In the classic yarn, "Chicken Little," the eponymous character scurries
around screaming about the sky falling to the extent that no one believes
him when it finally does.
In the 21st Century re-imagined Disney film version, the bird’s
frustrated efforts turn out to be a colossal misunderstanding – a thinly
veiled public service message against dysfunctional communication – before
[spoiler alert if you’ve never seen the movie] everyone finally sees the
truth and the classic, if not cliché, happy ending emerges. If only Middle
East peace negotiations worked like this.
The brain trust behind the Food and Drug Administration’s Unique Device
Identifier (UDI) program could use some of Disney’s magic to goose the
effort even farther forward than it is today in lieu of mandates.
Unfortunately, too many consider the UDI yet another entry in a long line
of acronymic fads that will pass once its 15 minutes of fame expires.
But such a snarky point-of-view would be rather short-sighted, if not
simplistically imbecilic.
Indeed, there just might be a slim chance that the UDI will suffer the
same fate as its progenitors – initial combustion, followed by lukewarm
reception over time and then casually dismissive shrugs. However, that’s
highly unlikely given the fact that the Food and Drug Administration seems
more serious than it’s ever been in supporting a standard nomenclature for
medical devices.
Unless you’ve eschewed all multimedia options, traveled to a parallel
dimension or blatantly ignored the spot-on, puncture-perfect promotion of
the UDI in recent years you should be aware of the logic behind the letters:
Integrity, quality and safety of a supply chain inextricably linked to
patient care delivery.
Of course, you’ve heard all of those arguments before, which is precisely
the point. Contextual background. How so?
Simple. If you look back at each familiar, and arguably similar, foray
you should notice a progressive surge that grows deeper the farther the
issue moves forward. Huh?
Try this allegory: Save for the "Back to the Future" film trio back in
the 1980s, much of the succeeding media-driven pop culture references to the
messy and murky time travel concept (see the "Terminator" film quartet as of
this year and the TV series "Lost") weave an underlying theme into their
plots. The bottom line: No matter what you do you’re unable to completely
change the future, which will inevitably arrive where it’s supposed to,
despite incremental detours.
Casting aside chaos theory, string theory and otherwise geekified
sci-fi-driven psychobabble loosely routed in physics you are left with
momentum. Like a car rolling down a hill. Sure, you can tap the brakes or
jerk the transmission into reverse and violently slam on the accelerator,
but eventually, the brake pads will wear down or you’ll run out of gas.
So what does all of this rabbit-trail nonsense have to do with UDI? In
context, it means the UDI or something type of product-identifying mark like
it is inevitable. To quote the hostile alien race in the "Star Trek: The
Next Generation" series: "Resistance is futile." To add to the rhetoric:
Ignorance is dangerous; dismissal is deadly.
With CMS creating a growing list of non-reimbursed preventable medical
errors, and government politicos and pundits and healthcare industry players
clamoring for more information technology to drive inefficiency and waste
out of the system, there’s no stopping the looming juggernaut of unique
device identification. That’s neither a threat nor resignation. It’s
reality.
The sooner the industry faces this and accepts this with determination
and dignity the sooner the industry will achieve reform – but not without
pain.