Posts Tagged ‘EMR’

Dr. Watson? IBM to Expand Watson Supercomputer Abilities

Friday, January 10th, 2014

IBM is creating a business unit for the Watson supercomputer to encourage more apps built on the technology. The US $1B venture capital fund will include apps such as building versions of Watson that will data mine patient health records to determine optimal treatments and lifestyle changes.

Will Watson’s approach include access to willing Electronic Medical Record systems, patient Personal Health Records and healthy outcome resources? Perhaps even using social media for drawing comparisons? If so, this could be the beginning of a Grand Unified Theory of patient care and outcomes. After all, why should a patient get a second opinion when he can have a thousand?

We would like to know your thoughts!  Visit www.MyEMRChoice.com

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.

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

Making Electronic Health Records go mobile

Thursday, September 13th, 2012

The HITECH Act of 2009 calls for the use of Electronic Health Records (EHR) by 2015 for the majority of US physicians. These physicians qualify for incentive funds once they purchase, use and show “meaningful use” (MU) of the EHR system. The process and requirements of showing MU are ongoing and undergoes changes, like a sports team proceeding deep into the playoff rounds.

Some of the more recognizable components of MU include electronic prescriptions and patient access to their medical records. Regarding the former, the present mantra of encouraging HER vendors to allow a patient to View, Download and Transmit their data at will.

Enter mobile applications.

With 90% of physicians desiring remote access to their EHR system and the amount of American patients/consumers using mobile devices, it is critical for EHR vendors to develop a mobile application to keep up with marketplace demands for mobile access to patient data. Simply put, what will drive the market to pursue mobile app development for EHR systems is that patients and physicians alike are thinking “It’s my data and I want it now”.

So what is a mobile app? A mobile app is different than mobile web access to a EHR website or cloud based solution on five mission critical categories:

PERFORMANCE: Mobile web internet reliance results in slower load and response. Mobile apps runs locally with quick loading and fluid interaction.

COST: Mobile web is less investment as it is quicker to develop and roll out. Mobile apps require more investment due to resource and time demands, but can be updated and maintained with more ease.

MAINTENANCE: Mobile web is relatively simple to update. Mobile apps are updated through new versions for the user to download.

COMPATIBILITY: Mobile web provides easy creation of platforms and browser versions. Mobile apps require a separate version for each OS.

USER EXPERIENCE: Mobile web is designed for the desktop so access via a mobile device can be less satisfying. Mobile apps are made for mobile-offering smoother, faster and a more fluid user experience.

Other considerations in favoring development of a truly mobile app for Electronic Health Record systems are the many new features available that run seamlessly with the users mobile device. These include charge capture, coding, patient portals and secure communications, eRx, automatic reminders, billing, medication tracking, ultrasounds performed and captured on a user’s mobile phone and many more apps being developed each day. And throw social capabilities in there also…you know it’s coming.

So let’s repeat the mantra (with a twist): View, Download, Transmit-via mobile!

Soon, there may be no limit to what Electronic Health Records can do.

Physicians Say EHR Integration, use is a challenge

Tuesday, July 10th, 2012

According to a new survey from the people behind the practice referral service, the little blue book and Sharecare, an interactive, social Q&A platform, doctors today are having trouble integrating their EMRs. The survey, the 2012 National Physicians Survey, found that 66 percent of physicians say the integration of EMRs are among their practice challenges, even with 66 percent of physicians acknowledging EMRs will at least improve or have a neutral effect on their future business.

In addition, almost one out of three doctors (30 percent) are using laptops regularly for e-prescribing, EMRs and more. Almost a quarter (20 percent) are using Smartphones and 12 percent, iPads, for clinical needs.

The survey also found how the changing landscape is affecting solo practitioners, as 22 percent of physicians said they are in talks to join an accountable care organization (up from 12 percent last year). Only 17 percent of the respondents were unfamiliar with the ACO term, down from 45 percent last year.

On a more negative note, because they will be burdened by obtaining reimbursements from insurers (81 percent) and patient approvals (77 percent), most doctors (71 percent) believe the quality of healthcare will deteriorate over the next five years.

“Physicians today are practicing in a healthcare environment that they never could have predicted much less prepared for,” Keith Steward, M.D., senior vice president of medical affairs at Sharecare, said in a statement. “This year’s National Physicians Survey provides valuable insight into the frustrations and opportunities of the day-to-day management of practices, administration tools doctors use, and how communication with both colleagues and patients is evolving.”

The second annual National Physicians Survey examined 1,190 U.S. practitioners representing more than 75 medical specialties.

(credit Little Blue Book, Sharecare, IMS)

Patient Data Is the engine that will power EHR systems, vendors

Wednesday, June 27th, 2012

We have all been bombarded by the hundreds of EMR and EHR vendors and more than 1000 certified products that saturate the marketplace today. So how hot is the EMR market right now? Enought to demand $27 PER CLICK for “Electronic Medical Records” by Google for a top three ad location!

EHR systems are poised to begin following the real economic opportunity that is fueling healthcare IT…patient data. Big pharma and other companies will pay large amounts of cash for patients data (depersonalized, secure, anonymous data, of course). Awakening to the existence of this money trail- a pool of data bigger than the largest oil field reserves-can bring up many questions such as:

Who contraols the data, and who can profit from it?

Can a clearinghouse sell data? How about the EHR vendor? How about the patient?

Shoiuld a patient get a cut from the sold data? Hey, it works in the music industry. Can apatient opt-out of having her information sold?

With Obamacare being on the front burner this week, fine points such as those listed above are sure to gain an audience soon. We hope that you will share your thoughts with us.

EHR and Obamacare as Viewed by Investors

Thursday, June 14th, 2012

Benefiting From Medical Records Going Digital (credit David Sterman)

Part of Obamacare seeks to increase the accuracy and lower the cost of medical records by compelling hospitals, doctors, pharmacists and others to stop using pen and paper and start developing electronic medical records (EMRs). For investors, that meant rising expectations for companies that deal with EMRs — such as Cerner (CERN) and Allscripts (MDRX) — or other digital technologies such as imaging software, provided by firms like Merge Healthcare (MRGE).

In anticipation of these looming changes, medical professionals had already begun to aggressively move into the digital world. Yet the Supreme Court challenge to Obamacare had led to a major pause. Shares of Allscripts and Merge Healthcare have recently tanked in the face of slowing growth, and management at each firm warns that the sudden slowdown in sales may last a while.

The Road Ahead: The move to EMRs is likely inevitable now that the process is underway. Health care practitioners had been slow to adopt digital medical records, but they are moving in that direction now, even if recent quarterly results give the appearance of a pause. As a result, the steep share price drop for Allscripts and Merge may prove temporary.