact of both pathways and then decide. Continue reading
Posted May 17, 2012 at Digitized Medicine
As discussed in my post "New Texas Privacy Law Increases Privacy Protections and Physician Cyber Liability Risks", House Bill 300 (HB 300) strengthens protection of patients' electronic health information in Texas beyond HIPAA and becomes effective on September 1, 2012.... Continue reading
Posted May 16, 2012 at Digitized Medicine
As discussed in my post "New Texas Privacy Law Increases Privacy Protections and Physician Cyber Liability Risks", House Bill 300 (HB 300) strengthens protection of patients' electronic health information in Texas beyond HIPAA and becomes effective on September 1, 2012.... Continue reading
Posted May 9, 2012 at Digitized Medicine
Texas House Bill 300, along with other state privacy laws such as the Texas Identity Theft Protection Act, are more protective of patients' privacy than HIPAA. Stronger protections translate to increased physician cyber liability risks. Continue reading
Posted May 3, 2012 at Digitized Medicine