Certified EMRs are also encouraged by a provision in the American Recovery and Reinvestment Act of 2009 (ARRA), which calls for cuts in Medicaid reimbursements to healthcare facilities and clinics that do not choose to adopt certified EMR software systems. In addition, Medicaid and Medicare are offering bonuses of up to $63,750 to assist independent clinics and other healthcare facilities in the adoption of certified EMRs.

Currently, the Department of Health and Human Services (HHS) is in charge of selecting the criteria that separates a qualified EMR software system from one that is not eligible for monetary incentives. Although multiple certification bodies will continue to exist, all of them will use the criteria set forth by the HHS. While the selection of these criteria is currently still ongoing, vendors who were certified in 2008 by the Certification Commission for Health Information Technology (CCHIT) will be “grandfathered in,” according to the Health IT Advisory Committee, which is a group that is responsible for advising the HHS.

Due to time constraints, CCHIT has already moved forward with its new certification efforts, based on initial suggestions from the HIT Advisory Committee, instead of waiting for the federal government to define “meaningful use” requirements for EMRs. Healthcare providers will already have little time to choose and put to use new EMR software systems by the 2011 deadline, which they are required to meet in order to receive the maximum Medicaid and Medicare reimbursements as defined by ARRA.

For now, the consensus seems to be that EMR software should receive certification for reaching the minimum amount of criteria that are set forth by ARRA’s “meaningful use” stipulation, instead of demanding that it meet all of the requirements that have already been set forth by CCHIT’s existing certification. Regardless, the final decision has not been made on the exact requirements for certified EMR software, so reputable consultants are taking the safe route and typically recommend that clients choose CCHIT certified software, which should cover all the bases.

A non-profit organization, CCHIT announced late last year that it would offer new testing programs owing to the current realities of the healthcare IT market, which was greatly impacted by the funding set aside for such endeavors by the American Recovery and Reinvestment Act of 2009. One of these new programs, known as Preliminary ARRA 2011 Certification, tests EMR software systems specifically for compliance with the limited criteria set forth by the Department of Health and Human Services (HHS) and the Centers for Medicaid and Medicare Services (CMS). This certification will help to ascertain which systems meet ‘meaningful use’ criteria, used to determine which facilities will be eligible to receive a portion of the estimated $34 billion in federal stimulus money that has been set aside to digitize heath recordkeeping systems.

In addition, CCHIT will also offer a CCHIT Certified 2011 testing program that will employ a complex set of more than 300 criteria that has been compiled by the organization since its creation. The CCHIT Certified 2011 testing program will most likely closely resemble previous certification programs that have been developed by the organization, but will be adjusted so systems that pass will also meet ARRA criteria.

When it comes to an exact definition for ‘meaningful use’ of EMR software systems, it can be complicated, but CCHIT has worked hard to ensure that certified systems enable healthcare facilities to meet ‘meaningful use’ standards, and therefore qualify for federal stimulus subsidies. Therefore, it is essential for physicians and healthcare providers to take the time to make sure that any EMR software system they are considering meets these guidelines and has been properly certified.

Efficiency

Some large medical groups, consisting of hundreds – even thousands – of physicians, already use digital records. These have proven to better manage care for patients, especially those with the most costly chronic ailments. Doctors who use EMR can retrieve a patient’s entire medical history in mere seconds, eliminating the need to sift through a disintegrating paper file in order to determine past cholesterol, blood pressure or blood glucose levels. EMR software can also quickly and easily give detailed information about a patient’s allergies, past medical procedures and the current medication they are taking, to name only a few. In this way, comprehensive EMR systems can drastically improve physician efficiency and, consequently, the level of patient care.

Safety

Digital recordkeeping also happens to be one of the safest ways to preserve vital (and often sensitive) personal medical information. Unlike the fixed paper format so many doctors have used in the past, EMR are virtually indestructible as long as proper backup procedures and the latest anti-virus protection are employed. In addition, EMR software can alert physicians via email, phone or pager if the electronic data generated by the systems monitoring a patient suddenly transmits a need for immediate medical attention. Thus, EMR software not only protects and preserves a patient’s privacy, but it adds significantly to the level of immediate care each patient receives.

Cost

Luckily, the government sees the need to improve recordkeeping in medical offices and realizes that electronic medical records are the best way to do it. New financial incentives have been introduced via the American Recovery and Reinvestment Act of 2009 (ARRA) to aid doctors in shouldering the cost. The Federal stimulus package contains $19 billion to help increase the use of EMR in doctors’ offices. The funds are available through Medicare and Medicaid, which have separate criteria and requirements that must be met in order to receive assistance.

When it comes to EMR, the good news is that the necessary technology itself is already widely available, so now it’s simply a matter of getting the entire medical community on board! One thing is for sure – there’s no doubt that EMR will bring unprecedented data about the medical history of patients directly to doctors’ fingertips.

Like many previous groundbreaking technologies, EMR are truly revolutionizing the healthcare industry and changing the way it handles the medical history of patients.