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Posts tagged: Electronic Health Records (EHR)
While the patient-centered medical home has been touted as the foundation for a better coordinated and more efficient healthcare system, experts now say medical home practices need to be connected to other parts of the healthcare system. To this end, the Patient-Centered Primary Care Collaborative has released a report listing 10 “essential” health information technology tools needed to make these population health connections.
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Three winners will split more than $3 million in prize money offered by the Veterans Affairs Department to upgrade the scheduling software module of its VistA electronic health-record system. The $1,825,000 first-prize winner is a consortium of MedRed, a Washington, D.C.-based software development company; BT Americas, an IT services company based in El Segundo, Calif.; and the VistA Expertise Network, a programmer's network based in Seattle. Its entry, Health eTime, has been under development since last fall solely for the contest, said Krishna Dave, contract manager for MedRed. Whether the software will become part of VistA, and whether it will be proprietary or free and open source has yet to be determined, Dave said. “We are waiting for some guidance from the VA on what the next steps are, whether there will be procurement,” she said.
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There has been a lot of complaining lately about the lack of interoperability in healthcare information technology and how the inability of computers to communicate with each other impedes organizing population health-improvement systems. But two Southern California organizations that just announced a deal to open a string of primary-care health centers said interoperability concerns will not stand in the way. Southern California's MemorialCare Health System and UC Irvine Health announced the collaboration Oct. 2. Although the hospitals and medical groups of the two systems use a mix of products that includes Allscripts, NextGen Healthcare as well as both Epic's hospital and ambulatory systems, organization executives say interfaces can be created to let them all talk to each other.
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As healthcare providers work to adopt electronic health records and achieve Stage 2 meaningful-use standards, most Americans are confused and concerned about the transition from paper to digital, according to a survey by Xerox. Xerox, which polled about 2,000 U.S. adults in its fourth annual EHR survey, found that only 29% of them had been told by their physicians that their medical records would be converted from paper to digital format. And although most of the respondents think EHRs will reduce healthcare costs (62%) and improve quality of healthcare service (73%), even more (83%) worry about digital issues including security. Nearly seven out of 10 do not want their medical records in a digital format.
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The key to effective health information technology in a small, office-based medical practice is to properly install the newly purchased electronic health-record system, according to a new report from KLAS Enterprises. KLAS's review of 27 vendors' products found that unhappiness with an EHR vendor's installation effort leads to practices switching to another vendor. It also found that such flipping is on the rise. KLAS did not quantify, in aggregate, the percentage of practices committed to changing systems.
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Alexander
Seventeen Senate Republicans are asking HHS Secretary Kathleen Sebelius to again delay the looming implementation of more stringent criteria for the federal electronic health record incentive payment program. Their request follows a plea to providers from a leading EHR vendor to ask the government for more time. Their call came in a letter Tuesday to Sebelius requesting an extension of the Stage 2 meaningful-use requirements by one year “for providers who need extra time to meet the new requirements. Providers who are ready to attest to Stage 2 in 2014 should be able to do so with current policy,” the senators said.
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The American College of Physicians is nervous about where HHS is headed with the criteria for meaningful use of electronic health records. The organization wrote a letter to the Office of the National Coordinator for Health Information Technology addressing “what has been released for Stage 2 and what we have been told to expect for Stage 3” in the federal EHR meaningful-use program.
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Faulkner
The star of the Epic Systems Corp. user's group meeting that got underway in Verona, Wis., Tuesday was the venue itself, the cavernous five-story, 11,400-seat Deep Space auditorium that is literally buried into a hillside and designed so the view across the rolling Wisconsin campus would be undisturbed. If Epic gets any bigger, the structure was designed so a balcony could be added to push its seating capacity to 15,500, according to CEO Judith Faulkner.
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The Delaware Regional Extension Center is batting better than a thousand. It is the first of the 62 health information technology extension centers funded under the American Recovery and Reinvestment Act of 2009 to meet its target of helping 1,000 healthcare providers across the finishing line as “meaningful users” of electronic health-record systems under the federal EHR incentive payment program.
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Some people protest with a picket sign, others with a bullhorn. For health information technology consultant Gary Dickinson, his mode of protest is the matrix. “It's kind of my outgrowth of frustration for many months,” said Dickinson, the co-chairman of an electronic health record working group of Health Level Seven, a standards development organization. Right now, he said, what the Office of the National Coordinator for Health Information Technology is calling interoperability shouldn't be called that, at least not yet. “We need to acknowledge as we go forward that the real benchmark (on interoperability) is still ahead of us,” he said.
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Some people protest with a picket sign, others with a bullhorn. For health information technology consultant Gary Dickinson, his mode of protest is the matrix. “It's kind of my outgrowth of frustration for many months,” said Dickinson, the co-chairman of an electronic health record working group of Health Level Seven, a standards development organization. Right now, he said, what the Office of the National Coordinator for Health Information Technology is calling interoperability shouldn't be called that, at least not yet. “We need to acknowledge as we go forward that the real benchmark (on interoperability) is still ahead of us,” he said.
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