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June 2010 Entries

Electronic Medical Records: What Is “Meaningful Use?” - June 18, 2010

Orlando Florida --
June 15th, 2010 by DrRob in Better Health Network, Health Policy, Opinion



Quiz: What does the term “meaningful use” mean?

A. Using something in a way that gives life purpose and leads to carefree days of glee.

B. It depends on your definition of the word “term.”

C. It’s not mean. It’s really nice.

D. A large number of rules created by the government to assess a practice’s use of electronic medical records (EMRs) so that they can spur adoption, give criteria for incentive rewards, and have physicians in a place where care can be measured.

E. Job security for those making money off of health IT.

The answer, of course, is D and E.
“Meaningful use,” in the eyes of many is seen as curse words, especially doctors. Here are the rules:



(Click on image to see enlarged version)

Under the plan, physicians will be paid cash dollars for meeting these criteria. Here’s the payment:

•2011 –- $18,000 per physician, one-time payment
•2012 –- $12,000
•2013 –- $8,000
•2014 –- $4,000
•2015 –- $2,000
•2016 –- $0
•2017 –- 1% penalty in Medicare payments if you do not qualify.
•2018 and beyond –- 2% penalty. More criteria to qualify? More quality measures? More penalties for not meeting criteria? Stricter criteria for A1cs? Other insurance companies using the same criteria or different criteria? More government control is a definite.
So what’s the big deal? Why would doctors be against getting extra money? Here are some of the main reasons:

1.They don’t want to use EMR and feel like the government is forcing them.
2.They think the rules are so onerous that it’s hopeless to even try.
3.They only like yellow charts, and the blue ones make them feel depressed.
4.They see that eventually non-adoption of EMR will be penalized. This makes many conclude that “meaningful use” is just a ploy for the government to cut reimbursement.
I, too, wish the chart was yellow, but overall I am not upset about all of this. The reason I am not upset is entirely selfish: I have been on EMR for 14 years and use a high-end product, so I will very likely be awarded the full $$ and avoid penalties. I also see this as an opportunity for physicians practicing good care to be seen as good doctors, and the bad ones to actually be penalized instead of rewarded.

You see, I have always seen EMR as much more than a computerized version of the paper chart. The true value in EMR is not that you get to type, it is that all of the information is stored in a single place, organized, and easily retrieved when needed. Using an EMR for documentation alone is like using a car to travel only as fast as you can walk. If payment is not so much based on the quality of my coding and my note-taking, but instead based on the quality of the care I give, isn’t that a good thing? Isn’t that what we should want?

No Patient Left Behind

The devil is in the details. Or, to be more accurate, the devil is in DC. The real problem with “meaningful use” is the fact that it is a mandate. Mandates like this –- the use of testing/criteria by the government to get people to act in a certain way -– have a huge flaw. This is best understood with another mandate of the government that has caused it’s own trouble: the No Child Left Behind law of 2001.

The intent of the NCLB law was to improve the quality of education in the U.S. It established standardized testing to:

1.Set a minimum requirement for education –- students cannot be passed on to higher grades unless they pass the test.
2.Held schools accountable for quality. Schools performing in the lowest range on the standardized testing would be publicly identified and penalized.
3.Teachers with low student scores would be penalized as well.
But the law of unintended consequences has caught up with NCLB, with schools/teachers “gaming” the system, undo focus on test-passage over comprehensive education, and squashing of teacher creativity with fear of low test-scores. Talking to teachers and parents (as a pediatrician), there is very little love for the NCLB law.

And children pay the price of this legislation as well. I saw a child recently who is a very hard worker, a very conscientious child, and who has been able to get mainly B’s in his classes. The problem for him is that he does not take standardized tests well. Despite medication and even allowances made in the testing setting, he fails the test which covers information he has shown in the classroom that he knows. The government calls his school and teacher as the cause of his failure, but he is the one who has to be held back until he’s able to pass the test.

In the same way, making a bunch of criteria for EMR use is sure to have a slew of unintended consequences. Doctors will select EMR systems based on meaningful use criteria, not on how well they work. Doctors will select patients who can get the scores higher and discharge those who probably need the most help.

Sounds familiar.

Meaningful “Meaningful Use”

What should be done? The real question should be: what can an EMR do to impact patient care that would be truly meaningful? If an EMR improves the ability of the doctor to take care of the patient, that is meaningful. But if the EMR makes the doctor pay more attention to qualifying for the cash payment than to the real care of the patient, it is more meaningless use.

I use an EMR every day. I use it because it helps me give better care and makes our office run more efficiently. If we have a new process that works better by using paper, we use paper. We are not wed to the idea of using computers, we are committed to good process and excellent care. The good news for us is that doing so has made us efficient enough to increase our revenue significantly at the same time that we improve our care quality. That’s what everyone wants.

It really worries me that the imposition of these criteria on EMR will dilute my focus on patients with a focus on achieving “meaningful use.” This is similar to the experience of many good teachers who had to abandon more creative teaching methods to ensure better test performance. If the criteria are not right, they will do this — there is no question.

So before imposing a set of criteria to be evaluated on doctors, we need to be sure that the criteria themselves are scrutinized. For them to truly improve care and not add more burdens to medical offices, they should:

•Improve doctor/patient communication.
•Make information more accessible to doctors and patients.
•Capture data automatically, not necessitating extra steps that could distract from care.
•Capture data so it can be used for reminders and clinical decision making at the point of care.
•Improve doctor/doctor communication (primary care to specialists and hospitals).
•Capture interventions, not just outcomes. For example, the prescription of a blood pressure medication should be rewarded, not only if the patient takes it. The ordering of a mammogram should be rewarded, not just if the patient gets it done.
•Systems should be required to “close the loop” for interventions, meaning that ordering providers should be alerted to any test, procedure, or consult results that do not come back. This is an enormous problem that frustrates many doctors and patients, increases medical liability, and causes harm. Computers are good at this kind of thing.
I’m sure there are more, but my word count is getting high. The bottom line: “Meaningful use” has to be truly meaningful.



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For more information please call (407) 494-4EHR (4947) 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, 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


Blumenthal Talks Health IT Security - June 18, 2010

Orlando Florida --
National health information technology coordinator Dr. David Blumenthal gave an interview with Information Week Healthcare to discuss, among other topics, the importance of keeping data safe from cyber threats.

“The HITECH act enacted a whole series of provisions to tighten the privacy and security laws under HIPAA,” said Blumenthal. “The Office of Civil Rights has already issued an interim final rule on breach notification that requires the notification of patients or other individuals whose data is breached.”

Blumenthal also noted an increase in heat on healthcare providers who lose personal health data or are raided due to a failure to comply or negligence in meeting regulations.

“There’s also a series of much harsher penalties for breaches due to negligence. There are a series of restrictions on the use of patient information for the marketing of products, for fundraising, or for other uses they haven’t given permission for. These will begin to give the public some insight into what we’re doing.

Blumenthal also noted a considerable amount of contact with the White House concerning cyber safety.

“Beyond that we’ve begun working with (White House cyber coordinator Howard Schmidt) to make healthcare a model program to tighten security of information in general,” he said. “We’re looking top to bottom at the security standards and technologies available to providers to protect health information.”

McDonnell WM. Arch Pediatr Adolesc Med. 2010;164:572-576.


----------
For more information please call (407) 494-4EHR (4947) 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, 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


Adult patients with chronic pediatric disorders continue to use pediatric ED - June 18, 2010

Orlando Florida --
Because pediatric specialists, hospitals and institutions often remain the preferred sources of care for transition patients — adult patients with chronic pediatric disorders — these health care providers must be equipped to treat the unique medical complications experienced by this population, according to recent study data.

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“Transition patients’ chronic pediatric disorders may be unfamiliar to adult-care physicians, yet their acute conditions may involve areas of adult medicine unfamiliar to pediatric physicians,” wrote researchers at the Primary Children’s Medical Center in Salt Lake City, who conducted the trial. “As increasing numbers of children with chronic pediatric disorders survive into adulthood, answers to these questions will take on increasing urgency.”

A retrospective descriptive study was conducted to examine adult patients with chronic pediatric disorders seen in the hospital’s pediatric ED during 2005. Outcome measures included number of patients, presenting complaints, hospital admissions and physicians’ preparation for treating this population.

Adults comprised 1% of the 43,621 patient encounters in the pediatric ED, according to the researchers, and of this population, 44% were considered transition patients, with ages ranging from 19 to 37 years. Seventy-seven percent of transition patients also had an ongoing relationship with at least one pediatric subspecialty clinic associated with the hospital, and many visited multiple clinics. Twenty percent did not have primary care providers, but 83% of these patients had relationships with subspecialty clinics.

Results also indicated that most patients presented with neurologic problems, although 45% of medical complaints had no direct correlation with the patient’s chronic pediatric disorder. Ninety-eight percent of complaints, however, fell within the attending physicians’ training and experience.

The researchers also noted that 86% of patient encounters resulted in consultation with at least one pediatric subspecialty service, and only 7% required no diagnostic tests or medical or surgical procedures.

Data also showed that transition patients were 2.1 times more likely to be admitted to the hospital (95% CI, 1.8-2.5) than patients aged younger than 19 years. Median length of hospital stay — 4 days — was also longer in this population when compared with 2 days for pediatric patients (P<.001). Transition patients were also 4.5 times (95% CI, 3.3-6.1) more likely to be admitted to the ICU during their stay when compared with pediatric patients.

“We found that adults with chronic pediatric disorders use the pediatric ED in substantial numbers,” the researchers wrote. “These patients require a large quantity of diagnostic and treatment resources relative to their numbers. … Unless large-scale policy decisions are made to provide acute care for these patients at adult facilities, pediatric hospitals should be prepared with adequate resources and training to deal with these complex adult patients.”

In an accompanying editorial, Clarissa Kripke, MD,and Kevin Grumbach, MD, both with the department of family and community medicine at the University of California, San Francisco, wrote: “With growing national attention to expanding health insurance coverage and centering the delivery of care around patient-centered medical homes, now is the time to implement reforms in payment, training, and health care organization so that all patients with complex chronic conditions are assured coordinated, comprehensive, quality health care across their life span.”

Kripke and Grumbach also said the transfer of pediatric and adult care is too abrupt, and that the process of moving patients from a one setting to the next should be a collaborative process involving the provider, the patient and the patient’s family.

Kripke C. Arch Pediatr Adolesc Med. 2010;164:581-582.

McDonnell WM. Arch Pediatr Adolesc Med. 2010;164:572-576.


----------
For more information please call (407) 494-4EHR (4947) 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, 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 dictation for email updated – Now supports BlackBerry smartphones Tour - June 18, 2010

Orlando Florida --
Dragon-messaging application is simply amazing! I have it on multiple devices (Blackberry and IPAD), and it has never failed to dictate my e-mails to date. Of course, he initially had some problems with my “aboot” and “eh”, but if you learn but it is so very sweet.
The initial realese Dragon was not that great good for some homeowners BlackBerry Tower. Many problems in the application not correctly loaded or not work at all easy. Nuance have solved the makers of Dragon E-mail with the problemDr. latest version is currently via BlackBerry App World is available. Frankly, I’m not sure if it was updated correctly, but I was told that this solve the problem for owners of Sprint Tour. Unfortunately, the app only in the U.S. so, if you live elsewhere, problems in finding a direct link to the current version 1.6.2, there are currently sits.


----------
For more information please call (407) 494-4EHR (4947) 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, 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 Dictation for your iDevice (iPad, iPhone and so on) - June 18, 2010

Orlando Florida --
Not too long ago Nuance released its Dragon Dictation app for the iPad, iPhone and so on (iDevices, I prefer to refer to them as). I’ve now had an opportunity to experiment with this app.

The recognition accuracy is fairly good, considering the technology is based on voice recognition (and not speech recognition). Unlike Dragon for the PC, there is no opportunity to train, and neither can your accuracy improve as there is no means to correct.

The recognition accuracy is entirely dependent on the user and their use of the available microphone. Proficient users of Dragon should be able to obtain near perfect accuracy. Newcomers to this technology will no doubt have mixed results. However, as there is no method for adding or modifying words in its vocabulary, the Dragon Dictation app is little more than a note taking tool.

Having said that, I was impressed with the accuracy I managed to achieve. But as the iPad, for instance, does not allow for multi-tasking, one must dictate into the Dragon Dictation app, and then copy and paste the resulting text into its ultimate destination. This is not a tool for chatting or for filling out forms and so on. But again, as I already said, Dragon Dictation makes for an acceptable note taker.


----------
For more information please call (407) 494-4EHR (4947) 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, 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


Bumenthal: Meaningful Use is Not Asking Too Much, Too Soon - June 18, 2010

Orlando Florida --

When HHS finalizes its Stage 1 rules for meaningful use of EMRs, likely in the next two weeks, don't be surprised if the criteria aren't all that different from those proposed at the end of 2009.

In a post on the ONC's Health IT Buzz blog, national health IT coordinator Dr. David Blumenthal seems to reject the argument from many camps that the proposed standards are too difficult to attain, instead siding with those who believe that EMRs are a centerpiece of true health reform. "The question healthcare providers are facing today is whether we are pushing too hard, too fast to make this important change. I respectfully submit, no. In turn, I ask, 'Can we make these changes expeditiously enough?'" Blumenthal writes.

"This is the time to realize the promise of health IT. Information technology has improved every aspect of our lives, we need to channel information technology to improve our health and care. Providing patients with improved quality and safety, more efficient care and better outcomes is paramount," Blumenthal says, though he doesn't tip his hand on specific points that might be in the final rule.

Blumenthal recalls his days of practicing internal medicine at Massachusetts General Hospital in Boston, noting that he resisted switching to an EMR himself. "Over time, however, I found that working with health IT made me a better and safer physician. Most importantly, my patients received better, safer care and improved outcomes," he says. It's time, according to Blumenthal, for all Americans to get better care delivered at lower cost.

He recommends the Regional Extension Center program for providers who might otherwise feel lost on their journey toward meaningful use.



Read more: Blumenthal: Meaningful use is not asking too much, too soon - FierceEMR http://www.fierceemr.com/story/blumenthal-meaningful-use-not-asking-too-much-too-soon/2010-06-17#ixzz0rDiGSUDB
Subscribe: http://www.fierceemr.com/signup?sourceform=Viral-Tynt-FierceEMR-FierceEMR

----------
For more information please call (407) 494-4EHR (4947) 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, 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


Bringing Comparison Shopping to the Doctor’s Office - June 14, 2010

Orlando Florida --
HSAN FRANCISCO — Americans comparison-shop for items as small as groceries and as big as cars. But they rarely compare prices on their health care. When a doctor recommends a test or a procedure, most patients simply go where the doctor tells them to go.

Enlarge This Image

Jim Wilson/The New York Times
Giovanni Colella, center, co-founder and chief executive of Castlight, with Castlight employees in its San Francisco offices.
Enlarge This Image

Jim Wilson/The New York Times
Dr. Giovanni Colella, co-founder of Castlight, which helps clients compare costs of procedures.
Even if a patient does want to comparison-shop, there is no easy way to obtain complete and useful information. It is a hole in the market that some companies see as an opportunity, especially because many Americans will soon have to pay more attention to what they are paying for, rather than count on insurance to cover everything.

But there has been no easy way for consumers to shop for the best deal on a colonoscopy or blood test. A start-up financed by prominent venture capitalists and the Cleveland Clinic, Castlight Health, aims to change that by building a search engine for health care prices. Patients using Castlight could search for doctors that offer a service nearby and find out how much they will charge, depending on their insurance coverage.

A few others are starting to publish health care prices, including Thomson Reuters, a Tennessee start-up called Change:healthcare, the New Hampshire government, which created a comparison shopping tool for residents, and health insurers. Aetna, for instance, has built tools to help patients estimate prices and may build more advanced tools, said Lonny Reisman, Aetna’s chief medical officer.

Price transparency could significantly change the way health care is bought in the United States. The notion “seems ridiculously simple and obvious, and in any other industry, you would say, ‘Duh, we already have that.’ But in health care, it’s revolutionary,” said Alan M. Garber, a professor of medicine and the director of the center for health policy at Stanford, as well as an investor in Castlight.

The lack of price information in health care has been a big driver of ballooning health care costs, analysts say, because costs are opaque to patients and heavily subsidized by employers. The patient has no incentive or responsibility to keep costs down. But many employers are switching to health plans that require patients to pay more out of their own pockets.

“Since Americans started having employer-sponsored health care, people are paying with someone else’s credit card, so we created a very inefficient market,” said Giovanni Colella, chief executive and a founder of Castlight. “Creating the right incentives changes the way people behave, and that’s where our company comes in.”

Dr. Colella started RelayHealth, which connects patients and doctors over the Web and was bought by McKesson in 2006. He founded Castlight with Todd Park, a founder of Athenahealth and chief technology officer of the federal Department of Health and Human Services.

On Thursday, Castlight announced that it raised $60 million from investors, in addition to the $21 million it previously raised. Safeway, the grocery chain, with 200,000 employees, has signed on as its first customer.

Castlight has received money from investment firms including Venrock, Maverick Capital, Oak Investment Partners and from an unlikely source, the Cleveland Clinic. Hospitals’ business models could be turned upside-down by price transparency.

Several studies and pilot projects suggest that the more patients know about prices, the more money they save. A study published last month by Mercer, a human resources consulting firm, found that people on high-deductible health plans, with more exposure to the prices of doctor visits, spent less. Indiana adopted high-deductible health plans, and the average expense in 2009 for patients on one of these plans was $6,393, compared with $8,570 for patients on a more traditional health maintenance organization plan.

“A lot of it is to understand the driver of costs and how they can start to control that, and encouraging that debate to happen while in the physician’s office,” Dr. Colella said. Castlight is working on a mobile version of the service to introduce next year so people can access the information from the exam table.

Health care pricing became part of the national conversation during the debate over health care reform. Prices will be important for the 30 million to 40 million people expected to join exchanges, which will encourage comparison shopping.

But so far, prices have been very difficult to find because health insurance providers and doctors negotiate rates and often agree not to reveal those numbers for competitive reasons. The Cleveland Clinic, for example, has about a hundred different contracts with insurance carriers, each with a different rate for a given procedure.

Ideally, transparency in health care pricing could lead to higher-quality, lower-cost health care, and more patient involvement in buying health care, said Delos Cosgrove, chief executive of the Cleveland Clinic. “Because they begin to realize that a trip to the doctor is not free, they might stay home and take the aspirin instead of getting the neurologic work-up.”

Castlight sells its service to employers and charges by employee per month. (It plans to eventually introduce a Web site for anyone to use.) Employees log on to a search portal, where they enter something like “colonoscopy” to find a list of doctors nearby and how much they charge.

Some insurers have shared pricing with Castlight, but the company gleans most of the information from the explanation-of-benefits forms that patients receive after a doctor visit. Castlight developed a way to pull the information from the millions of forms provided to it by employers.

Anyone who has read an explanation of benefits knows that it often raises more questions than answers, and Castlight says it wants to provide health education in addition to price information. The site explains why a patient has to pay a certain amount and the standard number of tests that a doctor would order for a particular problem.

Safeway has been experimenting with ways to cut health costs, including by using Castlight. “I’m a big believer in trying to create market forces wherever you can and then let personal accountability really drive the result,” said Steven A. Burd, the chief executive of Safeway.

For instance, Safeway pays up to $1,200 for its employees’ colonoscopies, a preventative procedure to detect cancer. If employees wish to go to a doctor who charges more, they must pay the difference. According to Castlight, colonoscopies in the Bay Area, where Safeway is based, range from $500 to $3,000, and sometimes a doctor charges different rates at different hospitals.

Castlight plans to add quality measurements to its price information. There are already several providers of that information, though there is no standard set of quality measurements in medicine. But even with quality ratings, there are many procedures for which Castlight’s service is not applicable. Someone suffering a heart attack is not going to check the Web before calling the ambulance, and a patient who discovers he needs emergency brain surgery is likely to prioritize quality above all else.

Even for more basic services, pricing is not always cut-and-dried. The delivery of a baby, for example, includes the hospital stay and the obstetrician’s fees, but could also include fees for a pediatrician, an anesthesiologist and specialists if there are complications.

At this stage, Castlight works best for big companies that are self-insured and for outpatient doctor visits for which quality does not vary greatly.

A version of this article appeared in print on June 11, 2010, on page B1 of the New York edition.

----------
For more information please call (407) 494-4EHR (4947) 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, 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


Hospitals Fined for Privacy Violations - June 14, 2010

Orlando Florida --
HDM Breaking News, June 11, 2010

The California Department of Public Health has fined five hospitals--one of them twice--for violations of patient privacy caused by employees.

California state law authorizes the fining of facilities and individuals, and disciplinary action against licensed professionals, for privacy violations. For instance, Kaiser Bellflower Hospital in Los Angeles was hit with fines of $187,500 and $250,000 in 2009 after multiple employees improperly accessed the records of octuplets mother Nadya Suleman and her children. At least 27 employees were disciplined, fired or resigned.

Advertisement

The new fines against five hospitals total $675,000. The hospitals are:

* Community Hospital of San Bernardino, $250,000, for unauthorized access of records from 204 patients by one employee;

* Community Hospital of San Bernardino, $75,000, for unauthorized access of three patients' records by one employee;

* Enloe Medical Center in Chino, $130,000, for unauthorized access to one patient's records by seven employees;

* Rideout Memorial Hospital in Marysville, $100,000, for unauthorized access to 33 patients' records by 17 employees;

* Ronald Reagan UCLA Medical Center in Los Angeles, $95,000, for unauthorized access of one patient's records by four employees; and

* San Joaquin Community Hospital in Bakersfield, $25,000, for unauthorized access to three patients' records by two employees.

Disciplined facilities are required to submit a corrective action plan to the department. For more information, including the department's complaint document against each facility, click here.

--Joseph Goedert

For more information please call (407) 641-5199 or visit us at: http://www.sencilo.com and let us "Uncomplexify your Information
Tecnology"



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, 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


Allscripts EMR Training - June 14, 2010

Orlando Florida --
We all know that Allscripts have helped to salt away cost and boost the efficiency in the large scale, when it comes to EMR implementation, it is the finest one. The steps that are taken up for EMR medical are immense and the effect has been enormous with long run. There are many doctors around who have benefited by this EMR medical.

In fact, Allscripts has become the pioneer in providing electronic health record company in west. The company is now out with their new Version 11 that is designed by some of the best technologist with great research. Allscripts Implement HIT is one of the leading online training which helps the trainee to learn from one place and can save cost, time and effort. The online training at www.implementHIT.com is a beneficial and has a good track record in shortest span of phase.

Implement HIT is known to provide dedicated online training for Allscript and for its most up-to-date Version 11. This online training is really beneficial for physician that allows them to stay in clinic and attend the patient and on the same time they can take part in the training programmed at their clinic. The clinical content developers are none other than those physician and doctors who are expert in EMR medical implementation. The Version 11 notes which is build by them is absolutely fast and accurate, which helps organization to establish rapidly and to support adoption across the organization.

Comprehensive Training Solution for Allscripts EMR Medical form Implementation HIT, in training process is the most important factor and also is great importance. The training team from Implement HIT is carried by the Doctors and other physician who have grown up along with Allscripts enterprises. They keep on updating themselves with the help of Allscripts Version 11 and implement valuable inputs for organization.

According to the survey, those organizations that used the Allscripts have fared well and that to in less price tag. It doesn’t take much time to adopt EMR medical. In fact, there are many practitioners’ who are now opting for EMR medical implementation without any hassle.

Currently, Allscripts is working on bringing great deal in change in EMR that can ease the pressure from health community and is going to revolutionize EMR medical. The foundation of the good EMR along with some sophisticated learning systems through its Version 11 notes which are in regards to clinical or medical content. The basic factor by having these great notes and clinical contents is that the workflow of the organization goes smoothly and the institution can get great return on their investment.

At Implement HIT you will be ensured of providing problem based live training session which is developed by the EMR training, which is combined with dedicated time to train. The result is not about cost saving only but also of greater saving by protecting organization. And most importantly is about success of the organization.

Thus exploit the Allscripts content and their notes that can help your organization and also you to save your cost instantly.





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, 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


EMR Stimulus Question and Answer - June 14, 2010

Orlando Florida --
Written by: John
Sign up to receive all the latest EMR, EHR, Simulus, and Healthcare IT Updates. Filed under:
■EHR
■EMR
■Electronic Health Record
■Electronic Medical Record
■HealthCare IT
■Meaningful Use
add to del.icio.us

0
diggs
digg Question: My EMR claims to have all of the capabilities they will need to demonstrate meaningful use and qualify for ARRA incentives. Does that mean I will get the EMR stimulus money?

First of all, you might want to consider another EMR vendor. If they are saying this, then they are trying to mislead you and make more sales. No EMR vendor can claim that they have “all of the capabilities” for you to show meaningful use and qualify for the EMR stimulus money.

Why can I say this? Because the details for Meaningful Use are still not final. We don’t know what you’re going to have to do to show meaningful use and so how can an EMR vendor claim to have all of the capabilities? Short answer is that they can’t. So, go and read their press release again and see if they’re just telling lies or if there was a disclaimer of some sort (ie. according to the interim final rule).

On to the other point of you getting EMR stimulus money. Certainly your EMR will have to be a certified EHR (that’s still not defined either). Your EMR will also have to have the capabilities to show meaningful use. However, at the end of the day, YOU’re the one that’s going to have to see patients and Use the EMR in a way that all of the meaningful use criteria are met. If you do this to the satisfaction of CMS, then you’ll get the stimulus money.

Certainly you can’t meet meaningful use without the EMR vendor. However, the EMR vendor alone can’t qualify you for meaningful use either. It takes 2 to tango. Just remember that it’s much easier to tango when you have a great partner. A lousy partner makes it no fun for anyone.





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, 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




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