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MU Stage 3 Comment Period and Hospital EHR Attestation Deadline Approaching

HIT Policy Committee sent out an email with a request for comments on meaningful use stage 3. Here’s the email that was sent out:

Speak up now to help ONC’s Health Information Technology Policy Committee (HITPC) develop Stage 3 meaningful use recommendations that will target a collaborative model of care with shared responsibility and accountability, building upon previous meaningful use objectives through the Request for Comment.

The comment period is now open. Each item that the HITPC is requesting comment on has been given an identification number in order to streamline the accumulation of comments. Please use this ID number when submitting comments. Submit a comment online.

The deadline for comments is 11:59p.m. ET on January 14, 2013.

Following the analysis of the comments received throughout the comment period, the HITPC intends to revisit these recommendations in its public meetings in the first quarter of 2013.

Also, for those Eligible Hospitals and Critical Access Hospitals (CAHs), the last day for you to register and submit attestation in fiscal year 2012 for the Medicare EHR program is November 30, 2012. For eligible hospitals and CAHs, this means that they must successfully attest to meeting meaningful use to be eligible to receive an incentive payment for FY 2012.

CMS has also put together this PDF of the meaningful use and EHR incentive timeline. Be careful so you don’t miss any deadlines.

November 27, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 14 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and Google Plus.

Allscripts MyWay to Allscripts Pro Migration

We’ve been tracking the major news that Allscripts was discontinuing MyWay since the news first came out. One of the major questions I had was how the VARs were going to react to the news. Aprima has made a big case for MyWay users to go with them and they have a pretty compelling case to make.

I got an email that a VAR sent out to its users that makes a pretty compelling case for Aprima versus Allscripts Pro. I copied part of the email below. When you look at the list of items that won’t be moved from Myway to Allscripts Pro, I think my prediction that few users will make that transition is ever more solid. Although, the question still remains how many will go with Aprima versus some other EHR. If Aprima does a solid job with the VARs, then it could be a really big win for them.

Here’s part of the email the VAR sent:

Aprima’s Upgrade Program Gives You…

  • Free Aprima licenses for Allscripts customers whose product is being migrated – no need to re-buy software!
  • Same core product – the Allscripts product being migrated started as Aprima 2008
  • Same look and feel with nearly 1,000 enhancements
  • Minimal learning curve of new features, minimal to no downtime
  • Your existing data intact; this is a proven product upgrade, not a conversion
  • Live webinars and on-site training available
  • Ongoing upgrades and development of the product, no end of life sun setting
  • Product will meet Meaningful Use and support ICD10
  • Support is U.S.-based

It is important to note with the migration to Allscripts PRO, data will be exported from one system into another and not all data will come across during this process.  MyWay and PRO are very different.  As a result, you will need to be retrained on the new system and create new workflows. Most significantly, none of the financial data will be included, so you will be left with running down old balances in MyWay while setting up the new PRO PM. See below for a list of data points that will not be migrated:

  • Financial Transaction Data
  • Financial History, Superbills, Payment, and Adjustment transaction detail will not be migrated into the Allscripts PM system.
  • Allscripts MyWay clients will continue to use their current system to work down their previous Accounts Receivable for a period of time.
  • Current Patient account-forward financial balances in Allscripts MyWay will not be migrated to Allscripts PM.
  • PM reporting details and history will not be migrated from Allscripts MyWay into the Allscripts PM system.
  • Practice management reports will be replaced by the Allscripts PM reporting capabilities.
  • Insurance claim status and reimbursement history will not be migrated from Allscripts MyWay into Allscripts PM.
  • The Integrated Easy Pay credit card processing feature in Allscripts MyWay is not compatible with Allscripts PM and will not be migrated. Clients can use the Intuit Pay Page functionality in Allscripts PM or use a non-integrated credit card solution for credit card processing.
  • Allscripts MyWay Audit Trail detail will not be migrated into Allscripts PM.
  • Will require retraining for you and your staff
  • Will require additional data conversion
  • Online training + potential weekend time if you want live, hands-on sessions
  • Possible reduced patient load during transition
November 26, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 14 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and Google Plus.

ImagineMD EHR Closes Doors and Amazing Charts Acquired

A lot of activity lately in the EHR world and I think this is just the beginning. ImagineMD posted an “Important Notice” (quoted at the bottom of this post) on their website that said that they’re no longer providing ImagineMD services. The interesting thing is that a respected EHR consultant that I know absolutely loved the Imagine MD EHR. This guy had worked with hundreds of EHR software, so he knew the difference. Sadly, as often happens in business it’s not enough to have a great product. You also have to be able to market that product well. Looks like ImagineMD went out with their heads held high and didn’t leave their doctors high and dry. That’s always good since even an assisted transition is hard.

In other unrelated news, today it was also announced that Amazing Charts was acquired by Pri-Med. This is an interesting acquisition since Amazing Charts has a nice EHR footprint and Pri-Med wasn’t previously in the EHR space. Although, it does seem that Pri-Med’s physician connection could be really beneficial to Amazing Charts. I’m going to try and do an interview with Amazing Charts and Pri-Med which I’ll post on EMR and HIPAA or EMR and EHR.

ImagineMD is part of the EHR consolidation that everyone said is coming. We just can’t sustain 300+ EHR vendors. However, the Amazing Charts acquisition isn’t part of EHR consolidation. It’s similar to the ADP Acquisition of AdvancedMD where Neil Versel aptly pointed out wasn’t the expected EHR consolidation. Add these changes to large EHR vendors shutting down EHR software like MyWay and GE Centricity Advance and were slowly winnowing down the number of EHR vendors out there.

ImagineMD Client Notice:

Dear Clients of Imagine MD:

This notice is to inform you that as of September 30, 2012 (the “Effective Date”), we will no longer be providing Imagine MD Services as defined in the End User License Agreement – Terms of Use as set forth on our website at https://secure.imaginemd.com/Public/docs/terms.pdf (the “Services”). The Services may or may not include, without limitation, electronic prescribing “eRx”, meaningful use attestation services, and other related services. After the Effective Date, you will no longer have access to any of our Services and we will terminate all access codes that we have provided to you.

Following termination of Services we will return to you, or, upon your written instruction, transfer to another party, all patient records, including personal information you have provided to us or we have created and maintained on your behalf. Such information will be provided in an encrypted format. You will be contacted in the near future regarding this transfer of information. The files will include information through the period ending September 30, 2012, or the date as of which you request such data, whichever occurs first. Thirty days after the information is transferred, we will destroy all patient records and we will not retain a copy of the information. Additionally, we will provide you with a log of all relevant disclosures, if any, of protected health information that you may need to fulfill your obligations under the Health Insurance Portability and Accountability Act of 1996 with regard to the provisions and accounting of such disclosures.

We are terminating all of our services as we are in the process of exiting the business. All of us at Imagine MD thank you for using our services.

If you have any questions, please contact us by email at info@imagine-md.com or call us at (877) 394-7774.

eHealth Made EASY, LLC (a/k/a Imagine MD™)

Full Disclosure: Amazing Charts is an advertiser on this site.

November 19, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 14 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and Google Plus.

Allscripts and Aprima Settle MyWay Lawsuit

Many of you will have read my post talking about the news that Allscripts was discontinuing development of their MyWay EHR product. It was very big news because so many had adopted the MyWay EHR and so many Vars were affected by the decision. Aprima saw it as a great opportunity to “rescue” MyWay EHR users since Aprima (formerly iMedica) created the MyWay software in the first place and then licensed it to Allscripts. Although, they retained rights to the software as well and with that they changed iMedica to what is now known as Aprima.

With this history it made a lot of sense for Aprima to offer Allscripts MyWay EHR users an alternative. In fact, I think you can make a great argument for why MyWay users could more easily transfer to Aprima than any other Allscripts EHR product. Although, considering the dissatisfaction I saw from MyWay users, I expect many will be looking for a complete EHR change. I’m sure Aprima would argue that their almost 1000 enhancements make it a much better product than what current MyWay users have been given.

Regardless of the choice that current MyWay users make, Allscripts didn’t take kindly to the nature of Aprima’s marketing when the news of MyWay’s condition was announced and so Allscripts filed a lawsuit against Aprima.

I just received a copy of a press release from Aprima stating that Aprima and Allscripts have reached a settlement in the lawsuit that Allscripts filed. You can see the press release below.

If you’re a MyWay user or MyWay Var, I’d love to hear your perspectives, plans, and thoughts. Feel free to leave them in the comments or privately on our EMR Thoughts contact page.

Settlement reached ON ALL LEGAL MATTERS and the Aprima Rescue PlanTM remains in place for customers of Allscripts MyWayTM.

Dallas, TX (November 8, 2012) – Aprima Medical Software announced today that it has reached a mutually agreeable settlement in the lawsuit brought on October 19, 2012 by Allscripts Healthcare Solutions, LLC. In that lawsuit, Allscripts alleged that some of Aprima’s advertising copy violated various state and federal laws. The parties reached an amicable resolution and will continue pursuing their respective business goals. Under the settlement terms, Aprima has modified some of the advertising copy associated with its Aprima Rescue Plan™ for those who currently use the Allscripts MyWay™ product, and who may be looking to replace that product in light of Allscripts’ October 3 announcement about its future.

Allscripts MyWayTM is the EHR product offered by Allscripts that it has opted not to develop or update to be in compliance with government incentives and requirements such as Meaningful Use and ICD-10.

The Aprima Rescue PlanTM remains in place for customers of Allscripts MyWayTM. Many believe this program – and Aprima’s EHR and PM products – to be the most practical and viable option for providers, since the original Allscripts MyWay™ application was based on the source code that Allscripts licensed from Aprima in 2008.

Allscripts MyWay™ resellers and customers can maintain and even strengthen their current business relationships. Aprima is offering an easy upgrade for practices that may feel frustrated by Allscripts’ announcement about MyWay™ and anxious – or even outraged – about the prospect of a potentially expensive conversion if they want to demonstrate 5010 and ICD-10 compliance, or qualify for government incentives including Meaningful Use Stage 2, PQRS, e-Prescribing, and others.

Providers who bought Allscripts MyWay™ for a specific reason, such as the unique non-template approach to charting, the speed and ease-of-use, and the adaptive learning feature, are typically averse to having to change to something that is very different.

Aprima Rescue PlanTM for customers of Allscripts MyWayTM includes:
• Free Aprima licenses for each Allscripts MyWayTM license – no need to repurchase software; up to an $8,500 savings per provider
• Similar look and feel; Aprima has made nearly 1,000 enhancements since it licensed the original source code to Allscripts in 2008, including hundreds of substantive improvements to the Practice Management system
• Minimal learning curve, since it is only needed for the new features
Allscripts and Aprima Settle Legal Matters, continued
Aprima is a registered trademark of Aprima Medical Software. All other trademarks are the property of their
respective owners. Allscripts MyWay™ is a product of Allscripts HealthCare Solutions, LLC. Aprima is not affiliated
with Allscripts HealthCare Solutions, LLC. Page 2 of 2
• Minimal downtime compared to what is typical when changing systems and having to re-learn many new workflows
• Existing data remains intact; this is a proven product upgrade, not a conversion
• U.S.-based support

Aprima is pleased to be able to offer a lifeline to these users for minimal cost and with virtually no downtime. This will circumvent the need for Allscripts MyWayTM users to switch to another Allscripts EMR product, which would require a change in systems, plus a potentially arduous data conversion and retraining period, thus creating additional mental, physical and financial disruption to the practice.

“Ironically, Allscripts MyWayTM users can avoid such a potentially expensive and disruptive situation by switching to Aprima instead of another Allscripts product. We welcome these customers to the Aprima family and we are thrilled to be able to easily upgrade our ‘cousins’ to the Aprima way,” said Aprima president and CEO Michael Nissenbaum. “The difference between a conversion and a simple and proven upgrade can also make the difference on whether practices will achieve compliance on important healthcare initiatives. We are very pleased with the outcome of this legal situation.”

More Information
For more information, or to sign up for the Aprima Rescue PlanTM for customers of Allscripts MyWayTM, visit www.aprima.com/rescue, call 866-960-6890, option 7, or email rescue@aprima.com.
About Aprima Medical Software, Inc.

Aprima provides innovative electronic health record, practice management and revenue cycle management solutions for medical practices. The Aprima EHR/PM is an integrated system built on a single database. Aprima uses a fast, flexible design that adapts automatically to a physician’s workflow and sets the benchmark for ease-of-use, speed and flexibility. Aprima is one of the few companies with a 14-year track record of success, including CCHIT Certification consistently every year as well as ONC Certification for 2011/2012. Thousands of Aprima users are benefiting from improved quality of care, improved patient satisfaction, improved quality of life and an improved bottom line. Based in Carrollton, TX, Aprima performs all development, support, and implementation from the U.S. To learn more about how Aprima can help your practice, please visit www.aprima.com, call us at 866-960-6890, option 7, or email us at info@aprima.com.

# # # #

Contact:
Judy Friedman jfriedman@aprima.com (214) 466-8093

November 8, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 14 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and Google Plus.

Preventable Issues Arise When Paper Documentation is Used

It’s an unfortunate truth that the health care system is not fool proof, and mistakes happen. Many of these mistakes happen because of paperwork that is lost, unreadable, or misplaced. Even with the implementation of EMRs across the country, many healthcare providers are still relying on paper for many aspects of their practice. Referral MD created an infographic that shows some of the current problems in healthcare related to using paper documents:

Pretty scary, if you ask me. Doctor’s are notorious for having terrible handwriting, but 7000 patients die a year because of it? And 30 percent of tests have to be reordered because the orders were misplaced? These statistics are startling, in large part because they are preventable. Those are only two of the facts presented in this infographic, and in combination with everything else, it makes me wonder why anyone that has an EMR would still use paper, and why the practices that don’t use EMRs haven’t started. It makes me not want to trust the system even more.

I can see how patients and doctors alike may find it hard to switch over. When I wasn’t given a physical, paper prescription to take to the pharmacy to get my son’s medication, I was a bit taken back, but it made things so much easier when I actually arrived at the pharmacy. I compare that to the many prescriptions and lab orders I lost during my pregnancy because I set it down and forgot to pick it up again, never to find it again until months later while doing some cleaning. It made me really wish my OB/GYN had electronic documents more incorporated into his practice. I’m curious to see if he has any EMR at all. Since he’s been a doctor for 40+ years, maybe he’s having a hard time making the switch.

It’s one thing if a person dies from a terminal illness, but to pass away because of a preventable mistake is uncalled for. I realize that no one is perfect. Everyone makes mistakes. But when a mistake could mean someone dying, a patient’s information being misused, or a HIPAA violation occurring, something is wrong. Hopefully as EMRs become better and more practices have them, paper documentation will become a thing of the past, and these mistakes, breeches, and all other issues that are related to using paper, will go that way as well.

November 5, 2012 I Written By

Katie Clark is originally from Colorado and currently lives in Utah with her husband and son. She writes primarily for Smart Phone Health Care, but contributes to several Health Care Scene blogs, including EMR Thoughts, EMR and EHR, and EMR and HIPAA. She enjoys learning about Health IT and mHealth, and finding ways to improve her own health along the way.

National eHealth Collaborative Survey Results

The results of a survey given to 450 members of the National eHealth Collaborative on July 16th were released. The goal of the survey was to “build an understanding of consumer engagement strategies currently underway and planned for the future,” according to a press release. There were many interesting findings from this survey. The primary goals for consumer engagement with health IT included the following:

  • 68% – improve health outcomes
  • 66% – deliver information to patients
  • 59% – enable consumers to take more responsibility for their health
  • 59% – reduce healthcare costs
  • 57% – improve consumers’ experience in interacting with our organization

Along the same lines, those surveyed were asked what their definition of consumer engagement was. There were quite a few answers, but the top three were:

  • Patient uses electronic educational material or online resources to learn about better health or their own health conditions (74%)
  • Patient refills prescriptions or accesses lab results or other personal health data online (72%)
  • Patient engages with provider through electronic means (e.g. telemedicine) (71%)

Kate Berry, CEO of NeHC, commented on the survey:

Effectively leveraging health IT to engage with patients and consumers will lead to better healthcare outcomes. Our surveyshows that a majority of organizations believe in the strategic importance of consumer engagement yet their strategies are understandably nascent. NeHC’s Consumer Consortium on eHealth and HIE Learning Network can serve as forums for sharing consumer engagement lessons learned to help accelerate progress.

The complete results of the survey can be found here.

November 1, 2012 I Written By

Katie Clark is originally from Colorado and currently lives in Utah with her husband and son. She writes primarily for Smart Phone Health Care, but contributes to several Health Care Scene blogs, including EMR Thoughts, EMR and EHR, and EMR and HIPAA. She enjoys learning about Health IT and mHealth, and finding ways to improve her own health along the way.