To track evolution of possible funds available for purchasing Electronic Medical Records (EMR) by each state, visit RECOVERY.PA.GOV (or NJ, etc.).
Archive for June, 2009
The model of a “patient-centered medical home” has aided a primary-care doctor to see 30-35 patients a day, compared with 20-25 for most practices. Nurses update patient Hx, saving hours of work…It helps that the doctor has an ELECTRONIC MEDICAL RECORD (EMR) system. Currently, less than 20% of docs use EMRs.
(inspired by Business Week, July 6, 2009)
Find out more about an EMR system must and will assist you. Visit www.myEMRchoice.com.
June 14, 2009, American Medical Association, Chicago, Il
First, we need to upgrade our medical records by switching from a paper to an electronic system of record keeping. And we have already begun to do this with an investment we made as part of our Recovery Act.
It simply doesn’t make sense that patients in the 21st century are still filling out forms with pens on papers that have to be stored away somewhere. As Newt Gingrich has rightly pointed out, we do a better job tracking a FedEx package in this country than we do tracking a patient’s health records. You shouldn’t have to tell every new doctor you see about your medical history, or what prescriptions you’re taking. You should not have to repeat costly tests. All of that information should be stored securely in a private medical record so that your information can be tracked from one doctor to another – even if you change jobs, even if you move, and even if you have to see a number of different specialists.
That will not only mean less paper pushing and lower administrative costs, saving taxpayers billions of dollars. It will also make it easier for physicians to do their jobs. It will tell you, the doctors, what drugs a patient is taking so you can avoid prescribing a medication that could cause a harmful interaction. It will help prevent the wrong dosages from going to a patient. And it will reduce medical errors that lead to 100,000 lives lost unnecessarily in our hospitals every year.
For more information on EMR, visit www.myEMRchoice.com
From the HIT Policy Committee: “EMR Meaningful Use” workgroup’s initial recommendations include 22 objectives–most covering inpatient and outpatient care–for EHRs in 2011. These include, among others:*
Use CPOE for all order types including medications
Implement drug-drug, drug-allergy and drug-formulary checks
Maintain an up-to-date problem list
Generate and transmit permissible prescriptions electronically
Maintain an active medication allergy list
Send reminders to patients per their preference for preventive and follow-up care
Document a progress note for each encounter
Provide patients with an electronic copy or electronic access to clinical information such as lab results, problem list, medication lists and allergies
Provide clinical summaries for patients for each encounter
Exchange key clinical information among providers of care
Perform medication reconciliation at relevant encounters
Submit electronic data to immunization registries where required and accepted
Provide electronic submissions of reportable lab results to public health agencies
Provide electronic surveillance data to public health agencies according to applicable law and practice
Comply with federal and state privacy/security laws and the fair data sharing practices in HHS’ Nationwide Privacy and Security Framework, released in December 2008.
Source: HealthData Management, June 15, 2009
A commentary inspired by Phyllis Schlafly:
“The current administration promises US healthcare cost savings by putting all Americans’ health records on a uniform computer system (EMR) so it can be streamline patient care, be accessed from anywhere and avoid treatment duplication and medical errors. In addition to requiring totalitarian controls to force all doctors to conform, this will terminate all medical privacy.” (Phyllis Schlafly, Creators Syndicate)
United States Healthcare Statistics and Adoption of Electronic Medical Records (EMR)
The annual US expenditures on Healthcare is estimated to be $2.3 Trillion, or 17% of Gross Domestic Product. This figure is expected to double over the next eight years. The approximate number of physicians in the US is 900,000 (including non-Federal). Estimates on those physicians who have adopted a component of EMR functionality varies wildly, averaging 10%. Healthcare related cost per person is $6,700 annually. Related insurance premiums have increased more than 100% over the past 10 years.
The use of Healthcare Information Technology to aid in increasing care and decreasing costs is a primary focus of initiatives endorsed by the US Department of Health and Human services. Physicians adopting a “meaningful use” EMR will be provided financial incentives to do so. Currently, there are financial incentives in place for utilizing
A “meaningful use” Electronic Medical Record system should possess the following components:
Exchange information electronically to improve quality and efficient coordination of patient care, Perform e-Prescribing functionality, and have the ability to be “data-mined” to report on PQRI (Quality Reporting) and other measures
Other considerations to a fully functioning EMR may include:
Scan and archive existing paper records for retrieval and access, e-Prescribe medications, Document and capture a doctor-patient encounter electronically, Provide privacy of a patients data at all times, Provide more timely and current Healthcare coverage and insurance information to avoid billing , Provide a device or access to an online service for a patient to carry or access their Personal Health Record information On Demand.
For move information, visit www.myEMRchoice.com
Summary of NJ Legislation on use of CCHIT EMR, H.B. 3934, Sponsored by Assemblyman Herb Conaway:
On or after January 1, 2011, no person or entity is permitted to sell, offer for sale, give, furnish, or otherwise distribute to any person or entity in this State a health information technology product that has not been certified by CCHIT.
Please return to this Blog for regular updates.
To review alternatives to CCHIT Certification for Electronic Medical Records (EMR), visit www.sensiblecertification.com.