SCOTTSDALE, Ariz. — It's been barely a week since Farzad Mostashari, M.D., turned in his keycard for the Hubert H. Humphrey Building as well as his government-issued mobile phone, so the former head of ONC still has keen insight into the minds of federal regulators.

Unshackled from the constraints of the administration's well-crafted message machine, Mostashari appeared at the CHIME Fall Forum here this week for his first public speech since leaving office (although he did often revert to "we" or "our" when referring to ONC). He offered some relevant tidbits to the gathering of hospital CIOs:

  • Don't expect a change in meaningful use Stage 2 timelines. Industry groups, including the AHA and CHIME, have been lobbying for an extension in the time to comply with Stage 2 beyond 2014. Mostashari noted that an extension would require a rule-making, which carries a host of other delays and unintended consequences. "Folks should assume that the timelines stick," he said.
  • Standards development must move forward at a more rapid pace, and that's tied to moving forward with Stage 2.
  • The government shutdown means nothing is getting done on standards development or product certification.
  • CMS' ultimate goal is to make sure that coordinating care is profitable for hospitals and that not coordinating care is unprofitable.

Before leaving the stage to a standing ovation, Mostashari was presented with the CHIME Legacy Award.

Also yesterday, I had the opportunity to talk with CHIME President and CEO Russ Branzell about the challenges facing hospital CIOs. Among his top concerns, managing the immense workloads of meaningful use, ICD-10 and delivery system transformation.

We'll have more coverage from CHIME's Fall Forum tomorrow in H&HN Daily.