EHR developed for long-term care holds promise

By Molly Merrill

COLUMBIA, MO – Researchers from the University of Missouri are developing an electronic health record system aimed at meeting the needs of a population of older adults that’s expected to almost double in the next 20 years.

According to the U.S. Administration on Aging, there will be about 72 million older adults living in the U.S. who will require care from a workforce that is already projected to be lacking.

Researchers from MU are currently working on a solution they say may help alleviate some of the burden. They’re developing an EHR system that encompasses standard health assessments and those obtained through new technologies. The goal, they say, is to increase efficiency and accuracy, improve patient outcomes and reduce costs for long-term care.

“As the use of emerging technologies increases along with the older population, maintaining complete and accurate patient information can be overwhelming,” said Marilyn Rantz, professor in the MU Sinclair School of Nursing. “A comprehensive system that encompasses all measures, old and new, is the key to enhance and efficient clinical decision making.”

The EHR is being tested at TigerPlace, an independent senior-living facility in Columbia, Mo. According to the researchers’ initial findings, use of the EHR system can enhance nursing care coordination and advance technology use and clinical research.

“New technologies to passively monitor older adults’ health are being developed and are increasingly commercially available,” Rantz said. “The challenge remains to integrate clinical information systems with passive monitoring data, especially in long-term care and home health settings, in order to improve clinical decision making and ensure patient records are complete.”

Effective EHR systems display data in ways that are meaningful and quickly assessable for clinicians, Rantz said. With access to comprehensive data, clinicians can make more informed clinical decisions, better perform risk assessments and provide risk-reducing interventions.

Source :- http://www.ehrexperts.us/ehr-developed-for-long-term-care-holds-promise/

Obama launches national campaign to sell health reform, health IT

By Chelsey Ledue

WASHINGTON – After signing the healthcare reform bill into law on March 23, President Barack Obama traveled to Iowa and Maine to promote his vision, which includes the role of healthcare IT in saving lives and cutting cost.

Obama visited Iowa City, Iowa on March 25 and Portland, Maine on April 1.

At the Maine rally, Obama said passage of the healthcare reform law is a reminder that the country has the power to shape its own destiny.

“It has reminded us that we, as a people, do not shrink from a challenge,” he said. “We overcome it.”

Obama has had a history of supporting healthcare IT advancement, which includes a call for every American to have an electronic health record by 2014. The president requested $110 million in his budget this year, to strengthen healthcare IT policy coordination and research activities.

Last year, the administration backed more than $20 billion over 10 years to advance healthcare IT adoption in the American Recovery and Reinvestment Act (ARRA).

At the president’s rally in Portland, Maine Gov. John Baldacci touted healthcare IT as the means for improving quality of care, noting that Maine has been an early leader in the adoption of medical technology.

Information technology “plays a huge role” in medical reform, Baldacci told Healthcare IT News. “A huge role. It’s going to be through medical information technology that you’re going to enhance the ability of the providers to give quality care but also do it in a way that will reduce costs. It’s a critical element that needs to be part of this.”

David Howes, a physician and CEO of Portland, Maine-based Martin’s Point Health Care, said the reform law is “an enormous step forward.”

“The bill builds support for primary care and EHRs,” Howes said. “It contains flexibility and support for new models of care and Medicare quality and effectiveness measures. It is an enormous step forward for the American people and businesses.”

“I think it’s an opportunity for the president to help market the good parts of the bill,” said Gordon H. Smith, executive vice president of the Maine Medical Association, prior to the president’s visit. “I think it’s a battle for the hearts and minds of the public.”

Above article publish on http://www.ehrexperts.us/obama-launches-national-campaign-to-sell-health-reform-health-it/

Covering Electronic Health Records

By Neil Versel

Electronic health records (EHRs) have been around in one form or another since the 1960s, but the notion of patient records being stored on computers is only beginning to seep into the public’s consciousness. While pretty much every other industry computerized years ago, the vast majority of Americans’ medical records remain on paper.

The goal of electronic health records (and health information technology in general) is to make health care safer and more efficient by providing health professionals and patients alike with information to inform decision-making, promote preventive care and reduce duplication.

It sounds simple enough, but health IT is a complex, frequently misunderstood topic. In this essay, I’ll provide some background on electronic health records and health information technology, a glossary of terms, and some story ideas, with the goal of helping you better cover this important health and business topic.

Ditching paper charts is not easy, nor is writing about the conversion. The central story is not the technology itself, but rather how health information technology will transform care. “It’s really a matter of change management rather than technology,” Dr. David Blumenthal, the Obama administration’s national coordinator for health IT, explained in November 2009.

Online health records for all – “in 10 years”

First, some background: in 2004, President George W. Bush called for “most Americans” to have electronic health records within 10 years and created the Office of the National Coordinator for Health Information Technology within the Department of Health and Human Services to help make it happen. One early project of the office was the attempted conversion of VistA, the EHR long in place at the Department of Veterans Affairs, for use in small medical practices. The EHR, which was difficult to install in most doctors’ offices, never made it past a beta version before federal officials dropped the project.

Health IT subsequently drifted in and out of the national spotlight over the next several years, but didn’t garner much coverage in the mainstream press unless there was a local angle, such as a hospital installing a system. As a longtime reporter on this beat, it has been a challenge to “sell” this story outside the trade press. But now that health information technology is a major story, with plenty of interesting national and local angles, I’ve noticed more reporters scrambling to grasp this difficult subject.

So what’s finally turning arcane health information technology into a mainstream news story? Two things: National health reform and the federal stimulus bill.

Health Reform: Can Better Health IT Lower Costs and Improve Care?

Now that health insurance reform legislation[NV1] has passed, I hope mainstream media will turn their attention to a major health information technology story: greater access to health care does not guarantee good care, so it won’t matter much whether government or private companies administer health plans for millions of new enrollees as long as fee-for-service remains the dominant payment model.

The perverse reality is that mistakes can be good for business. Medical errors and other complications lead to more hospitalizations and longer stays. Both the fear of being sued and the inability to access previous results cause doctors to order extra tests, without regard to medical prudence.

Health IT can help prevent errors by offering what’s known as clinical decision support — computerized alerts recommending best practices and warning against harmful actions, such as prescribing a medication to which a patient is allergic. EHRs, if properly connected to laboratory systems, make test results more readily available so there is less need to re-order procedures. A good EHR should keep a record of every instruction a doctor gives to a patient so there is no question what was or was not communicated, in case of a malpractice claim.

From the perspective of a health IT reporter, health reform started not with the bills President Obama signed in March 2010, but more than a year earlier with the passage of the $787 billion stimulus bill, also known as the American Recovery and Reinvestment Act. The 2009 legislation contains an estimated $25.8 billion for health IT, mostly in the form of incentives [NV2] for doctors and hospitals to adopt electronic health records. Those that have not ditched their paper charts by 2015 face lower Medicare and Medicaid reimbursements.

Insurers and employers that provide health benefits tend to reap the greatest financial rewards from EHRs, so there has been little incentive for the actual providers of health care – physicians and hospitals – to invest in technology. The stimulus is supposed to change the paradigm by rewarding providers that demonstrate “meaningful use” of EHRs beginning in October 2010 for hospitals and January 2011 for physician practices.

According to rules proposed at the end of 2009, EHRs should provide clinical decision support, doctors and nurses should enter orders electronically, patients should be able to get a copy of their medical records on demand and users should be able to share data between facilities and organizations. The requirements will get tougher in 2013 and again in 2015; providers eventually will have to prove that they follow nationally recognized standards of practice.

As electronic health records – and subsets of them like personal health records – become more of a hot topic for mainstream media, it’s important to learn the lingo and get your facts straight.

Know your acronyms: a cautionary tale

Here’s what can happen if you don’t: On Dec. 2, 2009, a website called eSecurity Planet published a story about a privacy watchdog organization publishing a pre-emptive strike against personal health records, a subset of EHRs that has virtually zero market traction to date.

The eSecurity Planet story confused consumer-oriented personal health records for “electronic medical records” and wrongly reported that the stimulus is paying for billions in “electronic personal health records (PHRs).” The stimulus is supporting EHRs, a much broader category. Additionally, the story, like far too many others I’ve read, referred to the much-hyped Google Health and Microsoft HealthVault platforms as market leaders. They are nothing more than early-stage products from big names in the consumer arena, not established health IT powerhouses.

Look past the hype, learn the terminology and talk to people on the front lines. Go to the chief information officer and nursing shift managers of a local hospital. Physicians in private practice should have plenty to say as well.

This subject is often tough to grasp, so don’t be afraid to ask seemingly simple questions. I’ve been covering health IT since 2001, and I still frequently need detailed explanations.

Story ideas for your community

As implementation of national health insurance reform begins and EHR money starts flowing from the stimulus bill, I hope you’ll consider these story ideas for your community.

1. Who owns your EHR[NV3] ? Should you be concerned about it being used as a source of information for pharmaceutical researchers or medical marketers?

2. What is your local hospital or large medical group doing to get stimulus money for EHR development? What differences might patients see as a result?

3. How will the physician office visit change as a result of computerization? Will patients be asked to complete medical history forms online rather than filling out the ubiquitous clipboard each time they go to the doctor? Will nurses and physician assistants be able to provide services once the exclusive domain of physicians because if they have access to more complete patient information?

4. How might patients get better preventive care if medical practices are able to generate, with the help of EHRs, automatic reminders for recommended screening based on age, gender and health risk factors?

Above article publish on http://www.ehrexperts.us/covering-electronic-health-records/

Transcription trade groups offer ethics guide

By Joseph Conn

The medical transcription industry, represented by its two trade groups, is preparing for what it sees as the possibility of heightened privacy, security and fraud enforcement by coming up with its own guidebook of ethics and best practices.

The Association for Healthcare Documentation Integrity, an association of medical transcription practitioners, formerly known as the American Association for Medical Transcription, and the Medical Transcription Industry Association, the trade group for transcription service providers, have released their “Manual of Ethical Best Practices for the Healthcare Documentation Sector.”

The release of the full guideline is timed to coincide with the MTIA’s annual conference April 28th-May 1st in Daytona Beach, Fla., according to Peter Preziosi, CEO of the two organizations, which formed what they describe as “a strategic legal partnership” in 2007.

Scott Edelstein, a Washington, D.C., lawyer in the healthcare law practice at Squire, Sanders & Dempsey, was the lead author of the manual for the MTIA and AHDI. Edelstein said that more stringent privacy and security protections in the American Recovery and Reinvestment Act of 2009—which include new breach notification provisions and empower state attorneys general to enforce HIPAA privacy laws—as well as the increased fraud-fighting sections of the recently enacted Patient Protection and Affordable Care Act, will likely yield more government enforcement activities going forward, Edelstein said.

And that prompted the two trade groups to take a pro-active approach in producing the manual. “I think just generally, the tone for this administration is going to be increased in enforcement, because there is increased sensitivity for privacy of information,” Edelstein said.

“Most of the companies in the medical transcription industry tend to be small mom-and-pop operations, but they’re handling such sensitive information,” he said. “The concern is that some of these companies may not have taken all the measures needed under HIPAA and fraud and compliance laws, and this manual was to provide guidance for them.”

Data on the medical transcription industry is somewhat sketchy. The federal Bureau of Labor Statistics places the number of medical transcriptionists in the U.S. workforce at around 100,000, but the BLS figures don’t capture independent contractors, according to Preziosi, “and I’d say a good 50% are independent contractors.”

Add in small physician offices where the office manager might double for an MT and, all told, there may be as many as 250,000 to 300,000 medical transcriptions working full or part-time for 1,500 to 1,700 companies, mostly sole proprietorships, though there also are a handful of “giants,” he said.

The manual offers a best practices check list, copies of the codes of ethics of both organizations, guides on billing practices and the rules on hiring employees vs. independent contractors, roughly 170 pages devoted to compliance with Health Insurance Portability and Accountability Act privacy and security rules, a how-to section on establishing a HIPAA-compliant home-based office, and a “50-state data privacy survey,” according to a listing of the manual’s contents on the AHDI website.

Such guidance doesn’t come cheap. Copies of the manual cost $4,000 for non members of the two associations, with prices ranging between free to $750 for MTIA members and $750 or $950 for AHDI members.

Above article publish on http://www.medicaltranscriptionoutsource.com/transcription-trade-groups-offer-ethics-guide/

Transcription Association Releases Highly Anticipated Compliance and Practice Guidelines for Healthcare Documentation and Speech Recognition Adoption

DAYTONA BEACH, Fla. — Industry best practices, corporate transparency, and legal compliance will be the major topics of discussion at the 21st Annual Conference of the Medical Transcription Industry Association (MTIA) April 28 through May 1 in Daytona Beach, Florida. MTIA and its partner organization, the Association for Healthcare Documentation Integrity (AHDI), will announce the completion of their Manual of Ethical Best Practices for the Healthcare Documentation Sector at the conference and use the event as an opportunity to highlight the importance of best practices to the future success of the medical transcription industry and profession. Additionally, a speech recognition adoption guide will be released to address the relevance of speech recognition technology as an evolving method of clinical documentation and to present operational and fiscal implications for technology adoption.

Heightened privacy and security requirements, increased calls for transparency of operations, greater reliance on speech recognition technologies, and a growing home-based workforce prompted the need to release these best practice guides. “With the emerging demand from healthcare delivery for increased standardization and greater specificity around exchange of health information, it is time for the healthcare documentation sector to look closely at its compliance practices and at evolving technologies to capture and deliver health information safely and securely,” states MTIA 2010 Board of Directors Chairperson Eileen Dwyer. “We want to be a resource for business owners and users of our services in developing best practices that reflect high-integrity business practices and promote transparency around key issues that reflect well on the industry as a whole.”

The Speech Recognition Adoption Guide is designed to help consumers understand adoption-related issues, impact, terminology, standards, and metrics. In addition, the guide presents unified perspectives of the varying stakeholder groups concerning issues such as documentation quality and risk management.

About MTIA

The Medical Transcription Industry Association (MTIA) is the world’s largest trade association serving medical transcription service organizations.

About AHDI

The Association for Healthcare Documentation Integrity (AHDI), is the world’s largest professional society representing the clinical documentation sector whose purpose is to set and uphold standards for education and practice in the field of health data capture and documentation.

Above article publish on http://www.medicaltranscriptionoutsource.com/transcription-association-releases-highly-anticipated-compliance-practice-guidelines-healthcare-documentation-speech-recognition-adoption/

Voice Transcription Software To Grow A Medical Transcription Business

Companies who are in the medical transcription industry may underestimate the importance of a powerful voice transcription software platform. Consider for a moment that almost every function of that business will be affected by and handled by that system and it is easy to see how important it is to select the right one. Trying to save money on a system that does not significantly improve the productivity of medical transcriptionists can end up being a waste of capital.

There are many ways that voice transcription software can improve the profitability of a medical transcription business. The equation for making money is fairly simple; revenue has to go up and expenses must go down. The right voice transcription software platform can help a company to do both of these things.

In terms of reducing costs, things that medical transcription companies can look for in a software platform are advantages like local dictation telephone numbers that reduce the telephone bill. If a provider of this software has local numbers that are based in major centers across the country, then long distance charges will be minimized. It may not seem like a large expense, but when all of the clients that are dictating into a system are doing so for long periods of time and frequently then it can add up quickly.

Because the systems are so technical, often it can be beyond the abilities of the medical transcription company to maintain the voice transcription software and the servers that it will run on. This should be handled by the provider, and a good one will offer the large amount of storage space required at a good price. It will also be able to commit to having technical support available when it is needed.

Upgrades to the voice transcription software can also be expensive. When a transcription company is looking to engage a software provider, they should inquire about what kind of future costs they will have to shoulder for system upgrades. It is also important to know that upgrades can be facilitated without the need to bring down the system.

Improving profitability also has to do with increased revenue. If a voice transcription software platform can allow every medical transcriptionist to produce more in the same amount of time then this will have an effect on the company’s fortunes. This means having the ability to review and edit the document quickly and it also requires a seamless distribution of the work to medical transcriptionists. When documents are complete, it should also incorporate an automated system that delivers the finished product to clients.

Companies should move very carefully when they are considering purchasing a voice transcription software platform. It touches every department of their business and ones that provide a complete system will reduce the administrative burden on a company. When much of the tedium that was present in the industry in past years is eliminated by advanced software platforms, companies can then focus on retaining good talent and acquiring new clients.

Above Article publish on http://www.medicaltranscriptionoutsource.com/voice-transcription-software-grow-medical-transcription-business/

Global Market for MT Services Set to Skyrocket

The global market for medical transcription services is expected to approach $49 billion worldwide by the year 2015, according to a recent report from Global Industry Analysts, Inc.

Growth in the industry is primarily triggered by efforts to prune down healthcare costs. Health maintenance organizations, healthcare providers, and hospitals, primarily in developed countries, are increasingly turning towards the maintenance of digital records of patient encounter, which is contributing for rapid proliferation of medical transcription services.

The United States is the largest market worldwide for medical transcription services followed by the UK, Australia and Canada, as stated by the new market research report on medical transcription services. The increasing complexity of the health care sector, coupled with heightened demand for reliable health care documentation for insurance claims, have been the two major factors driving the United States’ medical transcription industry.

Above article publish on http://www.medicaltranscriptionoutsource.com/global-market-mt-services-set-skyrocket/