The following is an infographic released by Nuance that looks at the benefits of a virtual assistant in healthcare.
Centers for Medicare & Medicaid Services (CMS) Acting Administrator Marilyn Tavenner and the National Coordinator for Health Information Technology Farzad Mostashari, M.D., today announced HHS’s plan to accelerate health information exchange (HIE) and build a seamless and secure flow of information essential to transforming the health care system.
“Thanks to the Affordable Care Act, we are improving the way care is delivered while lowering costs,” said Acting Administrator Tavenner. “We are already seeing benefits, such as a reduction in hospital readmissions due to these reforms. Health IT and the secure exchange of information across providers are crucial to reforming the system, and must be a routine part of care delivery.”
This year, HHS will:
- Set aggressive goals for 2013: HHS is setting the goal of 50 percent of physician offices using electronic health records (EHR) and 80 percent of eligible hospitals receiving meaningful use incentive payments by the end of 2013.
- Increase the emphasis on interoperability: HHS will increase its emphasis on ensuring electronic exchange across providers. It will start that effort by issuing a request for information (RFI) seeking public input about a variety of policies that will strengthen the business case for electronic exchange across providers to ensure patients’ health information will follow them seamlessly and securely wherever they access care.
- Enhance the effective use of electronic health records through initiatives like the Blue Button initiative. Medicare beneficiaries can access their full Medicare records online today. HHS is working with the Veterans Administration and more than 450 different organizations to make health care information available to patients and health plan members. HHS is also encouraging Medicare Advantage plans to expand the use of Blue Button to provide beneficiaries with one-click secure access to their health information.
- Implement Meaningful Use Stage 2: HHS is implementing rules that define what data must be able to be exchanged between Health IT systems, including how data will be structured and coded so that providers will have one uniform way to format and securely send data.
- Underscore program integrity: HHS is taking new steps to ensure the integrity of the program is sound and technology is not being used to game the system. For example, it is conducting extensive medical reviews and issuing Comparative Billing reports that identify providers.
The goals build on the significant progress HHS and its partners have already made on expanding health information technology use. EHR adoption has tripled since 2010, increasing to 44 percent in 2012 and computerized physician order entry has more than doubled (increased 168 percent) since 2008.
“The 2014 standards for electronic health records create the technical capacity for providers to be able to share information with each and with the patient,” said Dr. Mostashari. “Through the RFI, we are interested in hearing about policies that could provide an even greater business case for such information sharing.”
In addition to seeking public input, the RFI also discusses several potential new policies and ideas to accelerate interoperability and exchange of a patient’s health information across care settings so that they can deliver better and more affordable care to their patients.
The RFI can be found at http://www.ofr.gov/OFRUpload/
The 2013 HIMSS annual conference is complete. There were 33,920 total attendees and 13,585 professional attendees at the event and I heard over 1200 exhibitors. Some pretty amazing numbers. The attendees is lower than last year in Las Vegas, but the exhibitors are up. I’ll be interested to see how those numbers play out with HIMSS 2014 in Orlando.
NetApp recently put out an Infographic that depicts the body as a source of big data. It’s a pretty cool representation of the power of data in healthcare. In my HIMSS 2013 preview video, I suggested that HIMSS 2013 might be the year of Healthcare Big Data at HIMSS. This infographic displays many of the opportunities.
I guess I really should post this Extormity press release to my EMR, EHR and Health IT News site (where you’ll find all the various press releases that are coming our before, during, and after HIMSS), but this is so much more than news. For those not familiar with Extormity, it’s kind of “The Onion” of Healthcare IT. A fictitious company that highlights many of the absurdities in the healthcare IT and EHR world. Although, the irony is how well they mix the reality with the absurdities.
Without further ado, the latest Extormity News which just hit my email inbox:
Electronic health record vendor Extormity today announced that nearly 75 percent of its existing customer base reports being dissatisfied, extremely dissatisfied or contemplating suicide based on the decision to implement the Extormity EHR solution. Further, Extormity expects nearly 40 percent of its clients to de-install their solution in 2013 and switch to another vendor.
Citing a recent study which indicated that nearly 20 percent of EHR users could be switching out their first choice EHR this year, Extormity CEO Brantley Whittington stated “We are ecstatic that unhappiness levels among our clients clearly outpaces the industry average.”
“Even as analysts are expressing concern with these statistics, these findings have generated incredible buzz about Extormity – resulting in a disproportionate share of media attention,” added Whittington. “Better yet, the focus on dissatisfaction levels has obscured questionable financial dealings, several catastrophic medical errors linked to flawed clinical decision support algorithms, and more breaches than you can shake a stick at.”
While the projected de-conversion rate could be considered alarming, Extormity officials remain bullish on the company’s future. “While much of our installed base is fleeing the good ship Extormity, we are winning new clients at a record pace as providers head for the exits with other vendors who also made expensive empty promises,” added Whittington. “When one considers early termination penalties, exorbitant costs for data conversion and the steep hourly rates we charge clients who are transitioning away from our EHR, we expect record profits which will fund the construction of our new corporate headquarters.”
Extormity is an electronic health records mega-corporation dedicated to offering highly proprietary, difficult to customize and prohibitively expensive healthcare IT solutions. Our flagship product, the Extormity EMR Software Suite, was recently voted “Most Complex” by readers of a leading healthcare industry publication. Learn more at www.extormity.com
First off I feel bad for the Drs. Then as we had in another thread the big red flag is the medical billing aspect of EMR and who benefits from that billing data. Then we have the difficulties in sharing the pertinent data allowing patients to get comprehensive care, sometimes in the same building. Then we have HIPAA which has become a greater boondoggle and less effective than TSA at airports or Homeland Security. Small wonder that Drs want to revolt. Then we can add the singleness of opinions about what an ICD really means and whether it is or isn’t ethical to copy and paste. The billing engine drives this bus and the EMR is nothing more than an auditor’s or payer’s window in to being able to justify rejections. It’s also a way for payers to eliminate the errors that come up through paper billing and given that make it easier for payers to “check up” on billing practices when auditing EMR. The bigger backlash will be from the patients as they realize that EMR is not being used to provide better medical care and that all the data is being zealously protected and not shared among their care providers. Patients will have even more cause to scream when insurers use the billing engines to eliminate CPT and ICD that are below a threshhold of service (I see that coming).
I think Barry is right that many doctors fear that EHR is just a way to track their billing and screw them over in the end. Whether this fear is founded or not, I’ve heard it expressed by a number of doctors.
In my post on points of differentiation for EHR companies, Charles Webster MD MSIE MSIS recently created an acronym to talk about how EHR’s should save you time, effort and money. The acronym is S.Y.S.T.E.M.
An EHR should…
Save You Substantial Time, Effort, and Money.
Minimize encounter length, wait times, staff idle time, mental and physical effort, and Total Cost of Ownership.
You serve your patients; your EHR should serve you. (OK, its portal serves your patients, too)
Save time: see another patient; spend more time with each patient; go home on time.
Minimize mental and physical effort to learn and use.
Time is money. Save time, save money. Shift tasks from expensive personnel to less expensive personnel (but monitor task progress so nothing falls between the cracks).
For those who love to think about some of the future of medicine, check out the live stream of the FutureMed event (embedded below).
Here’s the agenda:
8:30am PST Morning Session: Introduction to Exponential Technologies
Peter Diamandis MD (Chairman, Xprize, Co-founder of Singularity University)
Dan Barry MD PhD (3 time NASA Astronaut) on Robotics & 3D Printing
Neil Jacobstein (Singularity University) on Artificial Intelligence
Brad Templeton on Information Technology
Salim Ismail on Implications of Exponential Technology
1:15pm PST Afternoon Session: Data Driven Healthcare
Larry Smarr (UCSD, CalIT2)
John Mattison MD (CMIO of Kaiser Permanente)
Christopher Longhurst MD (CMIO Packard Children’s Hospital @Stanford)
Dan Riskin MD (Health Fidelity, Stanford Medical School)
Julia Hu (CEO, Lark)
5pm PST Artificial Intelligence & New Paradigms for Health & Medicine
Marty Kohn MD (IBM Watson)
Vinod Khosla (Khosla Ventures)
8pm PST Future of Oncology
Jack Andraka (Winner of the 2012 Intel International Science Fair)
Ron Levy MD (Professor Stanford Medical School, Former Chair of Oncology)
- User involvement
- Training and
I found this to be a really intriguing list since it highlights many of the complexities associated with creating and implementing EMR into a medical office. There are a lot of points of failure and each has to be addressed to have a beautifully seamless EMR implementation experience.
With so many points of failure, is it any wonder that we have so many “failed” EMR implementations?
It’s a special EMR company that can handle all of this list well (not to mention doing so at scale).
Eligible professionals (EPs) who participated in the Medicare Electronic Health Record (EHR) Incentive Program in 2012 must complete attestation for the 2012 program year by February 28, 2013. In order to be eligible to attest you must have completed your 2012 reporting period by December 31, 2012.
CMS encourages Medicare EPs to register and attest as soon as possible to resolve any potential issues that may delay their payment.
Medicaid EPs should check with their State for their attestation deadline.
Resources from CMS
CMS has several resources located on the EHR Incentive Programs website to help EPs properly meet meaningful use and attest, including:
- A Registration & Attestation page that includes information on registration and attestation, and links to additional resources.
- The Meaningful Use Attestation Calculator, which allows EPs and eligible hospitals to determine if they have met the Stage 1 meaningful use guidelines before they attest in the system.
- The Attestation User Guide for Medicare Eligible Professionals, providing step-by-step guidance for EPs participating in the Medicare EHR Incentive Program on navigating the attestation system.
- The Attestation Worksheet for Eligible Professionals, allowing users to enter their meaningful use measure values, creating a quick reference tool to use while attesting.
Also, for EHR vendors, ICSA just announced that they are now set to begin testing EHR software for meaningful use stage 2. That’s right. Meaningful Use stage 2 is just around the corner.