August 2010 Entries
Feds issue EMR meaningful use guidelines - August 30, 2010
Orlando Florida -- January 4, 2010 by MassDevice staff The Centers for Medicare and Medicaid Services propose guidelines for determining meaningful use of electronic medical records by doctors' offices and hospitals.
The Centers for Medicare and Medicaid Services issued a 556-page proposal detailing guidelines for determining which doctors' offices and hospitals will be eligible to tap nearly $20 billion in federal funds aimed at encouraging the use of electronic medical records.
Part of the American Recovery and Reinvestment Act passed into law last year set aside the cash for physician practices and hospitals that can show "meaningful use" of EMR technology, but didn't spell out how such use would be determined. That left the medical industry wondering who would be eligible to collect what could amount to $40,000 per doc over the course of a few years.
The new proposal (PDF), which is open to public comment, provides some detail. But it doesn't reveal which EMR providers will be certified under the program or explain who and how those providers will be certified.
Practices and hospitals will be able to tap the ARRA funds if they meet the following criteria:
"Eligible professionals" — doctors, in CMS-speak — must use "computerized physician order entry" or EMRs for at least 80 percent of all orders. Hospitals must use CPOE for at least 10 percent of orders.
The EP or hospital must be able to electronically check for drug-drug, drug-allergy and drug-formulary interactions to make prescribing drugs safer.
Eighty percent of all patients must have at least one entry in a "problem list of current and active diagnoses," or " an indication of none as structured data."
Eligibility requires electronic prescription capability; at least 75 percent of all prescriptions must be made using an eRx system.
Eighty percent of all patients must have at least one eRx (or an indication of no prescription).
Eighty percent of all patients must have at least one entry denoting an allergy to medication (or an entry indicating no allergies).
At least 80 percent of all patients must have demographic data recorded (language, insurance, gender, race, ethnicity and dates of birth and death "in the event of mortality").
At least 80 percent of all patients of 2 years old and older must have vital sign data recorded (height, weight, blood pressure, body mass index and growth charts for patients ages 2 to 20).
At least 80 percent of all patients of 13 years or older must have their smoking status recorded.
At least 50 percent of all patients must have their clinical lab tests recorded.
Eligibility requires the generation of at least one list of patients with a specific condition "to use for quality improvement, reduction of disparities and outreach."
EPs and hospitals must report ambulatory quality measures.
Follow-up or preventive care reminders must be sent to at least 50 percent of patients aged 50 or more.
EPs and eligible hospitals must implement five "clinical decision support rules relevant to specialty or high clinical priority," including diagnostics, and the ability to track compliance with the rules.
Insurance eligibility must be able to be checked electronically for at least 80 percent of all patients.
At least 80 percent of all insurance claims must be filed electronically.
At least 80 percent of all patients requesting electronic copies of their health records must receive them within 48 hours.
At least 80 percent of all patients discharged from eligible hospitals must receive electronic copies of their discharge orders if they request them.
"At least 10 percent of all unique patients seen by the EP are provided timely electronic access to the health information."
"Clinical summaries are provided for at least 80 percent of all office visits."
Eligibility requires at least one test of the EMR system's ability to exchange clinical information with other EPs' or hospitals' systems.
"Perform medication reconciliation for at least 80 percent of relevant encounters and transitions of care."
"Provide summary of care record for at least 80 percent of transitions of care and referrals."
Eligibility requires at least one test of the EMR system's ability to submit data to immunization registries."
Eligibility requires at least one test of the EMR system's ability to submit lab reports to public health agencies — unless those agencies lack the ability to receive that data electronically.
Eligibility requires a review of the data security of the EMR system and implementation of any security updates.
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For more information please call (877) 904-4EHR (4347) or visit us at: http://www.sencilo.com and let us "Uncomplexify your Information Technology"
Sencilo HealthIT Solutions eHealthcare Architecture: More than technology With Sencilo HealthIT Solutions eHealthcare Architecture, you can leverage the same productivity tools and technology resources that have transformed business. And you get a full portfolio of services too. By working with Sencilo HealthIT Solutions, you can get:
A dedicated customer team
A website customized for your institution
A full portfolio of robust solutions
Easy setup, implementation and maintenance
Simple ordering and delivery
Technology training
Flexible financing options
Sencilo HealthIT Solutions Professional Services makes it easy.
In addition to providing high-quality technology at a low cost, Sencilo HealthIT Solutions Professional
Services can help you plan your healthcare computing from the ground up. By working with you from the initial construction phases, we can help you save time and money and lead to a truly customized solution.
Sencilo HealthIT Solutions Professional Services offers complete services that include:
Design
Procurement
Installation
Training
Maintenance
Support
About Us
Sencilo HealthIT Solutions is a Florida-based integrator specializing in EHR Cost Cutting storage, security and managed services solutions. Sencilo delivers a comprehensive portfolio of products from best-of-breed hardware and software from multiple manufacturers including Allscripts, VMware, Dell Fujitsu EMC, Hitachi, Symantec, IBM, HP, Cisco, Microsoft, Gateway Sencilo has offices throughout Florida including: Orlando Lake Mary Daytona, Medical City solutions include Security "meaningful use" "meaningful usage" EMC HP IBM Quantum Compliance Gartner Magic Quadrant Quadrent LTO Daytona Beach Deland Melborne Tampa Clearwater, Dragon, Voice Recognition, Dragon Dictation
Network Backup appliance Data Recovery Backup Health IT Healthcare IT Digital Hospital Allscripts Patient Data electronic health record P4P rules and the HITECH Act PayerView Rankings practice management tools $44,000 in Medicare or $66,000 in Medicaid from the American Recovery and Reinvestment Act eClinicalWorks, Allscripts, NextGen, GE Centricity, and Meditech Electronic Healthcare IT Medical Records EHR Clinical Practices eClinicalWorks Allscripts Florida EMR, EHR, electronic medical record, health, records, practice management systems solutions, medication services, PHR Otolaryngology, Orthopaedics, pediatrics, eprescribe, dermatology, electronic documention, CCI edits, CPT codes, ICD 9 Codes, ICD 10 codes, comploiance, electronic medical records, Pain Nuerosurgery, Urology, Ophthalmology, Cardiology, Billing, Appointment Scheduling, clinicalworks, eClinicalWorks, solutions for physicians, hospitals, clinical education and medical services Computerized Patient CPR, Order Entry, CPOE, Document Clinical Information Informatics, Computer-based, SOAP, HIT, Healthcare Encounter Forms, web based, online, clinical rules database, electronic prescribing, e-prescribing, eprescribing, athenaClinicals, certified EMR, certified EHR, HITECH Act VAR Reseller Dealer hipaa privacy doctor, healthcare performance management, data security, hosting, arra, free, InterFAX, MyWay, HIPPA, EasyPayMedicare, MedicAID, SureScripts, FNC, billing, superbill iMedica Tiger on Windows, eprescribe pqri simple practice management revenue cycle e-cw e-clinicalworks greenway emds nextgen ge sage athena epic klas Dragon NaturallySpeaking speech recognition Google Health, Microsoft Healthvault Health Internet certified "meaningful use" violations HealthPresence Health Presence Sencilo “transformative” telemedicine medicaid medicare Seminole County Medical Society Orange county Orlando Medical News Trusted Advisor e-Prescription e-Rx CareTracker paperless scanning document storage hippa audits iscribe document scanning fi-6130 fi-6040 CCHIT ARRA surescript PAHCOM Medical Society
What the Professional Association of Health Care Office Management (PAHCOM) is saying about Allscripts MyWay - August 18, 2010
Orlando Florida -- The new Allscripts is the clear leader in software, services, information and connectivity solutions that empower physicians and other healthcare providers to deliver best-in-class patient safety, clinical outcomes and financial results.
Nationwide, more than 150,000 physicians, 700 hospitals and thousands of other healthcare providers in clinics, post-acute care facilities, and homecare agencies utilize Allscripts solutions to automate and connect their clinical and business operations. Together with our clients, Allscripts is transforming our disconnected 'healthcare' system into a connected system of 'health'.
Allscripts award-winning Electronic Health Record solutions are fast becoming an indispensable part of the way physicians practice medicine. Now more than ever, physician practices are choosing our award-winning Electronic Health Record solutions. Here are some reasons why:
Experience:
Significant and Stable Footprint - 150,000 Physicians Nationwide
Meets Different Needs of Sizes and Settings - Acute and Ambulatory; Small and Large
Trusted - Highly satisfied customers who recommend Allscripts to friends and family
Solutions:
Diversified Portfolio - Clinical and Business Solutions
All World-Class - Consistently Top Rated Solutions and ongoing Innovations
Certified - our EHR solutions are CCHIT-certified
Results:
Real Utilization - Not Just Implementation, but also Meaningful Use
Strong ROI - The Solution That Pays You Back
Delivering the Next Step - Comprehensive Connectivity
Allscripts is the first EHR vendor to have three Electronic Health Records approved by the Certification Commission for Healthcare Information Technology (CCHIT). The Allscripts Professional EHR, Allscripts Enterprise EHR and Allscripts MyWay are incompliance with 100 percent of CCHIT certification criteria.
About PAHCOM
PAHCOM is the single most effective means for small group or solo physician practice managers to obtain support and strengthen their professional growth. The focus on small business management principles separates PAHCOM from other health care associations that serve large clinics and hospitals. Recognizing that our membership is confronted with a myriad of increasingly complicated regulatory and reimbursement challenges on a continual basis, PAHCOM has structured an effective and efficient network of resources that provide guidance and assistance to each and every member.
No longer do small group and solo physician practice managers need to struggle alone. PAHCOM is there to share knowledge and lead the way to professional excellence. Physicians need to hire competent medical managers; PAHCOM membership is the standard physicians use to measure that competence.
Belonging to PAHCOM is more than just joining an association. It's getting access to truly competitive products, award-winning networking service and the convenience of knowing where to turn when an urgent situation arises.
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For more information please call (877) 904-4EHR (4347) or visit us at: http://www.sencilo.com and let us "Uncomplexify your Information Technology"
Sencilo HealthIT Solutions eHealthcare Architecture: More than technology With Sencilo HealthIT Solutions eHealthcare Architecture, you can leverage the same productivity tools and technology resources that have transformed business. And you get a full portfolio of services too. By working with Sencilo HealthIT Solutions, you can get:
A dedicated customer team
A website customized for your institution
A full portfolio of robust solutions
Easy setup, implementation and maintenance
Simple ordering and delivery
Technology training
Flexible financing options
Sencilo HealthIT Solutions Professional Services makes it easy.
In addition to providing high-quality technology at a low cost, Sencilo HealthIT Solutions Professional
Services can help you plan your healthcare computing from the ground up. By working with you from the initial construction phases, we can help you save time and money and lead to a truly customized solution.
Sencilo HealthIT Solutions Professional Services offers complete services that include:
Design
Procurement
Installation
Training
Maintenance
Support
About Us
Sencilo HealthIT Solutions is a Florida-based integrator specializing in EHR Cost Cutting storage, security and managed services solutions. Sencilo delivers a comprehensive portfolio of products from best-of-breed hardware and software from multiple manufacturers including Allscripts, VMware, Dell Fujitsu EMC, Hitachi, Symantec, IBM, HP, Cisco, Microsoft, Gateway Sencilo has offices throughout Florida including: Orlando Lake Mary Daytona, Medical City solutions include Security "meaningful use" "meaningful usage" EMC HP IBM Quantum Compliance Gartner Magic Quadrant Quadrent LTO Daytona Beach Deland Melborne Tampa Clearwater, Dragon, Voice Recognition, Dragon Dictation
Network Backup appliance Data Recovery Backup Health IT Healthcare IT Digital Hospital Allscripts Patient Data electronic health record P4P rules and the HITECH Act PayerView Rankings practice management tools $44,000 in Medicare or $66,000 in Medicaid from the American Recovery and Reinvestment Act eClinicalWorks, Allscripts, NextGen, GE Centricity, and Meditech Electronic Healthcare IT Medical Records EHR Clinical Practices eClinicalWorks Allscripts Florida EMR, EHR, electronic medical record, health, records, practice management systems solutions, medication services, PHR Otolaryngology, Orthopaedics, pediatrics, eprescribe, dermatology, electronic documention, CCI edits, CPT codes, ICD 9 Codes, ICD 10 codes, comploiance, electronic medical records, Pain Nuerosurgery, Urology, Ophthalmology, Cardiology, Billing, Appointment Scheduling, clinicalworks, eClinicalWorks, solutions for physicians, hospitals, clinical education and medical services Computerized Patient CPR, Order Entry, CPOE, Document Clinical Information Informatics, Computer-based, SOAP, HIT, Healthcare Encounter Forms, web based, online, clinical rules database, electronic prescribing, e-prescribing, eprescribing, athenaClinicals, certified EMR, certified EHR, HITECH Act VAR Reseller Dealer hipaa privacy doctor, healthcare performance management, data security, hosting, arra, free, InterFAX, MyWay, HIPPA, EasyPayMedicare, MedicAID, SureScripts, FNC, billing, superbill iMedica Tiger on Windows, eprescribe pqri simple practice management revenue cycle e-cw e-clinicalworks greenway emds nextgen ge sage athena epic klas Dragon NaturallySpeaking speech recognition Google Health, Microsoft Healthvault Health Internet certified "meaningful use" violations HealthPresence Health Presence Sencilo “transformative” telemedicine medicaid medicare Seminole County Medical Society Orange county Orlando Medical News Trusted Advisor e-Prescription e-Rx CareTracker paperless scanning document storage hippa audits iscribe document scanning fi-6130 fi-6040 CCHIT ARRA surescript PAHCOM Medical Society
HIPAA Medical Transcription for Physician Practices - August 18, 2010
Orlando Florida --
Physician practices should go in for HIPAA compliant medical transcription services so as to ensure confidentiality of patient information. Only HIPAA medical transcription can ensure the safety of dictated physician reports.
HIPAA Compliance in Policies and Procedures
HIPAA medical transcription for physician practices ensure that their business practices, workflow and applications and physical and electronic data meet the prescribed security standards. The security of health records and personal data are maintained at all times as the very purpose of HIPAA laws is to protect the rights of individuals and their records.
To offer structured HIPAA compliant medical transcription services for physician practices, these firms have an expert panel of professionals including medical transcriptionists, proofreaders, editors and quality controllers. These experts transcribe medical records utilizing the most modern equipment, technologies and software. The core services offered in HIPAA medical transcription for physician practices include:
• Patient history and physical examination report transcription
• Transcription of clinic notes, office notes
• Consultation notes transcription
• Transcription of X-ray reports, laboratory reports, pathology reports, scan reports
• Discharge summaries and follow-up notes transcription
• Emergency room notes transcription
Compliance officers keep abreast with any changing regulations and statutes to HIPAA so that these can be incorporated into the system without any difficulty. HIPAA compliant medical transcription companies ensure:
• Security for patient data
• Accurate and quality medical reports
• Excellent data backup facilities
• Digital recorders and toll free number dictation facility
• File transferring through FTP, browser based 256 bit AES encryption protocol
• Rapid turnaround time
• Continuous technical support
Experienced Provider for the Best Solutions
Physician practices should look for HIPAA compliance when hiring the services of a medical transcription company. Experienced service provider can deliver consistent and cost-effective services, while maintaining the strictest confidentiality of patient information.
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For more information please call (407) 494-4EHR (4347) or visit us at: http://www.sencilo.com and let us "Uncomplexify your Information
Technology"
Sencilo HealthIT Solutions eHealthcare Architecture: More than technology With Sencilo HealthIT Solutions eHealthcare Architecture, you can leverage the same productivity tools and technology resources that have transformed business. And you get a full portfolio of services too. By working with Sencilo HealthIT Solutions, you can get:
A dedicated customer team
A website customized for your institution
A full portfolio of robust solutions
Easy setup, implementation and maintenance
Simple ordering and delivery
Technology training
Flexible financing options
Sencilo HealthIT Solutions Professional Services makes it easy.
In addition to providing high-quality technology at a low cost, Sencilo HealthIT Solutions Professional
Services can help you plan your healthcare computing from the ground up. By working with you from the initial construction phases, we can help you save time and money and lead to a truly customized solution.
Sencilo HealthIT Solutions Professional Services offers complete services that include:
Design
Procurement
Installation
Training
Maintenance
Support
About Us
Sencilo HealthIT Solutions is a Florida-based integrator specializing in EHR Cost Cutting storage, security and managed services solutions. Sencilo delivers a comprehensive portfolio of products from best-of-breed hardware and software from multiple manufacturers including Allscripts, VMware, Dell Fujitsu EMC, Hitachi, Symantec, IBM, HP, Cisco, Microsoft, Gateway Sencilo has offices throughout Florida including: Orlando Lake Mary Daytona, Medical City solutions include Security "meaningful use" "meaningful usage" EMC HP IBM Quantum Compliance Gartner Magic Quadrant Quadrent LTO Daytona Beach Deland Melborne Tampa Clearwater, Dragon, Voice Recognition, Dragon Dictation
Network Backup appliance Data Recovery Backup Health IT Healthcare IT Digital Hospital Allscripts Patient Data electronic health record P4P rules and the HITECH Act PayerView Rankings practice management tools $44,000 in Medicare or $66,000 in Medicaid from the American Recovery and Reinvestment Act eClinicalWorks, Allscripts, NextGen, GE Centricity, and Meditech Electronic Healthcare IT Medical Records EHR Clinical Practices eClinicalWorks Allscripts Florida EMR, EHR, electronic medical record, health, records, practice management systems solutions, medication services, PHR Otolaryngology, Orthopaedics, pediatrics, eprescribe, dermatology, electronic documention, CCI edits, CPT codes, ICD 9 Codes, ICD 10 codes, comploiance, electronic medical records, Pain Nuerosurgery, Urology, Ophthalmology, Cardiology, Billing, Appointment Scheduling, clinicalworks, eClinicalWorks, solutions for physicians, hospitals, clinical education and medical services Computerized Patient CPR, Order Entry, CPOE, Document Clinical Information Informatics, Computer-based, SOAP, HIT, Healthcare Encounter Forms, web based, online, clinical rules database, electronic prescribing, e-prescribing, eprescribing, athenaClinicals, certified EMR, certified EHR, HITECH Act VAR Reseller Dealer hipaa privacy doctor, healthcare performance management, data security, hosting, arra, free, InterFAX, MyWay, HIPPA, EasyPayMedicare, MedicAID, SureScripts, FNC, billing, superbill iMedica Tiger on Windows, eprescribe pqri simple practice management revenue cycle e-cw e-clinicalworks greenway emds nextgen ge sage athena epic klas Dragon NaturallySpeaking speech recognition Google Health, Microsoft Healthvault Health Internet certified "meaningful use" violations HealthPresence Health Presence Sencilo “transformative” telemedicine medicaid medicare Seminole County Medical Society Orange county Orlando Medical News Trusted Advisor e-Prescription e-Rx CareTracker paperless scanning document storage hippa audits iscribe document scanning fi-6130 fi-6040 CCHIT ARRA surescript
Guest Author Frank Trew from DataPlus: Ten Ways to Improve Your Bottom Line by Analyzing the Data from Your Practice Management System - August 18, 2010
Orlando Florida --
by Mary Pat Whaley http://www.managemypractice.com/
The old saying “If you can’t measure it, you can’t improve it” certainly holds true in medical practices today. With falling payer reimbursement it is more important than ever to collect every single dollar your practice is due.
Most practices have sought additional income streams by adding ancillary services. Paying close attention to data can improve decision-making for such services and can dramatically improve revenue without adding any providers or even new patients!
Having ready access to the elusive data within practice management systems can be difficult, but most systems can report the basics. It is imperative that data is trended over a period of time so that trends can be spotted, benchmarks compared, and improvement plans developed. Measuring data and comparing it to the MGMA Cost Survey (find it at mgma.com) is one of the best places to start.
1. Collection Rates/Ratios: Two collection rates are measured in medical practices. One is gross collections and the other is net collections, the latter being the most important.
A gross collection rate is payments divided by charges and will depend on an artificial number – how high the charges are set above negotiated allowables – making it not particularly meaningful.
A net collection rate, however, provides a means to benchmark the health of collection efforts. Net collections, simply stated, demonstrate what percentage of collectible dollars (after negotiated contract write-offs) a practice is actually collecting. A net collection rate above 95 percent –when calculated correctly – denotes a healthy practice.
2. Denials: Denials are a significant portion of the cost of running a practice in that services that are provided but not paid for reduce the profitably of those that are. Accurately identifying denials and the reasons for them can help prevent them in the future, thus increasing productivity and lowering expenses. Identifying denial trends by specific payer or payer group, by CPT code, and by origin – whether at the front desk, with coding errors, or in credentialing – is equally important.
3. Evaluation & Management (E & M) Bell Curve: “Overcoding” and “undercoding” are commonly used terms, but how are they measured? Bell curve trending of E&M data can quickly identify areas where providers may be under coding, resulting in lower revenues, or over coding, resulting in the potential for audits. The difference between a Level 2 and a Level 3 E&M code can mean thousands of dollars in losses per provider per year. Documentation is critical to demonstrating the level of care provided to each patient.
The traditional primary care bell curve below demonstrates that level 3 visits typically comprise about 50% of your established patient encounters, level 2 and 4 visits together about 20% each, and level 1 and 5 visits together about 10%. When plotted on a graph and drawing a line between each, the shape resembles a bell.
4. Bad Debt: Bad debt is defined as dollars that could have been collected, but were not. Break this category into controllable factors and non-controllable factors. Issues that you should have been able to control are timely filing write-offs, credentialing errors, lack of follow-up, and incorrect information provided by the patient. Non-controllable issues are bankruptcy, patient failure to pay, and payers retroactively denying coverage due to unpaid premiums.
Reducing bad debt by just two percent can mean tens of thousands of dollars to the bottom line of a practice. The ability to quickly identify bad debt trends facilitates the development of an improvement plan.
5. AR Days: AR (accounts receivable) days are a measurement of the average time a dollar stays in an accounts receivable before being collected. The ability to measure, benchmark, and lower AR days provides a means to a significant increase in revenue. Some best practices that reduce AR days are filing insurance daily, sending statements daily, collecting appropriately at check-in and check-out, working denials quickly, discounting self-insured for time of service payment in full, and using an eligibility tool to check every single patient’s insurance.
6. Encounters: Accurately reporting and separating encounters for most practices is an arduous task of counting fee tickets or using tick sheets. Few practice management systems accurately provide this information. An encounter is much more than a service code. Being able to segregate office encounters from surgical cases, and reporting by payer, time, and location can help identify opportunities for improvement.
7. Referral Sources: It is fundamentally prudent for specialty practices to know the origin of patient referrals. This data is rarely reliable or easily created in most practice management systems. Practices need to know not only the source of patient referrals, but also what type of patients (by insurance, by procedure, etc.) are being sent by those sources, and if the referrals from a particular source have increased or decreased over time.
8. Payer Mix: It is not uncommon for practices to drop payors due to perception, and not because of actual data or trends. Emotions sometimes come into play and can result in a provider demanding that a payer be dropped because their rates have changed (or other perceptions). This simply does not make sense. Being able to accurately produce and graph data on major payers without hours and hours of work is of high strategic value to a well-planned business decision. It can answer questions about the impact on a practice if a particular payer is dropped, or how those patient slots would be filled. Remember to keep adding payers to the practice when feasible; the loss of your largest payer can be minimized if many smaller ones are on board.
9. Under Payments: One of the more significant ways to improve a practice’s revenue is the swift and accurate identification of carrier underpayments. Identification of underpayments is not simply comparing the payment to an allowable fee schedule. Practice management systems that have any type of payment audit functionality commonly do not take into account circumstances such as modifiers, or multiple surgical procedures that payers routinely inaccurately apply, causing underpayments. Having a system to automatically and systematically apply these rules is essential. MGMA states that providers are underpaid an average of six percent of revenue. What does that mean to a practice? The numbers can be astounding to a surgical group, and the identification and collection of those underpayments can be insurmountable.
10. Fee Schedule Comparison: It can be difficult to determine what payers are reimbursing by contract for specific codes or ranges of CPT codes. The ability to have immediate and accurate access to this data is crucial in payer negotiations. It is important to remember that the payer already has this information and is betting that the practice does not!
It is now more important than ever for practice managers to have access to the critical information outlined above. It is also important to note that not just any one of the above Key Practice Indicators should be used to determine the financial health of your practice, but all, or a combination of them.
The buzzword among practices today is “Dashboards.” The ability to have these Key Practice Indicators in one simple report is proven to increase efficiency, as well as provide a meaningful way to present information to providers. One example of a dashboard is below.
About the author: Frank Trew is the Founder and CEO of DataPlus and has over 25 years of practice management experience and has served in executive positions in large and small practices. In 1999, as the COO of a large orthopaedic group in Nashville, he was frustrated by an inadequate access to data that limited his ability to measure and improve the bottom line. The development of a data warehouse was the solution.
----------
For more information please call (407) 494-4EHR (4347) or visit us at: http://www.sencilo.com and let us "Uncomplexify your Information
Technology"
Sencilo HealthIT Solutions eHealthcare Architecture: More than technology With Sencilo HealthIT Solutions eHealthcare Architecture, you can leverage the same productivity tools and technology resources that have transformed business. And you get a full portfolio of services too. By working with Sencilo HealthIT Solutions, you can get:
A dedicated customer team
A website customized for your institution
A full portfolio of robust solutions
Easy setup, implementation and maintenance
Simple ordering and delivery
Technology training
Flexible financing options
Sencilo HealthIT Solutions Professional Services makes it easy.
In addition to providing high-quality technology at a low cost, Sencilo HealthIT Solutions Professional
Services can help you plan your healthcare computing from the ground up. By working with you from the initial construction phases, we can help you save time and money and lead to a truly customized solution.
Sencilo HealthIT Solutions Professional Services offers complete services that include:
Design
Procurement
Installation
Training
Maintenance
Support
About Us
Sencilo HealthIT Solutions is a Florida-based integrator specializing in EHR Cost Cutting storage, security and managed services solutions. Sencilo delivers a comprehensive portfolio of products from best-of-breed hardware and software from multiple manufacturers including Allscripts, VMware, Dell Fujitsu EMC, Hitachi, Symantec, IBM, HP, Cisco, Microsoft, Gateway Sencilo has offices throughout Florida including: Orlando Lake Mary Daytona, Medical City solutions include Security "meaningful use" "meaningful usage" EMC HP IBM Quantum Compliance Gartner Magic Quadrant Quadrent LTO Daytona Beach Deland Melborne Tampa Clearwater, Dragon, Voice Recognition, Dragon Dictation
Network Backup appliance Data Recovery Backup Health IT Healthcare IT Digital Hospital Allscripts Patient Data electronic health record P4P rules and the HITECH Act PayerView Rankings practice management tools $44,000 in Medicare or $66,000 in Medicaid from the American Recovery and Reinvestment Act eClinicalWorks, Allscripts, NextGen, GE Centricity, and Meditech Electronic Healthcare IT Medical Records EHR Clinical Practices eClinicalWorks Allscripts Florida EMR, EHR, electronic medical record, health, records, practice management systems solutions, medication services, PHR Otolaryngology, Orthopaedics, pediatrics, eprescribe, dermatology, electronic documention, CCI edits, CPT codes, ICD 9 Codes, ICD 10 codes, comploiance, electronic medical records, Pain Nuerosurgery, Urology, Ophthalmology, Cardiology, Billing, Appointment Scheduling, clinicalworks, eClinicalWorks, solutions for physicians, hospitals, clinical education and medical services Computerized Patient CPR, Order Entry, CPOE, Document Clinical Information Informatics, Computer-based, SOAP, HIT, Healthcare Encounter Forms, web based, online, clinical rules database, electronic prescribing, e-prescribing, eprescribing, athenaClinicals, certified EMR, certified EHR, HITECH Act VAR Reseller Dealer hipaa privacy doctor, healthcare performance management, data security, hosting, arra, free, InterFAX, MyWay, HIPPA, EasyPayMedicare, MedicAID, SureScripts, FNC, billing, superbill iMedica Tiger on Windows, eprescribe pqri simple practice management revenue cycle e-cw e-clinicalworks greenway emds nextgen ge sage athena epic klas Dragon NaturallySpeaking speech recognition Google Health, Microsoft Healthvault Health Internet certified "meaningful use" violations HealthPresence Health Presence Sencilo “transformative” telemedicine medicaid medicare Seminole County Medical Society Orange county Orlando Medical News Trusted Advisor e-Prescription e-Rx CareTracker paperless scanning document storage hippa audits iscribe document scanning fi-6130 fi-6040 CCHIT ARRA surescript
Report: Adopting EHRs Alone Will Not Meet 'Meaningful Use' - August 18, 2010
Many electronic health record systems will be able to provide only about one-third of the Stage 1 data requirements for the "meaningful use" of EHRs, according to a new report published last week by Computer Sciences Corp., InformationWeek reports.
The report -- titled "Hospital Quality Reporting: The Hidden Requirements of Meaningful Use" -- examined the unique data elements, sources and types of electronic documents that are required for Stage 1 of meaningful use.
Data Capture Requirements vs. Quality Reporting Requirements
Although hospitals might have core EHR systems that meet the data capture requirements for Stage 1, they likely will have only 35% of the information necessary for the 15 required hospital quality measures, according to the report. The report classified the remaining 65% of the data as the "hidden requirements" of meaningful use.
The report found that the most challenging hidden requirement is the need for more physician documentation in EHRs and in electronic medication administration.
In addition, many hospital emergency departments and operating rooms have limited clinical IT software, even though many patients who are admitted for an inpatient stay arrive through an ED, the report notes. According to the report, up to 30% of data elements for physician documentation and 10% of data elements for medication administration could come from an ED or surgical suite.
Further Struggles
Hospitals and health care workers not only will be required to add technology to meet guidelines for computerized physician order entry systems, but they also will need to meet criteria for quality reporting under limited time constraints.
Jane Metzger, one of the report's authors, said, "The basic message is that a minimalist approach to Stage 1 meaningful use will not position any hospital for a future that includes health care reform, value-based purchasing, and increased cost pressures and transparency" (Lewis, InformationWeek, 8/16).
Read more: http://www.ihealthbeat.org/articles/2010/8/17/report-warns-adopting-ehrs-alone-will-not-meet-meaningful-use.aspx#ixzz0x0SLptaQ
Data breach prevention top of mind for healthcare IT decision makers - August 18, 2010
Orlando Florida --
Preventing patient data breaches is cited as the number one priority for healthcare IT decision makers, but work remains for complying with security regulations, according to a national survey that examines IT trends in healthcare.
The 2010 Healthcare IT Survey, a poll of 600 decision-makers across hospitals in the U.S. and Canada, was conducted via Zoomerang, an online survey services provider, for Lexington, Mass.-based Imprivata, which develops enterprise authentication and access management solutions.
According to the survey, 80 percent of respondents say securing patient information from unauthorized access and data breaches is a top priority, and 76 percent claim breach of confidential information or unauthorized access to clinical applications as their greatest security concerns – so much so that 97 percent say that HIPAA and HITECH Act regulations are driving their organization's purchasing decisions. Seventy-four percent, meanwhile, say their organization will spend more on security in 2010 than it did in 2009.
Recently, Department of Health and Human Services Secretary Kathleen Sebelius announced tougher personal health information protection, as mandated under the HITECH Act, with a notice of proposed rulemaking designed to strengthen and expand enforcement of HIPAA.
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For more information please call (407) 494-4EHR (4347) or visit us at: http://www.sencilo.com and let us "Uncomplexify your Information
Technology"
Sencilo HealthIT Solutions eHealthcare Architecture: More than technology With Sencilo HealthIT Solutions eHealthcare Architecture, you can leverage the same productivity tools and technology resources that have transformed business. And you get a full portfolio of services too. By working with Sencilo HealthIT Solutions, you can get:
A dedicated customer team
A website customized for your institution
A full portfolio of robust solutions
Easy setup, implementation and maintenance
Simple ordering and delivery
Technology training
Flexible financing options
Sencilo HealthIT Solutions Professional Services makes it easy.
In addition to providing high-quality technology at a low cost, Sencilo HealthIT Solutions Professional
Services can help you plan your healthcare computing from the ground up. By working with you from the initial construction phases, we can help you save time and money and lead to a truly customized solution.
Sencilo HealthIT Solutions Professional Services offers complete services that include:
Design
Procurement
Installation
Training
Maintenance
Support
About Us
Sencilo HealthIT Solutions is a Florida-based integrator specializing in EHR Cost Cutting storage, security and managed services solutions. Sencilo delivers a comprehensive portfolio of products from best-of-breed hardware and software from multiple manufacturers including Allscripts, VMware, Dell Fujitsu EMC, Hitachi, Symantec, IBM, HP, Cisco, Microsoft, Gateway Sencilo has offices throughout Florida including: Orlando Lake Mary Daytona, Medical City solutions include Security "meaningful use" "meaningful usage" EMC HP IBM Quantum Compliance Gartner Magic Quadrant Quadrent LTO Daytona Beach Deland Melborne Tampa Clearwater, Dragon, Voice Recognition, Dragon Dictation
Network Backup appliance Data Recovery Backup Health IT Healthcare IT Digital Hospital Allscripts Patient Data electronic health record P4P rules and the HITECH Act PayerView Rankings practice management tools $44,000 in Medicare or $66,000 in Medicaid from the American Recovery and Reinvestment Act eClinicalWorks, Allscripts, NextGen, GE Centricity, and Meditech Electronic Healthcare IT Medical Records EHR Clinical Practices eClinicalWorks Allscripts Florida EMR, EHR, electronic medical record, health, records, practice management systems solutions, medication services, PHR Otolaryngology, Orthopaedics, pediatrics, eprescribe, dermatology, electronic documention, CCI edits, CPT codes, ICD 9 Codes, ICD 10 codes, comploiance, electronic medical records, Pain Nuerosurgery, Urology, Ophthalmology, Cardiology, Billing, Appointment Scheduling, clinicalworks, eClinicalWorks, solutions for physicians, hospitals, clinical education and medical services Computerized Patient CPR, Order Entry, CPOE, Document Clinical Information Informatics, Computer-based, SOAP, HIT, Healthcare Encounter Forms, web based, online, clinical rules database, electronic prescribing, e-prescribing, eprescribing, athenaClinicals, certified EMR, certified EHR, HITECH Act VAR Reseller Dealer hipaa privacy doctor, healthcare performance management, data security, hosting, arra, free, InterFAX, MyWay, HIPPA, EasyPayMedicare, MedicAID, SureScripts, FNC, billing, superbill iMedica Tiger on Windows, eprescribe pqri simple practice management revenue cycle e-cw e-clinicalworks greenway emds nextgen ge sage athena epic klas Dragon NaturallySpeaking speech recognition Google Health, Microsoft Healthvault Health Internet certified "meaningful use" violations HealthPresence Health Presence Sencilo “transformative” telemedicine medicaid medicare Seminole County Medical Society Orange county Orlando Medical News Trusted Advisor e-Prescription e-Rx CareTracker paperless scanning document storage hippa audits iscribe document scanning fi-6130 fi-6040 CCHIT ARRA surescript
Innovative health programs counter primary care shortage - August 18, 2010
Orlando Florida --
By Rita Rubin, USA TODAY
About 65 million Americans live in communities with a shortage of primary care doctors, physicians trained to meet the majority of patients' health care needs over the course of their lives.
How much more difficult will finding a primary care doctor become as a result of the recently passed health care reform legislation, which will extend coverage to an estimated 34 million currently uninsured Americans by 2019?
Massachusetts, which in 2006 passed a law that led to nearly universal coverage of its 6.6 million residents, might provide some clues.
'NOBLE FIELD': The challenges of primary care
In that state, fewer and fewer internists and family practice doctors are taking new patients, and wait times to see family practice doctors are lengthening, according to the Massachusetts Medical Society and the non-profit Massachusetts Health Quality Partners.
Even before Congress in March passed the landmark law designed to make health care more affordable and expand coverage, an aging population and doctors' increasing preference for higher-paying specialties set the stage for a primary care shortage. And what many believe to be an outdated reimbursement system — one that drives doctors to schedule office visits when a quick phone call or e-mail might do — doesn't help.
The shortage of primary care doctors could lead to longer waits not only for primary care, but also for specialty care as well as greater use of expensive emergency rooms for non-emergencies, researcher Walt Zywiak of Computer Sciences Corp., an international consulting company headquartered in Falls Church, Va., noted in a July report.
But some innovative programs provide a glimpse of what the future of primary care — a future in which a one-on-one visit at the doctor's office takes a back seat — could look like. They include:
• A Portland, Ore., practice where doctors provide more care via the phone or e-mail than face-to-face.
• A Massachusetts practice that offers "shared medical appointments" for six to 14 patients.
• A Philadelphia clinic in which nurse practitioners, who have earned master's or doctorate degrees and have trained in the diagnosis and management of health problems, provide primary care.
Better communication
GreenField Health, founded in Portland in 2001, gets its name from a Harvard Business Review article in the early 1970s, chief operating officer Steve Rallison says. If you could create a business from scratch, it said, you'd start with a green field.
GreenField Health has leveled the playing field as far as how its doctors — five internists, one family practitioner and one pediatrician — care for patients. "We're not going to be caught in the tyranny of the visit," Rallison says. "The pressure for most internists, family physicians, is they have to see lots of patients to generate revenue."
More often than not, GreenField's doctors answer questions and resolve problems, such as interpreting test results or adjusting medications, without seeing patients. Office visits make up only a quarter of their work effort, Rallison says, with phone calls 35% and secure messaging 40%. Doctors get to know patients with 90-minute initial visits. Annual visits are an hour, follow-ups a half-hour.
How can GreenField afford to do this, given that insurers usually don't pay doctors to talk on the phone or send e-mails? Patients pay an annual "retainer fee," from $350 to $650, depending on the patient's age, to cover what insurance doesn't.
Before joining the practice in 2002, internist Cynthia Ferrier had always been in a traditional fee-for-service — or fee-for-office visit — practice. She'd see 20 to 25 patients a day and usually would be late for every appointment except the first because they ran over the allotted time. Responding to patients' e-mails was out of the question. At GreenField, which doesn't have a waiting room, Ferrier sees eight to 10 patients a day. She answers phone calls and e-mails between appointments.
Colleagues at her old practice warned she'd be swamped with phone calls and e-mails. "You're going to get every worried crazy person out there," one told her. But that hasn't happened, she says. Because they know they can get a timely response, patients aren't bombarding her with questions.
Shelly Holly, 46, of Portland, says her $400 annual retainer fee is well worth it.
Holly, an environmental planner, liked her former doctor, but didn't like how long she had to wait for an appointment or how long she had to hang out in the waiting room.
When she heard about GreenField, "it just seemed to make sense. My time is valuable, too."
With her GreenField doctor, "if I have questions ... I just slip out my iPhone and type out an e-mail and e-mail it to him. Lo and behold, I might get an answer back in 20 minutes."
Help for doctors
GreenField Health may be a model of the practice of the future, but it's not typical today, Philadelphia internist Richard Baron says. Compared with many cities, he says, Portland is fairly affluent, so it's easier to attract patients who can pay a retainer fee.
"In our marketplace, and in most marketplaces in the U.S.," Baron says, "if you try to charge patients supplemental fees, you're on the edge of violating agreements with insurance companies." He echoes the call for reimbursement reform. Instead of paying primary care doctors per visit, he says, pay them a preset amount per patient per year, an approach called "capitation" that's used by HMOs.
Although some primary care doctors, worried about inadequate payments, regard capitation as a dirty word, Baron says it "can work just fine if it's based on an accurate understanding of the volume of services a group of patients is going to need."
Besides freeing doctors to provide care in the most efficient way, capitation would enable them to hire support staff, such as medical assistants, says Baron, chair last year of the American Board of Internal Medicine.
"We don't ask surgeons to stop in the middle of an operation and go find a scalpel. We arrange it so that there's a skilled team of people that are supported by the reimbursement system."
Baron and Thomas Bodenheimer at the University of California-San Francisco use a phrase that's kicked around a lot these days: "Work up to the top of your license." Translated: Doctors shouldn't waste their time on tasks that could be handled by someone with less training.
"Physicians do a huge amount of work that you do not need an M.D. to do," Bodenheimer says. "There's so much stuff that's routine, you could teach a high school student to do some of these things in a week."
But doctors usually don't hire someone to do that work, Bodenheimer says, because "you can't keep hiring people who don't get reimbursed." He says physicians might find that hiring medical assistants, who typically have one or two years of training after high school, increases efficiency and saves them money, although no one has studied that issue.
Harvard Vanguard Medical Associates, a non-profit multi-specialty group practice that cares for nearly a half-million people in eastern Massachusetts, may have hit upon a way to have its medical assistants — as well as nurses, social workers and dietitians — and pay for them, too.
Shared appointments
In 2008, Harvard Vanguard began offering "shared medical appointments," or SMAs. They're not classes, emphasizes internist Gretchen Gaida.
SMAs are scheduled for physicals, well-child checkups, chronic illness management and other types of primary care, as well as for specialty care. Six to 14 patients, who sign agreements to keep information about the others confidential, participate. SMAs last 1½ hours, but patients can leave when they feel their questions have been answered. Doctors take blood pressures and listen to hearts in front of the room but examine patients in a private room when necessary.
Physicians bill the same for patients seen in an SMA or individually. Considering doctors might schedule only four individual patient visits in 90 minutes, Gaida says, income from SMAs enables Harvard Vanguard to pay for the extra health professionals needed to run them smoothly.
Instead of thumbing through magazines in the waiting room, SMA patients meet in a conference room, where a "behaviorist," a nurse, social worker or psychologist who serves as a facilitator, writes down their questions for the doctor.
"The hardest part is getting patients to try it," says Gaida, who offers three SMAs for physicals each month in Chelmsford. But once they do, she says, 80% to 90% return for another.
Deborah Phillips, 57, of Billerica, Mass., is a convert. "I felt so comfortable, every time I go now that's what I do," says Phillips, who has diabetes. "You'll hear how someone else is handling the same problem that you have, only differently. I don't feel so alone out there."
Many in the health care field look to nurse practitioners and physician assistants, or PAs, to help fill the primary care gap. Both types of providers require graduate-level training.
"There is so much work that physicians do that they could be unburdened of," says Perri Morgan, director of PA research at Duke University.
Eugene Stead, then Duke's chair of medicine, founded the physician assistant profession in the 1960s to train former Vietnam medics to help fill a shortage of primary care doctors, Morgan says.
Today, PA classes are 70% to 80% women, she says, and, while the profession is growing, the proportion opting to practice in primary care has declined, while an increasing number are following physicians into specialties.
"We should just make more PAs," says Morgan, who wrote about the move away from primary care in May in the journal Health Affairs. "We can make PAs so much faster than doctors. There aren't going to be enough doctors anyway. And I'd like to see a larger proportion going into primary care."
Unlike nurse practitioners, PAs can't work independently of doctors anywhere, Morgan says. "PAs are committed to being dependent practitioners," she says. Still, some practice fairly autonomously, she says, and don't consult doctor supervisors every day.
In the past 18 months, many states have begun to re-examine laws governing what nurse practitioners can do, says nurse practitioner Mary Naylor, a University of Pennsylvania gerontology professor. Currently, Naylor says, the most restrictive states don't allow nurse practitioners to prescribe medication or practice without a doctor's supervision.
Nurse-managed centers
Donna Torrisi, a member of Penn's second graduating class of nurse practitioners in 1976, was instrumental in persuading Pennsylvania legislators to grant nurse practitioners prescribing authority and recognition as primary care providers. In 1992, she helped found the Family Practice and Counseling Network in Philadelphia, which she still directs.
Supported by the non-profit Resources for Human Development, the network of nurse-managed centers offers primary care for all ages, serving public housing residents, the poor and the uninsured.
This past fiscal year, Torrisi says, the network's three sites racked up 60,000 patient visits; this year, it expects 70,000. As a federally qualified health center, the network is reimbursed on the basis of its costs, not the number of patient visits.
On a sunny spring day in the network's sprawling, tastefully decorated North Philadelphia center, Torrisi, who sees patients one day a week, stopped to chat with patient Irene Pegram. Pegram, 76, clutched a paper bag of medication and worked on word puzzles while she waited for a ride home. A network patient for 16 years, she was diagnosed with diabetes five years ago. "Right now I'm coming in every week for the diabetes class," she says.
In the class, a nurse trained as a diabetic health educator sat at a table with eight patients. They played a board game that provided tips on managing their disease. Elsewhere at the center, a social worker led a "Stress Less" class, which utilizes such stress-relievers as yoga and essential oils, while a recovering addict, hired 17 years ago, led a support group for people battling their own addictions.
While nurses rule at Torrisi's clinics, "you need everybody" to meet the need for primary care, she says. "You need the doctors. You need the physician assistants, you need the nurse practitioners."
----------
For more information please call (407) 494-4EHR (4347) or visit us at: http://www.sencilo.com and let us "Uncomplexify your Information
Technology"
Sencilo HealthIT Solutions eHealthcare Architecture: More than technology With Sencilo HealthIT Solutions eHealthcare Architecture, you can leverage the same productivity tools and technology resources that have transformed business. And you get a full portfolio of services too. By working with Sencilo HealthIT Solutions, you can get:
A dedicated customer team
A website customized for your institution
A full portfolio of robust solutions
Easy setup, implementation and maintenance
Simple ordering and delivery
Technology training
Flexible financing options
Sencilo HealthIT Solutions Professional Services makes it easy.
In addition to providing high-quality technology at a low cost, Sencilo HealthIT Solutions Professional
Services can help you plan your healthcare computing from the ground up. By working with you from the initial construction phases, we can help you save time and money and lead to a truly customized solution.
Sencilo HealthIT Solutions Professional Services offers complete services that include:
Design
Procurement
Installation
Training
Maintenance
Support
About Us
Sencilo HealthIT Solutions is a Florida-based integrator specializing in EHR Cost Cutting storage, security and managed services solutions. Sencilo delivers a comprehensive portfolio of products from best-of-breed hardware and software from multiple manufacturers including Allscripts, VMware, Dell Fujitsu EMC, Hitachi, Symantec, IBM, HP, Cisco, Microsoft, Gateway Sencilo has offices throughout Florida including: Orlando Lake Mary Daytona, Medical City solutions include Security "meaningful use" "meaningful usage" EMC HP IBM Quantum Compliance Gartner Magic Quadrant Quadrent LTO Daytona Beach Deland Melborne Tampa Clearwater, Dragon, Voice Recognition, Dragon Dictation
Network Backup appliance Data Recovery Backup Health IT Healthcare IT Digital Hospital Allscripts Patient Data electronic health record P4P rules and the HITECH Act PayerView Rankings practice management tools $44,000 in Medicare or $66,000 in Medicaid from the American Recovery and Reinvestment Act eClinicalWorks, Allscripts, NextGen, GE Centricity, and Meditech Electronic Healthcare IT Medical Records EHR Clinical Practices eClinicalWorks Allscripts Florida EMR, EHR, electronic medical record, health, records, practice management systems solutions, medication services, PHR Otolaryngology, Orthopaedics, pediatrics, eprescribe, dermatology, electronic documention, CCI edits, CPT codes, ICD 9 Codes, ICD 10 codes, comploiance, electronic medical records, Pain Nuerosurgery, Urology, Ophthalmology, Cardiology, Billing, Appointment Scheduling, clinicalworks, eClinicalWorks, solutions for physicians, hospitals, clinical education and medical services Computerized Patient CPR, Order Entry, CPOE, Document Clinical Information Informatics, Computer-based, SOAP, HIT, Healthcare Encounter Forms, web based, online, clinical rules database, electronic prescribing, e-prescribing, eprescribing, athenaClinicals, certified EMR, certified EHR, HITECH Act VAR Reseller Dealer hipaa privacy doctor, healthcare performance management, data security, hosting, arra, free, InterFAX, MyWay, HIPPA, EasyPayMedicare, MedicAID, SureScripts, FNC, billing, superbill iMedica Tiger on Windows, eprescribe pqri simple practice management revenue cycle e-cw e-clinicalworks greenway emds nextgen ge sage athena epic klas Dragon NaturallySpeaking speech recognition Google Health, Microsoft Healthvault Health Internet certified "meaningful use" violations HealthPresence Health Presence Sencilo “transformative” telemedicine medicaid medicare Seminole County Medical Society Orange county Orlando Medical News Trusted Advisor e-Prescription e-Rx CareTracker paperless scanning document storage hippa audits iscribe document scanning fi-6130 fi-6040 CCHIT ARRA surescript
Dragon Medical Mobile Search is now a FREE Voice Dictation Search Tool - August 16, 2010
Orlando Florida --
Nuance, the makers of the popular desktop dictation software, Dragon Medical Dictation, have just released their first mobile medical app – Dragon Medical Mobile Search. The app allows clinicians to search online medical content on their iPhone using their voice.
The app works in a carousel fashion, refer to the pictures included to understand what I mean. Once you use your voice to look up a disease pathology or a drug, you are presented with 5 different search results: Google, IMO (ICD-9 codes), Medline, Drugs.mobi, and Medscape.
We’ve been waiting on this app for some time now. At HIMSS 2010, Nuance gave iMedicalApps a sneak peak of this application in action. The video clip of the preview is attached at the end of this post.
Also in the preview demo is the most eagerly anticipated product of theirs: Dragon Medical Mobile Recorder – their extremely popular desktop dictation software in the palm of your hand. But back to their just released Medical Mobile Search app.
The most important question regarding this app: How well does it recognize the disease or drug you verbalize?
It’s easy to see how Nuance’s medical dictation software has gotten so popular once you use this app because it recognizes disease and drug names with ease. Out of the 10 medical terms I tried on the app, it was correct 10 times. Not enough of a sample size to have much power, but it handled Guillain-Barre with ease – that’s good enough for me. Although the app is extremely accurate, the actual content you’re able to extract dulls the excitement.
What I liked:
*It’s free [per their iTunes description, it's free for only a limited time]
*Extremely accurate
*Searching for ICD-9 codes is quick and fast
*Carousel functionality is a great way to quickly access the content you desire
*Extremely fast application overall – could easily use in a busy clinic setting
What I didn’t like:
*Requests personal information at the beginning – this can easily be circumvented by putting in random information
*Requires a dedicated internet connection – 3G, EDGE, or Wi-Fi
*For Medscape search results, you have to login every time.
*For Medline search results, even though there is an “email out” function, you can’t do it. Plus, as the picture shows, you cant exactly type in multiple search phrases, such as “renal artery stenosis and ACE inhibitors”.
How can it be useful for medical professionals?
*Searching for ICD-9 codes
*If you can’t remember how to spell a certain disease or drug
*Drug reference tool [only if you trust drugs.mobi as a medical reference tool]
The main functionality in this app will come from other companies, such as Epocrates, using the SDK to have voice commands within their app. This is explained in the HIMSS post we did on Nuance.
What’s interesting is in the demo we got (attached below and starting at the 50 second mark) of the Dragon Medical Mobile Search app, they actually had Epocrates as one of the tools in the carousel, but this is no longer the case upon the release of the app.
Since this app is free for a limited time and provides a solid level of functionality, you should at least try it out.
----------
For more information please call (407) 494-4EHR (4347) or visit us at: http://www.sencilo.com and let us "Uncomplexify your Information
Technology"
Sencilo HealthIT Solutions eHealthcare Architecture: More than technology With Sencilo HealthIT Solutions eHealthcare Architecture, you can leverage the same productivity tools and technology resources that have transformed business. And you get a full portfolio of services too. By working with Sencilo HealthIT Solutions, you can get:
A dedicated customer team
A website customized for your institution
A full portfolio of robust solutions
Easy setup, implementation and maintenance
Simple ordering and delivery
Technology training
Flexible financing options
Sencilo HealthIT Solutions Professional Services makes it easy.
In addition to providing high-quality technology at a low cost, Sencilo HealthIT Solutions Professional
Services can help you plan your healthcare computing from the ground up. By working with you from the initial construction phases, we can help you save time and money and lead to a truly customized solution.
Sencilo HealthIT Solutions Professional Services offers complete services that include:
Design
Procurement
Installation
Training
Maintenance
Support
About Us
Sencilo HealthIT Solutions is a Florida-based integrator specializing in EHR Cost Cutting storage, security and managed services solutions. Sencilo delivers a comprehensive portfolio of products from best-of-breed hardware and software from multiple manufacturers including Allscripts, VMware, Dell Fujitsu EMC, Hitachi, Symantec, IBM, HP, Cisco, Microsoft, Gateway Sencilo has offices throughout Florida including: Orlando Lake Mary Daytona, Medical City solutions include Security "meaningful use" "meaningful usage" EMC HP IBM Quantum Compliance Gartner Magic Quadrant Quadrent LTO Daytona Beach Deland Melborne Tampa Clearwater, Dragon, Voice Recognition, Dragon Dictation
Network Backup appliance Data Recovery Backup Health IT Healthcare IT Digital Hospital Allscripts Patient Data electronic health record P4P rules and the HITECH Act PayerView Rankings practice management tools $44,000 in Medicare or $66,000 in Medicaid from the American Recovery and Reinvestment Act eClinicalWorks, Allscripts, NextGen, GE Centricity, and Meditech Electronic Healthcare IT Medical Records EHR Clinical Practices eClinicalWorks Allscripts Florida EMR, EHR, electronic medical record, health, records, practice management systems solutions, medication services, PHR Otolaryngology, Orthopaedics, pediatrics, eprescribe, dermatology, electronic documention, CCI edits, CPT codes, ICD 9 Codes, ICD 10 codes, comploiance, electronic medical records, Pain Nuerosurgery, Urology, Ophthalmology, Cardiology, Billing, Appointment Scheduling, clinicalworks, eClinicalWorks, solutions for physicians, hospitals, clinical education and medical services Computerized Patient CPR, Order Entry, CPOE, Document Clinical Information Informatics, Computer-based, SOAP, HIT, Healthcare Encounter Forms, web based, online, clinical rules database, electronic prescribing, e-prescribing, eprescribing, athenaClinicals, certified EMR, certified EHR, HITECH Act VAR Reseller Dealer hipaa privacy doctor, healthcare performance management, data security, hosting, arra, free, InterFAX, MyWay, HIPPA, EasyPayMedicare, MedicAID, SureScripts, FNC, billing, superbill iMedica Tiger on Windows, eprescribe pqri simple practice management revenue cycle e-cw e-clinicalworks greenway emds nextgen ge sage athena epic klas Dragon NaturallySpeaking speech recognition Google Health, Microsoft Healthvault Health Internet certified "meaningful use" violations HealthPresence Health Presence Sencilo “transformative” telemedicine medicaid medicare Seminole County Medical Society Orange county Orlando Medical News Trusted Advisor e-Prescription e-Rx CareTracker paperless scanning document storage hippa audits iscribe document scanning fi-6130 fi-6040 CCHIT ARRA surescript
Dragon Search now available for Medical Professionals - August 16, 2010
Orlando Florida --
by Mel Martin (RSS feed) on Aug 14th 2010 at 2:30PM
Here's something that will be welcomed by the health community. Nuance Communications has released a free, medical version of Dragon Search called Dragon Medical that lets mobile physicians and other health workers search a variety of medical publications on their iPhone or iPad by just speaking search phrases.
Information on drug interactions, latest medical news and diagnoses are available from the app, as well as a search though Google.
The original Dragon Search allows general information lookup using several search engines. Nuance is now moving toward more specialized apps for professionals.
The app is free for a limited time, and Nuance intends to bring out more apps for health workers, including a version of Dragon Dictation so patient notes and other information can be turned into text and saved.
----------
For more information please call (407) 494-4EHR (4347) or visit us at: http://www.sencilo.com and let us "Uncomplexify your Information
Technology"
Sencilo HealthIT Solutions eHealthcare Architecture: More than technology With Sencilo HealthIT Solutions eHealthcare Architecture, you can leverage the same productivity tools and technology resources that have transformed business. And you get a full portfolio of services too. By working with Sencilo HealthIT Solutions, you can get:
A dedicated customer team
A website customized for your institution
A full portfolio of robust solutions
Easy setup, implementation and maintenance
Simple ordering and delivery
Technology training
Flexible financing options
Sencilo HealthIT Solutions Professional Services makes it easy.
In addition to providing high-quality technology at a low cost, Sencilo HealthIT Solutions Professional
Services can help you plan your healthcare computing from the ground up. By working with you from the initial construction phases, we can help you save time and money and lead to a truly customized solution.
Sencilo HealthIT Solutions Professional Services offers complete services that include:
Design
Procurement
Installation
Training
Maintenance
Support
About Us
Sencilo HealthIT Solutions is a Florida-based integrator specializing in EHR Cost Cutting storage, security and managed services solutions. Sencilo delivers a comprehensive portfolio of products from best-of-breed hardware and software from multiple manufacturers including Allscripts, VMware, Dell Fujitsu EMC, Hitachi, Symantec, IBM, HP, Cisco, Microsoft, Gateway Sencilo has offices throughout Florida including: Orlando Lake Mary Daytona, Medical City solutions include Security "meaningful use" "meaningful usage" EMC HP IBM Quantum Compliance Gartner Magic Quadrant Quadrent LTO Daytona Beach Deland Melborne Tampa Clearwater, Dragon, Voice Recognition, Dragon Dictation
Network Backup appliance Data Recovery Backup Health IT Healthcare IT Digital Hospital Allscripts Patient Data electronic health record P4P rules and the HITECH Act PayerView Rankings practice management tools $44,000 in Medicare or $66,000 in Medicaid from the American Recovery and Reinvestment Act eClinicalWorks, Allscripts, NextGen, GE Centricity, and Meditech Electronic Healthcare IT Medical Records EHR Clinical Practices eClinicalWorks Allscripts Florida EMR, EHR, electronic medical record, health, records, practice management systems solutions, medication services, PHR Otolaryngology, Orthopaedics, pediatrics, eprescribe, dermatology, electronic documention, CCI edits, CPT codes, ICD 9 Codes, ICD 10 codes, comploiance, electronic medical records, Pain Nuerosurgery, Urology, Ophthalmology, Cardiology, Billing, Appointment Scheduling, clinicalworks, eClinicalWorks, solutions for physicians, hospitals, clinical education and medical services Computerized Patient CPR, Order Entry, CPOE, Document Clinical Information Informatics, Computer-based, SOAP, HIT, Healthcare Encounter Forms, web based, online, clinical rules database, electronic prescribing, e-prescribing, eprescribing, athenaClinicals, certified EMR, certified EHR, HITECH Act VAR Reseller Dealer hipaa privacy doctor, healthcare performance management, data security, hosting, arra, free, InterFAX, MyWay, HIPPA, EasyPayMedicare, MedicAID, SureScripts, FNC, billing, superbill iMedica Tiger on Windows, eprescribe pqri simple practice management revenue cycle e-cw e-clinicalworks greenway emds nextgen ge sage athena epic klas Dragon NaturallySpeaking speech recognition Google Health, Microsoft Healthvault Health Internet certified "meaningful use" violations HealthPresence Health Presence Sencilo “transformative” telemedicine medicaid medicare Seminole County Medical Society Orange county Orlando Medical News Trusted Advisor e-Prescription e-Rx CareTracker paperless scanning document storage hippa audits iscribe document scanning fi-6130 fi-6040 CCHIT ARRA surescript
How Paperless Offices Work - August 11, 2010
Orlando Florida --
by Diane Dannenfeldt
Browse the article How Paperless Offices Work Introduction to How Paperless Offices Work
Corporate Life Image Gallery
Photographer: Bartosz Ostrowski | Agency: Dreamstime
Don't let paper overwhelm your desk. There are many ways to convert to a paperless office. See more pictures of corporate life.
If you've ever spent too long hunting through stacks of paper for an invoice or searching through paper files, you may have wished for a paperless office. You wouldn't be alone.
As soon as computers began appearing on office desks more than 20 years ago, so did the idea of paperless, electronic communication. But despite all the time that's passed, most businesses are far from operating without paper.
The arguments for tossing the piles of paper are strong. By eliminating paper in file cabinets, for example, a company can create more room and reduce off-site storage costs. By exchanging information electronically with vendors and customers, a business can make information quickly accessible -- and conversely more private and secure through the use of encryption, passwords and other security measures. For some businesses -- like those in the healthcare industry, which are governed by the Health Insurance Portability and Privacy Act (HIPAA) -- paperless records may be a regulatory requirement.
But the process of going paperless can be daunting. There are the costs of new equipment and software to consider, as well as that of converting paper records into electronic files. And there are decisions about how to make the move and when, how much existing paper to convert, how to handle paper that continues to flow in from vendors and customers, how to get employees onboard with the idea and trained in new systems, and how to simply keep doing business as usual during the conversion.
Up Next
•How to Green Your Home Office
•How Virtual Offices Work
•DiscoveryHealth.com: Being Green in the Office
Add to that the fact that, no matter what, a company probably can't be completely paperless. Some papers -- like signed, sealed deeds and legally binding contracts, or paper records for audits and IRS tax filings -- need to exist in their original form for legal or financial reasons or, particularly in the financial services industry, to show regulatory compliance.
Still, many companies will agree that becoming paperless, or at least paper-less, is well worth the effort. In this article, we'll take a closer look at how you can move your company closer to paperless -- from possible steps in the transition process to the available technology. We'll also look specifically at document management and consider how you can make your home office paperless, too.
On the next page, let's look first at the benefits some companies have realized by going as paperless as they can.
Benefits of a Paperless Office
There are many benefits with a paperless office, beyond simply having less paper to deal with. While you're unlikely to have a completely paper-free office, electronic communication and other systems can eliminate much of it. Let's take a closer look at how this has benefited some businesses:
1.Reduced costs and quicker access to information. MajesticInvites.com is an eight-person company that designs online invitations. Being paperless saves the company about $100,000 per year on printing, mailing, paper and storage space, reports Alina Uzilov, the company's president. And because employees can access electronic documents more quickly than paper, they can almost instantly respond to customer questions or make their changes [source: Small Business Computing].
2.More space. When he got ready to switch locations after making his office paperless, real estate broker Ed Branson of Branson's California Property noticed that he didn't even have half as many file cabinets as before going paperless [source: Microsoft.com].
Photographer: Peterfactor | Agency: Dreamstime
Many doctors' offices are transitioning to electronic medical records.3.Document security and easy information sharing. Obstetrician Rose Kung, M.D., found storing and retrieving paper patient charts was time consuming for her practice at Women's College Hospital in Toronto. Switching to an electronic document management system reduced chart filing and finding time -- and improved security of patient information. Password protection at different levels limits the access that office staff have to the information. Kung can also send electronic copies of patient records to physicians anywhere in the world [source: A&L Computer Software Limited].
4.Ability to handle company growth. Transervice Logistics in Lake Success, N.Y., helps companies manage their delivery systems. The human resources staff found they had more than 30,000 pieces of paper to track and store in their 1,000 employee records. With that information now stored electronically, the department was able to handle the addition of 500 employees (potentially 15,000 more pieces of paper) without needing additional space.
5.Access anywhere and electronic prescriptions. South Shore Skin Care Center, near Boston, has switched to an electronic medical records (EMR) system from paper patient charts. With the EMR, doctors can access patient information from anywhere at any time. They can also send electronic prescriptions directly to pharmacies [source: dBusiness News].
6.Less paper in. A company plans to accept paper faxes from customers. However, the company uses electronic faxing to intercept those faxes, turn them into electronic documents and keep them from coming into the company as paper.
7.Less temporary paper. At dentist Kambiz Moin's office in Manchester, N.H., not only are patient charts electronic, but also patient arrivals. A patient who arrives for an appointment types his or her name in a waiting room computer and puts a finger on a biometric reader. Their arrival is then posted on the office computers, color coded to show an early, on-time or late arrival [source: Orthodontic Products Online].
8.8. Less paper out. Tax professional Joseph Anthony in Portland, Ore., files clients tax returns electronically, eliminating paper returns, and then turns the return into a PDF document that he gives the client on a rewriteable CD. The next year, the client brings back the CD to have another year's return added [source: Microsoft.com].
Taken one step at a time, moving toward a more paperless office doesn't have to be difficult. Go to the next page for some steps to put the process in motion.
Transitioning to a Paperless Office
If you're considering the transition to a paperless office -- or at least a more paperless office, you may be wondering where to start and what you'll need. Many companies offer document management systems, hardware, software and consulting services to help improve electronic communication on the road to having no paper. We'll look at some of those later in this article. For now, let's explore the process.
Photographer: Izaokas Sapiro | Agency: Dreamstime
Faxes can be sent electronically to individual computers instead of requiring hard copies.
Here are some decisions for you to consider before you start the transition to a more paperless office:
•How much of your paper do you want to convert? How far back do you want to go in converting paper files?
•How will you handle the paper that still comes in from vendors, partners or customers? Or, that you can't convert, like legal or tax-related documents?
•How expensive is new equipment or software, or both, and how does that fit your budget?
•What's your proposed process for going paperless and your time frame?
•How will you inform staff and get them to buy into the process so they accept the changes you want and don't slide back into heavy paper use?
•How much help do you need from outside? (This could be a consultant to manage the conversion process, a vendor for new equipment and software, a firm to do actual data conversion, a hosting service to move electronic files off site, security experts, or employee trainers.)
•How will you handle paper reduction on an ongoing basis? For instance, whose job will it be to scan and electronically file incoming paper?
Based on recommendations from experts and companies who have gone through the process, here are some basic steps for the transition process.
1.Commit to going to a paperless office, and convince staff to go along with it by explaining the advantages for each of them individually, and as a group, and involving them in the process.
2.Check your existing computer hardware to make sure it's robust enough to handle added applications and file storage. Make sure you have a reliable backup system for all the files you will be adding.
3.Analyze what you need and plan to accomplish. Think about what you're likely to need in the future with a growing business, as well as now. Think about which documents need to be accessed often or quickly, which need extra security, and which could be weeded out after a certain time.
4.Develop a transition plan and a timetable.
5.Start small with just a single department or area of our business so you can address any problems before broadening your scope.
6.Research the available tools to help you (document management systems, electronic faxing, scanners, data backup systems, security systems, document conversion companies, process consultants).
7.Select and arrange to buy the tools you plan to use. For software, consider fit with your needs, ease of use and implementation, cost, and integration with your existing systems. And don't neglect backup needs to keep electronic data from being lost.
8.Do a small test project; make any needed changes; and then move to the transition in your first department.
9.Develop a plan for ongoing company-wide use. Include a document storage plan for employees with specific guidelines.
10.Gradually take your paperless transition through the company.
Next, let's look at a key part of any paperless office -- the document management system.
Managing Digital Documents
Digital documents, like paper, need to be stored so they can be retrieved and used as needed. For a paperless office -- or more likely, a near paperless one -- you'll need a way to turn paper documents into digital, or electronic documents.
That type of communication transformation is handled by a document imaging system. Since not having paper is unlikely, you'll probably find an ongoing need to turn paper into electronic files. A document management system usually goes beyond that transformation to deal with all documents -- computer generated, as well as those that are faxed, scanned or e-mailed.
Photographer: Scrambled | Agency: Dreamstime
To create a paperless office, documents can be scanned into digital format using a scanner.
The basic document imaging system consists of a scanner and software that allows paper documents to be scanned, converted to electronic images and saved in PDF, TIFF or other formats for storage on CDs, DVDs, a computer hard disk or a network server.
Most document imaging systems include optical character recognition (OCR). This allows the images to be recognized as text when saved as searchable PDFs or copied into programs like Microsoft Word or Excel. With OCR, you also can search for specific words or phrases within a scanned document.
Document management systems provide the electronic file cabinets and filing system tools. They combine data storage space with software that goes beyond document imaging to include functions such as audit trail and reporting tools, document expiration controls to delete documents at specified dates and Web-based document viewing.
More advanced document management systems offer extras such as:
•User authentication for increased security
•Automatic e-mail notification
•Digital signatures
•Data encryption for secure sending
•Custom keys that provide prompts for correct indexing
•Targeted solutions for industries such as health care, financial or manufacturing
•Multimedia filing, bringing together various types of files such as visual images, video, text and spreadsheets
If you have large quantities of paper documents to turn into electronic files or need help getting the job done quickly, you may want to outsource document imaging to a company like microMEDIA. One of the company's current on-site conversion projects includes OCR and fully searchable PDF files with more than 25 million images.
And if you don't have a robust enough server or want to store electronic files off site, many document imaging companies offer a hosted server solution. Web-based document hosting allows you to store or back up your files on their server and then access them securely anywhere, any time. The advantage is that valuable files are off site in case your company's server goes down or cannot be used on site, like during a hurricane.
Beyond your company's paperless needs, employees may have a home office. On the next page, we'll look at how to bring a paperless look to your home office.
Going Paperless at Home
Photographer: Richard J. Thompson | Agency: Dreamstime
In a home office, it's possible to back up files to a computer rather than having stacks of paper. Whether you're a solo entrepreneur or a telecommuter working full or part time from home, there's no reason your home office can't be as paperless as possible. In fact, given limited space and available time, the move to electronic communication and reduced paper may be even more important at home than in a conventional office. Most of the same concepts apply, only on smaller scale.
Start your at-home push to paperless by taming your inner pack rat. No, you probably don't need marketing materials from five years ago or every scrap of paper related to completed projects. Reduce junk mail by calling 1-888-OPT-OUT (1-888-567-8688) to stop receiving credit card offers. Once you've cleared out the unnecessary, you can work to keep those newly cleared spaces clear permanently.
Next, switch to electronic with everything you can. Electronic banking eliminates statements and checks. Online credit card and financial statements knocks out more paper. Check to see what other accounts, like insurance, you can make online. The same goes for project proposals, resumés and invoices. When paper comes to the door, handle it once, and recycle or shred as much as you can immediately.
Make PDF documents of your receipts and save them online instead of printing out paper copies. Create an online filing system that's easy to understand. And develop a regular back-up system that you do at least weekly to make sure you don't lose important documents. A flash drive or CD can work, unless you have enough data to need an external hard drive for back-up.
Consider getting an inexpensive scanner, if you don't already have one, to scan and save receipts, contracts and other documents. If you need to return a signed contract and your employer or client is willing, you can scan the contract, sign it and fax it back. If not, you can at least scan and save the signed contract for your records.
Take that concept a step further, and consider signing up for electronic fax services. Several companies offer this service and accompanying software for as little as $40 per month. With electronic faxing, or Internet faxing, as it's sometimes called, you can send and receive faxes without a paper-using fax machine. Any document you create on your computer can be sent to a fax machine via e-mail or the Web.
Add a firewall and evaluate your software to make sure you have adequate security for your electronic documents and can protect them from cyber-thieves. If you think you need more, buy something more robust.
Work on one area at a time to gradually build to a nearly paperless office. Plan an annual end-of-year clean-out. Go through files, and move everything that simply needs to be stored onto CDs.
And accept the fact that some paper won't go away. Deeds, birth certificates, notarized documents and some tax-related items just need to be stored securely. Fortunately, by the time you've made the other changes, you probably won't need a large box to store the paper you've left!
Next, let's consider paperless office solutions beyond document management systems that can make a paperless office work better.
Paperless Office Solutions
Photographer: Akhilesh Sharma | Agency: Dreamstime
Electronic paper records allow users to access information from any device, including PDAs.While document management is an important part of the paperless office, other technology can help make the switch to electronic communication easier. If your goal is to eliminate paper, take a look at these options.
Data Back-Up -- For a paperless solution to work, a company needs the security of knowing digital documents are duplicated. This can be done through on-site back-up to a disk, hard drive or server. However, some less-used data can simply be archived, or stored on or off site for record keeping or in case it's needed at some point [source: Digital Assets].
Companies providing document hosting services frequently offer data archiving services. They may also offer data mirroring, in which an exact copy, or mirrored repository, of your database is kept off site so that your company can connect to it and use it at any time.
Electronic Faxing -- With electronic faxing, a company no longer needs paper-using fax machines. Incoming faxes are converted to digital images and sent to individual e-mail boxes. Similarly, documents created on the desktop can be sent to a fax machine via e-mail or the Web. Faxing also is more secure because paper copies can't be lost or left on a fax machine for everyone to see.
Security Solutions -- While electronic documents provide a level of security beyond paper on their own, you may want to go beyond the security offered as part of a document management solution. In choosing a security solution, consider the three main points of security: Does it provide confidentiality by protecting against unauthorized entry? Does it have integrity in that data within the device can't be altered? And does it limit availability by requiring authorization before the database can be used?
As technology advances, other solutions to the paper problem will undoubtedly emerge. One in development is Xerox Corp.'s electronic paper, which allows notations on thin digital displays with a stylus. The notations can either be erased or saved digitally. Another, Anoto Group's intelligent paper, also allows notations with a stylus, but using a magnetic ink. The notations appear on the paper and simultaneously on a computer screen.
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