EHR and Health IT Consulting
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EHR and Health IT Consulting
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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Epic Trails in Black Book Ranking of Inpatient EHR Vendors

Epic Trails in Black Book Ranking of Inpatient EHR Vendors | EHR and Health IT Consulting |

Between system replacements, EHR interoperability issues, and ICD-10 implementation delays, the health IT landscape has been as complex as ever over the last year. In an effort to get the industry ready for coming challenges, Black Book Market Research conducted an inpatient EHR user survey to find out the top inpatient EHR vendors for 2015.

The survey focused on identifying EHR vendors that score highly in certification-required EHR capabilities, clinical workflow applications, documentation functionalities, connectivity, and accountable care data mandates.

Black Book polled 14,000 nurses and 5,000 hospital staff using EHR technology among 702 hospitals. The survey was taken from August 2014 to February 2015. One interesting finding from the poll shows that 74 percent of hospital CIOs and medical technology leaders claimed their selection of EHR systems consisted of “significant nursing input.”

“Black Book survey findings included a substantial improvement in reducing the gap between hospital nursing, physician, administrative, financial and technology stakeholder satisfaction, although there’s still a long way to go,” Doug Brown, Managing Partner of Black Book, said in a company press release.

Out of all nurses responding, 14 percent felt that clinicians’ perspectives were considered highly when selecting healthcare technology to improve workflow and care. About one in five hospital IT managers – 19 percent – state that the current EHR system used in their practice is not the best technology to operate in their facility.

Many find that their EHR systems are not meeting the needs of their facility including their EHR interoperability goals and cost-cutting strategies through expensive add-ons. The survey also illustrated that 69 percent of hospital technology leaders feel that nursing satisfaction has risen due to EHR system updates that occurred after implementation because of nurses’ concerns.

Only 10 percent find that the improvements in nursing satisfaction is due to training and adjustment in EHR use while 20 percent of respondents attribute it to enhancements in EHR functionalities and updates.

The Black Book survey uncovered the top three EHR vendors to be CPSI, Cerner, and Allscripts. Epic Systems was right behind Allscripts among hospitals with 250 beds or more. For the past three years, Epic had earned top client bestowed honors among academic teaching facilities and large hospitals.

CPSI received a nursing and clinician satisfaction rating of 90.2 percent and a technology and financial administrative satisfaction rating of 95.4 percent. Cerner’s satisfaction rating among nurses and clinicians hit 91 percent while the technology and financial administrative satisfaction rating was at 94.1 percent.

Allscripts had its nursing and clinician satisfaction at 83.2 percent with the technology and financial administrative satisfaction hitting 92 percent. Hospital CIOs and IT managers selected Cerner as their first choice for an EHR system suitable within the hospital setting. Other vendors that scored well include Epic Systems, GE Healthcare, Meditech, McKesson, and Siemens.

In order to ensure high physician and nursing satisfaction within the healthcare system, providers will need to implement top EHR systems capable of meeting the demands of the industry and being customized to fit physician practice needs.

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Developing a Specialty-Specific Action Plan for ICD-10

Developing a Specialty-Specific Action Plan for ICD-10 | EHR and Health IT Consulting |

As the calendar turns over to the beginning of a new year, the healthcare industry begins yet another countdown towards an autumn implementation date for ICD-10.  With just under ten months left until the most recent deadline of October 1, 2015 – and that date likely to stick thanks to Congressional support and a growing chorus of healthcare stakeholders endorsing the switch – healthcare providers may not have the luxury of banking on an additional delay.  Organizations can make the most of their remaining time by using CMS resources to develop a specialty-specific action plan that will carry them through their ICD-10 prep for the rest of the year.

The Centers for Medicare and Medicaid Services has provided a number of transition resources to providers who may not be sure what is required for the ICD-10 switch or how to achieve transition benchmarks.  Among these Road to 10 tools is an interactive timeline feature which allows providers to select their practice type, size, progress, and business partners to formulate a personalized plan.

The action plan tool provides common specialties with tailored information, including the clinical documentation changes necessary for the most common ICD-10 codes and sample clinical scenarios for practice.  For cardiologists, for example, the literature reminds practitioners that a myocardial infarction is only considered acute for a period of four weeks after the incident in ICD-10 compared to 8 weeks in ICD-9.  Orthopedists are prompted to remember the specificity requires to accurately code a bone fracture, including the type of fracture, localization, healing status, displacement, and complications, while obstetricians will need to distinguish between pre-existing conditions and pregnancy-related issues when documenting complications.

For the 27% of providers who have not planned to start their ICD-10 testing as of November, and especially the 30% who admitted that a lack of understanding had them stalled, the Road to 10 timeline provides detailed steps to achieve internal and external testing of systems.  From identifying sample cases for testing to coordinating with external business partners and fixing any problems that arise from the process, the resource allows providers to review checklists and suggestions that will set them on their way towards a successful testing period.

CMS suggests that healthcare providers have their internal testing already completed by this point in the process, and is currently seeking volunteers for their end-to-end testing week scheduled for the end of April.  According to the timeline, the external testing process is likely to extend through July as organizations coordinate with their payers and clearinghouses, but the number of providers that are significantly behind these recommended timeframes means that many in the healthcare industry are likely to experience a sharp crunch up against the October deadline.

Providers that are struggling with the sheer volume of tasks associated with the ICD-10 switch may benefit from using the Road to 10 toolset and exploring CMS resources on the transition to identify common pitfalls that may strike their specialty or size of practice.

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