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AXEO PM+EMR |
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EHR/EMR In the News August 23, 2010 ICD-10, HITECH mandates, and healthcare reform. McKinsey is
reported to have said about these three ... July 20, 2010 CMS and ONC on July 22 will conduct a 90-minute "audio training" on the final rules to establish the meaningful use incentive program and adopt data standards, implementation specifications and electronic health records certification criteria. June 30, 2010 A new survey has found that nearly half of healthcare professionals are dissatisfied with their clinical information systems, frustrated by response times that can last a full minute, or even longer. May 02, 2010 The Health & Human Services Department plans to release in May a proposed rule that strengthens existing privacy, security and enforcement requirements. April 15, 2010 April 09, 2010
Q: Has "meaningful use" been clearly
defined? HealthCareITNews March 12, 2010 The eHealth Initiative has joined a growing chorus of stakeholders in asking the Centers for Medicare and Medicaid Services to abandon its "all or nothing" approach for meeting criteria to demonstrate meaningful use of electronic health records to qualify for incentive payments. March 11, 2010 An amendment in the Senate-passed bill would remove "setting
(whether inpatient or outpatient)" from the definition, and insert
"inpatient or emergency room setting." Consequently, physicians
furnishing substantially all services in an inpatient or emergency
room setting would be excluded, but those in ambulatory facilities
owned by the hospital would be eligible for incentive payments.
Here's the language: SEC. 219. EHR CLARIFICATION. (a)
Qualification for Clinic-Based Physicians.-- (1)
MEDICARE.--Section 1848(o)(1)(C)(ii) of the Social Security Act (42
U.S.C. 1395w-4(o)(1)(C)(ii)) is amended by striking ``setting
(whether inpatient or outpatient)'' and inserting ``inpatient or
emergency room setting''. (2) MEDICAID.--Section 1903(t)(3)(D)
of the Social Security Act (42 U.S.C. 1396b(t)(3)(D)) is amended by
striking ``setting (whether inpatient or outpatient)'' and inserting
``inpatient or emergency room setting''. (b) Effective
Date.--The amendments made by subsection (a) shall be effective as
if included in the enactment of the HITECH Act (included in the
American Recovery and Reinvestment Act of 2009 (Public Law 111-5)).
(c) Implementation.--Notwithstanding any other provision of law,
the Secretary may implement the amendments made by this section by
program instruction or otherwise. from HealthDataManagement, Joseph Goedert March 02, 2010 February 26, 2010 The College of Healthcare Information Management Executives filed its comments regarding the EHR Incentive Program with the Centers for Medicare & Medicaid Services on Friday. The comments address what the Ann Arbor, Mich.-based organization calls "critical concerns" regarding the proposed regulations that were unveiled on Dec. 30, 2009. February 19, 2010 EHRs offer the promise of data aggregation which can be used to refine clinical treatments for both improved quality and, possibly, lower costs, but this aggregation is dependent upon standardized dictionaries and, importantly, standardized data entry. EHRs currently offer standardized data via the use of templates, boilerplates, and pre-defined order structures. But the standardized data entry model often (usually?) does not completely and precisely conform to the observed signs, symptoms, and problems displayed by patients in the physician’s office, and therein lies the rub. February 09, 2010 Vendors may suggest that many successful health information exchanges have been built with their technology, but the reality is different, according to a new report from KLAS. January 15, 2010 David Blumenthal, the National Coordinator for Health IT and chairman of the HIT Policy Committee, said the group will continue to expand its vision for the NHIN at upcoming meetings. "The NHIN was developed before HITECH," he noted. "Is this sufficient, or should we be thinking more broadly?" Blumenthal urged the committee to think of ways the government can promote meaningful use as part of the NHIN. With providers who want to receive bonuses under ARRA expected to demonstrate meaningful use of healthcare IT by 2011, Blumenthal said of the NHIN: "If there are new investments we have to make, new aspirations we need to communicate, we have no time to lose." Source: HealthCareITNews January 13, 2010 January 08, 2010 January 07, 2010 The proposed rule defining meaningful use of electronic health records could actually make it more difficult for providers to adopt EHRs, according to early reaction from the Medical Group Management Association and the American Hospital Association.
The College of Healthcare Information Management Executives is
raising a number of concerns about regulations released on Dec. 30
that cover the meaningful use of electronic health records. December 30, 2009 HHS issued two sets of much-anticipated federal regulations that significantly further the government's healthcare information technology adoption agenda. The first set of regulations lists the “meaningful use” criteria that healthcare providers must meet to qualify for federal IT subsidies based on how they use their electronic health records. The second set of regulations lays out the standards and certification criteria that those EHRs must meet for their users to collect the money. “Physician order entry and decision support I believe offer the most chance of improving healthcare delivery. There are a lot of information systems with bells and whistles that don’t focus on physicians’ real needs.” – Neil R. Powe, MD, MPH, MBA, Chief of Medical Services, San Francisco General Hospital December 14, 2009 Update on EHR Customer Satisfaction – Scores Drop In a Dec. 14 story in Health IT Strategist (HITS), reporter Joseph Conn reported on a December survey from KLAS Enterprises noting that "overall customer-satisfaction scores for electronic health-record products have dropped for the second straight year. KLAS, based on Orem, Utah, reviews the health IT marketplace and released its Best of KLAS survey report on Dec. 15. As quoted in the story, "The software scores continue to go down overall," said KLAS President Adam Gale. Ambulatory EHR vendors saw the biggest drop, Gale said, with those developing products targeting physician practices of 25 to 100 physicians faring worst. "It was (down) about 3 or 4 percent," Gale said. "For an overall market segment, that was huge."
December 02, 2009 HIT Vendor November 09, 2009 The certification process will be codified in a December 2009 Notice of Proposed Rulemaking (NPRM) and will define the process for certifying electronic health records including modular and open source approaches. (The Standards for data exchange will be codified in a December 2009 Interim Final Rule and become law immediately.) We know that ONC will specify certification criteria and that NIST will oversee certification conformance testing which will be performed by multiple organizations. However, we will not have the final certification criteria or the defined process until Spring after a period of comment on the NPRM. Meaningful Use is about electronic documentation to enhance quality/efficiency and actual data exchange among payers, providers and patients. The definition of meaningful use will be codified in a December 2009 Notice of Proposed Rulemaking. We will not have the final meaningful use criteria until Spring after a period of comment on the NPRM. Thus, it is too early for any software company to declare their product will meet all Certification criteria.
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