May 2010 Entries
Review: Dragon Dictation - May 28, 2010
Orlando Florida --
Speak to your iPad and have it do the typing for you. (May 27th, 2010)
If you want your iPad or iPhone to do your typing for you, the free Dragon Dictation app does just that. You simply launch the app, start to speak, and it saves your voice to a buffer. After about 20 seconds, it processes the speech into text.
MacNN Rating:
Product Manufacturer: Nuance Communications, Inc.
Price: FreeThe Good
Decent dictation if you speak clearly. Plenty of options for exporting processed text. Works with some external mics.
The Bad
No means of saving transcriptions. No buffer fill warning.
What could be more convenient than speaking and have your words appear in your iPad, iPhone, or iPod touch? Dragon Dictation by Nuance accomplishes just this task.
It is very simple to start dictating. When the app opens, your screen appears with a giant Record button and the instructions to tap to record.
Read more: http://www.macnn.com/reviews/dragon-dictation.html#ixzz0pFhEec5V
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
Speaking up: Dragon finds my voice - May 28, 2010
Orlando Florida --
Using speech recognition while having a predilection for written language has given me a lot of opportunity to think about concepts like “having a voice” and “speaking out.” I will always firmly believe that written communication can be just as powerful as spoken. As I’ve said, I preferred for quite a while to communicate the “heavy stuff” through my hand. It felt more natural and fluent that way; for me, silence is often a feature of language and can enhance my thought process. But sometimes I didn’t choose. I had to — my oral voice was ignored.
It is true that I speak well. It is true that I have quite a lot of words in my head. However, these things don’t mean much if I’m trying to communicate with people who refuse to hear me out. My voice becomes particularly useless when I’m trying to explain how something ableist has harmed me. The minute people interrupt me with, “I was being helpful!” or “You need to understand that whatever I did wasn’t intentional,” I feel like I can’t breathe and my voice shuts off. I’m not proud of this. If I do manage to complete my thought out loud, the other person’s response is often something like, “I’m sorry we had this communication problem. I appreciate your willingness to work on it.” Note the absence of responsibility.
If I absolutely need to say something despite that stifling silence, I retreat to the steady undercurrent of written English, the alphabet arranging itself fiercely in my brain. I have print thoughts, always, even when I have no sound. But sometimes I need sound. In order to tell my side without interruption, I still have to use written English — continuing the conversation in face-to-face speech would waste my breath. But to write, I have to use the same voice that has just been cut off as though worthless. Recently, though, I found that Dragon is damn good at reassuring me that yeah, I still exist.
For the longest time I thought of Dragon as simply an input device, a way of sending keystrokes so that I could have my printed thoughts more easily. Dictation to me was a mechanical process; my voice was not strictly my voice but a tool. I was very much mistaken. While these things are true, they are also incomplete. The other day, as I sat down to write my side of a particularly bad situation, I was startled to realize that my dictating was very much an act of “speaking out” in the asserting or protesting sense, and not just vocalizing.
More than just transcription, dictation is the act of giving alphabetic form to invisible speech. When I began to dictate my indignation and disheartenment, I was only telling the microphone what I would have told the other person if given a chance. The difference was that the other person gave the impression I was invisible or inaudible — that I hadn’t said anything at all. Dragon, however, proved that my voice had actually registered by setting my words down on the screen. I could see them and read them and confirm that yes, that’s what I meant to say. I had a reflection. I was not a ghost. The letters stood out in my head as if to say, I am here.
And so I printed out my side of the conversation. There was nothing on that page to distinguish typing from dictation. And that was as it should be. But I knew — as did the other person, knowing my devices — that my voice was all over that page either way. And now it’s the other person who has fallen silent, perhaps thinking. I can hope.
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
ECM's Role In EHR Meaningful Use - May 28, 2010
Orlando Florida --By Ken Congdon, editor in chief, Healthcare Technology Online
When The American Recovery and Reinvestment Act (ARRA) was passed in February 2009, it provided substantial monetary incentives for healthcare facilities to adopt EHR systems. As a result, several healthcare institutions rushed to search for that one EHR technology that would help them satisfy the elusive meaningful use criteria that would award them those hefty payouts. However, as most came to realize, there is no one magic bullet technology that will allow a healthcare system to achieve meaningful use out of the box. Instead, meaningful use will be achieved through the effective implementation and integration of several sound technology systems and operational processes. One technology that will play a crucial role in EHR meaningful use is ECM. Healthcare Technology Online interviewed several industry experts to gain their insights into the value effective content management will have on today's EHR initiatives.
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
Advancement in Technology and the Changing Landscape of Information Security in Health InformationPosted by: Admin : Category: it security - May 28, 2010
Orlando Florida --The advent of the Electronic Health Record (“EHR”) holds the potential to alter the paradigm of medical care. In this modern age a patient’s information or lab results can be zipped to a Dr.’s phone where he can analyze them instantly. Nurses can enter/retrieve notes and findings on a patient’s emergency room treatment from a nurses’ station, a laptop or a portable device from anywhere in the hospital, rather than waiting for the paper chart to make its tortuous way up several stories to the patient’s room. And, perhaps within the next few years, a patient’s information can be sent anywhere in a matter of seconds.
Yet, these technological advances carry significant challenges in security, as electronic information is subject to loss or alteration to a far greater extent than paper records. HIPAA law, in the form of the Security Rule, addresses some of these issues, in support of the goal of privacy and reliability of electronic health information. The Privacy and Security Rules of HIPAA total almost 1000 pages, and while the legal, administrative and technical protection themes are not complicated, deciphering them and implementing action plans requires HIPAA lawyers to work in tandem with HIPAA consulting entities to prepare policies and procedures which will provide the requisite level of security. This is no small challenge in an age where s two-inch USB, or “thumb” drive can hold thousands of pages of medical information, and can slip from one’s pocket as easily as the change which often turns up under the couch cushions. Moreover, in a world of social networking, it is not uncommon for individuals to do things they wouldn’t normally do in a professional setting forgetting that electronic mediums like the internet make information (sensitive or otherwise) boundless. Once it goes out, it can go anywhere. Facebook, MySpace, and even text messaging are all important considerations with regard to new regulations and Privacy issues.
The HIPAA Security Rule addresses these worries in requiring that Protected Health Information (“PHI”) be encrypted during storage as well as during transmission, in accordance with the principles put in place in a Guidance published by the Department of health and human services during April, 2009. DHHS has been mandated, by the revisions to health insurance portability and accountability act in the HITECH Act, to make periodic “spot audits” of hospitals with regard to privacy and security. Evidently, a hospital ought to obtain its HIPAA lawyers in the facility working on security safeguards way before this kind of an assessment takes place.
HIPAA consulting entities, running with a group comprising IT, Records, Legal in addition to the outside HIPAA lawyers ought to embark upon a healthcare compliance security initiative by assessing existing security technical protections as well as administrative security processes (i.e., how electronic health information is used and transmitted), revising those protocols when needed, as well as teaching the staff on implementation of the new policies and procedures. HIPAA law, in 2010, is one of the key principles of healthcare compliance, and the hospital will accomplish the requisite standard most cost-effectively by commencing bringing together the HIPAA lawyers and health insurance portability and accountability act consulting teams with the hospital stakeholders early enough to realize workable tactics in information security.
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
IntelliDose chemo management to be integrated into Allscripts EHRs - May 28, 2010
Orlando Florida --Allscripts will integrate IntrinsiQ's IntelliDose chemotherapy management tool into its EHR product suite as a new offering for physician practices.
The Waltham, Mass.-based IntrinsiQ’s IntelliDose calculates and tracks the administration of chemotherapy treatments and will enable Allscripts' multi-specialty and oncology clients to manage oncology patient care workflow, according to the company.
Under the agreement, oncology practices will work with Allscripts account managers to coordinate with implementation and training specialists from the IntelliDose team. Integration of IntelliDose into Allscripts tools will enable Allscripts clients to select the add-on program to navigate patient records across both systems, IntrinsiQ stated.
For more information please call (407) 641-5199 or visit us at: http://www.sencilo.com and let us "Uncomplexify your Information Tecnology"
Why Sencilo HealthIT Solutions
When it comes to your healthcare computing needs, Sencilo HealthIT Solutions's main objective is to provide a turnkey solution
that can essentially sustain itself. When you choose Sencilo HealthIT Solutions, you don't just gain a vendor who provides you
with technology. You get a business partner who walks with you through every step of the process
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
EHR Software Market Share Analysis - May 28, 2010
Orlando Florida --
Posted on May 14, 2010 at 8:39 am | 17 Comments
Calculating market share for the electronic health record (EHR) market is no easy task. There are over 300 software vendors, many market segments (consider: size of practice served, specialties services, inpatient/outpatient) and very “fuzzy” sources of data.
Nevertheless, the team at Software Advice set out to see what numbers we could pull together. We limited our analysis to the outpatient EHR software market. Moreover, we decided to measure market share based on the number of physicians users, rather than vendor revenue or other metrics. We tried to keep it simple. It’s not.
Number of Doctors Using EHR Software
First, let’s define the total size of the market we are analyzing. Of the approximately 788,000 physicians in the United States, 65% of them work in an outpatient facility or physician’s practice, according to the Bureau of Labor & Statistics. That’s 512,000 possible physicians who are in the outpatient EHR software market.
According to a recent study of office-based physicians released by the Center for Disease Control and Prevention (CDC), 44% of those of 512,000 office-based doctors had adopted either a partial, basic, or fully functional EHR system. That’s 225,000 outpatient doctors using an EHR to some extent. Here’s how EHR adoption breaks down among the total number (512,000) of outpatient physicians in the United States:
Outpatient EHR software adoption, 2009
The CDC defines “partial” EHR systems as those not exclusively used for billing. “Basic” systems include the following functionalities: patient demographic information, patient problem lists, clinical notes, orders for prescriptions, and viewing laboratory and imaging results.
Systems defined by the CDC as “fully functional” include all functionalities of a basic system plus these functionalities: medical history and follow-up, orders for tests, prescription and test orders sent electronically, warnings of drug interactions or contraindications, highlighting of out-of-range test levels, electronic images returned, and reminders for guideline-based interventions.
Outpatient EHR Market Share
So, what EHR software are the 225,000 physicians using? Based on number of physician users, here’s how the market breaks down:
Outpatient EHR software market share by vendor, 2010
Software Advice’s analysis showed that a handful of vendors – Allscripts, Epic, eClinicalWorks NextGen, and GE Centricity – own more than three-quarters of the ambulatory EHR software market. This is a similar trend that other EHR market reports and analysis have noted.
Here is the data Software Advice was able to gather on the top EHR vendors, based on volume of physician users:
Vendor Physician Users Practices Served
Epic 45,000 N.A.
Allscripts 40,000 N.A.
eClinicalWorks 40,000 6,500
GE Centricity 35,000 2,500
NextGen 35,000 2,000
SOAPWare 30,000 8,000
Practice Fusion 18,500 10,000
Eclipsys 11,000 N.A.
Sage Health 10,000 N.A.
Greenway Medical 6,000 1,400
Clarifications, Disclaimers, Footnotes, Contradictions, etc.
As mentioned in the introduction, the EHR software market has many “fuzzy” sources of data. In fact, when all of the physician users are calculated in the table above, the number of physicians using EHRs in the United States is more than 40,000 over what the CDC reported. Clearly, we need to dig into these numbers a bit more.
In most cases, the information was gathered directly from the EHR software vendors. For those vendors that weren’t able to be contacted, publicly reported information was used. In some cases, exact numbers of physicians and practices were available. In some cases, approximations were used by Software Advice and the software vendors (In the case of a discrepancy, please contact us).
Here are a few questions that came up during the research process whose answers would help refine our market share numbers:
•Sage Health. How many of Sage Health’s users are using their Intergy EHR product in conjunction with their practice management software versus those using just Sage’s practice management software, in particular, Medical Manager?
•Allscripts. How many of Allscripts users are still using Misys practice management systems? Like Sage, they have a huge practice management installed base, but not all of those customers are using their advanced EHR systems.
•Epic and NextGen. How many of their users are exclusively outpatient customers? Both of these EHR vendors are meaningful players in the inpatient EHR market. We need to exclude those physicians from our analysis.
•GE Centricity. General Electric didn’t distinguish between physician (MD) users and mid-level providers in their count of users. This would be a helpful distinction to have in this analysis.
•Practice Fusion. Being a free EHR system, it would be important to see how many of Practice Fusion’s EHR users are actively using their software, instead of just kicking the tires on a cool new web-based EHR and “freemium” business model.
For more information please call (407) 641-5199 or visit us at: http://www.sencilo.com and let us "Uncomplexify your Information Tecnology"
Why Sencilo HealthIT Solutions
When it comes to your healthcare computing needs, Sencilo HealthIT Solutions's main objective is to provide a turnkey solution
that can essentially sustain itself. When you choose Sencilo HealthIT Solutions, you don't just gain a vendor who provides you
with technology. You get a business partner who walks with you through every step of the process
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
ICD-10 & HIPAA 5010 Compliance In The Cloud - May 26, 2010
Orlando Florida -- May 25, 2010
By Ken Congdon, editor in chief, Healthcare Technology Online
While much of the national news coverage has focused on EHR (electronic health record) adoption/meaningful use and healthcare reform, perhaps the most significant IT challenge for healthcare providers over the next few years will be HIPAA (The Health Insurance Portability and Accountability Act) 5010 and ICD-10 (International Classification of Diseases, 10th edition) compliance. HIPAA 5010 is a new set of standards that regulate the electronic transmission of specific healthcare transactions including eligibility, claim status, referrals, claims, and remittances. Version 5010 carries at least 1331 modifications spanning all 9 standard electronic transactions and includes improvements in structural, technical, and data content (including improved eligibility responses and better search options). It also is more specific in requiring the data that is needed, collected, and transmitted in a transaction (such as tightened and clear situational rules).
ICD-10, on the other hand, is a coding of diseases, symptoms, abnormal findings, social circumstances, and causes of injury as classified by the World Health Organization. ICD-10 calls for a complete replacement of the ICD-9 code sets used to report medical diagnoses and procedures. ICD-10 does more than just replace the old ICD-9 code set, it also adds five times as many codes to the classification structure.
Both HIPAA 5010 and ICD-10 affect all segments of the healthcare industry including providers, clearinghouses, health plans, and government agencies. However, providers are ultimately responsible for compliancy and, in most cases, this compliancy will require significant upgrades to a healthcare facility's IT systems. Because of the IT investment necessary and the short compliance time windows (U.S. healthcare organizations must comply with HIPAA 5010 by January 1, 2012 and ICD-10 by October 1, 2013), many providers are beginning to consider cloud computing or SaaS (Software-as-a-Service) offerings as a viable option to achieve compliance with these mandates quickly and cost-effectively.
SaaS SECURITY CONCERNS GIVE WAY TO COMPLIANCE PROMISE
While cloud computing has caught on in other facets of healthcare IT (see related article, Cloud Storage Solves The Medical Imaging Data Problem), SaaS offerings haven't historically been embraced for HIPAA and patient coding applications due to the privacy and security concerns that have surrounded the platform. In other words, SaaS applications often carried the stigma of being "risky" because patient data is stored in an off-site facility maintained by a third party rather than controlled internally via an on-premises system. However, as more healthcare facilities have documented successes using SaaS for numerous applications ? from workforce optimization to EHR archiving and management ? these security concerns have begun to wane.
With security issues becoming less of a sticking point for SaaS adoption in healthcare, IT departments are beginning to realize the significant impact cloud applications can have on HIPAA 5010 and ICD-10 compliance. For example, since SaaS offerings aren't installed internally, they require little to no IT support. When you subscribe to a SaaS service, you don't have to dedicate your in-house IT staff to implement the solution or hire a systems integrator to install and integrate the product with your existing applications. This enables a SaaS application to be deployed quickly. In fact, depending on how tightly the SaaS application needs to integrate with existing systems, a cloud application can be implemented and operational in a matter of days or minutes as opposed to weeks or months. Furthermore, all upgrades to the software are handled by the third party provider. This can be extremely attractive in the case of ICD-10 compliance. For example, the U.S. healthcare system is more than a decade behind the rest of the world when it comes to adopting ICD-10 and the alpha version of ICD-11 is already set to be released later this year. With ICD-11 looming, many healthcare providers aren't too keen on overhauling systems to comply with ICD mandates twice over the period of just a few years. With SaaS, healthcare providers can let the third party provider worry about the system upgrades future ICD iterations will require.
Vendors are already beginning to tap into the demand for SaaS offerings for HIPAA 5010 and ICD-10 compliance. For example, in mid-March, 3M Health Information Systems and Trizetto Group announced that 3M's ICD-10 Code Translation Tool will be embedded into TriZetto Advantage 10 Services SaaS application. Precyse Solutions has also announced plans to make its line of coding tools and NLP (natural language processing) technologies available via SaaS. As the deadlines for HIPAA 5010 and ICD-10 compliance approach, you can likely expect many more cloud-based compliance offerings for both providers and payers to emerge in the coming months.
For more information please call (407) 641-5199 or visit us at: http://www.sencilo.com and let us "Uncomplexify your Information Tecnology"
Why Sencilo HealthIT Solutions
When it comes to your healthcare computing needs, Sencilo HealthIT Solutions's main objective is to provide a turnkey solution
that can essentially sustain itself. When you choose Sencilo HealthIT Solutions, you don't just gain a vendor who provides you
with technology. You get a business partner who walks with you through every step of the process
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
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
Is HITECH Working? #7: Where’s Plan B? Congress and ONC need to address major flaws in HITECH. - May 26, 2010
Orlando Florida --Posted by Vince Kuraitis on May 25, 2010 · Filed in EHRs/PHRs, Guest Posts, Health Policy/Reform, Information & Communication Technologies (ICT) · Comments
by Vince Kuraitis JD, MBA and David C. Kibbe MD, MBA
Pop quiz: Among early-stage companies that are successful, what percentage are successful with the initial business model with which they started (Plan A) vs. a secondary business model (Plan B)?
Harvard Business School Professor Clay Christensen studied this issue. He found that among successful companies, only 7% succeeded with their initial business model, while 93% evolved into a different business model.
So let’s take this finding and reexamine our human nature. In light of these statistics, what makes more sense:
•Defending Plan A to your dying breath?
•Assuming Plan A is probably flawed, and anticipating the need for Plan B without getting defensive?
We question many of the assumptions underlying HITECH Plan A. We also want to talk about the need and content for Plan B in a constructive way.
In this essay we’ll discuss:
1) The Need for HITECH Plan B
2) Questioning Assumptions — Issues to Reconsider in Plan B
a) Rewarding Incremental Progress
b) Addressing Root Causes for Non-adoption of EHR Technology
c) Questioning Health Information Exchanges (HIEs) as Building Blocks for the Nationwide Health Information Network (NHIN)
d) Catalyzing Movement Toward Modular EHR Technology
e) Focusing Incentives on High Leverage Physicians
f) Recalibrating Expectations for EHR Technology Adoption
g) Getting Bang-for-the-Buck in Achieving Meaningful Use Objectives
h) Comprehensively Revamping Privacy/Security Laws vs. Tweaking HIPAA
i) Maximizing Sync Between HITECH and PPACA
j) Leveraging Potential for Patient-Driven Disruptive Innovation
k) Promoting EHR Adoption Beyond Hospitals and Physicians, e.g., long-term care, home health, behavioral health, etc.
l) Dumping Certification
3) Summing Up
1) The Need for HITECH Plan B
Please remember that we’re fans of HITECH – we’re supportive of the innovation and quality improvement it’s attempting to achieve and we’re supportive of the three major policy recommendations made by ONC (see post #3).
So why do we need a Plan B? John Mullins and Randy Komisar explain the rationale in their recent article in MITSloan Management Review, A Business Plan? Or a Journey to Plan B?
…what separates the ultimate successes from the rest is what they do when their first plan sputters. Do they lick their wounds, get back on their feet and morph their new insights into great businesses, or do they stick to their original plan?…There is a better way to launch new ideas….This better way is about discovering a business model that really works: a Plan B.
We want to start the discussion of PLAN B, not end it. Our point is not so much to specify what Plan B needs to be, but more importantly that we need to discuss Plan B openly. HITECH Plan A has sooooo many moving parts.
Having a Plan B is not an admission of failure or a disgrace…it’s a necessity. Not discussing Plan B is the disgrace.
2) Questioning Assumptions — Issues to Reconsider in Plan B
The HITECH Act requires ONC to report to Congress on additional legislation or modifications to HITECH that might be needed for success. We’ll suggest some specific areas where we believe the assumptions guiding HITECH Plan A deserve reconsideration in HITECH Plan B.
a) Rewarding Incremental Progress
Let’s start with an issue that should be fairly easy…one with few if any sacred cows.
HITECH Plan A mandates that financial incentives for physicians and hospitals are structured as “all or nothing”, pass/fail.
At this point in the debate we see no one left in the room who still thinks this is a good idea. We’re not sure why anyone ever thought this was a good idea in the first place
On the other side of the debate, hospital associations, physicians, IT vendors and just about everybody else have argued that “all or nothing” makes no sense — it raises risk in participating in HITECH…thus there will be fewer participants and more failures. HITECH incentives should be based on incremental payments for incremental achievement of meaningful use objectives.
b) Addressing Root Causes for Non-adoption of EHR Technology
An implicit assumption of HITECH Plan A is that prohibitive cost is the major explanatory variable for non-adoption of EHR technology. HITECH also assumes that financial subsidies are the critical ingredient in creating a tipping point toward mass adoption — HITECH allocates $30 to $45 B (estimates vary) for financial incentives, yet less than $2 B for other adoption support activities.
We’re not so sure this basic assumption is correct. While cost is certainly one factor, there are many others:
•Lack of usability of current EMRs
•Loss of practice financial productivity from EMR implementation
•Forced changes in workflow with most EMRs
•Culture issues
•High failure rates and the perception of excessive risk
Does HITECH get at the root causes of non-adoption of EHR technology? As we discussed in post #2, there is substantial evidence that large, important groups of physicians are sitting on the sidelines. What’s Plan B?
c) Questioning Health Information Exchanges (HIEs) as Building Blocks for the Nationwide Health Information Network (NHIN)
OK, now let’s talk about some sacred cows.
Under HITECH Plan A, ONC is allocating over $600 million in funding to for the development of health information exchanges. The assumption here is that the HIEs will develop sustainable business models and revenue streams for ongoing operations. This strikes us as wishful thinking:
•Predecessors to HIEs — Community Health Information Networks (CHINs) in the 90s and most Regional Health Information Exchanges (RHIOs) in the 00s — failed to develop sustainable business models. They were often loose coalitions of fiercely competing entities, with little reason for sharing data among themselves.
•While RHIOs are conceived as collaborative community health exchanges, most HIEs today have been constructed as proprietary, closed networks. They were created to advance business and competitive interests of a subset of hospitals and other care providers within a geographic region. Can the technological infrastructures and mindsets migrate effectively to more open, interoperable models?
•What about existing payment structures that 1) continue to reward physicians and hospitals for piecemeal work – tests, visits, admissions, procedures, and 2) continue to reinforce care providers viewing health information as a competitive asset rather than under the control of patients. While in post #6 we expressed optimism for long-term changes in payment based on demos/pilots authorized by the PPACA, these changes are years away.
In turn, ONC has recently and proactively convened a group to develop NHIN-Direct, a set of specifications which will permit using the Internet as the primary network for exchanging specific types of health information in a manner that is simple, secure, and scalable.
While we understand that NHIN Direct is not a complete solution to healthcare data exchange, we do wonder whether ONC has it’s priorities straight. Why is the default option to spend $600 million on a questionable construct of HIEs, when every other industry on the planet is successful in using the Internet as a primary network for information exchange?
d) Catalyzing Movement Toward Modular EHR Technology
The Interim Final Rule on Standards has an extensive discussion on 1) The value of creating modular EHR technology, and 2) The understanding that it will take time for vendors to create/adapt offerings in the form of EHR modules (see, e.g., pp. 37-42).
Note the internal incoherence in HITECH Plan A:
•Hospitals and physicians are being incentivized to buy EHR technology ASAP
•Yet, ONC recognizes the limitations of current technology and the need for market evolution. Physicians that buy today’s expensive, monolithic EMRs will not easily switch and adapt to modular technologies. They may well be “locked in” to the older technology for many years to come.
How can this disconnect be minimized? How could ONC immediately catalyze the evolution of modular technology through Plan B?
e) Focusing Incentives on High Leverage Physicians
HITECH Plan A assumes that all doctors:
•Are of equal value in creating a scaled, national EHR network, and
•Should be paid equal financial incentives.
We question whether these assumptions are correct. As we discussed in post #2,
•Physicians in large groups are already much farther along in EHR adoption (71% have at least partially adopted); these physicians get a financial windfall from HITECH, and the potential for incremental adoption is by definition lower.
•HITECH incentives directed at these large physician groups will do little to improve community-wide care coordination. Physicians in large groups are more likely to refer patients to other physicians within their group (who are already more likely to be using a shared EMR).
•Specialists with larger incomes likely won’t be bothered with HITECH incentives, period.
•The most critical and numerous group of adopters — small/medium primary care physicians — are most likely to sit on the sidelines. This group has the most leverage in improving community-wide care coordination since patients referrals will be made to outside specialists.
So why are we treating all physicians equally?
f) Recalibrating Expectations for EHR Technology Adoption
HITECH Plan A has the right idea in using financial carrots for EHR technology adoption: physicians and hospitals are provided financial incentives (carrots) through 2015, and are given increasingly stringent penalties (sticks) through 2015.
However, we ask whether the carrots and sticks are sufficient. Will it be necessary to increase incentives (at least for key physicians and hospitals), increase penalties, or even to go as far as Massachusetts has in requiring EHR adoption as a condition of medical licensure (more sacred cows).
g) Getting Bang-for-the-Buck in Achieving Meaningful Use Objectives
HITECH incentivizes adoption of “EHR technology”. EHR technology is defined through specification of meaningful use objectives (EHR modules) — 25 for physicians and 23 for hospitals.
We’ll raise some questions here:
•Which of these MU objectives provides the most value to patients? Evidence to answer this question doesn’t exist, and it’s highly likely that some MU objectives are more valuable than others.
•Are EMRs really foundational to creating a broader NHIN? For example, the Nutting Report notes:
…[I]t is possible and sometimes preferable to implement e-prescribing, local hospital system connections, evidence at the point of care, disease registries, and interactive patient Web portals without an EMR.
•What about technologies potentially in the pipeline for Phases II and III of HITECH, e.g., remote patient monitoring, personal health record connnectivity, medical device interoperability?
How could Plan B focus on incentivizing adoption of use of the highest value EHR technologies?
h) Comprehensively Revamping Privacy/Security Laws vs. Tweaking HIPAA
Deven McGraw argues that privacy/security should be viewed as foundational to effective health information exchange. See her insightful article Privacy As An Enabler, Not An Impediment: Building Trust Into Health Information Exchange.
HITECH Plan A makes major tweaks to existing HIPAA legislation. HIPAA was created in the 90s, before the broad use of Internet technologies. HIPAA did not anticipate patient use and control of personal health information.
If we’re going to do it right, Plan B should reconsider a comprehensive revamping of privacy/security legislation and harmonization of state/federal regulations. The Markle Foundation has already developed a Common Framework that can serve as a template.
i) Maximizing Sync Between HITECH and PPACA.
HITECH Plan A was enacted before the adoption of this year’s national health reform — the Patient Protection and Affordable Care Act.
For example, in post #6 we discuss how HITECH and PPACA payment reform demos/pilots are potentially synergistic, but are not in sync in their timing. How could Plan B create synergies between HITECH and PPACA?
The incentive payments for “meaningful use” of EHR technologies are really only the priming fluid needed to get the engine started; the engine’s sustaining fuel tank is payment reform that offers to share dollars saved on health care delivery with accountable care organizations that have the vision, capital, management skill, and clinical IT necessary to become an order of magnitude more efficient than today’s providers. We fail to see how today’s EHRs enable that kind of transformation and business model shift. The incentives going to today’s EHRs are helping doctors and hospitals “skate to where the puck is today,” not where it will likely be tomorrow.
j) Leveraging Potential for Patient-Driven Disruptive Innovation.
In post #5, ePatient Dave took the lead in describing the concept and potential of patient-driven disruptive innovation.
We question whether HITECH Plan A is doing enough to leverage the potential enable and spark patient-driven disruptive innovation. The $45 B question — would it be more effective and efficient to focus significant funding on “patient-pull” vs. “provider-push”?
k) Promoting EHR Adoption Beyond Hospitals and Physicians, e.g., long-term care, home health, behavioral health, etc.
HITECH Plan A presumes that hospitals and physicians are key leverage points in moving toward a digital health system.
While this seems intuitively plausible, this assumption is still worth reexamining, particularly in light of the evidence that many physicians are sitting on the sidelines. Should Plan B place more emphasis on incentivizing other care providers to adopt EHR technology?
l) Dumping Certification?
No discussion of HITECH Plan A would be complete without discussing everyone’s sacred cow of certification.
We do see the value of an EHR technology testing process – one that measures ability to achieve minimal privacy, security, and interoperability standards (i.e., not EHR functionality).
However, we continue to question the value of a broader certification process, particularly now that hospitals and physicians will be held accountable for their ability to achieve specific MU objectives. Isn’t certification redundant – adding the cost of measuring an intermediate activity without adding value? For amplification, see recent thoughtful writings by Will Weider and Margalit Gur-Arie.
.
3) Summing Up
Let’s conclude by revisiting the original question: “Is HITECH Working?”
Bottom line: at this point we see mixed signals
•On the positive side: hospitals are playing in the HITECH game, ONC is executing with careful attention and balance, EMR vendors are beginning to open their APIs and move toward creating platforms instead of products, and there is great potential to leverage patient-driven disruptive innovation toward EHR technology adoption.
•On the cautionary side: many important physician groups are sitting on the sidelines, it’s questionable whether Walled Garden Proprietary EHR Technology Platforms will be sufficiently open to stimulate needed innovation, and many assumptions guiding HITECH Plan A need to be revisited.
In our introductory post, we characterized HITECH as being at the top of the third inning…there’s a lot of ballgame yet to play. It’s time BOTH to celebrate the hits delivered in early innings…AND time to revisit the original game plan.
For more information please call (407) 641-5199 or visit us at: http://www.sencilo.com and let us "Uncomplexify your Information Tecnology"
Why Sencilo HealthIT Solutions
When it comes to your healthcare computing needs, Sencilo HealthIT Solutions's main objective is to provide a turnkey solution
that can essentially sustain itself. When you choose Sencilo HealthIT Solutions, you don't just gain a vendor who provides you
with technology. You get a business partner who walks with you through every step of the process
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 Nunance Natural Speech Dragon Medical 10
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
Relatively Good Performance Detected in Shares of Allscripts-Misys Healthcare Solutions in the Health Care Technology Industry (MDRX, ATHN, CERN, ECLP, PFWD) - May 26, 2010
Orlando Florida --May 13, 2010 (SmarTrend News Watch via COMTEX) -- Below are the top five companies in the Health Care Technology industry as measured by relative performance. Some analysts believe that stocks with better relative performance will tend to outperform stocks with low relative strength.
Allscripts-Misys Healthcare Solutions (NASDAQ:MDRX) ranks first with a gain of 3.99%; athenahealth (NASDAQ:ATHN) ranks second with a gain of 2.48%; and Cerner (NASDAQ:CERN) ranks third with a gain of 1.58%.
Eclipsys (NASDAQ:ECLP) follows with a gain of 1.3% and Phase Forward (NASDAQ:PFWD) rounds out the top five with a gain of 0.3%.
SmarTrend is bearish on shares of ATHN and our subscribers were alerted to Sell on February 26, 2010 at $37.75. The stock has fallen 22.3% since the alert was issued.
For more information please call (407) 641-5199 or visit us at: http://www.sencilo.com and let us "Uncomplexify your Information Tecnology"
Why Sencilo HealthIT Solutions
When it comes to your healthcare computing needs, Sencilo HealthIT Solutions's main objective is to provide a turnkey solution
that can essentially sustain itself. When you choose Sencilo HealthIT Solutions, you don't just gain a vendor who provides you
with technology. You get a business partner who walks with you through every step of the process
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 Nunance Natural Speech Dragon Medical 10
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
Merge Healthcare to Showcase Comprehensive Medical Imaging I.T. Solutions Portfolio at Upcoming Events - May 26, 2010
Orlando Florida --MILWAUKEE, May 25, 2010 (BUSINESS WIRE) -- Merge Healthcare /quotes/comstock/15*!mrge/quotes/nls/mrge (MRGE 2.18, +0.04, +1.87%) , a leading Health IT solutions provider, is taking its newly-expanded medical imaging product portfolio on the road over the next few weeks to several upcoming trade shows. At all of the conferences, Merge will introduce customers to new mobile solutions for enhancing the patient experience in health IT.
Merge is highlighting a comprehensive radiology solution suite at the Radiology Business Management Association (RBMA) Summit meeting currently underway in Colorado Springs, Colorado. Merge was also the exclusive sponsor of the prestigious RBMA keynote lecture series featuring Stephen M.R. Covey. The latest release of Merge's popular radiology revenue cycle management solution is featured at the conference.
Merge will be highlighting solutions designed to complement EMR solutions at the upcoming Medical Users Software Exchange (MUSE) meeting in Grapevine, Texas June 1 - 4, 2010. MUSE is the MEDITECH EMR users group. Products on display at MUSE include departmental solutions for radiology and cardiology, in addition to an enterprise vendor neutral archive infrastructure. Merge has deployed these solutions at more than 100 MEDITECH facilities across the United States.
Merge will be highlighting its broader imaging informatics solutions suite at the Society for Imaging Informatics in Medicine (SIIM) meeting June 3 - 5, 2010 in Minneapolis, Minnesota. Computer-aided detection (CAD), cardiovascular workflow solutions, patient kiosk technology, and zero-client viewing capabilities for interoperability and viewing within an EMR will be among the new products on display at the show.
At the American Society of Echocardiography (ASE) 21st Annual Scientific Sessions June 12 - 15, 2010 in San Diego, California, Merge will feature new updates to its solutions for cardiovascular information management. New features include upgrades to the data mining platform, web based physician reporting and pediatric data sets.
"These conferences present a great opportunity for us to showcase the entire suite of solutions Merge has to offer providers of imaging services," said Justin Dearborn, Merge CEO. "With the recent acquisition of AMICAS, we now have applications that cover a majority of the clinical and business workflow of medical imaging. We are looking forward to seeing our customers at these events and introducing them to this newly expanded product line."
Merge Healthcare develops and integrates information technology to create a better electronic healthcare experience. Merge products, ranging from standards-based development toolkits to sophisticated clinical applications, have been used by healthcare providers, vendors and researchers worldwide for over 20 years. Additional information can be found at www.merge.com.
The matters discussed in this news release may include forward-looking statements, which could involve a number of risks and uncertainties. When used in this press release, the words "will", "believes", "intends", "anticipates", "expects" and similar expressions, are intended to identify forward-looking statements. Actual results could differ materially from those expressed in, or implied by, such forward-looking statements. Except as expressly required by the federal securities laws, the Company undertakes no obligation to update such factors or to publicly announce the results of any of the forward-looking statements.
SOURCE: Merge Healthcare
Merge Healthcare
Julie Pekarek, 262-912-3412
Vice President, Marketing
julie.pekarek@merge.com
Copyright Business Wire 2010
For more information please call (407) 641-5199 or visit us at: http://www.sencilo.com and let us "Uncomplexify your Information Tecnology"
Why Sencilo HealthIT Solutions
When it comes to your healthcare computing needs, Sencilo HealthIT Solutions's main objective is to provide a turnkey solution
that can essentially sustain itself. When you choose Sencilo HealthIT Solutions, you don't just gain a vendor who provides you
with technology. You get a business partner who walks with you through every step of the process
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 Nunance Natural Speech Dragon Medical 10
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
