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EHR Meaningful Use Guidelines Clarified

Posted by AMS at 3 AUG 9:06 am

As VARs and health care companies look for answers, there’s no shortage of consternation over the real meaning of “meaningful use.” Now, an updated version of the definition has been released, providing a more detailed, simpler map for providers to follow.

Stage One of “Meaningful Use” Electronic Health Records (EHR) guidelines finally arrived from the U.S. Department of Health and Human Services, and VARs wanting to snag a piece of the exploding EHR market need to understand it all inside and out.  Big players, such as HP and Sage, and distributors, such as Tech Data and Avnet, are making no bones about their desire to play a large role in the nationwide EHR move that will occur over the next few years, and they are providing channel partners and customers with educational and sales tools to make their solutions even more palatable to the marketplace.

For those new to the complex world of EHR, here is a quick recap: the American Recovery and Reinvestment Act passed last year included monetary incentives for doctors and hospitals that completed the move to EHRs. These monetary incentives come in the form of larger payouts from Medicare and Medicaid, and total more than $25 billion. In order to begin receiving the first incentives in fiscal 2011—which begins in October 2010—hospitals and doctors need to demonstrate “meaningful use” of EHRs.

Just three weeks ago, the U.S. Department of Health & Human Services released an updated version of what constitutes “meaningful use.” The original draft rules, according to many, appeared to lack clear definition and had CIOs scrambling to understand and implement a solution, as “Channel Insider” recently reported. In response, the Department of Health and Human Services facilitated feedback from industry associations, professionals and others to retool and refine the rules. The results were released in mid-July.

The revamped guidelines require doctors and hospitals to meet 14 or 15 “core” requirements instead of the 23 or 25 original guidelines. These include items such as entering patient data such (i.e., smoker status, allergies, etc.) into the EHR system and sending reminders to patients when appointments are due. All of these guidelines are intended to cut a chunk out of the 70 percent of healthcare spend focused on treating preventable disease.

Since EHR and “meaningful use” were initially laid out in the ARRA, solutions providers of all sizes and technologies have been angling for a way to get a piece of the massive spend ready to explode over the next four years.  What’s more, channel-reliant companies are partnering up and arming their partners with the tools to ease the sales process and grease the revenue skids.

HP recently announced a new program called HP EHReady, providing financing for EHR and supporting technology purchases and support and lead referrals for its VAR partners. This builds on its other channel-focused healthcare program, Healthcare Express, which provides customizable marketing materials, presentations and other sales tools for HP VARs targeting the healthcare space.

IT distributor Tech Data is also getting into the act. The company unveiled its healthcare division last November, and then became one of the first distributors to land a deal with an EHR vendor, most of which were staying away from the channel for a number of reasons. Tech Data partnered with Sage North American Healthcare Division to provide its EHR solutions to healthcare VARs. And Sage is supporting its move into the channel, recently announcing it would offer free “e-consults” and Q&As with industry experts about navigating “meaningful use” for channel partners, as well as for hospitals and physicians end-users.

Date: 2010-07-27 | By Leah Gabriel Nurik
Source: www.channelinsider.com


Categories: EHR Health Care News, News Blog
Tags: EHR, Meaningful Use, VAR

The Debate Over Electronic Medical Records

Posted by AMS at 27 JUL 7:02 am

How the rules about electronic medical records will change our perceptions about all information technology.

After more than a year of review, the federal government has finally released its “meaningful use” guidelines for electronic medical records. For the health care field this is particularly meaningful because it’s the first step taken toward adding the kinds of consistency and efficiency through IT that most corporations take for granted.

Electronic records can eliminate duplication in testing, bring together complete medical histories, disclose adverse drug interactions, reduce errors in patient care, add transparency into a system that has been largely closed to review, and set forth best practices for treating illnesses. The meaningful use regulations allow hospitals and physicians to recoup their IT investments toward this end, at once both modernizing an antiquated health care system and helping to reduce the overhead associated with medical care.

All of this makes sense on paper. The whole purpose of IT is to improve efficiency and make information more readily available to those who are qualified to receive it. But it’s also about to set off a debate that will likely last years, if not decades, about the trade-offs between efficiency and patient care, patients’ rights and what constitutes adequate care. This is the kind of debate that hasn’t taken place outside of groups like the American Hospital Association and the American Medical Association; it’s now wide open for public review.

The players in this debate will include lawyers, health care providers, insurance companies, chief information officers, chief medical information officers, chief security officers, technology companies, drug companies, lobbyists and government and private oversight agencies and committees. They will define the types of records that need to be kept, how that information is used and by whom, how it should be stored and new ways to utilize that information for improving treatment and identifying trends.

What’s not readily apparent, though, is the effect this will have on the rest of the technology world. Throughout the history of IT there has never been a national debate on how technology gets applied to problems. Decisions typically have been made based upon the needs of a particular company and the capabilities of technology producers to meet those needs. One size doesn’t fit all, and best practices often are closely guarded secrets.

To be sure, these best practices can be a competitive advantage or disadvantage, depending upon both short-term and long-term outcomes and how effectively technology is applied. Some companies have scored big with technology. Others have not. Witness the widespread use of commodity Intel ( IN TC – news – people )-based servers in the 1990s, which created massive integration headaches and caused energy use to spike unnecessarily. Those problems are only now being addressed through virtualization and outsourcing into clouds.

While the meaningful use rules are vague about the exact technology, over time they’re going to become very clear about the processes involved in standardizing records so that when a patient visits one hospital the records can be transferred from another hospital or doctor’s office. This will foster debate about technology practices that have never been out in the open, including the costs of this technology, acceptable times for implementation, upgrade schedules, as well as what works best with what and for what purpose.

In the end, meaningful use will foster meaningful debate, and that debate will reach well beyond the medical field to expose some other closely guarded secrets.

Ed Sperling is the editor of several technology trade publications and has covered technology for more than 20 years. Contact him at esperlin@yahoo.com.

Ed Sperling, 07.19.10



Categories: EHR Health Care News, News Blog
Tags: Electronic Medical Records, Meaningful Use

Work begins on converting New York docs to digital records

Posted by AMS at 11 MAY 6:55 am

NEW YORK – Two health IT extension centers in New York state have begun work helping primary care physicians convert from paper to digital records.

The centers, which received $48.2 million of federal stimulus money, are among 60 across the country that will offer providers step-by-step help implementing electronic health record systems in their practices. The implementation and use of digital records will position the practices to be eligible for federal incentives of up to $63,750.

“Our goal is to help approximately 10,000 primary care providers in the State of New York adopt EHRs within two years to enhance patient care and the efficiency of their practices,” said David Whitlinger, executive director of the New York eHealth Collaborative, one of the state’s two extension centers.

“With one of the nation’s largest healthcare systems, New York State is leading the way for the adoption of electronic health records,” said Amanda Parsons, MD, assistant commissioner of the Primary Care Information Project at the New York City Health Department.

Parsons oversees the state’s other regional extension center, the New York City Regional Electronic Adoption Center for Health (NYC REACH), a program established by the NYC Health Department’s Primary Care Information Project.

During the next month, seven free events will be offered throughout the state to inform primary care providers about the programs, educate them about the value of electronic health records and explain the assistance they can get through regional extension centers (RECs).

Meaningful use summits

The EHR Meaningful Use Summits will be sponsored by the extension centers and the New York Chapter of the American College of Physicians.

“The federal subsidies supporting adoption of EHRs will be available only for a couple of years, so it’s important for primary care providers in New York to act now to take advantage of these programs while there are still funds available,” Whitlinger said. “These free summits are a great way for clinicians to learn more about all the resources available to help them implement electronic health records in their practices. The sooner they start using EHRs to enhance patient care, the more stimulus funds they can earn.”

“More than two-thirds of U.S. ambulatory physicians work in solo or small group practices, and this program will help providers in small practice settings, community health centers, public hospitals and settings that treat underserved populations implement electronic health records to enhance care for their patients,” said Parsons. “Our team of experts can provide valuable hands-on assistance to providers every step of the way, from evaluating and selecting an electronic health record system to implementing it most effectively to improve patient care and qualify for federal funds.”

The first of the seven summits will be held on May 13 at the New York Marriott at the Brooklyn Bridge. The all-day event will feature healthcare leaders at the national, state and city levels who will explain how EHRs will help transform health care.

Afternoon break-out sessions with health technology experts will cover topics ranging from new models of patient-centered care to the details of how to qualify for incentives by achieving meaningful use of EHRs to enhance patient care. Healthcare providers can see hands-on demonstrations of EHRs by preferred EHR system vendors with which the regional extension centers already have arranged pre-negotiated discounts for qualifying primary care providers.

Primary care providers can register online to attend one of the following daylong events:

* New York City: May 13 at the New York Marriott at the Brooklyn Bridge
* Long Island: May 14 at the Huntington Hilton
* Buffalo: May 20 at the Adams Mark Hotel
* Syracuse: May 21 at the Doubletree Hotel
* Binghamton: May 22 at the Ramada Hotel and Conference Center
* Albany: June 2 at the Marriott Albany
* Tarrytown: June 4 at the Marriott Westchester

May 07, 2010 | Bernie Monegain, Editor
healthcareitnews.com



Categories: EHR Health Care News, News Blog
Tags: Digital Records, Meaningful Use, Patient Care

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