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New EHR Attestation Deadline for Eligible Hospitals: December 31, 2014

I just got the following note from CMS about an extension to the EHR Attestation deadline for eligible hospitals. Here’s all the details:

CMS is extending the deadline for eligible hospitals and Critical Access Hospitals (CAHs) to attest to meaningful use for the Medicare Electronic Health Record (EHR) Incentive Program 2014 reporting year from 11:59 pm EST on November 30, 2014 to 11:59 pm EST on December 31, 2014.

This extension will allow more time for hospitals to submit their meaningful use data and receive an incentive payment for the 2014 program year, as well as avoid the 2016 Medicare payment adjustment.

CMS is also extending the deadline for eligible hospitals and CAHs that are electronically submitting clinical quality measures (CQMs) to meet that requirement of meaningful use and the Hospital Inpatient Quality Reporting (IQR) program. Hospitals now have until December 31, 2014 to submit their eCQM data via Quality Net.

Note: This extension does not impact the deadlines for the Medicaid EHR Incentive Program.

November 24, 2014 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 13 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit.

Ambir Scanning’s Total Cost of Ownership Infographic

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Full Disclosure: Ambir is an advertiser on the Healthcare Scene network of blogs.

November 13, 2014 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 13 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit.

The State of Hand Hygiene Compliance Infographic

DebMed recently announced the results of the Hospital Hand Hygiene report. They also put out this infographic which summarizes some of the findings:
The State of Hand Hygiene Compliance Infographic

October 20, 2014 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 13 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit.

Fine Thinking Friday

I just posted a tweet summary of today’s #HITsm chat about meaningful use. It was full of amazing insights on what’s happening with EHR, meaningful use and healthcare IT. There were so many insights that it got really long, but go and read it anyway. It’s still just a bunch of easily digestible tweets.

Since the post was getting too long, I didn’t want to make it longer by including some of the off topic tweets that were sent during the #HITsm chat. I guess that’s where it’s an advantage to have a full network of EHR and Healthcare IT blogs. I decided that I’d share the really interesting off topic tweets from today’s Twitter chat here.


What a great discussion between Keith and Stephanie. I think we’d all like to see a “little less talk…a lot more action!” (sorry to get that song in your head, but I had to do it)


Gregg Masters response to this tweet was spot on: “Bingo! you nailed the problem. ‘complexity’.” It is super complex and Mandi’s right that no doctor is going to go through the trouble. Bernadette also replied to the tweet and said that “Experts like you are precious.” Very true!


This is the challenge that we’ll be dealing with for a while to come. The shift will not be easy.

I love when a Twitter chat goes off topic. These tweets are great examples of why I like it. Definitely worthy of a Fine Thinking Friday post!

October 17, 2014 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 13 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit.

Capturing Unstructured Data for Better Patient Care

The following is a guest blog post by Dr. Chris Tackaberry, CEO of Clinithink.
Clinithink_Chris Tackaberry_CEO and Founder
There is a veritable gold mine of high value data locked inside the free text fields of all EHR systems, as well as in the free text of other sources of clinical documentation such as progress notes, discharge summaries, consult requests and diagnostic reports. In all of these sources, rich, actionable patient data is trapped in unstructured text—stored side by side with more easily accessible structured data.

Take echocardiography reports, for example. The data contained within them—specifically ejection fraction, for instance—are crucial to the management of heart failure as outlined within NQMC core measures for this serious chronic condition. Yet seldom is an ejection fraction captured as structured data. Instead, it is usually documented as free text.

Since narrative has been an inherent part of clinical workflow for many years, HIT software vendors have reasonably added free text fields to their applications. While there is clearly value in driving insights from structured data captured in such systems, the unstructured piece in free text fields remains untapped. This represents a source of potentially significant additional value that can be gleaned from EHR and other clinical documentation sources. However, conventional structured data tools do not support the ability to exploit it for use in clinical decision making.

Unlocking the clinical value in unstructured data

In the days of paper charts, highly experienced physicians were able to quickly scan large charts to find information such as allergies, medications, family history, past and current symptoms, social history, and other background detail that provided the context so critically important to any clinical encounter. This information was usually summarized in documents (discharge summaries, referrals, etc.). Ironically, such information is now more difficult to find when stored electronically.

If the existence of unstructured narrative data were known, discoverable, searchable and actionable for every patient—across any EMR or other health IT systems—the currently hidden additional diagnostic and clinical data could further increase the efficiency and quality of care. Clinical Natural Language Processing (CNLP) is a technology that enables access to unstructured narrative data which can be used to unlock this additional value. Using narrative data found in reports, web pages, transcribed output, EMRs, and other electronic sources of free text at the point of care can expand our knowledge of the patient beyond the information obtained from structured data.

Recently, the AMA issued a report in conjunction with the RAND Corporation on the need for EHR vendors to improve the software solutions they are delivering to better meet the needs of physicians. Utilizing CNLP technology to access the clinical value inherent in unstructured EHR data would allow vendors to begin addressing some of the potential improvements.

As we move from a world in which healthcare is delivered on an episodic basis retrospectively to one where care is delivered almost continuously and prospectively, CNLP increases the opportunity to deliver rich, actionable and meaningful clinical content to help improve decision-making for more accurate, evidence-based and effective care.

Dr. Chris Tackaberry is the CEO of Clinithink.

October 9, 2014 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 13 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit.

Digital Health Conference Early Bird Rates End Friday 9/19

Ever since the first Digital Health Conference in New York City, I’ve partnered with the event. I didn’t know what I was really getting into when I first started working with them, but each year I’ve been impressed with the event they’ve created. It really does bring together some of the best healthcare people in New York State and now a growing national audience as well.
NYeC - Digital Health Conference
As a partner to the conference, you can get a 20% discount off your registration if you use the code: HCS.

I’m excited this year that they’re returning to the beautiful Pier Sixty venue. It’s right on the water which provides for some really amazing lunch breaks. They always bring in a couple big name keynotes and this year is no different with Eric Topol, MD and Ezekiel Emanuel, MD this year.

The early bird registration deadline ends on 9/19/14, so register now before the price to attend goes up. I’ll be at the event as well, so I hope to see many of you there. If you can’t make it, maybe you can catch me at one of the other Health IT conferences I plan to attend.

September 17, 2014 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 13 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit.

History of Health Informatics Infographic

Nothing like taking a look back at history to remember how far we’ve come. The crazy thing is that we still have a long way to go.
History of Healthcare Informatics

August 11, 2014 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 13 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit.

Hand Hygiene Infographic from DebMed

The hand hygiene tracking company, DebMed, just released this hand hygiene infographic. It’s great to see technology being implemented to solve all sorts of healthcare problems.

Hand Hygiene Infographic

July 3, 2014 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 13 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit.

New Interactive Hardship Exception Tool for Eligible Professionals

Eligible professionals can now use CMS’ new interactive tool to help determine if they will avoid upcoming 2015 and 2016 Medicare EHR Incentive Program payment adjustments by demonstrating meaningful use, or if they should apply for a hardship exception.

If an eligible professional determines that they need to apply for a hardship exception, the application must be submitted by July 1, 2014CMS will review applications to determine whether or not a hardship exception will be granted. If approved, the exception is valid for one year.

Applying for Hardship Exception
When submitting hardship exception applications, entries must include supporting documentation that proves demonstrating meaningful use presented significant hardship.

CMS has posted hardship exception applications on the EHR website for:

Please read and follow the submission instructions on the application. Note that all required supporting documentation must be included at the time of submission. Completing your application online and submitting it electronically toEHRhardship@provider-resources.com, with all required supporting documentation, will reduce the application processing time. Please do not submit hand-written applications.

Hardship Exception Tipsheets
You can also avoid payment adjustments by successfully demonstrating meaningful use prior to the payment adjustment. Tipsheets are available on the CMS website that outline when eligible professionals must demonstrate meaningful use in order to avoid the payment adjustments.

June 18, 2014 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 13 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit.

Healthcare Cloud Infographic

As you know, I always love a good infographic. This one does a decent job showing where we’re at in healthcare’s view of the cloud. Basically, cloud is a part of healthcare and will be forever. Watch for that trend to continue.

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June 16, 2014 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 13 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit.