James Holly's archive

This is a three-part series that examines SETMA’s work over the last 20 years and how it anticipated the categories of the MACRA and MIPS. While I personally like MACRA and MIPS, there are elements of its design that perpetuate past healthcare reform design flaws. This series examines those flaws and recommends means of resolving them.

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Sept. 20, SETMA’s provider training session focused on MACRA, the acronym for the Medicare Access and CHIP Reauthorization Act of 2015, and MIPS, the acronym for the Merit-Based Incentive Payment System.

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Southeast Texas Medical Associates began using electronic health records in March 1998. Shortly after that, we determined that our “real” goal was “electronic patient management,” i.e., the leveraging of the capabilities of electronics to improve the quality of the care we provided to our patients.

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June 16, 2016, SETMA received a note from our friends in China. They have previously made two visits to SETMA and as this note indicates they want to visit a third time. The note stated:

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Dr. James L. Holly is CEO of Southeast Texas Medical Associates, LLP (SETMA) in

As we move deeper into the 21st century, we do so knowing that the technological advances we face are astounding. Our grandchildren’s generation will experience healthcare methods and possibilities that seem like science fiction to us today. Yet that technology risks decreasing the value of our lives if we do not, in the midst of technology, retain our humanity.

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