Posted on April 8th, 2010

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A variety of funding assistance options now exist for doctors and hospitals that have decided to implement a new electronic medical record (EMR) software system. In fact, the federal government has allocated $34 billion in stimulus money (estimated to provide $44,000 per physician over five years) to encourage medical facilities to adopt EMRs, while some states have also introduced their own incentive programs. The goal is to eventually allow medical professionals in every state to be able to access and exchange important patient medical information on a national system, but the first step is to implement EMRs in all facilities.

States like Kentucky and Louisiana have already created statewide initiatives to encourage the adoption of EMRs in an attempt to ensure that the state’s doctors and hospitals receive their portion of the stimulus funding, which will be given to states that implement widespread adoption by 2014. In order to receive funding, state offices are required by the federal government to oversee the implementation of EMRs among organizations that are involved in sharing patient health data.

The term ‘meaningful use’ is perhaps one of the most important issues surrounding federal reimbursement for EMR adoption, so it is crucial for doctors and hospitals to determine whether or not the EMR software systems they are considering will meet the requirements set forth by the Health IT Policy Committee. As a rule of thumb, start by making sure the system is tested and certified by the Certification Commission for Healthcare Information Technology (CCHIT), which is federally supported by the stimulus law.

Medicaid and Medicare are also providing incentives for EMR adoption in the form of bonuses between $44,000 and $63,750. In addition, the American Recovery and Reinvestment Act calls for cuts in Medicaid reimbursements for doctors and hospitals that refuse to adopt an electronic medical record system. Many experts agree that these Medicaid penalties may do more to encourage EMR adoption by 2015 than many other incentives.

Regardless of the challenges that still surround the implementation of digital recordkeeping systems in medical facilities, EMRs are a necessary step to improve the quality of patient care. In addition, data will become available for study that has never been accessible before, which will allow doctors and other researchers to analyze patient information in new ways and, ultimately, will positively impact medical research and the entire future of medical care.

Posted on February 18th, 2010

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Certified medical software can help doctors increase profit and improve patient care. But how do you know if software is “certified”, and why does it matter?? For one thing, if medical records are going to go digital, it’s essential for state and federal governments to develop sensible, well-defined regulations.

The idea is ostensibly to encourage the adoption of electronic medical record (EMR) software systems that provide highly reliable, efficient recordkeeping, and which also protect patient safety and privacy – all the while eliminating sub-standard systems that could compromise the integrity of healthcare facilities by violating a patient’s right to privacy.

Certified EMR adoption is encouraged in part by provisions in the stimulus law that call for Medicaid penalties – that is, cuts in reimbursements for healthcare facilities that choose not to adopt a certified EMR software system. A recent report from the PricewaterhouseCoopers’ Health Research Institute predicts that these Medicaid penalties could ultimately do more to encourage physicians to adopt certified EMRs than other incentives, including cash for purchasing and implementation.

Medicare and Medicaid are also offering maximum bonuses of $44,000 and $63,750, respectively, to help individual healthcare facilities adopt certified EMRs. The Department of Health and Human Services (HHS) is responsible for choosing the criteria that will separate qualified EMR software systems from those that will not be eligible to receive incentives, and they have already announced that there will be multiple certification bodies, but each one will be required to certify EMRs using criteria specified by the HHS.

Although the development of the exact criteria is still part of an ongoing process, the Health IT Advisory Committee – a group responsible for advising the HHS – has announced that they will ‘grandfather in’ vendors that obtained certification for software systems in 2008 from the Certification Commission for Health Information Technology (CCHIT). Ultimately, it seems that physicians will be able to move ahead with confidence to implement new digital recordkeeping systems – as long as they take the time to ask the tough questions and understand all of the rules before jumping into the game.

Posted on February 8th, 2010

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Electronic medical records (EMRs) promise to revolutionize the medical industry by reducing healthcare costs, simplifying recordkeeping practices, increasing the ability to share information and eliminating errors. But according to a 2009 report by IVANS – a supplier of EDI and network services to the insurance industry – up to 80 percent of physicians have reported that a lack of available funds is the main obstacle to implementing EMRs in many facilities. The Obama administration has, however, publicly supported the adoption of electronic records, and here we’ve outlined how last year’s $787 billion stimulus package supports current efforts to computerize the nation’s hospitals and physician’s offices.

The stimulus package has allocated $45 billion to helping the healthcare industry adopt electronic medical records, and requires the government to determine which software systems will be most beneficial and why. This process, aptly described as determining “Meaningful Use,” is still unfolding, with the main point of discussion currently revolving around deciding upon the speed at which physician groups, hospitals and technology vendors would be required to convert to digital recordkeeping systems.

Under the terms of the stimulus package, physician practices could receive up to $44,000 over a five-year period, while hospitals could receive a maximum of $15.9 million, to install EMR systems that meet “Meaningful Use” requirements. In contrast, the government would ultimately impose penalties on providers who do not choose to convert to electronic medical records by 2015, beginning with reducing Medicaid and Medicare payments by 1 percent in that year (and growing to 3 percent in subsequent years).

Whether or not systems are adequately “Certified” under the new standards that have been set by the stimulus package is also an integral issue for physicians hoping to receive incentives to adopt EMR software. Previously, certification was outsourced to a commission founded by the Healthcare Information and Management Systems Society (HIMSS) and was largely voluntary. But despite more than three years of certification, many EMR software systems are still not set up to communicate easily with one another, which has spurred the commission to turn its focus to ensuring that the certification process serves as a way to determine who will be eligible for stimulus funds.

Although some reports claim that seven out of 10 healthcare providers think EMRs would positively affect their practices, their patients and the industry as a whole, some physicians are still left wondering where to begin. On the other hand, many others are already making investments in IT initiatives. Whichever category you (and your practice) falls into, these new technologies will alter the medical landscape of this country and affect the way healthcare professionals provide patient care in the months and years to come.

Posted on January 19th, 2010

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Electronic medical records (EMR) promise to transform how we will handle the many challenges of medical care in the new millennium. Medical experts from a wide range of disciplines and backgrounds already agree that digitizing patients’ medical records can help to improve – and bring down the cost of – medical care, so now it’s simply a matter of making it happen! Here are some of the benefits of using electronic medical records.

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.

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