Friday, March 26, 2010

Implementation Process for an Electronic Medical Record

By Eric Fishman, MD

It is unlikely that you will find the process of implementing an Electronic Medical Record in your office to be an easy one. However, there are a variety of activities that you can do to simplify and streamline the process, and increase the probability of success.

First, please understand that not only do you need to learn a new complicated and sophisticated software program, but you also need to undertake a significant modification of your current workflow.

We believe that we have realized a mechanism to split these two processes, thereby significantly increasing the probability of a successful implementation.

Assuming that you have made a decision that you will be implementing an EMR in the ‘not too distant future’, but are not ready to purchase one immediately, we have found that modifying your workflow to one which will more closely model the workflow that will be imposed upon you by the EMR can be very helpful during the extended implementation process.

Our current recommendations are that, again assuming you have not yet chosen which EMR you will be utilizing, are that you start to modify your workflow by utilizing a Tablet PC, and voice recognition software, so that you can get used to the process of keeping a portable computer by your side, and completing as much of the patient documentation as possible during the actual encounter.

Our current specific recommendations in this regard are that you utilize a Motion Computing LE1600 Tablet PC, with 1 GB of RAM. If you know that you will be utilizing an ASP model EMR eventually, you can save a few dollars by purchasing one with a 30 GB hard drive. If you are unsure, or if you know that you’ll be utilizing a client server model, we would then recommend that you purchase the tablet with a 60 GB hard drive.

It is our opinion that this hardware / software combination will be compatible with the overwhelming majority of EMR software packages that you are likely considering as your final choice.

There are a number of advantages to utilizing this model during the extended implementation procedure. You will have spread out the costs associated with implementing an EMR by months. The above configuration is likely to cost less than $6000.00, and you will start saving money from the onset, as your transcription costs will either be significantly diminished or altogether eliminated, thereby allowing you to save toward what will be the larger expense of the software licenses and implementation fees.

Above article publish on http://www.emrspecialists.com/2010/03/implementation-process-electronic-medical-record/

Massachusetts Receives $24 Million in HIT Funding

By, Rich Silverman

Massachusetts, long a leader in the delivery of quality medical care to its citizens, has just received more than $24 million from the federal government to speed the adoption of electronic medical records (EMRs) throughout the Commonwealth.

According to a report in govmonitor .com, the Office of the National Coordinator (ONC) has authorized the release of the $24 million, the maximum that Massachusetts is entitled to under the American Recovery and Reinvestment Act (ARRA) of 2009. According to the report, $13.4 million will go to support the adoption of EMRs throughout the Commonwealth, and another $1.6 million will go toward creating a statewide high-speed communications system for medical data and records.

According to Massachusetts Governor Deval Patrick, “This federal funding will help reduce health care costs and improve patient care using proven technologies, many of which are developed right here in Massachusetts.” Lieutenant Governor Timothy Murray added that in addition to streamlining health care, the money would help create jobs.

The grants, given in furtherance of the adoption of EMRs, will be administered by the Massachusetts e-Health Institute, the state agency created for that purpose. One if its key goals, according to an article in MassHighTech.com, will be to ensure the privacy of all medical records in the state.

Couple the release of this funding with recent news that meaningful use has finally been defined and that ONC is taking definitive steps to develop a certification, and it looks like providers in Massachusetts are finally getting the tools they need to fully implement EMRs.

Above article publish on http://www.myemrstimulus.com/massachusetts-receives-24-million-hit-funding/

Thursday, March 25, 2010

Study: E-prescribing greatly improves accuracy, less so for safety

By Neil Versel

It’s a small study group, but the results are eye-opening nonetheless: Primary-care practices cut their prescription error rates from 42.5 percent to 6.6 percent in a one-year period by adopting e-prescribing technology.

That’s the finding of researchers at Weill Cornell Medical College in New York City, as reported in the Journal of General Internal Medicine, who studied the prescribing accuracy of 12 primary-care practices in New York state. Six of the practices wrote prescriptions electronically, resulting in the major reduction in errors, while the half-dozen practices in the control group that stuck with paper prescription pads had a small uptick in their error rate, from 37 percent to 38 percent.

Not surprisingly, e-prescribing had an immediate impact on legibility, as the researchers found at the beginning of the study period that 88 percent of handwritten prescriptions at the practices that adopted the technology had some question about the prescriber’s intentions. What e-prescribing did not do, however, is reduce the rate of potentially adverse drug events. But near misses actually increased at practices that did not switch to e-prescribing.

Above article publish on http://www.eprescriptionservices.com/study-eprescribing-greatly-improves-accuracy-safety/

Surescripts Announces Significant Price Reduction for E-Prescribing

Surescripts, The Nation’s E-Prescription Network, today announced that it has lowered the cost of e-prescribing services used millions of times each day by physicians, pharmacists and payers nationwide. After six years of no price increases, the announcement illustrates how replacing a manual, paper-based process with health information technology creates a more efficient and, ultimately, lower-cost means of providing care.

Surescripts operates the nation’s largest e-prescription network and supports a rapidly expanding ecosystem of healthcare organizations nationwide. Surescripts was founded on the principles of neutrality, transparency, interoperability, education, collaboration and quality. Surescripts’ e-prescribing services allow physicians to electronically send prescriptions from their offices to any of 52,000 retail pharmacies and six of the largest mail-order pharmacies. In addition, Surescripts provides physicians with electronic access to their patients’ prescription benefit and prescription history, which helps to improve safety and enables doctors to prescribe medications with the lowest out-of-pocket cost to the patient. Beginning Jan. 1, 2010, Surescripts reduced what pharmacies, pharmacy vendors and pharmacy benefit managers pay for e-prescribing.

“Our decision to lower prices fulfills a public promise made when legacy SureScripts and RxHub were founded,” said Harry Totonis, president and CEO of Surescripts. “Three things have enabled us to keep this promise: Surescripts’ ongoing commitment to its own operational efficiency; the economies of scale resulting from the merger; and Surescripts’ success in working with healthcare organizations across the country to create and meet the growing demand for e-prescribing.

“And stay tuned — we are not done yet. With this price reduction, we are focused on the opportunity to connect even more physicians, pharmacies, payers and patients. As we add more participants to the network, this will continue to drive down the cost of e-prescribing, as our efficiency, scale and economics improve. As this occurs, we will again pass those savings along to the industry.”

“The widespread adoption of e-prescribing is clearly the right thing for all of us to support,” said Stanton McComb, president of McKesson Pharmacy Systems. “In these times, we are especially sensitive to the economic pressures that our customers are under. We recognize that most everyone wants to support e-prescribing, but there is a real cost to doing so for pharmacies. MPS felt that it was important to support and extend Surescripts’ price reductions as quickly as possible to our software customers to support this advancement in pharmacy care and also support our customers economically.”

“Surescripts’ overall efforts — which go well beyond operating a network and certifying software vendors — have helped create unprecedented demand for e-prescribing,” said Bruce Roberts, RPh, National Community Pharmacists Association (NCPA) executive vice president and CEO. “Today, nearly 25 percent of all U.S. office-based physicians, nurse practitioners, and physician assistants are now e-prescribing. That accounts for more than 150,000 prescribers nationwide — more than double the number from one year ago. For community pharmacies, this growth not only lowers the cost of e-prescribing, but begins to realize the gains in efficiency that we all envisioned from the beginning.”

Building The Network, Creating a Market for Paperless Prescriptions

In 2001, the nation’s retail pharmacies and leading pharmacy benefit managers embarked on a shared vision — to create a national network to facilitate the secure transmission of prescription information between prescribers, pharmacies and health plans.

Today, PBMs and health plans providing prescription drug coverage for two-thirds of all Americans are active users of The Nation’s E-Prescription Network. Together with 85 percent of all retail pharmacies and the nation’s leading mail-order pharmacies, they have created the first and only network to allow an entire segment of the nation’s healthcare system — the $254 billion prescription care segment — to electronically share clinical health information on a nationwide basis. However, these organizations have gone far beyond building and electronically linking to a network.

With an eye toward safer, more efficient and lower-cost prescribing, these organizations have worked closely with the state governments, medical associations, technology vendors and various non-governmental organizations focused on standards, health IT adoption, quality, privacy and security to create a sustainable market for e-prescribing. As a result, more than 150,000 (nearly 25 percent) of all U.S. office-based physicians, nurse practitioners, and physician assistants use more than 200 types of e-prescribing and electronic medical record (EMR) systems to e-prescribe today.

Above article publish on http://www.eprescriptionservices.com/surescripts-announces-significant-price-reduction-eprescribing/

Tuesday, March 23, 2010

CMS Aims To Coordinate ‘Meaningful Use’ Rules With Other Regulations

CMS must pay special attention to ensure that the final version of the proposed “meaningful use” rule for electronic health records fits with other rules for standards and certification, as well at the interim final rule for the certification of EHRs, Government Health IT reports.

Earlier this year, CMS published a notice of proposed rulemaking describing how health care providers can demonstrate meaningful use of certified EHRs to qualify for incentive payments under the 2009 federal economic stimulus package.

The Office of the National Coordinator for Health IT also published an interim final rule describing required certification standards for EHR technology.

Tony Trenkle, CMS director of e-health and standards, recently stressed how the interplay between different regulations will be important in determining what health care providers will need to demonstrate to qualify for the incentive payments.

ONC policy analyst Steve Posnack said that CMS and ONC are coordinating their regulations to ensure that the standards set for determining meaningful use are in step with rules governing certification of EHRs (Mosquera, Government Health IT, 3/18).


Above article publish on http://www.myemrstimulus.com/cms-aims-coordinate-meaningful-use-rules-regulations/

Friday, March 19, 2010

Medical Billing Service – HIPAA Compliance

Medical Billing Services ensure compliance of The Health Insurance Portability and Accountability Act (HIPAA) of 1996. HIPAA regulation protocols are issued to protect client’s information safely. It also encourages the use of electronic processing and data transferring through multiplexer, router or modem which ensure high degree of privacy. HIPAA has issued laws to release information confidentially. HIPAA complaint medical billing service is unique feature of medical billing company. Specialized billing procedures are:

• Insurance authorization and verification

• Cash posting and reconciliation

• Weekly or monthly evaluation

• Billing and enrollment

• Coding

• Updating anti-virus soft ware

HIPAA complaint software packages

HIPAA complaint medical billing software ensures easy way of sending electronic claims at a faster and cost effective way. It reduces claim rejection, increase collection and avoids delays. It provides a variety of functions like:

• Electronic medical billing

• Preparing patients ledger

• Processing billing information and insurance payments

• Claim submission electronically

• Rebilling of insurance claims

• Electronic medical records

• Covering patience insurance authorization

• Recording patients notes

• Medical coding

• Statement cycle billing

Hiring HIPAA Compliant Medical Billing Service

HIPAA compliant medical billing service provides track for patient statistics and diagnoses with security of health details. It provides medical billing and coding services, quick turn around time and high level of security. Those medical billing companies following HIPAA regulation protocols can assure services confidentially. So it’s better to hire a company that strictly follows all HIPAA protocols prescribed for medical industry. Such a medical company reduces work load and improve cash flow.

Above article publish on http://www.mymedicalbillingoutsourcing.com/medical-billing-service-hipaa-compliance/

Thursday, March 18, 2010

Dermatologist’s Guide To Electronic Medical Records Systems

The medical community has had quite a challenge to convert to entirely medical records and, in many ways, is still in transition. Dermatologists frequently enjoy straightforward practice settings that integrate patient data on surgical procedures, patients’ historical data, and newer technologies that continue to emerge. Any more, the accuracy and reliability of these data systems are improving and high quality dermatology care is being increasingly streamlined. The sophisticated technology is undermined, however, if each piece of the dermatologist’s arsenal isn’t integrated into a comprehensive Electronic Medical Records (EMR) system.

DERMATOLOGY-SPECIFIC WORKFLOW

The term “workflow” refers here to an EMR that adapts to the way you conduct your office activities. Instead of being a cumbersome addition to your workload, the right EMR System for you can and should easily integrate into your unique office setting. For example, if you do physical exams, laser treatments and phlebotomy all in different rooms, you need your EMR to be able to automatically migrate all of the patient’s data so that it is accessible from any computer throughout your office. The days of manually scanning, uploading, and transferring patient data are over. Therefore, we will begin here with the assumption that all patient records will be easily accessible from one user interface, not multiple software programs for different types of records. This includes drawings you use to identify the locations of lesions with respect to anatomy. As you will read in a moment, all of this information can be housed within one EMR System.

VERIFY EQUIPMENT AND SOFTWARE COMPATIBILITY

Many dermatologists acquire new patients from a host of community referral locations, with physicians that use different machines and software than they own in their office. You need to be able to verify their previous imaging for the best possible patient care and to avoid repeating any tests, particularly for staging various cancers. The problem is that trying to choose an EMR based on the myriad of consultant’s equipment is difficult at best. For example, if you use the DicomWorks viewer for viewing radiographic images, but a patient brings you a CD-ROM from a consultant that used CT Scanner from Toshiba, the Aquilion 16-Slice, you need to make sure that the EMR you choose to grow your practice will be compatible.

If you consult on patients in the hospital or another setting separate from your primary office, the right EMR can really help increase your efficiency. First, being able to view the patient’s record remotely while your taking the consulting physician’s phone call can be extremely helpful. Second, you can synchronize the data on your laptop or handheld device directly into your EMR. Taking your laptop of portable digital assistant with you on your visit to the away patient can save you time by not having to type notes a second time after the consult is finished.

DRAWING DERMATOLOGIC IMAGES IN YOUR EMR

A growing trend is for physicians to use tablet PC’s at bedside. This lends itself very easily to using EMR’s that allow you to draw on anatomical diagrams directly in the patient’s record. Traditional desktop computers also allow this feature. For example, you can outline a nevus and the EMR software will convert that to an image file that is saved with the patient record. This can be particularly useful when tracking growth. You will need to put specific notes in the text areas of the EMR for it to be searchable later.

BUILDING TRUST IN YOUR EMR SYSTEM

Dermatologists are known to conduct rather extensive excisions of carcinomas in the clinic setting. Your EMR should record vital signs in real time and trigger audible and visual notifications in the event of abnormal readings. You shouldn’t have to watch the monitor continually; rather you can control all the parameters and alarms exactly how you want them to behave.

EASILY TRACK STAFF AND PATIENTS’ ACTIVITIES

Appointment reminders and recurring laboratory studies frequently require valuable time from your staff. An EMR System that could integrate automatic emails or phone calls one week prior to an appointment would improve efficiency.

In addition, your EMR should timestamp and track every authorized user’s activities. From ordering special materials prior to nuclear studies, to tracking who logs into the EMR, a lot of repetitive tasks can be integrated into an office system that curbs human error and improves your practice’s measurable outcomes.

Above article publish on http://www.emrspecialists.com/2010/03/dermatologists-guide-electronic-medical-records-systems/