EHR and Health IT Consulting
37.3K views | +4 today
Follow
 
Scoop.it!

EHR direct review leaves patient safety gaps

EHR direct review leaves patient safety gaps | EHR and Health IT Consulting | Scoop.it

ONC’s increased oversight of EHRs embodied in new regulations doesn’t go far enough to protect patient safety, according to a new analysis from the Pew Charitable Trusts.

The new rule, released October 14, clarifies ONC’s ability to directly review certified EHR technology and hold EHR vendors accountable for non-conformities.

 

Both design errors and human factors have contributed to adverse patient safety events, sometimes seen as an unintended consequence of EHRs.

 

Pew warns that the new rule does not cover gaps in hospitals', doctors' and developers' ability to detect flaws that could put patients at risk because ONC requires only limited testing of EHRs to check for defects before products are installed and there is no comprehensive system to collect information on safety problems.

The analysis recommends two additional steps be taken to improve patient safety:

  • ONC should require vendors to better test EHRs for safety before bringing their products to market and after they are installed and customized to increased detection of flaws beforehand.
  • All stakeholders should come together to identify common safety problems and work together on solutions. Congress should pass legislation to establish this collaborative.

“These additional steps would help detect and prevent safety problems during the development and implementation of EHRs and reduce patient harm related to these products,” The analysis says.

 

Both design errors and human factors have contributed to adverse patient safety events, sometimes seen as an unintended consequence of EHRs.  

However, providers have been hampered in their ability to communicate safety issues attributable to EHRs for fear of repercussion from vendors, who by contract or otherwise seek to suppress such discussion. Even the EHR vendors’ code of conduct, updated earlier this year, doesn’t promote open discussion of patient safety issues except in certain circumstances.

The rule had received mixed reviews from stakeholders, with some applauding its attempts to improve patient safety and others concerned that ONC is over reaching its authority by delving into safety issues typically the purview of other agencies.

Technical Dr. Inc.'s insight:

Contact Details :
inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com/tdr

more...
No comment yet.
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
Your new post is loading...
Your new post is loading...
Scoop.it!

EHR Training: How to Help Users End Frustration, Overcome Fear and Engage 

EHR Training: How to Help Users End Frustration, Overcome Fear and Engage  | EHR and Health IT Consulting | Scoop.it

During EHR implementations, trainers are frequently the first to introduce end-users to the new technology. Users often come to EHR training frustrated about the change and nervous about acclimating to a new system. Adding to the pressure they feel, EHR training may only entail a one-time training class that delivers an immense amount of information in a short period of time—unless the healthcare organization offers on-site interim training opportunities, users often never touch the EHR again until after go-live. Under those circumstances, trainee resistance and fear are understandable.

What I’ve discovered in my years as a trainer is that successful EHR adoption is not just about the technical training. The biggest part of my job is to give end-users encouragement and confidence that they will be able to adapt to the EHR even though they may forget some of what is taught during training. People learn the best when they feel personally engaged and know that the trainer cares about them. Trainers play a key role in promoting not only technical EHR know-how, but cultural buy-in.

Given the right training environment, EHR trainers can help healthcare organizations diffuse negativity and push-back while bringing end-users up to speed on new EHR workflows. A trainer’s ability to successfully empower users truly does come down to training delivery. Here are some of the best practices that I’ve cultivated over the years to help maximize staff acceptance of the EHR.

Little things matter when creating a welcoming learning environment. When EHR users come to class, stand by the door and greet them. Smile, ask trainees their name and introduce yourself. Don’t just sit behind the desk. Don’t underestimate the power of a smile to make people feel comfortable. Remind trainees that you are there as a resource for them.

Address end-user frustrations head-on. As part of class introductions, ask trainees to comment on how they are feeling about the EHR migration. If necessary, purge EHR transition angst and negativity by letting users briefly share how they feel at the very beginning of class. After that catharsis, implement a strict “no complaining” policy and start working to shift end-user thought patterns. I encourage users to change their internal talk track from one of resistance to one of acceptance.

Employ compassion and empathy to understand where end-users are coming from. Trainees may come to class with feelings of nervousness, fear and anxiety. This is particularly true among non-computer natives, who are pervasive in healthcare. I like to share my personal story of being hired to be a trainer based on my background as a speaker and a nurse, and having to learn the technical aspects of training along the way. Shared experience and understanding go a long way in establishing rapport.

Build a sense of safety and community among end-users. To avoid trainee feelings of inadequacy, I offer patience to those in the class and work to foster a growth mindset. In peer training settings, clinicians often feel they are expected to know everything. Actively work to make end-users feel comfortable asking questions. Remind them that just because they don’t know something yet does not mean they can’t learn it.

Create a different training environment than people expect. Infusing unanticipated elements into the training program can make it more memorable. I like to bring laughter to the training program because if people are laughing, they are learning. Humor can help diffuse tension and put people at ease.

Always opt for words of encouragement. Remind EHR trainees that they can all do it and they will succeed, regardless of age or technical aptitude. Point out that people often learn the same thing in very different ways and warn against comparing one’s learning speed to that of others. All end-users will inevitably forget a portion of what is covered in training but, with the right mindset, they will be able to learn it again.

I can’t say enough about the need for words of affirmation in healthcare. A lot is expected of staff members during an EHR implementation. The stress of training while managing the day-to-day work of patient engagement can be overwhelming. If nothing else, give them hope. We all feel the strain of change in healthcare and we could all use an encouraging word!

Technical Dr. Inc.'s insight:
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

more...
No comment yet.
Scoop.it!

Health IoT creates huge opportunities for public health and software companies 

Health IoT creates huge opportunities for public health and software companies  | EHR and Health IT Consulting | Scoop.it

It was evident from this year’s Consumer Electronics Show (CES) earlier this month that there’s a great deal of interest in the Internet of Things (IoT) in general and for Health IoT in particular. Given that interest I thought I would reach out to a couple of experts to help explore the IoT landscape. Murali Kurukunda is Director of IT and Lead Architect at Medecision and Dr. Peter L. Levin, is CEO at Amida, director of ConversaHealth, and a father of the BlueButton initiative (which he helped launch as CTO of VA). Murali and Peter (along with Medecision and Amida) are right in the middle of intersection of data, interoperability, hardware, software and services for IoT in healthcare; they were kind enough to share with me what they’re seeing as the major opportunities in the space.

 

Here’s what they think, in their own words:

 

Connecting smart biological sensors to the internet is not a new idea. There are already dozens of products in the market that continuously monitor blood glucose and heart function, for example, and enable secure remote management for clinicians and caretakers. The safety of life implications are enormous, and the commercial opportunities untold. Some analysts predict a $100 billion-plus market for the healthcare segment of the “internet of things” (IoT).


What is new and emerging is the physical scale of the devices on the one hand, and the need to aggregate, reconcile, and consolidate those data streams for downstream clinical care services. Advances in semiconductor device manufacturing will relentlessly drive down the price and the size of these electro-physiological sensors, literally to nanometer scale, which will ultimately be able to do more than detect, they will be able to intervene. At the same time, our ability to make sense of the torrents of information is catching up to our ability to create them.

We believe that these are tremendous opportunities for public health and software companies like ours. It is why we are investing so much of our own resources to promote the open design, secure exchange, and value-added analysis of health data systems. Perhaps the largest inhibitor to a promising future of longer, healthier, less expensive life are the software merchants and device manufacturers who still and astonishingly insist on keeping data closed, isolated, and trapped in proprietary systems. We believe this is about to change too.

 

The interoperability troubles with electronic medical records are legion, and we won’t waste our page space or your attention lamenting the deeply ignorant and the nearly criminal. The immortal words of Forest Gump’s assessment about doing dumb things finds purchase here.

 

What we can do, however, is find clever ways leverage of IoT as yet-another, and maybe decisive, fulcrum of connected care. For what is today true in isolation – progressive plans, concerned parents, engaged patients – will soon-enough be more the ubiquitous standard of coordinated care; that coordination will reach deeply into pocketbooks as well as bodies.

We know that there are legitimate concerns about individual privacy and device safety, and that some people would literally rather die than compromise on either. We respect that, even as we actively promote more automation and digital services in health care.

 

Some of us believe that the existential benefits of independence and longevity outweigh the potential risks of intrusion and malfunction, some of us don’t. The point is that everyone should have the choice, and that no one should be coerced or manipulated into choosing one side of the argument. Fear mongering (about privacy) and fabrication (about intrusion) are forms of manipulation. In the case of health care they cost lives and money.

 

Let’s, instead, imagine a world of seamless, secure, and reliable health data interoperability. Let’s find a better way to safely liberate data at its source – labs, pharmacies, hospital and clinics, insurance claims, as well as implantable and wearable devices – pass it through hygienically sealed pipes, and receive it in places where it does the most good. That may be during a clinical care or remote telemedical encounter (to give you the best possible advice based on evidence and your personal health history), it may be when you pick up your medicines (to check for interactions with other medicines), or it may be to help your insurance company help you (because they have always had a bird’s eye view of your services, and they can’t kick you out for pre-existing conditions anymore).

 

Because of changes in the law, it may be with a loved one or trusted caretaker. It may be you.

 

The data could be as simple as a reminder message about an upcoming appointment, a warning message that a clinical value seems out of range, or an answer to a securely-texted question to your doctor. We have imagined that future and it is, as Ray Kurzweil likes to say, near.

 

There are two challenges, and they are slowly receding.

 

The first is that the data holders are still reluctant to share, even though it isn’t “their” data.  This will become less of a problem, as forward-looking providers like VA and DoD have shown, as well as payers like CMS, Aetna, and HCSC among many others have demonstrated.  All are outspoken supporters of the Blue Button program, now in its fifth year, and still growing.

 

The second falls squarely on our shoulders:  we need to make the user experience attractive, convenient, and useful.  The health IT community has made terrific strides recently – we-two have worked on the InCircle and a soon-to-be announced medication management app, for example –  and there are many companies that target data-driven patient-provider interactions, including AmericanWell and ConversaHealth.

 

The beautiful thing is that IoT fits so neatly into this conversation. The goal, of course, is to help us achieve our best-possible health. The best way to do this is with data. And the best data is coming at us in ever more granular packages, from patient-hosted sensors that monitor, detect, interact, and intervene. Weaving those into the tapestry of your personal health history is the next vanguard of coordinated and managed care.

Technical Dr. Inc.'s insight:
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

more...
No comment yet.
Scoop.it!

6 Ways Health Informatics Is Transforming Health Care 

6 Ways Health Informatics Is Transforming Health Care  | EHR and Health IT Consulting | Scoop.it

The fact that technology is rapidly transforming health care should come as no surprise to anyone. From robotic arms that perform surgery tonanorobots that deliver drugs through the bloodstream, the days of being tended to by the human country doctor seem to have fully given way to machines and software more in keeping with the tools of Dr. McCoy from “Star Trek.”

 

However, technology’s evolutionary impact on health care isn’t all shooting stars and bells and whistles. Some of health care’s most important changes can slip beneath the radar due to their more pedestrian presentation, but that doesn’t mean they aren’t just as revolutionary as mini robots zipping through veins. Take the burgeoning field of health informatics, for example. A specialization that combines communications, information technology, and health care to improve patient care, it’s at the forefront of the current technological shift in medicine. Here are six ways it’s already transforming health care.

 

1. Dramatic Savings

Health care isn’t just expensive; it’s wasteful. It’s estimated that half of all medical expenditures are squandered on account of repeat procedures, the expenses associated with more traditional methods of sharing information, delays in care, errors in care or delivery, and the like. With an electronic and connected system in place, much of that waste can be curbed. From lab results that reach their destination sooner improving better an more timely care delivery to reduced malpractice claims, health informatics reduces errors, increases communication, and drives efficiency where before there was costly incompetence and obstruction.

 

2. Shared Knowledge

There’s a reason medicine is referred to as a “practice,” and it’s because health care providers are always learning more and honing their skills. Health informatics provides a way for knowledge about patients, diseases, therapies, medicines, and the like to be more easily shared. As knowledge is more readily passed back and forth between providers and patients, the practice of medicine gets better — something that aids everyone within the chain of care, from hospital administrators and physicians to pharmacists and patients.

 

3. Patient Participation

When patients have electronic access to their own health history and recommendations, it empowers them to take their role in their own health care more seriously. Patients who have access to care portals are able to educate themselves more effectively about their diagnoses and prognoses, while also keeping better track of medications and symptoms. They are also able to interact with doctors and nurses more easily, which yields better outcomes, as well. Health informatics allows individuals to feel like they are a valuable part of their own health care team, because they are.

 

4. The Impersonalization of Care

One criticism of approaching patient care through information and technology is that care is becoming less and less personal. Instead of a doctor getting to know a patient in real time and space in order to best offer care, the job of “knowing” is placed on data and algorithms.

 

As data is gathered regarding a patient, algorithms can be used to sort it in order to determine what is wrong and what care should be offered. It remains to be seen what effects this data-driven approach will have over time, but regardless, since care is getting less personal, having a valid and accurate record that the patient and his care providers can access remains vital.  

 

5. Increased Coordination

Health care is getting more and more specialized, which means most patients receive care from as many as a dozen different people in one hospital stay. This increase in specialists requires an increase in coordination, and it’s health informatics that provides the way forward. Pharmaceutical concerns, blood levels, nutrition, physical therapy, X-rays, discharge instructions — it’s astonishing how many different conversations a single patient may have with a team of people regarding care, and unless those conversations and efforts are made in tandem with one another, problems will arise and care will suffer. Health informatics makes the necessary

coordination possible.  

 

6. Improved Outcomes

The most important way in which informatics is changing health care is in improved outcomes. Electronic medical records result in higher quality care and safer care as coordinated teams provide better diagnoses and decrease the chance for errors. Doctors and nurses are able to increase efficiency, which frees up time to spend with patients, and previously manual jobs and tasks are automated, which saves time and money — not just for hospitals, clinics, and providers, but for patients, insurance companies, and state and federal governments, too.  

 

Health care is undergoing a massive renovation thanks to technology, and health informatics is helping to ensure that part of the change results in greater efficiency, coordination, and improved care.

Technical Dr. Inc.'s insight:
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

more...
No comment yet.
Scoop.it!

A secret shopper’s perspectives on the EHR and clinical workflow 

A secret shopper’s perspectives on the EHR and clinical workflow  | EHR and Health IT Consulting | Scoop.it

As someone who has practiced medicine using both paper and electronic records, and someone who's been focused on the health tech scene for the past 20 years, you might think I've seen it all. Indeed, during my 35 year career in medicine and tech I've traveled the world and learned a lot about healthcare, clinical practice and the intersection between medicine and technology. However, there's nothing like being a secret shopper to get a little reality check on where things stand with electronic health records and clinical workflow.

 

For the past couple of months, and likely continuing for most of the next year, I am charged with helping a family member through treatments for an all-too-common medical problem--cancer. That means I am accompanying my family member through diagnosis, surgery, chemotherapy, radiation therapy, and eventually medical monitoring and follow-up. Let me tell you, there's nothing like being in the trenches of a patient care experience to see how far we've come, and how far we still need to go to fix healthcare.

The hospital and health system we are visiting uses one the major EHR solutions. However, even within the same institution, departments seem anything but connected. When we have multiple appointments on the same day in different departments, we are still filling out paper forms asking the same questions in every department we visit. Worse yet, even when we make our second or third visits to those departments we are again presented with forms to fill out. Wouldn't it be better to fill out that information on a tablet device or kiosk and make it available to all departments at once? Wouldn't it be better on subsequent visits for us simply to review the information on an electronic screen and edit or update it as needed? Where's the single version of the truth?

 

In the exam room I've noted how much time clinicians and support staff are spending in front of the computer, rather than with the patient. The only doctors not doing this are the super-specialists who foist most of that burden on scribes or other members of their support staff. Furthermore, the computers in the exam rooms are mounted to a wall or sitting on a counter, often forcing the user to have his or her back to the patient. Clinicians must assume a kind of sideways posture with head bobbing back and forth between the machine and the patient. Where are the mobile devices--the laptops, tablets, and smartphones? Has anyone really given a thought to the importance of mobility in clinical workflow?

Then there's the clinical user interface that looks like it came from the dark ages. It took one of our providers about ten minutes just to key in an order for a durable medical supply and print it out for our insurance company. The user interface to the institution's patient-facing portal is equally bad. A web-savvy teenager could likely do better. Today's portals need to look and work more like Facebook or LinkedIn than something from the dawn of the Internet.

Another inefficiency I have observed isn't so much about bad tech as stupid billing mandates. Even when visiting different physicians in different departments on the same day, during each visit staff enter the exam room to take and document vital signs. Over and over again the thermometer and blood pressure come out, even though vital signs were just taken and documented 30 minutes ago in a different department. I finally asked why this was necessary only to be told that unless it is done the physician will not be paid. Has anyone considered what this totally unnecessary and duplicative workflow is costing our hospitals and health systems in wasted staff time? Let's stop the insanity.

By now, I'm sure you are thinking I've grown old and crotchety. I probably have. But please future generations of software developers, EHR vendors, regulators, and others; can't we do better for our clinicians and patients? I'm sure we can.

If you would like to become more familiar with the work Microsoft is doing in health and the healthcare industry (in cloud computing, mobility and devices, productivity and collaboration, and advanced analytics) please contact your account executive or visit Microsoft in Health.

Bill Crounse, MD      Senior Director, Worldwide Health         Microsoft 

Technical Dr. Inc.'s insight:
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

more...
No comment yet.
Scoop.it!

Pros and Cons of Patient Access to Electronic Medical Records

Pros and Cons of Patient Access to Electronic Medical Records | EHR and Health IT Consulting | Scoop.it

Doesn’t it seem faintly ridiculous that patients have to jump through hoops to get access to information that, since it is in digital format, would be so readily available to them? Today’s patients are quite accustomed to being able to access data on demand, from whatever location on Earth, as long as they have Internet access and a mobile device or laptop computer.

 

They can, for example, log into their financial institution’s website to check their latest details. Parents of school-aged children routinely access a portal developed by their school to get information about upcoming tests, new requirements, and so on.

Furthermore, the advent of email, text messaging, and social media updates has lead to people becoming accustomed to easy communication with one another. But think about how much of an effort it is for patients to communicate with a medical practice (waiting on hold on the phone to leave a message for a nurse practitioner, for example, and then having to wait more for a reply that might not come until the following day).

 

You may have already deployed a patient portal for your organization, but are not quite sure about the protocols for sharing information. Or, you are somewhat familiar with patient portals, but you’re still not sure whether it’s a good idea to even have one and you would like more information before making an investment in this software solution.

 

Familiarizing yourself with the pros and cons of patient access to electronic medical records is essential before you pull the trigger and launch a patient portal at your organization.

Modern medical practices that have forward-thinking leaders will already have electronic health record or EHR software installed or are about to deploy it. An EHR is a database of all the records for your patients. It’s much more efficient than an antiquated, paper-based method for organizing charts in your practice. The EHR lets you keep track of all important information, from medical history, current diagnosis, details of the treatment plan and any medications that have been prescribed.

One feature of Electronic Medical Records software that medical professionals should be aware of is the patient portal, along with its benefits and potential drawbacks.

Pros of Allowing Patients to Have Access to their Electronic Medical Records

A major pro of patient portals is that they improve patient engagement. Engaged patients are more likely to stay loyal to a practice as compared to other organizations that don’t make much of an effort to connect.

Your staff can easily receive messages from patients over the portal, in a process that’s as easy as email. This cuts down on a lot of wasted time on both ends (patients forced to stay on hold to leave a message by phone, and staffers having to write down the message).

 

A patient portal reduces the total amount of time spent on the phone and can cut down on unnecessary visits. What’s more, it has been proven to reduce the number of no-shows.

Patients will be happier, since they can access their medical information using their own electronic devices, even when on the go.

They will also appreciate being able to check prescription information and request refills online. When patients need to schedule an office visit, they simply sign into the portaland make a request. This makes things easier for them as well as for your staff.

 

Finally, a patient portal eliminates one of the great drudgeries of modern medicine: patients having to fill out a big stack of paper intake forms before they have their first meeting with the doctor.

You can let them input their information through the portal (such as at a kiosk in your waiting area, or from the patient’s computer). They won’t have to fill in their address or list of allergies more than once, and your staff won’t have to transcribe information from potentially messily handwritten documents.

Cons of Allowing Patients to Have Access to their Electronic Medical Records

While there are a number of clear benefits to using a patient portal with your EHR or EMR, there are also some drawbacks to be aware of, so you can address them head-on.

For example, when you enable outside access to your EHR information via a portal, data security concerns will naturally come up. The system must use strong passwords and should include the latest encryption and other protections. Otherwise, patient data could be compromised, leading to fraud and identity theft.

A portal can be tough for some patients to comprehend, especially if they have been used to doing things the old-fashioned way. However, you can educate and acclimate patients to the portal when you explain the benefits to them.

There is also the issue of patients being exposed to more medical jargon then they are used to, including acronyms and strange Latin terms for body parts. But they can always look up terms they are unfamiliar with, or simply ask a member of your team for an explanation.

 

Your older patients may not be very tech-savvy, which could hinder their efforts to log in and access data through the portal. But portals interfaces can be easily simplified and a simple training brochure or online video could make a big difference in getting more patients used to the idea of using the system.

It’s natural to have a number of questions about installing an EHR and activating a patient portal for your practice. Once you have a better idea of how patient portals can empower your staff as well as your patients, you’ll be on your way toward deploying one in your organization.

Key Takeaway:

  • Electronic health record or EHR software enables you to activate a special patient portal.
  • A patient portal is a great way to let patients access their own information on demand.
  • One con to keep in mind with patient portals is that some patients may not have much experience with computers, preventing them from getting the most out of it.
  • Another drawback is the potential for data breaches, so you’ll need to work with a vendor that provides robust, secure EHR software.
  • Patients will appreciate being able to check into the system to set an appointment or request a prescription refill.
  • Your staff will waste less time because patients can leave them electronic messages via the portal, instead of having to stop what they are doing to respond to a call.
  • Patients find it liberating to gain more access to their lab test results through the portal, rather than waiting for the report to come by surface mail or a phone call from the physician.
Technical Dr. Inc.'s insight:
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

more...
No comment yet.
Scoop.it!

EHR vs EMR: What are the Key Differences?

EHR vs EMR: What are the Key Differences? | EHR and Health IT Consulting | Scoop.it

Any given industry will tend to develop its own particular vernacular, with inside terms that outsiders typically do not need to understand but are essential for key players to be aware of. Jargon serves to separate professionals from the non-experts and members of the public, and its use also saves time when writing and speaking about various concepts.

A case in point is the healthcare industry, where many people in medical practices have heard the terms “EHR” and “EMR” being bandied about but are not quite sure what they refer to or what the differences are between the two.

The first step in understanding EHR vs EMR is to know that EHR stands for electronic health records and EMR stands for electronic medical records. They are similar applications but have different capabilities that you should become aware of.

 

About Electronic Medical Records

Essentially, EMRs are digital versions of paper charts and are maintained at the doctor’s office. In the early days of digital medical information, clinicians were focused on medical diagnosis and treatment, which explains why they used the term “Medical” in EMR. (By contrast, the “Health” in EHR refers to a patient’s overall health situation and not just medical questions as revealed by diagnosis and lab test results.)

 

Key benefits of an EMR include helping the physicians keep track of data over time and identify which patients need to come in for a checkup, screening, or appointment.

EMRs also help practitioners get a quick glance at the patients’ basic vitals, such as blood pressure and weight. Finally, an EMR enables you to get a better view of the state of the practice and how it is doing in treated patients.

 

However, there are also some disadvantages when it comes to using electronic medical records. For example, you cannot share information about your patients outside of the office.

Consider what happens if you run a family medical practice and you are referring a patient to see a specialist, such as an endocrinologist. Your practice needs to share information with the specialist, but since the EMR is only designed for internal use by one practice, your staff would probably need to print out the patient’s chart and mail it.

 

This means that your EMR files are pretty much the same as paper records at this point. And when the specialist has information to add, the details cannot be transferred back to your EMR without your staff first typing them in from the specialist’s faxed or mailed documentation.

About Electronic Health Records

An EHR contains all of the things an EMR does, but offers much more. EHRs are designed to collect all medical information from all healthcare sources, including multiple physicians, hospitals, and the patient themselves.

Benefits of switching to an EHR system include:

  • Secure when compared to paper records: You can designate specific members of your team to access and change records, as well as conduct audits to detect when people try to gain unauthorized access.

  • Also secure to send and share information with others: The data that you share with other parties, such as a specialist, must be safeguarded so that criminal hackers cannot make off with patient information and commit identity theft and fraud.

  • Important information available in emergencies: The EHR allows patient information to be made present to emergency room doctors immediately with the full medical history and details on any allergies or other issues.

  • Patient portal: A patient portal lets patients enter their own information from the comfort of home using an internet-connected computer, instead of having to fill out stacks of paper forms that your staff will later have to input by hand.

  • Access to advanced tools: An EHR will include tools and various features to help you make better decisions and work more efficiently. For example, you can useanalytics to detect emerging patterns of patient behavior, such as more no-shows to appointments in a certain population or ZIP code.

  • E-prescribing: Electronic versions of traditional prescriptions made by signing a piece of paper from the physician’s Rx pad are more convenient for the doctor, who just needs to transmit the details to the pharmacy. Patients don’t need to wait, since the medicine will be processed while they travel from the doctor’s office.

  • Voice-to-text data entry: Typing in patient details takes longer than speaking. You can activate speech recognition in your EHR to automatically transcribe what the nurse or doctor says, and the text appears on the screen in real time.

  • Reporting: Each report that you need to generate for your practice, such as revenue projections or how many patients have failed to pay their bill after the second notice are much easier to generate, thanks to templates that you customize in the EHR application.

It’s Essential That a Modern Medical Practice Uses Some Form of Electronic Records

Any modern practice needs some form of electronic records. Trying to get by using a paper-based system will simply not do.

What’s more, your practice is eligible to receive financial incentives from Medicare and Medicaid, but only if you are using certified EHR software that allows you to communicate details about patients electronically to insurance providers and public health researchers.

Paper records secured by a mere filing cabinet and a reliance on your staff to only access the details when authorized make for bad business practices in this day and age. With electronic records, you can maintain security by keeping unauthorized individuals from seeing patient information.

 

Electronic records also make for better patient engagement, especially when you consider how much time they save in the clinical setting, allowing your nurses and doctors to spend more time on treatment and less time on record keeping.

A patient portal activated in your electronic records will further boost engagement, since patients can access the system to check on things such as lab results, request an appointment, or send a message to a member of your staff. The more engaged patients are, the better chance you have of retaining them for the long term.

Key Takeaway

  • For professionals working in the healthcare industry, it’s good to have an understanding of EHR vs EMR.
  • EHR stands for Electronic Health Records.
  • EMR stands for Electronic Medical Records.
  • While EHR and EMR might seem to be referring to the same thing, an EHR is more flexible, because it lets you gather information from multiple sources while an EMR only handles local data.
  • Any medical practice that is still relying on antiquated systems based on paper to keep track of patient records will need to upgrade to some form of electronic records in order to remain competitive.
Technical Dr. Inc.'s insight:
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

more...
No comment yet.
Scoop.it!

9 Best Practices For Choosing EMR Software 

9 Best Practices For Choosing EMR Software  | EHR and Health IT Consulting | Scoop.it

Selecting an electronic medical record (EMR) or electronic health record (EHR) for your medical practice is a challenging, but very important task. Purchasing and installing a new EMR system require a lot of research and time. The best EMR software for your practice will fit in with your practice’s workflow and increase efficiency, but a bad EMR will halt your workflow and cause frustrations.

The following best practices should be considered before selecting and implementing a new system, to ensure you select the best EMR for your practice. 

1. Create a list of requirements.

Make a list of EMR software requirements based on the needs of your practice. This list may include the need for e-Prescribing software, automatic billing, scheduling features, and others. Also map out your ideal practice workflow and usual patient visit flow to determine how potential EMR software could complement your workflow instead of hindering it.

It is important to involve all the physicians and staff in your office in the development of this list, ensuring that all aspects of the practice have been considered. However, a physician should be in charge of the decision, not the back-office or IT staff. This decision requires leadership and an understanding of the medical requirements.

2. Analyze your budget.

Purchasing and integrating an EMR system into your practice workflow can be costly. However, the benefits of EMR systems can be worth the financial investment and may even help your practice save money in the long run. Besides the initial EHR / EMR costs, there are hardware, implementation, training, and maintenance costs to consider when purchasing a new system. Find our more about what EMR costs you can expect with a new EMR system.

3. Only consider specialty-specific EMR systems.

EMR software that is designed for your particular specialty is customized to deal with the unique characteristics associated with your specialty. The customization includes specialty-specific features and templates. It is crucial that you only consider software that is designed for your specialty, not software that you need to make adjustments to in order to use. This will help your practice workflow tremendously.

4. Systems architecture.

There are many factors of the EMR system to consider, including the system architecture of the software: web-based or client/server. One type of system architecture is not better than the other, however, one may be better for your particular practice. When choosing EMR software, you will need to decide which type of system architecture is best suited for the needs of your practice and will complement your workflow. Read more about web-based vs client/server EMR.

5. Ensure the EMR System has been certified

Any EMR system you are considering for your practice should be tested and certified by an ONC-Authorized Testing and Certification Body (“ONC-ATCB”). The ONC (Office of the National Coordinator for Health Information Technology) is the responsible agency for establishing EMR certification standards and certifying vendor EMR products. ONC-ATCB certification assures that your EMR has met required Meaningful Use (“MU”) objectives and measures. This is a prerequisite to obtaining MU Medicaid (up to $63,750) and Medicare (up to $44,000) incentives for adopting an EMR, and avoiding penalties for not adopting one.

6. Get advice from other physicians and staff.

The best way to understand how an EMR system will fit in with a practice’s workflow is to witness it first hand. You may want to visit a practice that currently using the EMR software you are considering implementing. Talk to physicians and the staff about the EMR software to find out if the software would be suited to your practice and what issues you may face with usage or installation.

7. Decide how much support you will require.

Most vendors will offer 24/7 support, but you need to make sure you understand what sort of support you will be receiving. You may need nighttime or weekend support if your practice is open beyond normal office hours. You may also need on-site help instead of help from a call center. Lastly, understand the extent of the support you will be receiving. Instead of just technical assistance, you may want additional assistance installing new features and upgrades, and fixing bugs. Be sure to ask these questions before purchasing from a particular EMR vendors.

8. Have a lawyer review the purchase agreement.

Since purchasing an EMR software is a big commitment, have an attorney review the purchase agreement to make sure the software is what was promised and includes the right features. Also be sure you understand all the costs and additional fees associated with the EMR software purchase.

9.  Spend time installing the EMR system.

Transitioning to electronic medical records takes a lot of time, so do not underestimate the time and effort you will need to put in. Apart from installing new hardware and software, you will also need to manually scan or input existing paper records into the system. Be prepared to hire additional help during this process, as it can be time-consuming and disruptive to your workflow. It is also recommended that physicians schedule fewer appointments during the transition time.

Technical Dr. Inc.'s insight:
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

more...
No comment yet.
Scoop.it!

Essential Questions for Picking EHR Patient Portal Software 

Essential Questions for Picking EHR Patient Portal Software  | EHR and Health IT Consulting | Scoop.it

It’s time to revisit the much undervalued, if much maligned, patient portal. To date, patient portals remain an underutilized resource. But a convergence of trends may change your thinking about their value — especially when selecting or upgrading EHR software. To help with that process, we offer a 10-point checklist for evaluating a patient portal’s usability and functionality. 

Patient Portals: A Mixed Bag

Most of us have used a patient portal, and the reviews are mixed at best. A product of meaningful use requirements, they were mandated as a way to provide patients with timely access to their healthcare.

At their most basic, they’re used to retrieve lab results, ask a question or update patient profiles and insurance providers. Some allow patients to schedule appointments and pay bills. For providers, they represent an opportunity to increase patient engagement, promote loyalty, manage costs and streamline workflows.

In reality, their potential has yet to be harnessed. Hard to access, patient portals are often badly designed, cumbersome to navigate and limited in utility. It’s sometimes easier for patients to pick up the phone and call their provider than to look up their user name or create a new password. For staff and physicians, they require time and resources that aren’t usually billable.

Emerging Trends Impacting Patient Portal Usage and Importance

So beyond next-stage meaningful use requirements, why should the patient portal receive greater consideration in the EHR selection process?

Value-Based Care

First and foremost, as healthcare moves from fee-for-service to value-based care, providers will have further incentive to improve the patient experience, track compliance and manage costs.

In a medical research paper — Patient portals and health apps: Pitfalls, promises, and what one might learn from the other — issued last year, the authors asserted that “the push for reimbursement that relates to value-based care creates an opportunity to develop high-quality patient portals.”

In addition to improving patient health and facilitating wellness, patient portals have the potential to free up staff time, lower call volume (including call backs and phone tag), increase accuracy, reduce duplication and cut down on time spent on patient records, payments and prescription refills.

Data

The future of health and medicine points to the primacy of data. Patient portals can yield a trove of information not captured in a doctor’s visit or clinical interaction — resulting in better population health management and a better ability to track patient engagement and improve adherence to treatment plans.

Patient as Consumer

Patient portals will grow in popularity as patients evolve into healthcare consumers. Increasingly, they want better, faster access to their health information, and to be involved in the medical decision-making process. Patient portals are a natural extension of the trend to go online to select a provider or research medical conditions and treatments. They’re going to expect a positive user experience, rewarding those who do with their loyalty.

Mobile Apps/mHealth

The growing use of mobile apps, smartphones and wearable devices to monitor and upload information about their health and physical activity facilitates more patient self-management and data exchange with their patient portal.

10 Point EHR Checklist for Evaluating Patient Portal Usability

Given the patient portal’s potential and growing importance, how should you evaluate the best portal for your practice or facility?

As a healthcare provider, you can select a standalone patient portal that oftentimes is hosted by a third-party vendor. This approach can result in compatibility issues with your EHR system, requiring your EHR vendor’s cooperation — often at a price.

Alternatively, you can select a patient portal as part of an EHR bundle of services. The good news is that most EHR systems provide a patient portal component. When evaluating their product, you need to remember that patient portals are not all created equal, and can vary in functionality and usability. As such, you need to take into consideration:

  1. Cost – What is the cost to design and activate the portal? Do they provide training, maintenance, troubleshooting and upgrades?
  2. Customization – Do you have flexibility to customize the interface to take into account your practice, specialty and patient profile?  Is it white-labeled to allow for branding?  Do providers have the ability to make refinements?
  3. Patient Management – Does it provide the ability to refill prescriptions, monitor compliance, track patient progress, schedule/cancel appointments, pay bills, upload documents and download practice forms? If they don’t provide all these services, which ones are most important to you?
  4. Communication – How easy is it for patients to send and receive emails and messages? Can patients upload documents? And does it easily and securely integrate with mobile health apps, in a format that providers can use?
  5. Patient Access – How complicated is it for patients to set up an account?  Is it a multi-step process?  Does it incorporate “responsive design” so that it’s accessible and easily readable on a computer screen, mobile device and a smartphone?  
  6. Usability and Navigation – Is the user experience intuitive, consumer-friendly and easy to navigate? Does the portal present information such as test results in a way that patients can understand and interpret? Can it account for sight-impaired patients and patients who don’t speak English?
  7. Content – Can patients view laboratory results and track immunizations, medications and allergies? Can they access personal health data, notes from physicians and medical histories?  Can they renew medications; update their information (insurance, address changes, etc); view discharge and medication instructions; and access an online healthcare library of educational resources?
  8. Security – Is the site HIPAA-compliant to ensure privacy? How secure is the connection in protecting stored data and guarding against data breaches? Does it meet confidentiality and legal requirements for minors? What is the process for setting and resetting passwords?
  9. Workflow automation – Once patient information has been reviewed and approved, can it be uploaded into your EHR (including care plans, clinical visits, insurance coverage, billing) without additional keying or extra work that can result in errors? Can this process be customized to meet your current and future requirements as procedures and policies change? Can it send alerts?
  10. You: The patient portal is evolving, gaining wider acceptance and growing in importance. Not every EHR can address all of these considerations in a manner that meets your needs. Its components are only part of the equation. The other part is you and your commitment.

For starters, do you have a physician champion or super-user who’ll advocate for your patient portal?  Can you ensure that staff are properly trained, and that it’s maintained and regularly upgraded? Are you willing to commit the resources to ensure it’s routinely monitored and being used properly? Do you have the resources to create awareness and educate patients on how to use and maximize its benefits? And do your internal policies and procedures encourage usage?

Ultimately, you can’t guarantee patient compliance or participation. However, you can select a portal that helps you achieve your business goals and meets your patients’ needs.

Technical Dr. Inc.'s insight:
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

more...
No comment yet.
Scoop.it!

Decoding Meaningful Use For Your EHR System 

Decoding Meaningful Use For Your EHR System  | EHR and Health IT Consulting | Scoop.it

During EHR implementation, it can become confusing to successfully navigate federal and locally-mandated requirements for regulations concerning HIPAA and Meaningful Use. For many healthcare practices, Meaningful Use attestation has become less of a collaboration in good patient care, and more of a headache – but it doesn’t have to be.

Decoding Meaningful Use and understanding its requirements will not only improve implementation and optimization of an electronic health records system, but it will also result in improved clinical processes, and ultimately, better patient outcomes.

 

What is Meaningful Use?

Back in 2009, Meaningful Use was developed by the federal government as a way to regulate electronic health records systems, and ensure that providers are on track to make the most out of those systems. Their incentive programs for Medicare & Medicaid generated incredible interest, and within just a few years, had captured most of the US industry. Last year, the ONC reported that of Critical Access and other eligible hospitals, 95 percent had demonstrated Meaningful Use. Meanwhile, according to CMS, over half a million providers had received over $25 billion in federal payments through the Medicare & Medicaid incentive programs as of this summer.

But this brings up an important question: just who benefits from Meaningful Use? The answer is encouraging. When employed properly, Meaningful Use benefits everybody. Providers and their staff benefit from improved clinical processes, billing and insurance parties benefit from standardization, and patients benefit from better care.

 

Understanding Meaningful Use Incentive Programs

The role of federal incentives is simply to encourage providers to adhere to Meaningful Use requirements through certified EHR systems. Finding vendors that provide certified EHR technology is critical to qualifying for these incentive programs, which have to-date paid tens of billions to providers who have successfully met the requirements of the incentive programs. Not only are these programs designed to improve health outcomes through compliance with important measures, but also encourage certified EHR adoption through effectively lowering the cost of EHR implementation for healthcare organizations.

 

The Future of Meaningful Use and EHRs

Each year, CMS and the ONC release new updates for Meaningful Use. Currently, the incentive programs have been widely successful, with over 500,000 medical practices having attested for Meaningful Use as of this year. And moving forward, there is still a great deal of opportunity for benefit to both providers and their patients.

There will still be significant pressure from the federal government to achieve even more universal adherence to Meaningful Use. Many of the most ambitious goals of the program can only be achieved through near-universal participation including those regarding information exchange. For Medicaid, 2016 represents the final year of beginning participation in the incentive program. And while CMS’ final rule published in 2015 extended through to 2017, the Center for Medicare & Medicaid Services has already begun constructing their 2017 requirements.

Successfully attesting for Meaningful Use isn’t always easy. That’s why it’s crucial to find an EHR vendor that is ready to support you and your practice every step of the way towards successful implementation.

Technical Dr. Inc.'s insight:
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

more...
No comment yet.
Scoop.it!

Your nurses may hate your hospital’s EHR: Here’s why

Your nurses may hate your hospital’s EHR: Here’s why | EHR and Health IT Consulting | Scoop.it

While most talk about electronic health record (EHR) systems has centered on doctors’ troubles with adapting to them, hospital nurses are also having major difficulties with EHRs.

 

A new survey highlights just how frustrated nurses are with most hospitals’ EHR systems. Ninety-two percent of nurses are currently dissatisfied with their hospital’s EHR, according to the Q3 2014 Black Book EHR Loyalty survey.

The survey polled almost 14,000 RNs from across the country who all used hospital EHRs in the past six months, and participants had mostly negative things to say about their facility’s systems.

Most nurses said their hospitals’ EHR systems contributed to lower productivity and workflow disruptions affecting the quality of patient care. And 85% of nurses said they continually struggle with their facility’s flawed EHR.

Reasons for frustration

Communication issues are a major contributor to why nurses aren’t happy with hospital EHRs. Ninety percent of nurses surveyed said their hospital’s EHR negatively affects communication between nurses and patients, and 94% thought it hurt communication between nurses and other clinical staff, including doctors and pharmacists.

Some of the communication problems between nurses and other medical staff come from a lack of consistency when it comes to documentation in the system. Only about half the nurses working in large hospitals with more than 100 beds said that all clinical staff access and document patient info on the same EHR screens.

Because everyone accesses patient info differently, there’s more room for confusion and miscommunication when it comes to patient care.

Another big problem for nurses is a lack of IT resources, which can cause delays in entering information in a patient’s EHR. In fact, 91% of nurses in for-profit facilities said they had difficulty even locating an available EHR workstation during their shift.

The survey also showed many hospitals are lacking when it comes to troubleshooting EHR problems. Less than a third of nurses said that their IT departments or administrators responded quickly when nurses pointed out EHR vulnerabilities in documentation.

Rather than solve their problems, many nurses are just given temporary workarounds, and that makes them more frustrated with the system. Almost 70% of nurses surveyed have been told to use workarounds with their facility’s EHR.

Heading off problems

Not only can these issues compromise the quality of care your hospital provides, they can also cause issues with retention and recruitment for nurses. Several nurses surveyed indicated they were currently looking for new jobs, and for close to 80% of these nurses, the reputation of a specific hospital’s EHR is one of the top three factors that determine whether they’d accept a position at a facility.

So it’s clear: Your nurses’ needs should be considered when selecting or upgrading an EHR. This is why it’s key to include representation from your nursing staff throughout the process.

Nurses spend most of their time directly interacting with patients – possibly even more than your doctors. So it’s important for nurses to be able to accurately and effectively document vital signs and other key medical info in patients’ health records. Getting their feedback about what should be included in an EHR system will improve their efficiency and the quality of care they provide.

Besides getting input from nurses about your EHR – and implementing their suggestions – it’s also important to make sure they have easy access to the technology required to use the system.

One suggestion: Instead of limiting nurses to a few EHR workstations, consider allowing them to access the system using secure handheld electronic devices, such as tablets. This could help them enter clinical information into patients’ records faster, boosting productivity and reducing frustration.

Technical Dr. Inc.'s insight:
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

more...
No comment yet.
Scoop.it!

Physician resistance to EHR systems and how to overcome it

Hospitals face a number of challenges when they implement a new electronic health records (EHR) system. One of them is often getting doctors on board with the new system. Due to this and other issues, facilities may struggle to maintain productivity at first. 

The key to overcoming these obstacles is communication.

The benefits of an EHR system need to be stressed by the folks in charge from the initial planning stages on. Organizations need to be honest about what the system will achieve so that doctors aren’t disappointed in the actual results.

Effectively communicating the benefits of electronic records, training everyone properly and providing strong technical support can help organizations overcome doctors’ three most common complaints about EHR systems:

Productivity drops

Implementing an EHR system is a huge undertaking, and as with any new tech system, it will take some time for an organization to adapt to it. That means doctors might not see any productivity gains for a while. In fact a survey conducted by American EHR Partners found that in many cases, productivity drops dramatically right after a new system is installed.

Physicians may also become frustrated that they’re no more productive with their documentation than they were before the EHR system implementation. That’s why it’s important to stress the benefits of EHRs to doctors in terms of what they’ll allow docs to do for their patients and not so much in terms of saving time.

So if physicians start feeling like data entry clerks, you may need to take a look at the system and make sure it is working properly or get providers more training so they can use the EHR system more effectively.

The bottom line is: Hospital administrators need to make sure doctors still have time to focus on what they’re best at — treating patients – to keep physicians happy.

Overreliance on EHR systems

EHR systems have a lot of features to help doctors make better decisions — and some doctors will interpret that to mean the system will be making decisions for them. Facilities, however, need to emphasize during EHR training how doctors can combine the information they get from the system with their own expertise to give patients the best possible care.

Another benefit to emphasize is the fact that EHRs can greatly increase efficiency for administrative staff through patient self-service tools.

Hospitals can save a lot of staff time by having patients enter data into the system themselves. For example, many patient forms can be filled out beforehand through online portals or at a computer kiosk in the waiting room.

Interfere with patient communication

Little changes that are caused by EHR adoption can have a big impact — for example, facing a computer instead of holding a chart can make it more difficult to make eye contact with a patient and make it clear the doctor is listening.

To help, hospitals might want to consider using tablets instead of laptops to access records. This makes it feel more like providers are holding paper charts and are still able to focus on the patient, rather than sitting with their backs to patients typing away.

What’s extremely important to getting physician buy-in for an EHR system is to find one that’s easy for doctors to use and has all the features the hospital needs. Just remember, there’s no such thing as a perfect system. In a hospital with numerous physicians, there will always be some gripes about any given EHR system.

That’s why finding a system that’s flexible enough to meet the greatest number of end users’ needs is the best bet.

Technical Dr. Inc.'s insight:
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

more...
No comment yet.
Scoop.it!

What does practice leadership have to do with an EHR system?

What does practice leadership have to do with an EHR system? | EHR and Health IT Consulting | Scoop.it

Like any practice-wide implementation, a successful electronic health system relies on leadership and coordination. Because an EHR system impacts an entire practice, an effective leadership team should comprise a number of individuals from practice administration to physicians, to nurses or technicians, to billing, and more, depending on the size of the practice.

This leadership team is key for a successful EHR implementation, along with one critical decision-making individual who is capable of leading that team.

 

Who makes the EHR Decisions?

Determining the configuration of an EHR system is no small task.While effective leadership in EHR design requires confident decision making from a focused individual, EHR decisions should be influenced by other players in the practice and their workflow needs, highlighting the importance of a leadership team as described above. Individual doctors, for example, are a critical source of valuable information for the EHR decision-making process, as their needs and challenges in an electronic system impact the entire practice.

 

Leadership in EHR Systems

The transition to electronic records in healthcare has witnessed challenges of adoption and usability, many of which are still common today. Whether implementing a new EHR system for a small practice or a large group, common complaints from providers or staff include feeling mandated to use a system that perhaps they do not enjoy using, or that they themselves would have configured differently.

Other common complaints include the concept that EHR operations are not part of a physician’s job, for instance, and that data management tasks should be allocated to specific data specialists or data entry clerks. These sentiments may lead providers to disperse EHR system tasks down to nurses, technicians, and other staff, leading to productivity bottlenecks and increased frustration.

EHR leadership helps to address these and many other challenges. Consolidating decision making to this team can minimize time and costs, and also improve the overall quality of data captured in the electronic records with standardized use.

 

Ways to Calm the Storm

Fortunately, there are methods of EHR implementation that create fair and realistic expectations for providers and staff in a medical practice.

  • Customization

One of the best ways to prevent issues stemming from frustration is to configure a custom EHR tailored to the specific needs of an individual practice. Customization can improve reception and adoption of a records system, leading to effective use.

  • Training

Training is critical for a successful EHR system implementation. Some of the many decisions for the EHR leadership team are training providers and staff on the new system, deciding who will provide this training, and assigning individuals as points of contact for questions.

  • Leadership

While an EHR leadership team should be equipped to address individual challenges as they arise, it is critical for this team and the leading individual to keep in mind “big picture” goals and management. Patient outcomes, best practices, “meaningful use,” and other practice-wide goals should always be part of the leadership team’s considerations throughout a new system implementation.

Designing a consolidated EHR takes leadership. Keeping the goals, challenges, and needs of the practice as a whole in mind, while also addressing the concerns of individuals throughout the practice’s workflow, requires thoughtful management and guidance.

Technical Dr. Inc.'s insight:
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

more...
No comment yet.
Scoop.it!

The Pros and Cons of Customizing Your EHR

The Pros and Cons of Customizing Your EHR | EHR and Health IT Consulting | Scoop.it

Customizing an EHR can offer incredible benefits to a medical practice, but it is critical to understand the cost-benefit analysis of customization before implementation for the benefit of the practice and the health of its patients.

Customization is a common path for modern practices; research from Medical Economics reveals that in a 2-year survey, over 50 percent of practices were starting to customize generic EHR templates. Analyzing both the pros and the cons of customizing an EHR system can help a practice best plan for the future.

 

To Customize of Not to Customize

One of the first questions to ask before deciding to move towards a customized EHR is about the health or the efficiency of an existing system. Are there currently bottlenecks in flow? Would EHR customization better support “meaningful use” and best practices? Do providers and staff find themselves frustrated on a routine basis with data entry or records management? If so, it may be time to consider a tailored records system.

Despite the benefits of customization,there are associated costs which must also be weighed in the decision-making process. Resource consideration is important when deciding if customization is appropriate, for example. Are the resources (both time and financial) available? Creating a cost-benefit analysis can help to determine whether or not to adopt a customized EHR system.

 

Pros of Customization

Designing and implementing a customized EHR system has many incredible benefits. Custom modules lead to better capturing of data and improved accuracy of that data. SuchEHR system impact affects not only practice flow, but also health outcomes.

Another important benefit of a customized records system is utilization by providers and staff. With a system carefully tailored to the needs of the practice (and in-turn its staff), practice-wide adoption can become much easier. It is no coincidence that staff will be eager to use an EHR system that’s more functional; when appropriate screens and modules appear when and where they are needed, and the system is tailored to the flow providers desire and follow, staff is more invested.

 

Cons of Customization

Despite its advantages, practices need to be aware of the cost of implementing a customized EHR system, both in terms of time and financial investment. The cost of implementation can by high, which is a common barrierto EHR customization for practices. This cost comes in the form of financial investment, but also the investment of time.

Adaptation and training take commitment on the part of providers, staff, and administrators, and customization management requires thoughtful and careful leadership. Other points of consideration include long-term system changes such as updates, as vendor updates down the line may create rifts with interfacing custom systems. Careful communication with a vendor before customization about future changes is key to best prepare for such events.

Understanding the advantages and costs of implementing a custom EHR system is an important step in deciding if customization is right for your practice.

Technical Dr. Inc.'s insight:
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

more...
No comment yet.
Scoop.it!

Adopting Electronic Health Records

Adopting Electronic Health Records | EHR and Health IT Consulting | Scoop.it

Solo and small-practice physicians and dentists have had the lowest rate of the adoption of Electronic Health Records (EHRs), in which over 50% of physicians who had not adopted an EHR cited financial difficulties as the main reason for not participating in the nation-wide push towards the goals set forth in the American Recovery and Reinvestment Act of 2009 (ARRA of 2009). Understanding the difficulties for small practices to invest in new technology and to adhere to new standards, the Federal Government set aside billions of dollars to award to physicians and dentists to help them achieve the goal of “interoperability”; which can only be reached if all health care professionals are using certified EHR systems.

 

The EHR Incentive Program is grant-like funding available to help off-set the cost of acquiring a certified EHR. Well over 1.3 billion dollars has already been distributed to physicians, dentists and other eligible professionals that chose to participate in the EHR Incentive Program. Each eligible professional that qualifies and applies for funding through the program receives $21,250 for their first year, and can receive up to $63,750 over the course of the 6-year program.

 

The goal of the EHR Incentive Program is to provide the financial means, especially for small practices, to meet the national goal of interoperability through the use of certified EHRs. Not only is a significant financial benefit offered for qualifying professionals, but EHRs themselves are designed to protect and expand the bottom line. EHRs are specifically designed to save you money and time- which is also money- and to encourage patient health with comprehensive digital records, prevention, drug interaction warnings, appointment reminders via text and e-mail as well as numerous additional benefits of advancing technologies embedded into EHRs.

 

Don’t miss your opportunity to get paid to save money and join the new age of health care. Let EHR Funding see if you qualify for Incentive Funding at no cost.

Technical Dr. Inc.'s insight:
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

more...
No comment yet.
Scoop.it!

Philips Launches EHR-Integrated Patient Monitoring Solution for Clinicians

Philips Launches EHR-Integrated Patient Monitoring Solution for Clinicians | EHR and Health IT Consulting | Scoop.it

Philips has announced the launch of their next-generation Patient Monitoring solution, an enterprise-wide system that consists of bedside, transport, mobile and central station monitoring technology backed by a new approach of consulting, training, service and customer support.

Helping Clinicians Improve Patient Care

When patients are admitted to the hospital, they are frequently transferred between departments, which can make it difficult for clinicians to obtain complete data from monitoring systems that operate independently of one another. Incomplete data not only limits clinicians’ view into the patient’s condition, but can put a patient’s safety at risk. In a recent Philips-sponsored study, results revealed patient safety is still a top concern for physician and nurse leaders in the U.S.

In an effort to alleviate this concern, Philips designed this solution to help clinicians improve patient care, drive clinical performance and assist health systems in lowering costs, by harmonizing monitoring system updates and improved service agreements.

IntelliVue X3 Patient Monitor

The IntelliVue X3 is a highly portable, dual-purpose monitor with intuitive smart-phone-style operation. With this monitor, there is no need for caregivers to change patient cables during transport or at bedside, allowing them to spend less time dealing with equipment and more time caring for the patient. With alarm fatigue a top concern for healthcare professionals, the Patient Monitoring solution also includes IntelliVue bedside monitors with Alarm Advisor, a tool that tracks how clinicians respond to alarms and alerts them when set thresholds may be too sensitive.

EHR-Integrated Patient Monitoring

As a comprehensive system, the Patient Monitoring solution captures a steady stream of detailed patient data from monitors and medical devices, and feeds it securely to the hospital’s EMR for virtually gap-free patient records from admission to discharge, even during transport. The integrated solution fits securely into health systems’ existing IT environment, delivering vital signs, waveforms and alarms directly to caregivers.

By incorporating these clinical decision support tools and advanced algorithms, caregivers have better visibility into a patient’s changing condition. All Philips bedside, transport, and mobile monitors share the same look, feel, and interface for consistency and to reduce complexity, accelerate care, making it easier for clinicians to provide the best quality care throughout patients’ transports around the hospital.

Technical Dr. Inc.'s insight:
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

more...
No comment yet.
Scoop.it!

Top 10 Epic EHR stories of 2017

Top 10 Epic EHR stories of 2017 | EHR and Health IT Consulting | Scoop.it

The biggest electronic health record company made plenty of big news this past year, beginning with the scoop that it would develop new technology aimed at smaller hospitals.

 

Epic Systems, and its founder and CEO Judy Faulkner were the subjects of well-read news throughout 2017. Here are the top 10 Epic Systems news stories as gauged by our readers' interest:

 

1. Epic CEO Judy Faulkner reveals two new EHR versions are in development

"We're developing some really nifty new software," Epic founder and CEO Judy Faulkner told Healthcare IT News at HIMSS17 in Orlando this past February.

Epic is ready to make good on its promise to provide new versions of the EHR technology, she said, including Sonnet, which has a lower price point, and is aimed at hospitals that don't require all the bells and whistles of the full Epic EHR

"We're finding that people need different things," said Faulkner. "If you are a critical access hospital, you don't need the full Epic. The two new versions of Epic in development can provide a pathway to adding all the features at a later time."

Earlier this month, Epic announced that Sonnet would be available starting in March.

 

2. Epic CEO Judy Faulkner standing behind switch from EHRs to CHRs

"Because healthcare is now focusing on keeping people well rather than reacting to illness, we are focusing on factors outside the traditional walls," Faulkner told Healthcare IT News.

"'E' has to go away now. It's all electronic," Faulkner said at the company's user group meeting in late September 2017. "We have to knock the walls down whether they're the walls of the hospital or the walls of the clinic." As she sees it, the 'E' should be replaced with a 'C,' for "comprehensive."

 

3. Epic to jump into medical billing, currently hiring for new unit

A want ad popped up on the Epic Systems website, looking for "bright, motivated individuals to join our new billing services team as we enter the world of medical billing.

"Our goal is to simplify the payment process by helping Epic organizations with the complexities of submitting claims and posting payments," the ad read. "Attention to detail is vital as you'll be posting payments and denials; reconciling payment files, claims, and statements; resolving posting errors; and calling payers to follow up on outstanding or unpaid claims."

 

4. Epic sued over millions in alleged anesthesia over-billing

In November, Epic was hit with a False Claims Act suit that alleged the company's billing system double bills the government for anesthesia services. According to the suit that was made public last November, an alleged glitch in the system resulted in hundreds of millions of dollars of overbilling. The company responded that the plaintiff's suit stemmed from "a fundamental misunderstanding of how claims software works."

 

5. Allscripts, Cerner, Epic signal more open EHRs ahead

Top executives at three electronic health record companies –  Allscripts, Cerner and Epic – revealed in March 2017 they were working to make their EHRs more open, embracing APIs as a means to enable third-parties to write software and apps that run on their platforms. Epic, for its part, was working on two new versions of its EHR and developing Kit to go with its Caboodle data warehouse (as in Kit and Caboodle). CEO Judy Faulkner said Kit "is making everything very open."

 

6. CVS-Aetna merger will make an even bigger giant out of Epic

While early reports in mid-December about the planned $77 billion merger between CVS, an Epic customer, and Aetna focused on massive market share in the pharmacy and insurance realms, there was also the implicit promise of a new era in analytics, interoperability and population health. Alan Hutchison, Epic's vice president of population health, said that by using Epic's Care Everywhere and Share Everywhere interoperability tools, CVS and Aetna could provide the community with information and insights to improve care.

 

7. Epic tops 2017 Best in KLAS awards, securing top spot for 7th straight year; see complete winners

At the end of January 2017, Epic Systems again landed the top spot for Overall Software Suite in the 2017 Best in KLAS: Software and Services report. The win marked the seventh consecutive year Epic took top honors in the report, draws from healthcare provider feedback. Epic also earned the top Overall Physician Practice Vendor and Best in KLAS awards in eight segments.

 

8. What happened when GE tried to buy Epic and Cerner and was shut down within 5 minutes

Former General Electric CEO Jeffrey Immelt revealed at the beginning of December that GE had once tried to acquire Epic and Cerner at different times. He said Faulkner told him, 'No, not interested." Immelt recalled the meeting lasting less than five minutes. (As for Cerner, the price was too high.)

 

9. How the Coast Guard's ugly, Epic EHR break-up played out

What began as a straightforward software contract with Epic resulted in the U.S. Coast Guard starting its entire EHR acquisition process over some seven years after it began. EHR implementations are notorious budget-busters often fraught with missed deadlines and other unforeseen complications, but for an organization to abandon the project altogether and embark on a new beginning is uncommon. Indeed, this occurrence includes some finger-pointing from both sides. So, what exactly went wrong?

 

10. Mayo Clinic kicks off massive Epic EHR go-live

Mayo Clinic hit a milestone this year with its $1.5 billion system-wide Epic implementation. The first 24 sites went live on July 8. The organizations said Epic will replace Mayo's existing three EHRs, which include rivals Cerner and GE Healthcare, as the hospital system's sole electronic health record platform.

 

Technical Dr. Inc.'s insight:
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

 
more...
No comment yet.
Scoop.it!

EHR Optimization, Population Health Top Priorities for Health IT Spending

EHR Optimization, Population Health Top Priorities for Health IT Spending | EHR and Health IT Consulting | Scoop.it

Electronic Health Record (EHR) optimization and population health are high on the spending wish lists of Healthcare Information Technology executives, according to two new industry reports.

Electronic Health Records have been implemented in over 95 percent of hospitals, according to the Office of the National Coordinator of Health IT. But analysis from KPMG finds healthcare organizations are still figuring out how to execute post-implementation strategies that effectively transform data analytics into valuable business outcomes and improve patient outcomes.

 

“[Most] EHRs – which represent thousands of resource hours and millions of dollars spent for many healthcare organizations – were implemented as one-time, factory boilerplate-style system installations,” writes Ralph Fargnoll, KPMG’s Advisory Managing Director. “With the need to realize the value of healthcare IT investments becoming apparent, healthcare leaders now acknowledge that information systems must be implemented as part of more strategic, long-term initiatives,” he states.

Over the next 3 years, 38 percent of CIOs plan to implement additional Electronic Medical Record (EMR) features and focus on system optimization, according to a survey conducted by KPMG and the College of Healthcare Management Executives (CHIME).

 

21 percent of CIOs anticipate making capital investments in accountable care and population health technology over the next 3 years. Other top upcoming capital investment plans include consumer/clinical and operational analytics (16 percent), virtual/telehealth technology enhancements (13 percent), revenue cycle systems/replacement (7 percent), and enterprise resource planning (ERP) systems/replacement (6 percent).

Healthcare CIOs are reportedly embracing the digital age of healthcare, albeit slowly. Thirty-nine percent of survey respondents claim they are “currently working” on a digital business strategy. But only 1 in 2 respondents claims to have a tangible digital business vision and strategy in the works.

A new survey from Philips and HIMSS Analytics of healthcare C-suite and IT directors, also confirms the growth of population health spending.

Three-quarters of respondents already have population health programs in acute care, and nearly two-thirds of respondents in both readmissions and patient education. Priorities for future implementations included:  mobile wellness monitoring devices (58.3 percent), home monitoring devices (45.8 percent), and aging well or elderly care programs (42.5 percent).

 

Additional Survey Findings

  • While care coordination remains a challenge overall in population health management efforts (19.2 percent), financial investment (20.8 percent) and patient engagement and adherence (20.0 percent) are considered the biggest population health challenges in 2017.
  • Cloud-based technology is currently being used primarily for health information exchange (48.3 percent), followed by clinical data storage (34.2 percent). Health organizations plan to prioritize cloud-based technology on managed application deployment (40.8 percent) and big data analytics support (40.8 percent).
  • Community diagnostic imaging centers (68 percent), ambulatory surgery centers (61 percent) and urgent care (60 percent) have seen the highest increases in the deployment  of IT systems, compared to physician's offices in 2016.
Technical Dr. Inc.'s insight:
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

more...
No comment yet.
Scoop.it!

Medical billing software VS Electronic Health Record

Medical billing software VS Electronic Health Record | EHR and Health IT Consulting | Scoop.it

Many EHR vendors are offering billing services as well and this tend to confuse many of the difference between an EHR and medical billing software. In order to improve their usability and functionality, many medical billing and EHR software systems are designed to have overlapping features. The main idea behind this all is to offer a “one-stop-solution” to a medical practice. This leads to people using medical billing software and EMR for reasons they are not developed for.

 

So, an EHR is a single, comprehensive solution that helps doctors achieve Meaningful Use by offering features such as patient scheduling, appointment reminders, diagnosis/treatments/procedures, patient information and history, clinical notes, medication/ drug allergies/prescription, e-prescribing, scans and reports, clinical decision support, electronically available results, patient education resources and full-fledged medical billing programs, all in a single software.

 

Specialized medical billing software is specifically programmed to keep and maintain comprehensive records of examinations, procedures, tests, diagnoses and treatments that are conducted on patients.

 

The software then combines all this medical information with patient’s policy details and formulates a complete medical record that is utilized to generate bills. Medical billing and coding software is also integrated in many such software to seamlessly and accurately handle all complex processes. They also cater to correspondence involved in medical billing.

 

So it all comes down to this. While features of an EHR are primarily focused on clinical functions, records and outcomes, specialized medical billing software focuses on a practice’s billing-related administrative and financial processes and medical billing procedures.

 
Technical Dr. Inc.'s insight:
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

more...
No comment yet.
Scoop.it!

9 Steps to Successful EHR Implementation

9 Steps to Successful EHR Implementation | EHR and Health IT Consulting | Scoop.it

Healthcare organizations need an efficient way to process and share care delivery information to increase productivity, deliver better quality care, save money and ensure compliance.

Properly Switch EHR can deliver on this promise and provide most benefits associated with adopting digital technology.

Are you ready?

It comes as no surprise that technology continues to be an increasingly prominent part of our society.  Technological advancement isn’t going anywhere, but does this mean your organization needs it? Determining whether or not your practice is ready for EHR is the first step toward reaping all the benefits that information technology provides. Get together with business leaders, managers, and other key stakeholders to determine, infrastructure, people, technology and investment challenges that come with this change. Carefully consider whether or not implementing an EHR would be a step toward reaching or exceeding your business goals and strategy.

Be honest about your current status

Before implementing the new system, you must have a clear understanding of where you and your team stand. Do you have a proper infrastructure (internet, computers, printers, scanners etc.)? Does your team run efficiently? Are there any clinical or administrative process that is creating the bottleneck. How information and documentation are currently organized and processed? Is the staff proficient with computers? Are they willing and able to learn? These are important questions to assess your readiness for a successful EHR implementation. Be sure to be critical, honest, and true; inaccurate assessments will only hinder your team’s progress.

Set goals

Goal setting is almost always a constructive pursuit, and when setting goals for your team it is crucial to consider what factors will drive EHR success. Goals should be relevant, specific, measurable, achievable, and deadline oriented. Work with members to brainstorm a set of realistic and attainable goals with a time limit and budget to achieve them. If you haven’t already, assess and fully understand the time needed to complete tasks and work with team members to set standards and requirements. Determine what actions are benefiting your organization and those that are not; identify processes that can be improved and work with your team to strategize and redesign standard operating procedures.

Assign Roles

Delegating clear positions and responsibilities to allow for a smooth and productive transition. Be certain that those in charge fully understand why changes are being made and have the resources and time available to effect such change. Having clear objectives established will help drive the team ownership and productivity. Ensure that team members understand their duties, how to best execute them, and who they can reach out to for assistance, questions, and collaboration. Communication is key in any group environment, especially one undergoing significant change.

Find the best tools for your organization

Tools are only as useful as you make them. Expand your perceptions and be fully aware of all available resources. Your Regional Extension Center (REC), IT and EHR vendors should be able to provide you with the tools necessary to ensure a smooth transition.

Consider cost

$12,000 is the average cost of an EHR system. This includes software, hosting, maintenance, support, and upgrades. Connecting with health information exchange (HIE), customized reports, and premium features may be more. Before jumping in, consult a legal or financial counsel to determine costs and contract terms. Medical associations provide many open source templates and checklists to help.

Pick a certified EHR

It is helpful to pick an EHR that will customize to support the way your organization runs and help achieve your objectives quicker. Take careful consideration of other products such as practice management software, patient portal, text messaging, business intelligence tools, and public health interfaces.

Implement and train

Designate a leader to manage the transition and work closely with them to create a clear plan. Figure out what technological elements will be needed in converting data and paper charts into your new EHR, and what sorts of limitations you may encounter. Consider the value of information such as patient demographics, insurance, and appointments. Familiarize yourself with how HIPPA and business associate regulations will impact your patient services process. In evaluating your current and future workflows, be sure to create a backup plan for problems that you might come across.

Revise and improve

During and after implementation, meet your team and consider whether or not your goals have been met. If so, is there a way to improve efficiency? Do not overlook the need for further training, as efficiency can be compromised if you don’t know how the new system works especially shortcuts. Adjustments often do not go as planned, the continuous evaluation will help reassure the team and fix problematic issues.

Technical Dr. Inc.'s insight:
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

more...
No comment yet.
Scoop.it!

Why does EHR customization Matter?

Why does EHR customization Matter? | EHR and Health IT Consulting | Scoop.it

Electronic health records shouldn’t be frustrating. However, many providers are finding themselves disappointed or aggravated by EHR systems that don’t provide the tools they need to support the very best care for their patients.

In fact, the American Academy of Family Physicians has noted a 30 percent decrease in physician satisfaction with EHRs within the past five years. Reasons for this dissatisfaction include inefficient systems, deluges of tools that don’t apply to their practice or even generic modules that lead to inaccurate documentation.

Fortunately, customization presents a key solution to these issues and much more.

 

Your Practice, Your EHR

Every practice is unique, and this should be reflected in each health records system. An EHR system for a small practice will need to operate differently than that of a large practice. Layouts, prescriptions, scheduling, patient education, and countless other EHR tools should reflect the needs of providers and their patients. Customized EHR systems impact not only the efficiency of providers and their staff but also the experiences and health outcomes of patients.

 

The Impact of EHR Customization

Tailoring electronic health records to the unique needs of an individual medical practice impacts all parties involved, from the physicians and their staff, to administrators, to patients. For physicians, EHR customization can result in improved specificity and accuracy of data, whether with a patient or reviewing records outside the exam room.

EHR customization examples can include setting dosage parameters, accommodating in-house test results, or even modifications to make the system mimic familiar and intuitive paper charts.

A system that is carefully tuned to the needs of a specific practice is far more efficient for users, and saves time for both providers and patients alike. And those specific needs are naturally different across varying specialities. An ophthalmology practice, for example, would likely benefit from a very different EHR layout than a physical therapy practice or an urgent care clinic.

Not only can the speed and ease of utility improve with the adoption of a customized EHR, but also the quality of that data and accuracy of the information. A 2006 study illustrated that after customizing EHRs, more than 50% of surveyed practices reported improved accuracy and quality of records. More accurate records and data means better patient care and ultimately better health outcomes.

 

Configuring the Best EHR

Determining the configuration of a system to maximize its usefulness and alignment with best practices requires careful planning. Resources who can help a medical practice ideally customize their systems include EHR vendors and third-party consulting firms, and of course, in-house experts such as providers and administrators who understand the practice’s needs and challenges best.

Customization of an EHR system is an effective method of improving practice efficiency, accuracy, and communication for a medical practice.

Technical Dr. Inc.'s insight:
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

more...
No comment yet.
Scoop.it!

Critical Roles in EMR Training Success

Critical Roles in EMR Training Success | EHR and Health IT Consulting | Scoop.it

Every component of a successful electronic medical records system implementation requires a thoughtful, strategic approach. Naturally, this includes EMR training, and one of the best places to start is to establish roles and expectations for all parties involved to ensure smooth implementation and effective training. It’s important to remember that internal management is just as important as vendor support, and below are just some of the important in-house roles to assign before beginning training.

  • The Executive Sponsor: Visualizing the Big Picture

For any project, either through a small business, large corporation, healthcare organization, or anything in between, the executive sponsor must be an individual who understands the organization’s needs and goals thoroughly. Often involved with management, the executive sponsor must have a big picture perspective, and for ” For this role, knowledge of how the EHR system will interface with the organization is more important than technical know-how.

  • The Project Coordinator: Pursuing EMR Training Outcomes

Unlike the executive sponsor, the project coordinator manages day-to-day issues with groups and individuals. The project coordinator should be a leader who understands the technical side of implementation sufficiently to serve as a knowledge source for the rest of the organization. Ownership of EHR training and its outcomes is critical for this role, and the assigned individual must be able to take accountability for this crucial stage of implementation.

  • Roles of Providers and Other Billable Staff

EMR training roles do not end at the management level. For providers, billing staff, nursing, technicians, QA specialists, and others, key training roles exist that can complement an EMR training program – only if managed properly. Physician super users as trainers or guides during an EMR training program, for example, have demonstrated mixed results. One significant benefit of assigning physician super users is having an in-house expert who understands not only technicalities in the EHR system and how they relate to the individual clinic or practice, but who are available as a resource for providers and staff. Clinician super users should not, however, become a primary resource for information, as this can quickly lead to frustration and significant training gaps.

Always Consider Your Training Strategy

The Office of the National Coordinator for Health Information Technology (ONC) reviews three training strategies commonly employed by healthcare organizations during EMR implementation: super user training, role-based training, and process-based training.

Naturally, the selected training strategy will affect the structure and roles of your training team and road map. In all of these strategies, however, a common underlying theme is assigning training roles to individuals who can serve as an information resource for others who perform similar tasks.

Leverage Expert EMR Training from Your Vendor

In many cases, the EHR vendor itself provides expert trainers. Leveraging an EHR vendor is important throughout the implementation process, and this certainly applies to the training period. From classroom-style sessions to one-on-one instruction, different EHR vendors may provide various types of training to help you and your staff achieve fluency in your records system.

Technical Dr. Inc.'s insight:
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

more...
No comment yet.
Scoop.it!

Successful EHR interoperability starts locally

Successful EHR interoperability starts locally | EHR and Health IT Consulting | Scoop.it

Interoperability is one of the most difficult challenges with electronic health record optimization: The ability to share clinical data across health systems and respective EHRs. Sometimes it takes a personal experience to drive home the meaning of interoperability, not only to the healthcare professionals who regularly interface with the EHR, but the patients.

When EHR interoperability hits home

For those that read my last post, you know that I lost my 40-year-old brother to a heart attack in 2015.  I had a physical about two months after my brother died, but due to my family history of heart disease, I also made a long-overdue appointment to see a cardiologist. Both my primary care physician and cardiologist work within the same system and use the same ‘integrated’ EHR. And yet the scheduler for the cardiologist requested I fax my EKG and history, including labs, to the office prior to my appointment.

Needless to say, we know interoperability will doubtlessly improve patient care and experience. But it can often feel like a mammoth, unachievable task. Some staff are accustomed to jumping through hoops to access data, but it doesn’t have to be that way. The secret is to approach interoperability on a smaller scale and address the changes you can make more locally to move the needle forward. Interoperability is a spectrum, and the right answer for one health system may not be the same for another. 

Small steps toward interoperability

Every health system executive has interoperability on their priority list these days, with exciting strides in personalized medicine, the day-to-day demands of care management and reducing unwarranted care variation.

So where should you start?

First, as leaders in this industry, we need to recognize interoperability isn’t just a technology problem. Opening up access to clinical data across different care settings must be a strategic priority that starts with an honest assessment of a health system’s technical capabilities against the imperative to deliver better patient care. Health systems can’t afford to be left behind here, but can’t do it alone. In an industry rife with mergers and acquisitions, health systems should work from the inside out. While that might seem obvious, many systems struggle to make sure internal stakeholders have access to data on the system in some way or another. 

Second, there’s more than one right technique to achieve some level of interoperability. While a truly integrated EHR is the ultimate goal, it’s typically more costly, time-intensive and organizationally disruptive than other options. There is a myriad of interface engines/brokers, health information exchange tools, APIs and custom-built options that can be implemented much more quickly and provide real value, at the point-of-care, now.

Most health system executives assume that to achieve interoperability, they need to implement or migrate every provider in their system onto the same EHR. And often this course of action is advised. However, I’ve seen clients use some innovative methods to tackle interoperability.

One of my favorite examples is a large health system in the northeast that explored different methods to standardize access to data without moving to the same EHR platform.

As the health system acquired new physician practices, it faced limitations that made an integrated EHR financially and operationally prohibitive. After exploring its options, the health system opted to create an HIE, a safe way to send and standardize patient records between EHRs. While the data are not truly in one single place, HIEs give clinicians access to data across separate systems within a couple clicks.

Achieving interoperability will be a long journey that will only grow in importance as healthcare shifts from a volume to value mindset. When possible, health systems should move to an enterprise EHR architecture and go beyond minimally meeting regulations. There’s no such thing as true, complete interoperability: There will always be a new source of data with a different set of access issues. But in the interim, work with community partners to craft solutions to affect patient care now.

Technical Dr. Inc.'s insight:
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

more...
No comment yet.
Scoop.it!

Trends in EHR Software, 2017 and Beyond

Trends in EHR Software, 2017 and Beyond | EHR and Health IT Consulting | Scoop.it

As the transition to electronic health records continues, we’re beginning to see how the use of EHR software can transform the ways that care is provided, as well as the quality of that care. With increased adoption, EHR software is becoming an integral part of the healthcare experience for both providers and patients.

In the U.S., changes to HIPAA regulations and incentives for providers have had tremendous impact on the landscape of electronic health records. As EHR software matures, interoperability and ease of access, improved patient portals, and a move toward cloud-based solutions are going to be some of the biggest trends in electronic health records.

One of the key features of electronic health records is ease of access. Ideally, both providers and patients will be able to utilize EHR software in ways that maximize access to information and create smoother workflows. That also extends to full interoperability between systems.

 

Ideally, practitioners will be able to quickly share information with other healthcare providers inside and outside their organizations, streamlining care for patients, and making sure that practitioners have full access to health records at all times. Improved interoperability also has long-term benefits outside of individual patient interactions. For example, researchers could use pools of patient records to identify trends, or use of the large datasets that improved EHR software interoperability would provide for large scale real-world studies of treatment outcomes.

Along with interoperability comes the need for improved patient access to their own electronic health records. The United States Congress enacted regulations in 2009 to provide financial incentives to encourage adoption of EHR software, and HIPAA regulations also require that electronic health records also allow for patient access to stored data. According to a 2015 report, the number of people accessing their electronic health records via a patient portal is on the rise. In 2014, 38 percent of Americans had access to their health information, an increase of more than 33 percent over the previous year. Of those patients who had access, more than half—55 percent—had accessed information contained in their medical record. Clearly, the trend is toward improving and increasing patient access to personal medical information via continued development and improvement of EHR software.

 

Like most other modern technologies, the shift toward mobile devices is also playing a key role in shaping EHR software. Consumers are more comfortable using mobile devices, which makes cloud or mobile EHR more important for practitioners and EHR software providers.

But there are also many upsides to cloud EHR solutions for healthcare providers, including reduced costs, better scalability and improved data security. Without the need for large onsite IT departments to manage software and hardware, cloud EHR software allows healthcare providers of all sizes to focus resources on patient care, which is in the best interests of providers and patients alike.

 

Healthcare is changing, and electronic health records will continue to be a driving force in the evolution of the industry. We’ve already seen some of the tremendous benefits that EHR can provide, and look forward to the innovations in EHR software that will empower healthcare providers to offer better, more streamlined care to their patients.

Technical Dr. Inc.'s insight:
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

more...
No comment yet.
Scoop.it!

Technology can get patients more involved or alienate them

Technology can get patients more involved or alienate them | EHR and Health IT Consulting | Scoop.it

Technology can do a lot to improve care and boost efficiency at healthcare organizations. But if the right steps aren’t taken, it can also make patients feel alienated and ignored by their doctors.

 

Healthcare technology can go a long way to boosting the quality of care and increasing efficiency and performance. Most healthcare organizations seem to agree, as electronic health records (EHR) adoption rates continue to grow, especially among smaller physician practices.

However, as EHR and other health IT adoption quickly increases, it’s important for doctors, management and staff to consider how that technology will impact day-to-day interactions between doctors and patients.

If the proper precautions aren’t taken, technology can act as a wedge between doctors and other people, including nurses, other doctors and patients.

Limit interaction

While electronic systems make it easier for doctors to do their jobs, they also make it easier to do those jobs without interacting with anyone else. For example, tests and treatments can be ordered through the system, eliminating the need to speak with nurses or other doctors. That can take away valuable opportunities for those parties to share information.

Those systems can also make it too easy to copy and paste information between electronic files, Schumann ways. That can eliminate good chances to ask patients to offer more information or apply fresh thinking to a situation.

And, given all the information that’s available in an EHR system, some doctors may be tempted to make more eye contact with the computer screen than with the patient during a visit. Even if that doesn’t affect the quality of the care that’s given, it can have a serious negative impact on patient satisfaction.

Make sure technology doesn’t get in the way

Here are some steps organizations can take to make sure technology doesn’t get in the way of doctors’ relationships with patients and others:

  1. Organize workspaces properly – If doctors use desktop computers to access EHRs in exam rooms, make sure those stations are set up in a way that makes it easier for the doctor to face and look at the patient while working on the computer.
  2. Consider tablets for EHR viewing – Mobile devices such as tablet computers can also be used to access EHRs in a way that retains the same feel as working with a paper chart.
  3. Use technology to increase interaction – Doctors should look for times when they can use the technology they have available to educate patients and get them more involved in their own care. With the number of apps that are around today, doctors can have round the clock correspondence with patients which enables them to become more involved in their their treatment plan.
  4. Have doctors explain what’s happening – Making patients feel better about the change in doctor-patient interaction might be as simple as doctors explaining that although they’ll need to take time to type information into the EHR, they’re still listening. Also, when doctors do something on the computer, they can explain what they’re doing and how it’ll benefit the patient.
  5. Use social media to communicate with your patients – Blogs, websites and social media platforms give your facility the ability to get a large amount of information out to patients. Now instead of articles on how to cure ailments, you can write about how to prevent them.
Technical Dr. Inc.'s insight:
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

more...
No comment yet.
Scoop.it!

How EHR is different from EMR?

How EHR is different from EMR? | EHR and Health IT Consulting | Scoop.it

EHR and EMR have been in our vocabulary for nearly 20 years. Since the 1990’s, clinical environments have increasingly relied on technology to function and improve patient care. Today, our methods are becoming incredibly sophisticated, particularly following the application of Stage 3 of Meaningful Use in 2016. Because of this, it’s important to take a look at a commonly misunderstood distinction: EHR (electronic health records) and EMR (electronic medical records).

 

The Basics of EHR vs EMR

Back in 1995, one could arguably use EHR or EMR interchangeably. This is because electronic medical records systems were just that: an electronic version of the medical chart. But as the years have gone by, our technological functionality became more robust, stretching far beyond the exam room or even the clinical setting. In fact, it’s very common now for the patient to have access to their own records, physician communication, and more all from within their home.

It is for this reason that the Office of the National Coordinator for Health Information Technology (ONC) has made a detailed study on EHR vs EMR.

 

How Records Systems Affect Different Parties

One way to better understand records systems in healthcare is to consider how those systems affect different parties. Let’s take a look at EHR vs EMR systems in terms of three different major parties in healthcare.

 

Patients  Improving patient outcomes is one of the largest and most important objectives of healthcare records systems. Patients rarely cross paths with EMRs. However, they are affected by them through follow-up exams, regular checkups, and other indicators over time. EHR systems, on the other hand, enable the patient to view their health reports, contact their healthcare providers, view referrals, pay their bills, and much more.

 

Providers  For providers, records systems not only help to improve patient care through improved data accuracy and alerts such as medication contradictions, but they also help to close gaps in communication and improve clinical workflow efficiency. This is true for both EHRs and EMRs, but the advantage an EHR has over an EMR for physicians is its ability to communicate information beyond the practice to patients, specialists, hospitals, and more. EHRs “move with the patient,” as explained by the ONC, as opposed to staying solely inside the walls of one practice.

 

Vendors  While vendors are responsible for providing a health records system, requirements for those systems can change over time, especially for certified EHR technology. EMRs are no longer sufficient to support a medical practice and its patients. Instead, EHR systems enable vendors to offer comprehensive, customizable services to medical practices that include everything from billing, to charting, to scheduling, and more, all while staying abreast of federal requirements like HIPAA and Meaningful Use regulations.

 

In the end, EHR systems are a direct reflection of how far technological advancements have taken the industry of records systems in healthcare. What once was simply an electronic version of a chart has become a real-time reflection of a patient and their health. This makes an EHR more powerful to the benefit of all parties involved, but in particular, to the patient.

Technical Dr. Inc.'s insight:
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

more...
No comment yet.