Archive for November, 2013

What is Population Health?

Wednesday, November 20th, 2013

Population Health Management (PHM) is an evolving approach to effectively
manage patients across the continuum of health and care by delivering
appropriate intervention according to patient risk and disease severity. Many factors are taken into consideration for PHM, such as data from a patients Electronic Health and Medical Records (EHR/EMR), depersonalized claim submission information, doctor-to-doctor/doctor-to-patient interactions and communications other data not part of a patients medical records.

President Abraham Lincoln’s Gettysburg Address

Tuesday, November 19th, 2013

November 19, 1863, Gettysburg, Pennsylvania

“Four score and seven years ago our fathers brought forth on this continent a new nation, conceived in liberty, and dedicated to the proposition that all men are created equal.

Now we are engaged in a great civil war, testing whether that nation, or any nation so conceived and so dedicated, can long endure. We are met on a great battlefield of that war. We have come to dedicate a portion of that field, as a final resting place for those who here gave their lives that this nation might live. It is altogether fitting and proper that we should do this.

But, in a larger sense, we can not dedicate, we can not consecrate, we can not hallow this ground. The brave men, living and dead, who struggled here, have consecrated it, far above our poor power to add or detract. The world will little note, nor long remember what we say here, but it can never forget what they did here. It is for us the living, rather, to be dedicated here to the unfinished work which they who fought here have thus far so nobly advanced. It is rather for us to be here dedicated to the great task remaining before us—that from these honored dead we take increased devotion to that cause for which they gave the last full measure of devotion—that we here highly resolve that these dead shall not have died in vain—that this nation, under God, shall have a new birth of freedom—and that government of the people, by the people, for the people, shall not perish from the earth.”

EHR/EMR Acronyms Used in RFP to Select, Replace EHR Systems

Thursday, November 14th, 2013

ACRONYM / Definition

ACA
Affordable Care Act

ADT
Admit Discharge Transfer

AL1
Patient Allergy Information

ASP
Active Server Pages

CCD
Continuity Of Care Document

CDA
Clinical Document Architecture

CDS
Clinical Decision Support

CDT
Current Dental Terminology

CMS
Centers For Medicare & Medicaid Services

CPOE
Computerized Physician Order Entry

CPT
Current Procedural Terminology

CVX
Codes For Vaccines Administered

DG1
Diagnosis Information

DSM
Diagnostic And Statistical Manual Of Mental Disorders

E & M
Evaluation & Management

EHR
Electronic Health Record

ELINCS
EHR-Lab Interoperability And Connectivity Specification

e-Rx
Electronic Prescribing

FQHC
Federally Qualified Health Center

FTE
Full Time Employee

H & P
History And Physical

HIE
Health Information Exchange

HITSP
Healthcare Information Technology Standards Pane

HITECH
Healthcare Information Technology for Economic and Clinical Health
HL7
Health Level Seven Defined Standard Functional Model

HPI
History Of Present Illness

ICD
International Classification Of Disease

IHE
Integrating The Healthcare Enterprise

LOINC
Logical Observation Identifiers Names And Codes

MDM
Medical Document Management

MFN
Master Files Change Notification Message

MPI
Master Patient Index

MRN
Medical Record Number

MS-HIN
Mississippi Heath Information Network

MU
Meaningful Use

NCQA
National Committee For Quality Assurance

NHIN
National Health Information Network

OBR
Observation Request

OBX
Observation Segment

ONC-ATCB
Office Of The National Coordinator’s Authorized Testing And Certification Body

ORM
Order

ORU
Observation Result

Para-EHR:  All of the information that should be in a patients EHR, but isn’t

PCMH
Patient Centered Medical Home

PM
Practice Management

PQRS
Physician Quality And Reporting System (Formerly PQRI)

PV1
Patient Visit Information

RCM
Revenue Cycle Management

REF
Patient Referral

RF1
Referral Information

RFP
Request For Proposal

ROS
Review Of Systems

RRI
Return Referral Information

SaaS
Software-As-A-Service

SAML
Security Assertion Markup Language

SIU
Schedule Information Unsolicited

SNOMED
Systematized Nomenclature Of Medicine

SRM
Schedule Request Message

SSO
Single Sign-On

UDS
Uniform Data System

URL
Uniform Resource Locator

USPSTF
U.S. Preventive Services Task Force

VPN
Virtual Private Network

VXU
Unsolicited Vaccination Record Update

Electronic Health Records Improvement Act (H.R. 1331)

Tuesday, November 12th, 2013

The summary below of the Electronic Health Records Improvement Act was written by the Congressional Research Service, which is a nonpartisan division of the Library of Congress.

Electronic Health Records Improvement Act – Amends title XVIII (Medicare) of the Social Security Act to exempt certain eligible physicians in solo practice and physicians near early retirement age from the application of the Medicare payment adjustment for not demonstrating electronic health record (EHR) meaningful use for certain payment years.

Establishes a special rebate for eligible professionals who receive a negative adjustment to their payments for failure to establish an EHR process but subsequently do establish a process meeting the criteria for establishing meaningful use of certified EHR technology.

Creates specified additional exceptions to the application of the Medicare negative payment adjustment for certain Medicaid providers participating in the Medicaid EHR incentive program and hospital-based eligible professionals not demonstrating EHR meaningful use.

Adds as a criterion for meaningful EHR user that an eligible professional satisfactorily uses a qualified national specialty registry system that measures quality improvement or improves patient safety.

Directs the Secretary to specify criteria for determining:

(1) if a national specialty registry system is qualified under this Act, and

(2) if an eligible professional has demonstrated satisfactory use of such a system for a period.

Extends:

(1) Medicare EHR incentives (increased payments and adjustments) to eligible professionals practicing in rural health clinics, and

(2) Medicare Electronic Prescribing (ERx) and quality reporting incentives to rural health clinics.

Disqualifies claims for items or services furnished by an eligible professional at an ambulatory surgical center during performance years for the 2015, 2016, or 2017 payment determinations from inclusion in data used to determine if the eligible professional is a meaningful EHR user.

Exempts certain eligible professionals from certain EHR meaningful use requirements for purposes of the Medicare payment adjustment.

Creates a process for eligible professionals to appeal a determination that they did not qualify as a meaningful EHR user.

Amends SSA title XIX (Medicaid) to make certain requirements of this Act inapplicable to eligible professional Medicaid provider incentives to encourage the adoption and use of certified EHR technology.

For most recent information on this bill, visit https://www.govtrack.us/congress/bills/113/hr1331#overview