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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 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.

EMR Market Numbers and Number of EHR Vendors with 0 Meaningful Use Attestations

Since I’ve kind of turned EMR Thoughts into an EMR and healthcare IT market website, I feel I should definitely point out this post I did on EMR and HIPAA about the Meaningful Use EHR Vendor Breakout by Percentage. It’s a really interesting post looking at which EHR vendors are doing well with meaningful use attestation and a look at what that means in the broader EHR market.

In the comments, Dr. Rowley (who first posted some of the meaningful use numbers) offered this added insight that I think is worth highlighting:

Here’s another observation on the ambulatory EHR market. If you look at all the Certified complete EHRs on the CMS CHPL list, and compare that to the HHS Meaningful Use list from data.gov, you will see that 284 vendors had products that were used (at least once) for MU attestion; however 295 additional vendors had NO usage of their products for MU attestation in 2011. More argument to a very crowded field, and lots of products in the market with perhaps no usage (or, at least, no Meaningful Usage).

Nearly 300 EHR vendors are listed on the list of Complete Certified EHR and had 0 meaningful use attestations! Wow! I guess I shouldn’t be that surprised since I even know a number of EHR vendors that still aren’t complete EHR certified. The volume of EHR companies is just astounding to me though.

These will be important numbers to look at near the end of 2012. We’ll see how many of those nearly 300 EHR companies still don’t have any meaningful use attestations.

June 21, 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 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.

More Complaints About the ONC Workforce Program

I think my post on Finding Jobs for ONC Workforce Participants and other related posts have been some of the saddest posts I’ve done. My heart really does break when I read the stories of the people who have done the ONC Workforce program and can’t find healthcare IT jobs. Here’s one such example that was recently left in the comments (minor modifications from the original):

I too completed the ONC Workforce Training Program in December 2011. I am an R.N. with over 20 years of healthcare experience.I have no prior IT experience…$19 billion dollars [the whole HITECH Act was $36 billion, so this number is off. I want to say the workforce program was just a little under $1 billion. Either way, it’s still a lot of money.] of tax payers money has been invested in the training we should be prepared to get a job. I have been agressively looking for an entry level position also and have not been able to get work because when I speak to employers, recruiters, the outcome is always the same “the EHR companies want experienced people”, they are not interested in the HIT certification. The IT companies are being very selective at this time, they are looking for experts to implement the EHR systems. Eveyone is making money, the colleges, Ahima, Pearson Vue, computer companies, printer companies, and all of the supply companies that students buy equipment and supplies from. I have spent $3,000.00 on equipment in preparation for taking the ONC training. It may be tuition free, but it is very expensive to take the training. I have been unemployed for almost 4 years due to lay-offs. I have advanced training in healthcare and have spent large sums of money and remain unemployed. I thought that with my nursing background that I would have been a perfect fit for the ONC Trainer Role. I appreciate the training, but am greatly disappointed with not being trained for the job industry. Well if anyone has any lead on how I can get a job please share the information.

In that post, I linked to the EMR & EHR Jobs board that I have in the sidebar of my websites. There are quite a few EMR related jobs listed there. I haven’t quite figured out the reason for the disconnect. I’ve always been an experience over certification guy, but some of these stories really tug at the heart strings. Unfortunately, I’m not sure I have many answers for these people searching for healthcare IT jobs.

May 23, 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 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.

Top 10 EMR Software per Medical Software Advice

I always find it interesting to see various list of EMR and EHR software. Most of the lists don’t have much thought put into their creation. However, it’s fun to look through all the lists and see which EMR companies end up making it on the list. Plus, it’s good to know the next time you see them talking about being a top EMR software where that list might have come from.

This list of Top EMR Software companies comes from the people at Medical Software Advice. I’m not sure how they get this list, but it’s an interesting one. No doubt the list is a bit biased by the EHR vendors that actually work with Medical Software Device. Maybe this is the top 10 EMR software companies that can market. There are some of the major EHR companies on this list though, so take a look. Always good to triangulate multiple top EMR lists to narrow down your selection process.

For those in the industry, you’ll enjoy reading through the descriptions of each company.

January 24, 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 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.

90% of Doctors Expect to Have EHR Within 3 Years per USA Today

@ElinoreBoeke – Elinore Boeke
90% of surveyed doctors expect to have EHRs within three years usat.ly/tSgBNG #HealthIT #EHR via @USATODAY

The survey also sets EHR adoption at 46% and quotes someone saying there are 1000 EHR software vendors out there. Well, I think all of those numbers are way off.

First, expect that doctors won’t meet their expectations cause 90% of doctors won’t have EHR within 3 years.

Second, I think we’re closer to 25-30% adoption. 46% probably includes a lot of people who have a PMS, but no real EMR. Maybe they do 1 or 2 small EHR like function.

Third, 1000 EHR software vendors, really? Even if you expand to things like ePrescribing I’d put the number closer to 600. If you take out the partial EHR software companies, I think it’s closer to 300. Granted, there are more and more EHR software coming out each day.

November 30, 2011 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.

HIPAA Violations Aren’t Happening in SaaS EHR

Micheal Koploy over at Medical Software Advice put together an interesting post that looked at all the HHS breach data. He does a pretty in depth look at the various incidents of breach that occurred and even does a deep dive into the specific EMR related HIPAA breaches that are listed. He then forms an interesting conclusion:

HIPAA Violations Aren’t in the Cloud
Some have said that increasing the number of EMRs make our records more vulnerable. I’d cite the above data to argue otherwise. Paper records and portable devices are the weakest link in HIPAA security. The systems themselves – and certainly cloud-based systems – have a pretty good track record. HIPPA violations aren’t happening in the cloud. Rather, they’re happening in the doctor’s office, hospital IT closets, cars, subways, and homes.

And the statement that cloud-based EMR systems are more vulnerable to security breaches simply isn’t supported by facts. Of course, it remains to be seen if this holds true as more cloud-based systems are deployed. As more physicians move their records to the cloud, the opportunity for breaches will increase.

If my doctor asked me how to ensure patients’ data is secure, I would offer the following: go to the cloud. Web-based EMRs eliminate the most common security risks because there aren’t physical files to be compromised. And no matter your system, it’s essential to train your staff on the necessary security measures to ensure patient privacy is a systematic imperative

I think he makes a good point about it possibly being too early to really know how many cloud based SaaS EHR companies are going to have breaches. I also think it’s fair to consider that when those do happen, they’re going to be big breaches. They won’t just be a few records that are breached, but a whole bunch. Although, this is true for any electronic medical record HIPAA breach as compared with a paper chart HIPAA breach.

The other thing I can’t help but wonder is if there are more breaches with cloud EHR software, but we just don’t know that their happening. Although, that goes against the common thinking that EHR software does a much better job of tracking breaches than a paper chart. Your digital fingerprints are all over a digital chart and can be reported on quite easily. It’s a little harder to track the inappropriate fingerprints on a paper chart.

All in all, I’d have to agree with Michael and his assertion that we’re likely to see many fewer EHR breaches from a SaaS or cloud based EHR company than we will see from all the in house EHR software. In an in house system, the EHR company can just blame the clinic for the breach (in most cases). In a SaaS based EHR system, a HIPAA breach would have a much more damaging effect on the future sales of that EHR company. So, they’re more likely to put in the effort needed to avoid such breaches.

June 20, 2011 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.