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Technical Doctor's insights and information collated from various sources on EHR selection, EHR implementation, EMR relevance for providers and decision makers
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Engaging Health Care Consumers Through Information Technologies

Engaging Health Care Consumers Through Information Technologies | EHR and Health IT Consulting | Scoop.it

Despite being heavy users of technology in everyday activities such as online shopping and banking, consumers tend to make less use of technology to support their health care decisions. Nevertheless, they are enthusiastic about a technologically enabled health care system that enhances its accessibility, reduces paperwork, increases access to their personal health information, and improves its overall performance.

 

Effective use of information technologies represents both an unmet need and an opportunity for the health care system to better engage consumers.


Via nrip
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Make IT vendors your partner for a smooth EMR transition

Make IT vendors your partner for a smooth EMR transition | EHR and Health IT Consulting | Scoop.it

Vendors talk about partnering with medical practices all the time – especially in the information technology (IT) world of electronic health records (EHRs) and practice management systems.

 

But, ask any physician about their IT solution and most will express dissatisfaction, unhappiness, or harsh complaints.

 

The reason? For the most part, medical groups are not trained effectively for integrating IT into their work flow.

 

Vendors complain that physicians just won’t make the time to be trained. Training is critical before going live on an EHR, and ongoing training is essential for optimizing the EHR implementation after go-live.

 

First-time buyers don’t know what they don’t know and have been lulled into complacency by the simplification of so many consumer technologies.

 

EHR complexity requires training in earnest and all too often the unknowing buyer eliminates many hours of training during initial negotiations with the vendor. The vendor is willing to go along with it because they want to make the sale of their software.

 

Effective use of technology can control and reduce operating costs in a medical practice. Technology can drive revenue, monitor reimbursement, and position and support a practice’s participation in payers’ new reimbursement models. But only if the practice is well trained in the utilization of that technology.

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Online access to doctors increase office visits

Online access to doctors increase office visits | EHR and Health IT Consulting | Scoop.it

A new study showed that patients with online access to their doctors - namely e-mail - actually scheduled more in-person office visits.

 

Uncle Sam wants you to email your doctor. A federal law passed in 2009 says that physicians have to start offering their patients online communication, or Medicare will start docking how much it pays them in the future.

 

Some patients hope that having online access to their doctors will mean they can cut down on how often they have to go to the doctor's office. But new research suggests that patients with online access actually schedule more office visits.

 

Palen, who's also a researcher, wanted to see if offering patients online access to their doctors would mean they'd need to come in to the office less often. Previous studies found around a 20 percent drop in patient visits once they had online access.

 

But Palen's much larger study, just published in the Journal of the American Medical Association, showed that patients with online access actually scheduled more visits.

 

Read th study at: http://jama.jamanetwork.com/article.aspx?articleid=1392562

 

Using health information technology to foster efficient health care delivery is an important component of health care reform. Studies indicate that patients desire online access to their medical records and e-mail communication with their clinicians.

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Which social media site to use when for hospitals and medical practices (infographic)

Which social media site to use when for hospitals and medical practices (infographic) | EHR and Health IT Consulting | Scoop.it
You wouldn't use an otoscope to check a heart rate, so why use LinkedIn for patient education? This infographic illustrates the best social media site to use, based on what you're trying to do.

Via Dean Berg, Chanfimao, dbtmobile
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10 Examples of Mobile Health Around the World

10 Examples of Mobile Health Around the World | EHR and Health IT Consulting | Scoop.it

The majority of people in developing nations don't have access to health care providers, basic antibiotics or even clean water—but many do have mobile phones and can access care through advances in mobile health (mHealth). Innovations range from low-cost medical devices that attach to mobile phones to new delivery models that give patients access to health care providers through short message service (SMS), photos or videos. Let's take a look at 10 transformative examples from around the globe.


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Africa's mHealth breakthroughs to pave way for U.S.

Africa's mHealth breakthroughs to pave way for U.S. | EHR and Health IT Consulting | Scoop.it

The United States will look to Africa to gain knowledge about advances in mobile health technologies because Tanzania, among other countries, already has maternal child health and community health worker programs that rely on smart phones.

 

While it’s still the early days of mHealth and the digital revolution, “we will see huge breakthroughs in Africa and South Asia,” said Jeffrey Sachs, director of the Earth Institute at Columbia University, speaking at a Monday afternoon mHealth Summit 'Super Session' on global implications for mHealth technologies.

 

“Those breakthroughs will eventually become breakthroughs in the U.S. when it addresses the high costs of its healthcare system and frees up $750 billion a year in waste,” Sachs said.

 

Mobile phones have been used to deliver messages about maternal and child health to mothers who live in areas that are remote or lack communications and other services. Mobile technology can make a difference, getting critical [pregnancy] stage-based information to expectant moms


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EMR and Practice Management, Is Implementation Actually Difficult?

EMR and Practice Management, Is Implementation Actually Difficult? | EHR and Health IT Consulting | Scoop.it

Electronic Medical Records (EMR) and Practice Management systems are being adopted by almost every physician across the US, thanks to the slogans of quality care provision and the government’s meaningful use incentive funds, there still seems to be a handful of physicians who find it difficult to switch from their conventional methods to automated EMRs and Practice Management. One could possibly list down a couple of reasons behind that. While some find it troublesome to let go of their existing workflows, other consider health IT applications to be intricate and time consuming.

 

’I agree it is not easy to change your habits. However, given the number of advantages and benefits that comes with certified EMR and practice management, physicians should take the matter seriously. Fortunately, majority physicians have implemented such solutions, however others still look for convincing arguments and answers’, says a North Carolina based health IT consultant.

 

One of the biggest misconceptions about EMR and Practice Management is that these solutions are complex and time consuming. Whereas today, usability along with maintaining product quality is what most established vendors keep on top of their priority lists. According to research, health IT applications are so easy to use that even amateurs get up to speed with them in no time. Physicians do not have to spend extra dollars or hours to learn such applications, the less time consuming yet effective demonstrations provided by the vendor are sufficient to comprehend the functionality and features of the system.

 

’It is simple, technology is meant to facilitate physicians and to complicate their working patterns. Certified EMR and practice management are designed keeping in view that physicians are not IT personnel. Hence, keeping the technology easy to use has always been the priority of established vendors’, says a New Jersey based health IT consultant.

 

Although there isn’t paucity when it comes to the myths about EMR usability, one can identify ample reasons to support the adoption of the technology. However, this requires good research on one’s end. As majority physicians are convinced and are implementing certified EMR and practice management, it is just a matter of time when this handful of physicians would start realizing how easy it is to switch to these solutions.

 

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Medical EMR Can Simplify Healthcare | EMR NEWS

There are many ways that an integrated medical EMR system can help a practice to save money and become more efficient. But one benefit of EMRs that is often overlooked is the way a good system can simplify healthcare in general. There are benefits to patients as well as clinicians that can help even the most confused patient to get the care they need at a better price, without costing the practice more money.


Billing Advantages


Healthcare providers already know how an integrated medical EMR can make billing more accurate and efficient. If everyone in the practice is using the same system, and all data are available through that system at any time, medical billing staff can pull the data they need and bill on a timely schedule. Coding can also be easier, with a specific set of billable tasks and diagnoses, clinicians can provide medical EMR coding staff with the precise information they need to get the medical coding done more quickly and easily.


The billers can then take the information and file claims with the insurance companies and bill patients for their share of the cost. The improvement in efficiency that medical coding and billing departments are experiencing has been exciting for those practices that have implemented a medical EMR.


So how does this simplify healthcare and understanding the healthcare and insurance system in the United States? First of all, if the billing system requires specific information from patients, the billing department can implement procedures for determining what a patient will owe even before services are provided.

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Inaccurate EHR info can spoil research, public health efforts

Inaccurate EHR info can spoil research, public health efforts | EHR and Health IT Consulting | Scoop.it

Data entered incorrectly in electronic health record systems can render not only that patient's record inaccurate, but also can adversely impact the results of research based on that data, according to a recent blog post by Anna Lembke, M.D., an assistant professor of psychiatry and behavioral sciences at Stanford's School of Medicine.

 

Lembke, writing on the school's blog Scope, points out that one of the benefits of EHRs is to use their information for "big data" purposes and that EHRs are being data mined to make "important decisions" about clinical care and health policy.

 

However, "if data-mining is based on inaccurate information, then the whole operation is a house of cards," she points out.

 

For example, one physician Lembke knows is required by his EHR to identify the ethnicity of all of his patients. Since he believes that this information isn't necessary, he quickly tackles that chore by listing them all as Albanian, since that is the first ethnic group listed on the EHR's pull down chart. As a result, more than 90 percent of his patients are identified as Albanian, even though they aren't, which falsely skews information about the population in his California county.

 

"Misinformation in electronic medical records, whether accidental or otherwise, has far-reaching consequences for patients and healthcare policy," Lembke warns.

 


Via nrip
Paul Epping's comment, October 20, 2012 3:32 PM
This problem can be limited if the EHR is based on structured data entry
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Survey: Most U.S. Primary Care Docs Using EMRs – Capsules - The KHN Blog

Survey: Most U.S. Primary Care Docs Using EMRs – Capsules - The KHN Blog | EHR and Health IT Consulting | Scoop.it

U.S. doctors are no longer the laggards when it comes to using health information technology in their practices. But they are still more weighed down by paperwork and health care costs than many of their Western counterparts.

 

A survey of nearly 8,500 primary care doctors in ten of the world’s wealthiest countries took a new look at health IT adoption, updating a 2009 study conducted by The Commonwealth Fund and Harris Interactive.

 

Two-thirds of the American physicians in a sample size of 1,012 reported using electronic health records, compared to 46 percent three years ago. More doctors also said their practice included e-mailing patient summaries and test results.

 

The Netherlands, Norway and New Zealand adopted the technologies earlier, and almost all of their physicians continued to report using EMRs since 2009. All three countries have some form of universal health care.

 

“Bringing in EMRs only makes sense when standards have been set,” said Cathy Schoen, a lead author of the study and senior vice present of policy, research and evaluation at the Commonwealth Fund.

 

Schoen said more U.S. physicians were open to transitioning from to paper to electronic records and exchanges after national policies were put into place to regulate the technology. The Centers for Medicare & Medicare Services Incentive Programs govern the “meaningful use” of electronic health records and provide incentives to physicians who adopt systems that meet specific criteria.

 

Dr. Jeffrey Cain, president of the American Association of Family Physicians, said primary care doctors were the first to implement electronic health records, even though the cost was high for their practices compared with that of specialty practices. He said newer physicians entering the workforce, who are generally more comfortable with technology, have added to the momentum driving EMR use.

 

While health IT advancements foretell more efficient practice, only 15 percent of American physicians thought the country’s health care system worked well, according to the study. And they blamed insurance coverage restrictions for stymieing access to care and undermining potential for change.

“It’s expensive and fragmented,” Cain said in response to complicated insurance reimbursements. He said family physicians spent an average of eight hours a week filing paperwork, because insurance companies and federal coverage plans each had a different process.

 

Primary care physicians are hopeful that changes advanced by the health law – including coverage expansions – could prove helpful, according to the Commonwealth Fund’s Schoen. “Right now it’s complexity without value,” she said.

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Digital medicine: Patients are stuck in the precarious middle

Digital medicine: Patients are stuck in the precarious middle | EHR and Health IT Consulting | Scoop.it

The use of computers in everyday medical practice has finally reached the tipping point.

 

EHRs are secure digital repositories of patient information–doctors’ notes, lab and X-ray reports, and letters from specialist physicians. They are an electronic version of the paper chart. Newer, more advanced EHRs are integrated systems and allow doctors to order tests, generate bills, communicate with patients, and run analyses on aggregate patient data. In hospitals, nurses use EHRs to administer and record medication dosing and document other patient care activities.

 

Though medical practices have a high burden of proof to claim their bonus–the Department of Health and Human Services is still in the process of fully defining just what constitutes ‘meaningful use’–there is now conclusive evidence that the carrots are working. Recent data demonstrates that solo and two-doctor offices, which still comprise over half of all medical practices in the U.S., have seen the biggest jump in EHR adoption over the last six months. These small shops are reaching the conclusion that they must participate, as they risk being left behind technologically and financially.

 

As a practicing primary care doctor, I feel I am slowly being pulled into the apostate camp. Our apostasy is not about EHRs; that game is all but over. Rather, there’s a pervasive sense that our use of technology has become a wedge between doctors and just about everyone else: Nurses. Other doctors. Worst of all, our patients.


Via nrip
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MHealth Identified as Major Growth Sector in Healthcare - Especially with Support from FCC

MHealth Identified as Major Growth Sector in Healthcare - Especially with Support from FCC | EHR and Health IT Consulting | Scoop.it

Some well-known companies – as well as lesser known firms – stand to benefit from the growing demand for mobile health technology.


Mobile health (mHealth) involves the monitoring of patients or providing them with various forms of healthcare using mobile technology. There is exchange of data, images and video and the use of mobile networks, devices and applications.


And the sector’s technology is becoming more popular, with growing acceptance by physicians.

 

Companies like Qualcomm, Intel and Apple, as well as smaller firms like Fitbit Inc., and Entra Health Systems, stand to benefit from this trend.


One example of expansion in this sector is Qualcomm, which invested $100 million in its subsidiary, Qualcomm Life Inc., in 2011, according to a company statement. The division is focused on improving the capabilities of medical devices.


According to a recent report from iData Research, the U.S. patient monitoring market was valued at over $3.1 billion in 2011 and will grow to almost $4.2 billion by 2018.


Via nrip
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The need for long-term digital retention in eHealth

The need for long-term digital retention in eHealth | EHR and Health IT Consulting | Scoop.it

Although the price for storing data may be falling there are additional economic challenges in ensuring digital content remains understandable for future generations. Guaranteeing long term usability for spiralling amounts of data produced or controlled by organisations with commercial interests is quickly becoming a major problem, says Michael Wilson, Secretary, UK e-Infrastructure Leadership Council.

 

Wilson gave some excellent background on the subject during Thursday's e-health session at eChallenges presenting findings from the ENSURE project which is examining economical solutions for long term digital preservation in user cases (healthcare, clinical trials, and finance).

 

Digital medical data serves a different purpose depending on the stakeholders. Health records and data can be preserved for the benefit of patients, their families and future medical research. Over time, the reasons for collecting specific data-sets may also change. Medical imaging data takes up to 30% of the digital universe. Each record has it's own formula (e.g. pathology images are saved in DICOM). In a further 10-20 years, software will inevitably have changed but virtual environments can preserve the software to make the data useful (e.g. associated manuals, hardware, operating systems). There are of course risks in preservation associated with different strategies, and this is what ENSURE is researching (i.e looking at cost/value of different strategies, how to automate the lifecycle, as well as scalability options of leveraging new technologies such as cloud technology).

 

For researchers, a major flaw in social media is its transitory state. Already one project is examining how to preserve and manage weblogs - Blogforever. Recent studies have revealed that blogs on major historical events have already been lost (see another blog post). BlogForever aims to provide a solution to preserve and organise all blogs especially those that have historical significance - one project partner is CERN with the goal of preserving physics-related blogs. GridCast originated at CERN. The ultimate vision of the project is to preserve collections of blogs in a cost efficient manner safeguarding their authenticity and integrity for users/organisations (e.g. a National Library of Medicine would like to preserve a collection of health and medicine blogs). Other aims include enabling full text searching, tagging, sharing and reusing content.


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When is patient data not patient data?

Data from implantable medical devices is not covered by HIPAA until it is sent to the patient’s physician (on a periodic basis and usually in edited form — other data is typically retained by the device manufacturer) and entered into the patient’s medical record. It is, rather, governed by FDA rules, and the recent attention to this issue has prompted an FDA spokesperson to say that it would review a plan to give data directly to patients, but that data should be directed to physicians who can interpret it for patients. This is where the action will be in the future: the FDA could develop a framework to allow sharing of this data directly with patients. (The data is collected wirelessly in patients’ homes from the implantable devices.)

 

The point is that is if a patient wants access to this data he or she should be able to get it. What can a patient do with this data? For one thing: correlate activities with effects (one example given by Hugo is his correlation of having a drink of scotch with the onset of an arrhythmia — correlated through manual recordkeeping — which led him to give up scotch) and thereby have the ability to manage one’s condition more proactively.

 

We can get copies of our medical records from health care professionals and facilities within 30 days under HIPAA — and within a just a few days if our providers are meaningful users of certified electronic health records (it ought to be quicker than that … some day). In some states now, and in all states sometime soon (we hope), we can get copies of our lab results as soon as they are available to our clinicians.


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7 Ways to Attract New Patients to Your Medical Practice

7 Ways to Attract New Patients to Your Medical Practice | EHR and Health IT Consulting | Scoop.it

Promoting your practice doesn't have to be costly and time-consuming. Physicians and experts share some creative ways to lure more patients into your practice:

 

1. Get social. Have a professional website, a well-written blog, and an active Facebook page and Twitter feed.

 

2. YouTube. Ask patients for permission to tape and post online an interview you have with them. Then use your blog to promote the online video.

 

3. Become an expert. Write an article on avoidance and treatment tips for common medical issues.

 

4. Give out. Offer patients brochures, pens and fridge magnets with your office information printed on them.

 

5. Give back. Target your volunteer efforts to attract the most relevant patients.

 

6. Ask for help. Your current patients are a great opportunity for free publicity.

 

7. Say thanks. Send a handwritten thank-you card to new patients.

 

There are online tools that can make these tasks easier, and some EHR vendors offering such services as part of their solutions.

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What is HIE? | Health Information Exchange

What is HIE? | Health Information Exchange | EHR and Health IT Consulting | Scoop.it

Health information exchange (HIE) allows doctors, nurses, pharmacists and other health care providers to securely share a patient’s vital medical information electronically.

 

Reducing the need for the patient to transport or relay their medical history, lab results, images or prescriptions between health professionals. Instead, this information is shared between health care providers before the patient arrives for an appointment or goes to the pharmacy to pick up a medication.

 

What is happening in YOUR state?

 

Every state has received funds to modernize how patient health information is shared. More information about the State Health Information Exchange program—including what’s happening in each state—is available at www.healthIT.gov

 

Timely sharing of vital patient information can better inform decision making at the point of care and allow providers to:

 

Avoid readmissions, Avoid medication errors, Improve diagnoses, Decrease duplicate testing.

 

There are currently three key forms of health information exchange:

 

1. Directed Exchange – ability to send and receive secure information electronically between care providers to support coordinated care: http://www.healthit.gov/providers-professionals/health-information-exchange/what-hie#directed_exchange

 

2. Query-based Exchange – ability for providers to find and/or request information on a patient from other providers, often used for unplanned care: http://www.healthit.gov/providers-professionals/health-information-exchange/what-hie#query-based_exchange  

 

3. Consumer Mediated Exchange – ability for patients to aggregate and control the use of their health information among providers: http://www.healthit.gov/providers-professionals/health-information-exchange/what-hie#consumer-mediated_exchange

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Mobile health, 2012: myths & realities; product/service evolution, statistics & platforms

Mobile health, 2012: myths & realities; product/service evolution, statistics & platforms | EHR and Health IT Consulting | Scoop.it

An mhealth infographic from Manhattan Research


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The doctor will e-mail you now. And then see you later.

The doctor will e-mail you now. And then see you later. | EHR and Health IT Consulting | Scoop.it

When Ted Palen, a Kaiser Permanente researcher, started investigating what happens when doctors begin e-mailing with patients, he thought he would see the practice lighten workloads. Patients would get their questions answered remotely, with no need to turn up in person.


Palen just finished a five-year retrospective study of what happened when Kaiser Permanente in Colorado began allowing e-mail access to doctors in 2006. The outcome, as Palen notes in this week’s Journal of the American Medical Association, was “contrary to our expectations”: Online access to doctors was associated with more doctor visits, not fewer.

 

There was a big spike in visits and phone calls to doctors’ offices right when the new e-mail access, called MyHealthManager, came online. The graph displayed divides the Kaiser Permanente population into those who were using the online access program, and those who were not:


That initial spike did taper off with in a few months. Even a year later, however, those who utilized the online access to doctors still had higher rates of doctor visits per month

 

There are a few possible explanations of what is happening here. One that the researchers discuss is an issue of self-selection: Those who would sign up for the online health manager might be more inclined to take a greater role in managing their own health. “Members who are already more likely to use services may selectively sign up for online access and then use this technology to gain even more frequent access rather than view it as a substitute for contact with the health care system,” the researchers write.


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EHRs provide good ROI, even in low-income settings

EHRs provide good ROI, even in low-income settings | EHR and Health IT Consulting | Scoop.it

Implementing an EHR provides a good return on investment for hospitals in low-income areas, according to a case study published in the Journal of the American Medical Information Association.

 

Researchers, led by Julia Driessen, PhD, of the Graduate School of Public Health at the University of Pittsburgh, studied the implementation of a hospital-wide EHR in a tertiary facility in Malawi, a southeast African nation.

 

The researchers studied three areas of impact: length of stay, transcription time and laboratory use. When comparing the previous paper-based system to the electronic system, they found estimated cost savings in those three areas of $285,000 in U.S. dollars. When compared with the costs of installing and sustaining the EHR system, there is a net financial gain by the third year of operation. Over five years the estimated net benefit was more than $600,000.

 

Evaluating EHRs in low-income settings is important, the authors wrote, because such hospitals suffer from additional problems, such as staff and supply shortages, which affect how fully the benefits of an EHR are realized.

 

EMR can have financial, in addition to clinical, benefits in low-income settings," the researchers said. "These results suggest that the dialogue surrounding EMR in low-income settings should focus on how, rather than whether, to make these investments.

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Successfully Managing an EMR Transition in a Practice Shared by a Licensed Physical Therapist

Successfully Managing an EMR Transition in a Practice Shared by a Licensed Physical Therapist | EHR and Health IT Consulting | Scoop.it

Successfully Managing an EMR Transition in a Practice Shared by a Licensed Physical Therapist Since EMR system will be a mandatory for the coming years, Nitin Chhoda, a physical therapist shares some ways how to successfully manage an EMR transition in a practice.

 

These days it would certainly be an advantage for any healthcare provider to make the transition to electronic medical records. Compared to the traditional file and paper system for archiving and managing medical data, EMRs are faster, more efficient and certainly more convenient for both the provider and the patients that they service. However, transferring or overhauling the entire system is not an easy task as one might think.


Nitin Chhoda, a licensed physical therapist and international private practice marketing expert says that the transition should be gradual and not rush, because there are things that need to be addressed carefully like the migration of data from paperwork into electronic records.


However, there are many advantages that could be enjoyed if data management is turned into the electronic medical records system. A very good management is needed when transitioning from a traditional paperwork-based data archiving into EMR.

 

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Decoding doctor's handwriting can mean life or death

Decoding doctor's handwriting can mean life or death | EHR and Health IT Consulting | Scoop.it
Physician Brendan Byrne was working his shift at his New Westminster medical clinic when an elderly woman arrived for her first visit after being discharged from the hospital.

 

The only information Byrne had was a discharge document from the hospital with a crucial line, scribbled in illegible handwriting, giving the dosage for a potent drug prescribed for the patient.

 

While jokes have abounded for years about doctors' messy handwriting, this was no laughing matter. "Right beside the potassium there was a delta symbol to change from one potassium a day to two twice a day - I couldn't tell if it was the potassium or the medication above that ... an overdose of potassium can kill somebody," he said. "Fortunately we were able to figure out what to do, but it was a bit unnerving to see that."

 

For Byrne, the experience only served to reinforce the importance of the current shift to eHealth. Outmoded health delivery records are being replaced by digital technology that's improving patient care and transforming our health care system.

 

"I once had a doc, an older fellow, I was talking to about adopting EMR (electronic medical records)," said Byrne, who is also vice-president physician solutions for Telus Health (part of the Canadian telecom company Telus). "I picked up a chart and I said 'would you take your car to a mechanic who kept records like this?' "He looked at me and said 'No.'" Byrne is among the players on the front line of the digital transformation in health care. He started Wolf Medical Systems, a company that grew to become the largest electronic medical records provider in Canada before it was acquired by Telus earlier this year.

 

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U.S. Primary Care Physician Adoption of EMRs Increases 50%, Still Lags Other Countries | Healthcare Information Technology

U.S. Primary Care Physician Adoption of EMRs Increases 50%, Still Lags Other Countries | Healthcare Information Technology | EHR and Health IT Consulting | Scoop.it
Primary care physicians in multiple countries have made progress in the use of health information technology in healthcare practices, particularly physicians in the United States, according to a survey published in HealthAffairs.

 

 

Physicians from 10 countries completed the survey this year: Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Switzerland, the United Kingdom and the United States. The survey consisted of interviews with primary care physicians using a common questionnaire from a 2009 survey. To examine current rates of adoption and the diversity of capacity, the survey asked about basic electronic medical records and included 15 questions about functions that HIT systems potentially provide.

 

Key findings from the survey include:

 

• Physician practices in all 10 countries have been investing in HIT to provide information tools and decision support, with Canada and the United States most recently enacting national policies to spur the spread and use of HIT.

• There was a substantial increase in the United States in use and multifunctional capacity compared with 2009. The United States still lags behind countries with near-universal adoption, such as Australia, New Zealand and the United Kingdom, but there has been a 50 percent increase in the rates of use of EMRs.

• Across countries, most physicians with EMRs reported the ability to generate patient and panel information, and they routinely use electronic order entry for lab tests and prescription drugs.

• The share of U.S. practices reporting multifunctional capacity of EHRs is 27 percent.

• The electronic exchange of patient information is not yet the norm in any country. In the United States, the capacity for electronic exchange of patient information is concentrated in larger practices and those in integrated health systems.

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How Has EMR Simplified Prescription?

How Has EMR Simplified Prescription? | EHR and Health IT Consulting | Scoop.it
We are all familiar with the hapless condition of the healthcare system in US. Although a significant percentage of the federal budget was being spent on healthcare, experiencing the expected outcome was barely evident. While there existed several problems which needed to be addressed immediately, medical prescription was certainly a vital one. Over time, be it free EMRs or the ones that charge a monthly subscription fee, became the stepping stone to help in mitigating such problems.

 

According to research, every year a significant number of complaints were reported against medication prescription errors. On one hand you would come across physicians complaining about the loss of prescription notes on part of the patients, while on the other hand, patients and pharmacies would point fingers towards handwriting errors made on the prescription notes. Since an appropriate remedy was the need of the hour, EMR technology came to rescue, owing to the concept of electronic prescription through EMRs.

 

It is believed that electronic prescribing has played its role to completely change the dynamics of the healthcare system. Ensuring accountability and storing evidence, which was not possible in paper based practice, has started to settle in the healthcare system ever since the inception of EMR. The science behind electronic prescription is simple; once the physicians is finished with documenting the patient encounter, using the EMR, he can send the prescription details directly to the pharmacy.

 

Realizing the potential advantages that electronic prescription could bring to the healthcare industry, even the government included it as one of the core objectives of the meaningful use program. Since the government is taking the matter seriously, it expects the physicians to do the same too. This means that if physicians want to get their hands on the incentive funds; sooner or later they would have to start electronic prescription.

 

Not only have EMRs and the mechanism of electronic prescribing helped save valuable time but also eliminated the loop holes that existed within the system. Today, majority physicians across the US are using electronic prescriptions. According to a leading health IT magazine, approximately 67% physicians across the US are using e-prescriptions. As the technology progresses, experiencing more innovative breakthroughs is just a matter of time.

 

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Why Your Doctor Doesn’t Want You Using iPhone And iPad Health Apps | Cult of Mac

Why Your Doctor Doesn’t Want You Using iPhone And iPad Health Apps | Cult of Mac | EHR and Health IT Consulting | Scoop.it

Doctors may be fans of the iPad as a clinical tool, but they’re not certain that Apple’s iPad, the 5000+ health and medical apps in the App Store, or other mobile technologies are safe and effective health tools for patients. That’s the gist of a report by PwC Global Healthcare. The report was based on surveys of physicians, healthcare management professionals and payers, and mobile technology users in ten countries around the world.

 

According to the report, just under two-thirds (64%) of healthcare providers acknowledged that mobile technologies offer potential benefits for patients, but feel that mobile health (also known as mhealth) is virgin and untested territory. As a result, the majority of doctors (73%) don’t suggest iOS or mobile health apps to their patients and some (13%) even discourage patients from using them.

 

The reasons for not encouraging mobile health apps cover a variety of territory.

 

There’s the perception of cost, complexity, and scope of change associated with implementing mobile health solutions and an associated lack of technology systems in many healthcare environments. For example, the survey identified that only 40% of private practices and 63% of public sector offices and hospitals worldwide have wireless connectivity.

 

Concerns about how patients would use mobile health apps was a common reason for discouraging their use. That breaks down into a handful of issues, including patient compliance with health tools, the ability to ensure their proper use, and a concern that patients would become too independent and avoid regular office visits. That last concern appears to be a very valid point since 59% of mobile health users said iOS apps and other mobile technologies have replaced some visits to doctors or nurses.

 

Beyond patient use of health apps, concern about industry regulations was the biggest drawback to deploying mobile health solutions followed be the sense that healthcare, as an industry, has a particularly conservative culture. Those are areas that PwC’s Global Healthcare’s Christopher Wasden identified as different between as different between industrialized and developing countries.

 

The adoption of mobile health in emerging markets versus developed markets is a paradox. In developed markets, mHealth is perceived as disrupting the status quo, whereas in emerging countries it is seen as creating a new market, full of opportunity and growth potential. In younger, developing economies, healthcare is less constrained by healthcare infrastructure and entrenched interests. Consumers are more likely to use mobile devices and mHealth applications, and more payers are willing to cover the cost of mHealth services.

 

Other interesting points from the study include the following:

 

Health administrators and payers are more encouraging of mobile health solutions – 40% approve of such technologies compared to just 25% of doctors.


Two thirds of people who use health and fitness apps discontinue their use after six months (or earlier).


Roughly half the population expect mobile health options will improve the convenience (46%), cost (52%) and quality (48%) of healthcare.


Nearly half of those surveyed expect mobile apps will change the way they manage chronic conditions (48%), medications (48%) and overall health (49%).


60% of consumers believe doctors are not as interested in mobile health options as patients and technology companies.

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Mobile apps, medical records fuel healthcare's digital transformation - FierceHealthIT

Mobile apps, medical records fuel healthcare's digital transformation - FierceHealthIT | EHR and Health IT Consulting | Scoop.it

It's always interesting when the popular press tackles topics that healthcare industry leaders have been talking about for ages. It brings a different perspective and a fresh voice that's sometimes lacking in board room discussions, conference lectures and trade publication articles.

 

In a recent series titled "The Digital Doctor," the New York Times offers a glimpse into what the average consumer sees when he or she stands at the intersection of healthcare and technology: how health IT is changing medicine and doctor-patient relationships from the patient's point of view.

 

The series touches on a number of hot health IT topics--from how younger physicians are embracing technology to how older doctors are trying to catch up to how texting and social media can help pediatricians communicate with teens to the balance between the benefits and the dangers of electronic health records.
In this special report, FierceHealthIT takes a deeper look at some of the subjects in the series. On the following pages, you'll find highlights from and links to the Times' articles as well as links to additional news and information from our own coverage of the topics from the past year.


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