June 2010 Entries
HIPAA Experts: Mandatory Encryption Overdue - June 14, 2010
Orlando Florida --
Dom Nicastro, for HealthLeaders Media, June 11, 2010
HIPAA compliance experts call the recommendation to mandate encryption on exchanges of electronic protected health information (ePHI) "overdue," "inevitable," and a necessary step toward ensuring a successful transition to electronic health records (EHR).
A privacy/security workgroup for the Office of the National Coordinator for Health Information Technology (ONC) reported last month that encryption should be mandatory for one-on-one exchanges between providers regarding treatments.
The workgroup of the monthly HIT Policy Committee in its May 19 meeting suggested that those exchanges should include:
•Encryption (no ability for facilitator to access content)
◦Encryption ideally should be required when potential for transmitted data to be exposed (mandate through meaningful use/certification criteria or HIPAA Security Rule modification)
•Limits on identifiable (or potentially identifiable) information in the message
•Identification and authentication
"I'd say it's long overdue," says Kate Borten, CISSP, CISM, president of The Marblehead Group. "Recall that the proposed security rule in 1998--that's 12 years ago--required that PHI be encrypted over the Internet. While there may have been a legitimate argument then that solutions weren't readily available and cost effective, there are solutions today."
John C. Parmigiani, MS, BES, president of John C. Parmigiani & Associates, LLC, in Ellicott City, MD, and former chairperson of the team that created the HIPAA Security Rule, says the recommendation was inevitable.
"It is merely recognition of what has become an industry best practice," Parmigiani says.
Encryption is not mandatory.
It is "addressable" under the HIPAA Security Rule. And the Department of Health and Human Services' interim final rule on breach notification creates a "safe harbor" for unsecured protected health information (PHI) that is encrypted by certain standards; in other words, covered entities and business associates (BAs) do not need to notify individuals on breaches involving such encrypted PHI.
If the workgroup's recommendation comes to fruition, it would "uncomplicate the situation that many healthcare organizations have been confronted with when trying to decide on encryption," Parmigiani says.
Back when the security rule was proposed in 1998, then finalized in 2003, encryption technology was immature, Parmigiani says.
Now, however, there have been "inroads in the understanding of encryption," he says, and widespread use of software and hardware encryption.
"Therefore, I believe that the formal recommendation is both timely and an essential component of successful HIT and is critical to the attainment of consumer confidence in a fully robust EHR and smoothly functioning HIE environment," Parmigiani says.
The privacy/security workgroup provides input to the Health IT Committee as it sets the ground rules for the criteria of "meaningful use" of EHRs.
CMS and the Office of the National Coordinator for Health Improvement Technology (ONC) December 30 released two anxiously-awaited regulations providing both the definition of "meaningful use" for EHRs and the standards to improve the efficiency of health information technology used nationwide by hospitals and physicians.
Currently, the ONC interim final rule, "Health Information Technology: Initial Set of Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology," requires that EHR systems be capable of encryption.
Final rules on the ONC interim final rule and CMS proposed rules are expected this spring. However, the interim final rule is in effect.
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
When Do You Need Dictation Equipment - June 14, 2010
Orlando Florida --
Dictation gear is really a method to record suggestions rather than writing them down. It can also be utilized in company as it enables for fast and accurate recording of info. In addition, it's utilized when writing isnt practical for example in medical providers. There is a variety of dictation gear on the market and it is essential to choose the correct one for your needs.
There are two main situations for dictation. The very first is when note taking is as well time consuming or difficult, such as when one is traveling. In these circumstances a recorder can effortlessly report a required conversation.
The second scenario would be to shift the burden of typing from extremely paid executives and professionals to reduce salaried employees. Executives and experts such as doctors dictate. Transcribers then transcribe the function to document form.
You will find two kinds of Dictaphone gear accessible analog and digital. Analog is the older technologies and its pretty straightforward. You are able to choose from either desk units or pocket recorders which possess a built in microphone. Micro-cassettes are the regular recording device.
One really important feature to have is indexing. This lets the user add a tone at the start and conclusion of the dictated message, which makes it simpler for that transcriber to find the starting and conclusion of a document.
Voice activation is an additional feature to think about. With voice activation, whenever you speak the recording starts automatically. Nevertheless, the very first couple of words are generally distorted.
Digital dictation gear is the new kid about the block, and its a excellent deal more complex than analogue equipment. It provides numerous various capabilities based on what is needed.
Transcription gear is utilized to convert messages that happen to be dictated to written documents. You should buy gear that lets the transcriber modify both the speed and volume of the dictation, along with rewinding and forwarding.
The best machines have foot controls so the transcriber does not have to stop typing to backup or adjust the tape. Also look for models exactly where the buttons are placed so that the report button cannot accidentally be turned on; thereby erasing a dictated message.
Dictation gear can variety in price from below $80 to over $100,000. Yes thats correct! Low end units can be purchased on the internet at many sites that offer office gear and, of course, you are able to also find them at local retail outlets.
Most users is going to be searching for a fairly fundamental Dictaphone but larger systems, like those $100,000 techniques, are likely to require help and installation. They will need to be purchased through specialized firms that can supply these services.
Dictation equipment is an important component of many business environments so give it the attention it deserves.
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 Remote™ (Medical) - June 14, 2010
Orlando Florida --
Description:
Allscripts Remote™ for the Apple® iPhone™ or iPod® touch enables healthcare providers to remotely control their Allscripts EHR from any location and thus help them control their time. In a matter of seconds, with Allscripts Remote, difficult medical decisions that need to be made while out of the office, at the hospital, on call or on personal time can be made more effectively and accurately.
Allscripts Remote makes a healthcare provider’s life easier with:
• Access to real-time patient summary information
• Fast communication to local emergency rooms
• Convenient ePrescribing to the patient’s pharmacy
• Anytime access to task list allows medication refill management, lab results verification and signing of chart notes
• Reliable documentation from anywhere at anytime
Allscripts Remote improves patient care with:
• A medical summary faxed to the ER with the provider’s instructions
• Safer medications with accurate medication and allergy lists combined with drug interaction checking
• Convenience of an ePrescription waiting at the pharmacy
Allscripts Remote works with Allscripts Enterprise EHR v11 and greater, Allscripts Professional EHR v8.1 update 1 and greater, and Allscripts ePrescribe.
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
CDC Updates Recommendations for MMRV Vaccination - June 14, 2010
Orlando Florida --
Merck Expected to Start Shipping ProQuad Again
By David Mitchell
5/12/2010
Physicians who provide care for children should be aware that the CDC has published updated recommendations for vaccination against measles, mumps, rubella and varicella. The recommendations, which have been adopted by the AAFP, offer clinicians insight into the preferred use of combination measles, mumps, rubella and varicella, or MMRV, vaccine versus use of MMR vaccine plus varicella vaccine.
"We have two very good options," said Jonathan Temte, M.D., Ph.D., a member of the CDC's Advisory Committee on Immunization Practices, or ACIP, and chair of the ACIP MMRV Vaccine Safety Workgroup. "There are some known, though slight, risks with use of the combination product for the first dose at younger ages -- specifically, 12-15 months."
When it was first licensed in 2005, Merck & Co.'s MMRV vaccine, which is marketed as ProQuad, was preferred by the ACIP for both the first and second doses, rather than separate injections of MMR and varicella vaccine.
However, the ACIP issued updated recommendations in February 2008 -- stating no preference for the use of MMRV vaccine versus the two component vaccines -- after preliminary data from two studies showed an increased risk for fever and febrile seizures five-12 days after vaccination among children ages 12-23 months who had received their first dose as the combination MMRV vaccine compared with children who received their first dose as separate injections of MMR and varicella vaccines.
Temte, a professor in the department of family medicine at the University of Wisconsin School of Medicine and Public Health, Madison, said the absolute risk of febrile seizure after measles, mumps, rubella and varicella vaccination is low. However, he said, the relative risk with use of the quadrivalent MMRV vaccine is double that associated with MMR plus varicella in separate injections when administering the first dose to children 12-15 months old.
Data from postlicensure studies do not suggest a similar risk for children ages 4-6 years receiving a second dose. Thus, the ACIP's updated recommendations are as follows:
•For the first dose at age 12-47 months, either the trivalent MMR vaccine and varicella vaccine can be given in separate injections, or the quadrivalent MMRV vaccine may be used. Clinicians considering MMRV vaccine administration should discuss the benefits and risks of both vaccination options with parents. Unless parents express a preference for MMRV vaccine, the CDC recommends that MMR vaccine and varicella vaccine should be administered for the first dose in this age group.
•For the second dose at age 15 months to 12 years, and for the first dose in children ages 4 years or older, use of MMRV vaccine generally is preferred rather than separate injections of MMR vaccine and varicella vaccine. Considerations should include clinician assessment, patient preference and the potential for adverse events.
•Children with a personal or family history of seizures of any etiology generally should be vaccinated with MMR vaccine and varicella vaccine.
Overall, Temte said, the MMRV vaccine is safe and effective. He added that although febrile seizures generally are benign events, they can be extremely worrisome for parents.
The ACIP's recommendations for the use of the quadrivalent vaccine have been moot for the past three years because of the unavailability of ProQuad. Merck notified the CDC about a pending shortage of the vaccine in February 2007 because of lower-than-expected yields of varicella-zoster virus. In May 2007, the manufacturer said it expected that supplies of the vaccine would be depleted within two months.
According to a recent update on the CDC's Current Vaccine Shortages & Delays Web page, Merck planned to begin taking orders for MMRV vaccine beginning May 10. The agency said Merck was expected to have about 1.4 million doses of ProQuad available.
At press time, however, a check of Merck's ProQuad website found that the vaccine was still noted as unavailable.
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
New speech recognition software from Nuance - Dragon SpeechPack for Designers - June 11, 2010
Orlando Florida --
Nuance Communications, Inc. today introduced Dragon SpeechPack for Designers, a new Dragon NaturallySpeaking suite with a special set of commands for leading graphical design tools. By collapsing repetitive tasks into simple voice commands, Dragon allows designers to work faster and more efficiently, freeing their hands and delivering a huge boost in productivity.
Using Dragon speech recognition to augment the traditional mouse and keyboard approach makes it faster and easier for designers to control the applications that they use every day. With Dragon SpeechPack for Designers, people can use their voice to work with most industry-standard design packages, such as Adobe® InDesign®; Adobe® Photoshop®; Adobe® Illustrator®; Adobe® Dreamweaver®; Fireworks®; Contribute®; After Effects®; Premiere Pro® , Quark Express, Corel Draw, Corel Photo Paint and more. Mouse clicks and key strokes can be replaced with simple, quick voice commands, giving designers a “third hand” so that they can stay more focused on design and less on hunting and pecking through multi-level menu structures. And because Dragon SpeechPack for Designers includes a full version of Dragon NaturallySpeaking, they can also create documents, manage email, and surf the web – completely by voice, three times faster than typing.
“For those working in design, being able to simply speak commands or quickly navigate through various repetitive program elements frees their minds and lets them keep their hands focused on the design process, which translates to substantial time savings,” said Peter Mahoney, senior vice president and general manager for Dragon, Nuance Communications. “And for many people, creative ideas often vanish as quickly as they come; Dragon truly allows us to keep up with the speed of our ideas.”
Dragon SpeechPack for Designers makes it easy for designers to simply speak their minds with their favorite design software
.
* Proven Speech Recognition Accuracy with Dragon NaturallySpeaking
Speak to the computer and watch the words appear on the screen. Launch applications, open files, create documents, manage email and work on the web – all by voice. Dragon delivers proven accuracy that continues to improve the more it is used.
* Speed through Routine Computer Tasks
Dragon eliminates the manual task of typing so that users can quickly and easily capture thoughts and control the computer by voice.
* Improve Design Efficiency
Talking is three times faster than typing. Adding voice as an extension to traditional mouse and keyboard actions makes it faster and easier to execute design tasks.
* Simplify Design Control
Designers can use the mouse for design and selection functions while using voice commands to selects tools, filters and commands.
* Concentrate on the Design
Speak changes to filters, control design tools, and more; designers can concentrate more on the impact of changes made in real time.
* Works with Most Windows-Based Applications, Including Popular Design Tools
Dragon SpeechPack for Designers works with most Windows-based applications, such as Microsoft® Word®, Internet Explorer®, and more. It also enables you to command and control most industry-standard design packages, including Adobe® InDesign®; Adobe® Photoshop®; Adobe® Illustrator®; Adobe® Dreamweaver®; Fireworks®; Contribute®; After Effects®; Premiere Pro® , Quark Express, Corel Draw, Corel Photo Paint and more.
Availability and Pricing
Nuance’s Dragon SpeechPack for Designers is available immediately in the US and Canada through Nuance’s Web site as well as its software retailer partners. Dragon SpeechPack for Designers is priced at $129.99. For additional information on features and pricing, or to purchase Dragon SpeechPack for Designers, please visit http://www.nuance.com/naturallyspeaking/products/bundles/speech-pack-for-designers.asp.
Dragon NaturallySpeaking
Dragon has long been a leading speech recognition application on the desktop, used by millions of people around the world. As demand for speech has grown, Nuance has sought to make speech recognition accessible to more people, from more places and devices. Nuance recently launched several Dragon Mobile Apps-including Dragon Dictation, Dragon Search and Dragon for E-mail - for iPhone, iPod Touch, iPad and select BlackBerry devices. And now automotive manufacturers can harness the power of Dragon to allow drivers to access dynamic real-time information and services by voice – right in their cars.
About Nuance Communications, Inc.
Nuance is a leading provider of speech, imaging and customer interaction solutions for businesses and consumers around the world. Its technologies, applications and services make the user experience more compelling by transforming the way people interact with information and how they create, share and use documents. Every day, millions of users and thousands of businesses experience Nuance's proven applications. For more information, please visit www.nuance.com.
More information can be found online at http://www.nuance.com
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 Electronic Health Record Selected by UBMD - June 11, 2010
Orlando Florida --
Allscripts announced that UBMD selected Allscripts EHR solution to help its 450 physicians enhance quality of patient care, improve patient communications, & better manage the cost of care delivery.
"The Allscripts electronic health record will let us develop a single, comprehensive patient record across multiple practices while still enabling our physicians in different specialties to refine and customize the type of information they enter and the way they work," said Michael Quinn, Chief Financial Officer of UBMD, a multispecialty group practice whose 450 physicians are faculty at the University at Buffalo School of Medicine and Biomedical Sciences.
UBMD physicians work in 18 practices across Western New York and also practice at affiliated institutions including Kaleida Health and Erie County Medical Center Corporation. The group will initially implement the Electronic Health Record for 35 physicians and intends to complete the roll out to its physician base within two years.
Streamlined experience for patients
Mr. Quinn continued, "Now each provider in our 18 practices will be able to see what's going on with the patient, which supports our effort to deliver one-stop shopping for patients by referring them to other UBMD providers. It's a streamlined experience for both patients and providers."
UBMD's Internal Medicine division has used the Allscripts Electronic Health Record successfully since 2004. But when UBMD went looking for an enterprise EHR for the full group, they formed a physician-led committee to conduct an exhaustive review of other products on the market.
Research capabilities were critical
"Because we're a research organization as well as a clinical practice, we needed an EHR that could collect, store and retrieve data to support an academic practice," said Peter Winkelstein, M.D., Chief Medical Informatics Officer of UBMD and Chief of the Division of Pediatrics at the Women and Children's Hospital of Buffalo. "Above all, we really needed a product that would be able to collect data coherently and report on it coherently, and Allscripts very rapidly emerged from the herd on that front."
To help with its research efforts, UBMD will deploy Allscripts Analytics, which enables automatic tracking of performance on financial and quality measures - for example, the percentage of all diabetic patients whose blood glucose levels are not controlled - and also provides proactive patient and population management.
Allscripts also satisfied UBMD's other criteria for an enterprise Electronic Health Record - the proven ability to build interfaces with hospital inpatient information systems, and a strong patient portal solution, Winkelstein said.
"UBMD's physicians are among the best medical school faculty in the nation, working in a complex academic environment supporting teaching activities in multiple acute care settings," said Glen Tullman, Chief Executive Officer of Allscripts. "We are grateful that UBMD selected Allscripts as their partner in developing a unified patient record that will drive critical information to their providers wherever they need it - in the clinic, or in the hospital, or while working remotely."
Allscripts will integrate the Electronic Health Record with UBMD's existing practice management system from GE, and with the inpatient information systems of its teaching hospitals.
Additional Information on ARRA and Meaningful Use
Allscripts has recently deployed a number of resources to help physician practices demonstrate "meaningful use" and take advantage of the American Recovery and Reinvestment Act ( ARRA ), which provides physicians between $44,000 and $64,000 for adopting an Electronic Health Record:
* The Allscripts Stimulus Program provides physicians with a guarantee that the Allscripts Electronic Health Record they select will meet the EHR certification criteria provided by the US Department of Health and Human Services ( HHS ). Physicians can also benefit from a new Allscripts financing program requiring no payments for software for six months, as well as new programs focused on faster implementation to ensure physicians can access the Federal Stimulus incentives.
* The Allscripts Stimulus Center provides the latest information on ARRA, including frequently asked questions on Meaningful Use and Certification.
* The Allscripts Legislative & Regulatory Action Center is a place to learn about and take action on issues that are critical to the provider community, providing a simple, 'one touch' connection to elected officials.
* 'Go' is a website designed for physicians and other providers who are considering deploying Electronic Health Records and other healthcare information technologies. Available at www.allscripts.com/go, the site provides easy access to best practices and success stories from the Allscripts client community of more than 160,000 physicians, 800 hospitals, and 8,000 post-acute care facilities.
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
Meaningful Meaningful Use - June 11, 2010
Orlando Florida --
By ROB LAMBERTS, MD
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 is not mean. It is really nice.
d. A large number of rules created by the government to assess a practice’s use of electronic medical records 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.
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 US. 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 am sure there are more, but my word count is getting high. The bottom line: meaningful use has to be truly meaningful.
June 10, 2010 |
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
6 Myths Surrounding ARRA/HITECH EHR Incentives - June 11, 2010
Orlando Florida --
June 10, 2010
The following is a guest post provided by Jim Tate, Founder of EMR Advocate and a contributing expert for HITECH Answers.
In a time when hospitals and physicians are seeing declining reimbursements, the ARRA Medicare/Medicaid EHR Incentive Program is a rare opportunity to be eligible for substantial incentives. However, the road to attaining the incentives is complicated. Uncertainties related to the definition and documentation of meaningful use can translate to lost incentives or, even worse, penalties.
As the definitions governing “meaningful use of certified technology”continue to evolve, it is critical to develop a roadmap to help your organization comply with the moving target of rules regarding compliance and documentation and get your fair share of the incentives.
3 Myths of the Hospital Program
1) Hospitals must decide between the Medicare or Medicaid ARRA incentives: FALSE – “Eligible hospitals can qualify to receive payments from both the Medicare and Medicaid EHR incentive programs.”
2) Hospitals must meet all requirements by October 1st, 2010 to receive the 2011 incentives: FALSE – “CMS proposes that, for the first year an eligible hospital demonstrates meaningful EHR use, an EHR Reporting Period equals any 90 continuous days beginning and ending within the year.”
3) In 2011 hospitals must electronically transmit all Meaningful Use objectives to CMS. FALSE- “In 2011, all of the results for all objectives/measures, including clinical quality measures would be reported by EPs and hospitals to CMS, or for Medicaid EPs and hospitals to the states, through attestation.”
3 Myths of the EP Program
1) PAs and FNPs are eligible for both the Medicare and Medicaid ARRA incentives: FALSE- “A Medicare EP is a doctor of medicine or osteopathy, a doctor of dental surgery or dental medicine, a doctor of podiatric medicine, a doctor of optometry, or a chiropractor.” “EPs (Medicaid) are physicians, dentists, nurse practitioners, certified nurse midwives, and physician assistants practicing predominantly in a Federally Qualified Health Center or Rural Health Clinic (FQHC/RHC) that is directed by a physician assistant.”
2) Eligible Providers must meet all requirements by January 1st, 2011 to receive the 2011 Medicare incentives: FALSE – “For the first year an EP applies for and receives an incentive payment, CMS proposes that an EHR Reporting Period is 90 days for any continuous period beginning and ending within the year.”
3) Eligible Providers must meet all ARRA criteria in 2011 to receive the maximum Medicare incentives. FALSE – “In general, a qualifying EP can receive an annual incentive payment as high as $18,000 if their first payment year is 2011 or 2012.”
About EMRIncentives.com
The EMRIncentives Team is led by Jim Tate, founder of EMRAdvocate and nationally recognized expert on the ARRA/HITECH incentive programs. They are dedicated to assisting hospitals and eligible providers as they plan for HIT adoption, achieving Stage 1 Meaningful Use and receiving the upcoming Medicare and Medicaid incentives.
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
How to Evaluate That EHR Demo - June 11, 2010
Orlando Florida --
By Rosemarie Nelson | June 10, 2010
--------------------------------------------------------------------------------
Selecting an EHR is not just about the demo. But those EHR vendors sure do put a lot of focus on that demo! You need to get beyond the smoke and mirrors and consider how to use that focus to evaluate the solution as it meets your needs and requirements.
Before you even schedule any vendor demonstrations, write down your "must haves." Can you identify your top 10 requirements?
For example, in one practice I work with, the system must track all pap smears for outstanding results and also automate notification to the patients of their result. In another, the EHR must incorporate a point-of-sale purchase of retail items. A 10-physician internal medicine practice required that their EHR solution incorporate voice recognition software to ease the transition for keyboard-phobic physicians.
Different specialties have different needs, and you should think of as many specialty-specific requirements as possible. Having an interface to the lab results for the bulk of your patients (75% to 80%) is an absolute requirement in primary care, for instance. Try asking yourself: What do I do that doctors in other specialties don't? Figure out how those differences would translate to functions in the EHR.
You can also incorporate the criteria that CMS will use to define Meaningful Use of an EHR for its incentive program to determine how your use of the EHR system will address specific objectives. (Even though the criteria are only in the interim final rule stage, wholesale changes don't usually happen past that point.)
For example, it is likely that collecting the smoking status on all patients ages 13 and older will be one of the objectives, so ask the EHR vendor to show you how their solution prompts you and/or your staff to ask the patient, document the response, and then generate the collective data for reporting.
Articulating your needs and requirements is just the first step for effective evaluation of system demonstrations.
The second step is to use those needs to create a scoring tool to track and document the EHR demonstration against the needs.
Keep the scoring simple. A 3-2-1 system will do just fine. The vendor scores a "3" for a specific need if the system exceeds your requirement, a "2" for meeting your requirements and a "1" if the system does not meet your requirements. The higher the vendor's score, the better fit the system is for your practice.
How does the scoring tool help after you've viewed three or four demonstrations? You can approach the comparison several ways.
The most basic -- though not necessarily the best -- way is to look at the total score for each product. High score wins and that's the one you buy.
Or you can compare the vendors on each "need" individually. Clearly if a vendor scored a "1" on each element, that product is a no-go. That's probably unlikely, though, so you'll need to prioritize your "needs." Again, the product that has the highest scores on the most number of top-priority elements is your winner.
It may also help to have a "deal-breaker" need. If a vendor scores a "1" on that one item, even if his system has "2"s and "3"s on all the others, you might want to rule it out.
You may also decide to include some "nice-to-have" features on your list. If so, scores on those items may tip the scale for one product over another.
It is easy to get distracted during a demo by all the features and functions the company representative will show you. Many systems have polished user interfaces and many demonstration specialists have perfected their skill at showing off the sizzle in their system.
But if you begin the demo preparation with the end in mind -- by clearly articulating your objectives and vision for your EHR implementation -- you will identify the solution that will have the greatest opportunity for successful use in your practice.
Focus on how the solution meets your requirements, not on the man behind the screen as you travel down the road to your EHR selection.
Sample score sheet
Requirement Score Comments
Lab interface to XYZ lab for result delivery
Collection and reporting of meaningful use criteria
Test tracking and patient notification functionality
Etc.
Score key: 3=Exceeds requirement 2=Meets requirement 1=Does not meet req
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-Eclipsys Deal a "Significant Event" in EMR Market - June 10, 2010
A 'significant event' in the EMR market has occurred with the purchase of Atlanta-based Eclipsys by Allscripts, a Chicago-based company, according to healthcare market research publisher Kalorama Information. Kalorama has been publishing detailed studies on the $13.8 billion EMR market for the past four years, and sees this purchase as a plausible attempt to unite a market where currently, hospitals and physicians choose from a wide range of vendors.
"We talk in our study about how there was no clear market leader in EMR and that there was a window for new entrants to enter the market," said Bruce Carlson, Publisher of Kalorama Information. "This deal doesn't close that window, but perhaps the opening just got a little smaller."
According to media reports, the purchase will be conducted in an all-stock deal valued at about $1.3 billion. The combined company will have 5,500 employees. Allscripts CEO Glen Tullman will serve as CEO of the combined company, with Eclipsys' President and CEO Phil Pead taking the chairman's title.
Prior to the purchase, Allscripts was one of the better-recognized names in the physician EMR market, according to Kalorama's most recent report on the market, "EMR 2010 (Market Analysis, ARRA Incentives, Key Players, and Important Trends)," published earlier this year before the purchase was announced. The company ranked in the top three in name recognition surveys along with Epic and Centricity. The report also indicated that in the category of "physician office and web-based sales" of EMR software (excluding large hospital/health system sales), Allscripts was the number one company in the segment. Allscripts provides electronic health records software primarily to physicians' practices and post-acute organizations, and claims 180,000 physician clients. The Eclipsys purchase brings them nearly 1,500 hospital customers, which Kalorama sees as significant.
"It's logical to match these companies up since Allscripts has physicians and Eclipsys reaches into hospitals and health systems market," said Carlson. "Despite Allscript's name recognition in the physician market, it would have been hard for any company to maintain leadership in EMR without reaching into the hospital space as well. It's not easy to break into the hospital EMR market, so an acquisition was the logical play here."
The company still faces challenges including the blending of their software offerings and competition from McKesson, Cerner, and GE Healthcare, as well as Dell Microsystems which recently entered the EMR market. The EMR industry collectively faces the challenge of incorporating "meaningful use" guidelines into vendor offerings in a way that will encourage physicians to use EMR at greater rates than what we currently see.
Kalorama Information's report, "EMR 2010 (Market Analysis, ARRA Incentives, Key Players, and Important Trends)," written before the Allscripts-Eclipsys deal, contains more information on the EMR market including market forecasts, market segments, pricing information, profiles of the top vendors in the market and more. The report can be found at:
http://www.sencilo.com/buynow.php
