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Pediatricians Commonly Misdiagnose Kids - June 23, 2010
Orlando Florida --
By Salynn Boyles
WebMD Health NewsReviewed by Laura J. Martin, MDJune 23, 2010 -- Just over half of pediatricians responding to an anonymous survey acknowledged making at least one diagnostic error a month, and just under half said that at least once a year they made errors that harmed patients.
The survey involved 726 academic and community-based pediatricians or pediatric residents practicing in Houston or Cincinnati.
Diagnosing viral illness as bacterial infection was the most commonly reported diagnostic error, closely followed by failure to recognize the side effects of medication.
In all, 55% of the pediatric residents, 48% of the pediatricians working at academic centers, and 53% of community-based pediatricians reported that they had misdiagnosed viral illness as bacterial infection.
Antibiotics are useless for the treatment of colds, flu, or other viral infections, yet they are widely prescribed. The CDC and other health groups identify antibiotic overuse as one of the most significant public health problems.
“Prescribing antibiotics when they are not needed increases the risk for antibiotic resistance and it puts patients at risk for side effects,” Baylor College of Medicine pediatrician and study co-author Geeta Singhal, MD, tells WebMD.
Slideshow: Childhood Illnesses Every Parent Must Know
Study First to Explore Misdiagnosis in Kids
Published in the July issue of the journal Pediatrics, the study is among the first to explore the frequency, types, and causes of diagnostic errors in pediatric practice.
Slightly more than half of the academic center pediatricians and pediatric residents who responded to the survey reported misdiagnosing side effects of medicines taken by their young patients.
Singhal says adverse reactions to certain cough syrups and antihistamines are commonly misdiagnosed.
For example, first-generation antihistamines like the drugs Dimetapp and Benadryl typically make children sleepy, but they might have the opposite effect in children under age 2. Antihistamine-related hyper behavior in a very young child is often misdiagnosed, Singhal says.
Other key findings from the survey included:
When asked to identify the reasons for diagnostic process errors, about half of the doctors (48%) cited a lack of information of the patient’s medical history or failure to review medical charts.
Just over 40% said failure by the parent or caregiver to seek medical attention in a timely manner contributed to the diagnostic error and 39% cited failure to follow up on abnormal diagnostic lab tests.
The pediatricians and pediatric residents cited better access to electronic health records and closer follow-up of patients after initial treatment as strategies most likely to reduce diagnostic errors in pediatric practice.
Electronic Records: ‘No Silver Bullet’
Study co-investigator Hardeep Singh, MD, MPH, says electronic medical records will help address the lack of coordination among medical providers, which is a major contributor to misdiagnosis in both general and pediatric medicine.
Johns Hopkins University Medical School neurologist David Newman-Toker, MD, PhD, who has studied diagnostic errors, agrees. But he tells WebMD that much more is needed.
“It is clear to me after studying this issue that there is not going to be a single silver bullet that does away with diagnostic errors,” he says. “We will need multifaceted interventions to tackle the problem.”
Newman-Toker says it is no big surprise that the diagnostic errors are common in pediatric medicine, just as they are in general medicine.
In a commentary published in the Journal of the American Medical Association last year, Newman-Toker and Johns Hopkins colleague Peter J. Pronovost, MD, PhD, write that diagnostic errors result in as many as 40,000 to 80,000 hospital deaths each year in the United States.
“I would think the risk of a fatal misdiagnosis is lower in children, because children have far fewer life-threatening medical conditions,” he says.
He adds that parents or caregivers who think their child’s illness has been misdiagnosed should never hesitate to discuss their concerns with the child’s physician.
Singh and Singhal agree.
“Families and caregivers know their children best,” Singhal says. “If they don’t understand the diagnosis or have concerns, it is important to talk to the pediatrician.”
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For more information please call (407) 494-4EHR (4347) or visit us at: http://www.sencilo.com and let us "Uncomplexify your Information
Technology"
Sencilo HealthIT Solutions eHealthcare Architecture: More than technology With Sencilo HealthIT Solutions eHealthcare Architecture, you can leverage the same productivity tools and technology resources that have transformed business. And you get a full portfolio of services too. By working with Sencilo HealthIT Solutions, you can get:
A dedicated customer team
A website customized for your institution
A full portfolio of robust solutions
Easy setup, implementation and maintenance
Simple ordering and delivery
Technology training
Flexible financing options
Sencilo HealthIT Solutions Professional Services makes it easy.
In addition to providing high-quality technology at a low cost, Sencilo HealthIT Solutions Professional
Services can help you plan your healthcare computing from the ground up. By working with you from the initial construction phases, we can help you save time and money and lead to a truly customized solution.
Sencilo HealthIT Solutions Professional Services offers complete services that include:
Design
Procurement
Installation
Training
Maintenance
Support
About Us
Sencilo HealthIT Solutions is a Florida-based integrator specializing in EHR Cost Cutting storage, security and managed services solutions. Sencilo delivers a comprehensive portfolio of products from best-of-breed hardware and software from multiple manufacturers including Allscripts, VMware, Dell Fujitsu EMC, Hitachi, Symantec, IBM, HP, Cisco, Microsoft, Gateway Sencilo has offices throughout Florida including: Orlando Lake Mary Daytona, Medical City solutions include Security "meaningful use" "meaningful usage" EMC HP IBM Quantum Compliance Gartner Magic Quadrant Quadrent LTO Daytona Beach Deland Melborne Tampa Clearwater, Dragon, Voice Recognition, Dragon Dictation
Network Backup appliance Data Recovery Backup Health IT Healthcare IT Digital Hospital Allscripts Patient Data electronic health record P4P rules and the HITECH Act PayerView Rankings practice management tools $44,000 in Medicare or $66,000 in Medicaid from the American Recovery and Reinvestment Act eClinicalWorks, Allscripts, NextGen, GE Centricity, and Meditech Electronic Healthcare IT Medical Records EHR Clinical Practices eClinicalWorks Allscripts Florida EMR, EHR, electronic medical record, health, records, practice management systems solutions, medication services, PHR Otolaryngology, Orthopaedics, pediatrics, eprescribe, dermatology, electronic documention, CCI edits, CPT codes, ICD 9 Codes, ICD 10 codes, comploiance, electronic medical records, Pain Nuerosurgery, Urology, Ophthalmology, Cardiology, Billing, Appointment Scheduling, clinicalworks, eClinicalWorks, solutions for physicians, hospitals, clinical education and medical services Computerized Patient CPR, Order Entry, CPOE, Document Clinical Information Informatics, Computer-based, SOAP, HIT, Healthcare Encounter Forms, web based, online, clinical rules database, electronic prescribing, e-prescribing, eprescribing, athenaClinicals, certified EMR, certified EHR, HITECH Act VAR Reseller Dealer hipaa privacy doctor, healthcare performance management, data security, hosting, arra, free, InterFAX, MyWay, HIPPA, EasyPayMedicare, MedicAID, SureScripts, FNC, billing, superbill iMedica Tiger on Windows, eprescribe pqri simple practice management revenue cycle e-cw e-clinicalworks greenway emds nextgen ge sage athena epic klas Dragon NaturallySpeaking speech recognition Google Health, Microsoft Healthvault Health Internet certified "meaningful use" violations HealthPresence Health Presence Sencilo “transformative” telemedicine medicaid medicare Seminole County Medical Society Orange county Orlando Medical News Trusted Advisor e-Prescription e-Rx CareTracker paperless scanning document storage hippa audits iscribe document scanning fi-6130 fi-6040 CCHIT ARRA surescript
Dragon Naturally Speaking Review - Triple Your Writing Speed Instantly - June 22, 2010
Orlando Florida --
This Dragon Naturally Speaking review is simply the review of the most well known brand in speech recognition software. Unless you've been out of town for a while, Dragon Naturally Speaking will have been on your radar since you first thought of purchasing speech recognition software.
It's the industry standard for more than one reason.
Creation of the voice profile is at once intuitive and comprehensive. The more time you spend getting this right, the better DNS will understand your voice.
The commands you can issue to Dragon Naturally Speaking are a delight. You can go to virtually any web page and just speak the link name to 'click' on it. Sites with lots of graphics may confuse the software, but that's very rare indeed.
If you've set-up your voice profile correctly and in depth, speaking for dictation purposes is incredible. I dare you not to be astounded when you first try this out. You can talk at normal conversation speed without slowing down or pronouncing your words slowly and carefully. As long as you don't slur or talk too fast you will be understood. Pretty much like any conversation you may have.
What makes it the best?
95%+ accuracy
Ability to create documents, emails, letters at 3 times the normal typing pace
Easy to learn
The most fully featured software
Supports Bluetooth
Can sync hand held devices with PC to use on the go
You'll have to do some editing, it's not perfect, but it's such a small amount of editing that you won't really mind.
Nuance Communications have done a fantastic job and this Dragon Naturally Speaking review has been an eye-opener to write.
DNS has got speech recognition software right at last. It's head and shoulders above its competitors and it the only thing that may put you off is that it's a little more expensive than its rivals. But as my old dad used to say to me, 'you gets what you pay for'.
Save Time, Make Money and Succeed with Dragon Naturally Speaking and welcome to the world of incredible voice to text software.
Article Source: http://EzineArticles.com/?expert=Iain_Duigan
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For more information please call (407) 494-4EHR (4347) or visit us at: http://www.sencilo.com and let us "Uncomplexify your Information
Technology"
Sencilo HealthIT Solutions eHealthcare Architecture: More than technology With Sencilo HealthIT Solutions eHealthcare Architecture, you can leverage the same productivity tools and technology resources that have transformed business. And you get a full portfolio of services too. By working with Sencilo HealthIT Solutions, you can get:
A dedicated customer team
A website customized for your institution
A full portfolio of robust solutions
Easy setup, implementation and maintenance
Simple ordering and delivery
Technology training
Flexible financing options
Sencilo HealthIT Solutions Professional Services makes it easy.
In addition to providing high-quality technology at a low cost, Sencilo HealthIT Solutions Professional
Services can help you plan your healthcare computing from the ground up. By working with you from the initial construction phases, we can help you save time and money and lead to a truly customized solution.
Sencilo HealthIT Solutions Professional Services offers complete services that include:
Design
Procurement
Installation
Training
Maintenance
Support
About Us
Sencilo HealthIT Solutions is a Florida-based integrator specializing in EHR Cost Cutting storage, security and managed services solutions. Sencilo delivers a comprehensive portfolio of products from best-of-breed hardware and software from multiple manufacturers including Allscripts, VMware, Dell Fujitsu EMC, Hitachi, Symantec, IBM, HP, Cisco, Microsoft, Gateway Sencilo has offices throughout Florida including: Orlando Lake Mary Daytona, Medical City solutions include Security "meaningful use" "meaningful usage" EMC HP IBM Quantum Compliance Gartner Magic Quadrant Quadrent LTO Daytona Beach Deland Melborne Tampa Clearwater, Dragon, Voice Recognition, Dragon Dictation
Network Backup appliance Data Recovery Backup Health IT Healthcare IT Digital Hospital Allscripts Patient Data electronic health record P4P rules and the HITECH Act PayerView Rankings practice management tools $44,000 in Medicare or $66,000 in Medicaid from the American Recovery and Reinvestment Act eClinicalWorks, Allscripts, NextGen, GE Centricity, and Meditech Electronic Healthcare IT Medical Records EHR Clinical Practices eClinicalWorks Allscripts Florida EMR, EHR, electronic medical record, health, records, practice management systems solutions, medication services, PHR Otolaryngology, Orthopaedics, pediatrics, eprescribe, dermatology, electronic documention, CCI edits, CPT codes, ICD 9 Codes, ICD 10 codes, comploiance, electronic medical records, Pain Nuerosurgery, Urology, Ophthalmology, Cardiology, Billing, Appointment Scheduling, clinicalworks, eClinicalWorks, solutions for physicians, hospitals, clinical education and medical services Computerized Patient CPR, Order Entry, CPOE, Document Clinical Information Informatics, Computer-based, SOAP, HIT, Healthcare Encounter Forms, web based, online, clinical rules database, electronic prescribing, e-prescribing, eprescribing, athenaClinicals, certified EMR, certified EHR, HITECH Act VAR Reseller Dealer hipaa privacy doctor, healthcare performance management, data security, hosting, arra, free, InterFAX, MyWay, HIPPA, EasyPayMedicare, MedicAID, SureScripts, FNC, billing, superbill iMedica Tiger on Windows, eprescribe pqri simple practice management revenue cycle e-cw e-clinicalworks greenway emds nextgen ge sage athena epic klas Dragon NaturallySpeaking speech recognition Google Health, Microsoft Healthvault Health Internet certified "meaningful use" violations HealthPresence Health Presence Sencilo “transformative” telemedicine medicaid medicare Seminole County Medical Society Orange county Orlando Medical News Trusted Advisor e-Prescription e-Rx CareTracker paperless scanning document storage hippa audits iscribe document scanning fi-6130 fi-6040 CCHIT ARRA surescript
Look, No Hands! The “Dragon Dictation” App on the IPad - June 22, 2010
Orlando Florida --
June 21, 2010 by Free iPad
The Apple corporation is once more making its way to the front of the crowded technology market with such innovative products as the iPad. This most unique device, allows users to access the most user friendly interface currently on the market. Although most buyers are using this unit to access news and informational services — such as NPR and USA Today, there are additional applications (apps) that have recently surfaced, designed to make this experience all encompassing. A great example of this is the Dragon Dictation program offered by the Nuance group for the iPad. It requires a wireless connection to the internet (WiFi or 3G are preferred) in order to function properly.
This app will transcribe the human voice directly to text. This is perfect for those persons who are required to send long email messages and aren’t at a full sized keyboard to complete this activity. Instead, the Dragon Dictation software will take the spoken words and translate those into text on the screen. It is great for emails or documents that are lengthy in nature. There is no typing involved at the outset (although corrections later may need some), with only the human voice used as the input.
It is very easy to get started on this process. Make sure that you are connected to the internet and in a quiet place. This will avoid the possibility of disturbing others and reduce the amount of noise that is “heard” by the microphone. Put on the headset and then power up the iPad and open Dragon Dictation. There will be a large recording button on the screen that needs to be tapped. This will start the dictation. The program will automatically transcribe the spoken words at the Nuances server location. Once finished, simply tap the record button again to stop the transcription.
The biggest problem that most users have with this app is learning how to speak properly for the computer. For a normal human voice, the brain is trained to filter out most of the filler parts of speech to make sense of the words spoken by another. This is not the case for a machine, which does not have the mental acuity enjoyed by most humans. Words to avoid such as “uhs”, “ums” and “ers” take practice and aren’t always easy to overcome for many people. It is certainly possible with practice to be able to voice-type 40 words per minute. But this takes time, so training your voice is certainly something to think about.
Once the transcription session is complete, it is then possible to review the text before actually sending off the document or email. Many words can automatically be fixed by the built in dictionary/thesaurus which gives the user the option of using a selected group of words instead of the one selected. At times, however, the correction won’t already be loaded and a manual fix has to be done. Using the keyboard on the unit, the selected word can be highlighted and deleted or simply fixed. Either way, users are able to revise and edit the message before copying and pasting into an email message.
Of course there are other uses for this application. Business users of course favor the ease of composing long strings of texts without the cumbersome use of the tiny keyboard. But online entrepreneurs and social marketing mavens use this handy device to send out updates to their social networks, including facebook, twitter and myspace. It is a great use of a new technology to keep in touch with the many friends on the virtual online community. You will be impressed once the voice training period is over and this program runs so efficiently for the needs of most user.
About the only complaint that purchasers have made is the size of the record button after the app is started. Recall that by tapping the screen on this icon, recording was initiated and stopped. At the outset, it was very large and easy to spot. However, once the program is running, it appears as a tiny spot at the top of the text page. Users found this much harder to navigate and sometimes the first paragraph of the text was disrupted because the cursor found its way into this area, instead of stopping the app itself.
The only other drawback is the inability of desktop users of dragon dictation to train this version. At this point in time, it will take voice training before the full effects can be felt. This appears to be a small price to pay for such a handy item. Professionals enjoy the ease of use that it provides, allowing them to free up some more time to devote to their work. Since maintaining contact with associates is so important in this age of information exchange, the Dragon Dictation can really help with this problem. Most of all, by allowing clients to speak, instead of type, the documents created will most likely be completed a whole lot faster.
This is one application that seems to be a perfect fit for the hardware it was designed for. Most buyers seem to think that with a few minor software adjustments, it will be an essential part of any business kit. The Apple corporation seems to have hit another home run with the iPad. What are they going to come out with next to impress potential buyers?
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For more information please call (407) 494-4EHR (4347) or visit us at: http://www.sencilo.com and let us "Uncomplexify your Information
Technology"
Sencilo HealthIT Solutions eHealthcare Architecture: More than technology With Sencilo HealthIT Solutions eHealthcare Architecture, you can leverage the same productivity tools and technology resources that have transformed business. And you get a full portfolio of services too. By working with Sencilo HealthIT Solutions, you can get:
A dedicated customer team
A website customized for your institution
A full portfolio of robust solutions
Easy setup, implementation and maintenance
Simple ordering and delivery
Technology training
Flexible financing options
Sencilo HealthIT Solutions Professional Services makes it easy.
In addition to providing high-quality technology at a low cost, Sencilo HealthIT Solutions Professional
Services can help you plan your healthcare computing from the ground up. By working with you from the initial construction phases, we can help you save time and money and lead to a truly customized solution.
Sencilo HealthIT Solutions Professional Services offers complete services that include:
Design
Procurement
Installation
Training
Maintenance
Support
About Us
Sencilo HealthIT Solutions is a Florida-based integrator specializing in EHR Cost Cutting storage, security and managed services solutions. Sencilo delivers a comprehensive portfolio of products from best-of-breed hardware and software from multiple manufacturers including Allscripts, VMware, Dell Fujitsu EMC, Hitachi, Symantec, IBM, HP, Cisco, Microsoft, Gateway Sencilo has offices throughout Florida including: Orlando Lake Mary Daytona, Medical City solutions include Security "meaningful use" "meaningful usage" EMC HP IBM Quantum Compliance Gartner Magic Quadrant Quadrent LTO Daytona Beach Deland Melborne Tampa Clearwater, Dragon, Voice Recognition, Dragon Dictation
Network Backup appliance Data Recovery Backup Health IT Healthcare IT Digital Hospital Allscripts Patient Data electronic health record P4P rules and the HITECH Act PayerView Rankings practice management tools $44,000 in Medicare or $66,000 in Medicaid from the American Recovery and Reinvestment Act eClinicalWorks, Allscripts, NextGen, GE Centricity, and Meditech Electronic Healthcare IT Medical Records EHR Clinical Practices eClinicalWorks Allscripts Florida EMR, EHR, electronic medical record, health, records, practice management systems solutions, medication services, PHR Otolaryngology, Orthopaedics, pediatrics, dermatology, electronic documention, CCI edits, CPT codes, ICD 9 Codes, ICD 10 codes, comploiance, electronic medical records, Pain Nuerosurgery, Urology, Ophthalmology, Cardiology, Billing, Appointment Scheduling, clinicalworks, eClinicalWorks, solutions for physicians, hospitals, clinical education and medical services Computerized Patient CPR, Order Entry, CPOE, Document Clinical Information Informatics, Computer-based, SOAP, HIT, Healthcare Encounter Forms, web based, online, clinical rules database, electronic prescribing, e-prescribing, eprescribing, athenaClinicals, certified EMR, certified EHR, HITECH Act VAR Reseller Dealer hipaa privacy doctor, healthcare performance management, data security, hosting, arra, free, InterFAX, MyWay, HIPPA, EasyPayMedicare, MedicAID, SureScripts, FNC, billing, superbill iMedica Tiger on Windows, eprescribe pqri simple practice management revenue cycle e-cw e-clinicalworks greenway emds nextgen ge sage athena epic klas Dragon NaturallySpeaking speech recognition Google Health, Microsoft Healthvault Health Internet certified "meaningful use" violations HealthPresence Health Presence Sencilo “transformative” telemedicine medicaid medicare Seminole County Medical Society Orange county Orlando Medical News Trusted Advisor e-Prescription e-Rx CareTracker paperless scanning document storage hippa audits iscribe document scanning fi-6130 fi-6040 CCHIT ARRA surescript
Pick the Right EHR or Face Not Getting CMS Rebates - June 22, 2010
Orlando Florida -- The temporary electronic health records certification program being developed this summer likely will be in existence for only about 18 months, but certifiers could get busy in a hurry.
The Office of the National Coordinator for Health Information Technology estimates approximately 93 commercial and open source Complete EHRs, and 50 EHR Modules, need to be tested and certified under the temporary program, according to the final rule setting up the program.
Self-developed EHRs also will be certified. ONC estimates only about eight large group practices with at least 50 physicians and 30 hospitals may seek to have their in-house systems certified. "We believe that this estimate is generous and that a good portion of the eligible professionals and hospitals who would likely seek to qualify for incentive payments with self-developed Complete EHRs could only do so for meaningful use Stage 1," according to the rule. Efforts to maintain homegrown systems to comply with later meaningful use stages likely would be time and cost prohibitive, regulators believe. Companies like Allscripts and GE have the available developement funds to pull this off, however one major player in the EHR business who does not wish to be identified said, "we are looking to sell out because there is no way for us to be compliant on our shoe-string R&D budget." A Orlando Allscripts partner, Sencilo HealthIT Solutions says, "we have seen this several times before, the smaller fish are going to go away, so we are warning our clients now, pick the right EHR supplier or face not getting CMS rebates."
The rule establishing a temporary EHR certification program is available for now at federalregister.gov/inspection.aspx, and will be published June 24 in the Federal Register.
For more information please call (407) 494-4EHR 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
Certification: Final Rule on the Temporary Program - June 21, 2010
Orlando Florida --
Jun 21, 2010 09:14 am | posted by Kevin Heubusch | ARRA & Electronic records
The Office of the National Coordinator for Health IT released a final rule Friday establishing the temporary program for EHR certification under the meaningful use incentive plan. The rule establishes the means by which EHR products will be certified for use in the program.
Organizations will apply to become ONC-Authorized Testing and Certification Bodies in a multistep process. If approved, they will test and certify EHR products on criteria specific to the meaningful use program. Vendors may submit both complete systems and individual modules.
Current certification from the Certification Commission for Health Information Technology does not apply to the meaingful use program. For its part, CCHIT has stated its intention to become an authorized certification body for the program.
ONC proposed a temporary program to speed the certification process in advance of the meaningful use program start this October. In the final rule, ONC announced its intention to sunset the temporary program on December 31, 2011. Many commentors had asked ONC to establish a target date for the start of the permanent program.
ONC expects to publish a final rule on the permanent program in the fall.
More information on the temporary program is available on the federal health IT Web site. The rule’s official publication in the Federal Register is scheduled for June 24.
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For more information please call (407) 494-4EHR (4947) or visit us at: http://www.sencilo.com and let us "Uncomplexify your Information
Technology"
Sencilo HealthIT Solutions eHealthcare Architecture: More than technology With Sencilo HealthIT Solutions eHealthcare Architecture, you can leverage the same productivity tools and technology resources that have transformed business. And you get a full portfolio of services too. By working with Sencilo HealthIT Solutions, you can get:
A dedicated customer team
A website customized for your institution
A full portfolio of robust solutions
Easy setup, implementation and maintenance
Simple ordering and delivery
Technology training
Flexible financing options
Sencilo HealthIT Solutions Professional Services makes it easy.
In addition to providing high-quality technology at a low cost, Sencilo HealthIT Solutions Professional
Services can help you plan your healthcare computing from the ground up. By working with you from the initial construction phases, we can help you save time and money and lead to a truly customized solution.
Sencilo HealthIT Solutions Professional Services offers complete services that include:
Design
Procurement
Installation
Training
Maintenance
Support
About Us
Sencilo HealthIT Solutions is a Florida-based integrator specializing in EHR Cost Cutting storage, security and managed services solutions. Sencilo delivers a comprehensive portfolio of products from best-of-breed hardware and software from multiple manufacturers including Allscripts, VMware, Dell Fujitsu EMC, Hitachi, Symantec, IBM, HP, Cisco, Microsoft, Gateway Sencilo has offices throughout Florida including: Orlando Lake Mary Daytona, Medical City solutions include Security "meaningful use" "meaningful usage" EMC HP IBM Quantum Compliance Gartner Magic Quadrant Quadrent LTO Daytona Beach Deland Melborne Tampa Clearwater, Dragon, Voice Recognition, Dragon Dictation
Network Backup appliance Data Recovery Backup Health IT Healthcare IT Digital Hospital Allscripts Patient Data electronic health record P4P rules and the HITECH Act PayerView Rankings practice management tools $44,000 in Medicare or $66,000 in Medicaid from the American Recovery and Reinvestment Act eClinicalWorks, Allscripts, NextGen, GE Centricity, and Meditech Electronic Healthcare IT Medical Records EHR Clinical Practices eClinicalWorks Allscripts Florida EMR, EHR, electronic medical record, health, records, practice management systems solutions, medication services, PHR Otolaryngology, Orthopaedics, pediatrics, dermatology, electronic documention, CCI edits, CPT codes, ICD 9 Codes, ICD 10 codes, comploiance, electronic medical records, Pain Nuerosurgery, Urology, Ophthalmology, Cardiology, Billing, Appointment Scheduling, clinicalworks, eClinicalWorks, solutions for physicians, hospitals, clinical education and medical services Computerized Patient CPR, Order Entry, CPOE, Document Clinical Information Informatics, Computer-based, SOAP, HIT, Healthcare Encounter Forms, web based, online, clinical rules database, electronic prescribing, e-prescribing, eprescribing, athenaClinicals, certified EMR, certified EHR, HITECH Act VAR Reseller Dealer hipaa privacy doctor, healthcare performance management, data security, hosting, arra, free, InterFAX, MyWay, HIPPA, EasyPayMedicare, MedicAID, SureScripts, FNC, billing, superbill iMedica Tiger on Windows, eprescribe pqri simple practice management revenue cycle e-cw e-clinicalworks greenway emds nextgen ge sage athena epic klas Dragon NaturallySpeaking speech recognition Google Health, Microsoft Healthvault Health Internet certified "meaningful use" violations HealthPresence Health Presence Sencilo “transformative” telemedicine medicaid medicare Seminole County Medical Society Orange county Orlando Medical News Trusted Advisor e-Prescription e-Rx CareTracker paperless scanning document storage hippa audits iscribe document scanning fi-6130 fi-6040 CCHIT ARRA surescript
Five Hospital Employees to Be Fired Over HIPAA Violations - June 21, 2010
Orlando Florida --
Friday, June 11, 2010
Tri-City Medical Center’s chief executive says the hospital has sent letters of intent to fire five employees, and has disciplined a sixth, for allegedly posting information about hospital patients online.
The health care district did not specify what kind of patient information was posted to the online site, reported to be Facebook, but hospital CEO Larry Anderson said in a statement that it did not involve patient names, photographs or “similar identifying information.”
Anderson also didn’t specify who was fired, but the North County Times has reported that the five terminated employees were nurses. A call to the California Nurses Association was not immediately returned.
An investigation is ongoing, according to Tri-City, which says it will take further disciplinary action to prevent similar incidents in the future.
The Health Insurance Portability and Accountability Act forbids health care workers from obtaining or sharing “personally identifiable” information about patients. It specifically protects patients’ names, medical record numbers and health status, among other identifiable information.
In May 2007, Tri-City fired 10 employees for taking cell phone pictures of at least one patient’s X-ray without permission.
— Heather Chambers
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For more information please call (407) 494-4EHR (4947) or visit us at: http://www.sencilo.com and let us "Uncomplexify your Information
Technology"
Sencilo HealthIT Solutions eHealthcare Architecture: More than technology With Sencilo HealthIT Solutions eHealthcare Architecture, you can leverage the same productivity tools and technology resources that have transformed business. And you get a full portfolio of services too. By working with Sencilo HealthIT Solutions, you can get:
A dedicated customer team
A website customized for your institution
A full portfolio of robust solutions
Easy setup, implementation and maintenance
Simple ordering and delivery
Technology training
Flexible financing options
Sencilo HealthIT Solutions Professional Services makes it easy.
In addition to providing high-quality technology at a low cost, Sencilo HealthIT Solutions Professional
Services can help you plan your healthcare computing from the ground up. By working with you from the initial construction phases, we can help you save time and money and lead to a truly customized solution.
Sencilo HealthIT Solutions Professional Services offers complete services that include:
Design
Procurement
Installation
Training
Maintenance
Support
About Us
Sencilo HealthIT Solutions is a Florida-based integrator specializing in EHR Cost Cutting storage, security and managed services solutions. Sencilo delivers a comprehensive portfolio of products from best-of-breed hardware and software from multiple manufacturers including Allscripts, VMware, Dell Fujitsu EMC, Hitachi, Symantec, IBM, HP, Cisco, Microsoft, Gateway Sencilo has offices throughout Florida including: Orlando Lake Mary Daytona, Medical City solutions include Security "meaningful use" "meaningful usage" EMC HP IBM Quantum Compliance Gartner Magic Quadrant Quadrent LTO Daytona Beach Deland Melborne Tampa Clearwater, Dragon, Voice Recognition, Dragon Dictation
Network Backup appliance Data Recovery Backup Health IT Healthcare IT Digital Hospital Allscripts Patient Data electronic health record P4P rules and the HITECH Act PayerView Rankings practice management tools $44,000 in Medicare or $66,000 in Medicaid from the American Recovery and Reinvestment Act eClinicalWorks, Allscripts, NextGen, GE Centricity, and Meditech Electronic Healthcare IT Medical Records EHR Clinical Practices eClinicalWorks Allscripts Florida EMR, EHR, electronic medical record, health, records, practice management systems solutions, medication services, PHR Otolaryngology, Orthopaedics, pediatrics, dermatology, electronic documention, CCI edits, CPT codes, ICD 9 Codes, ICD 10 codes, comploiance, electronic medical records, Pain Nuerosurgery, Urology, Ophthalmology, Cardiology, Billing, Appointment Scheduling, clinicalworks, eClinicalWorks, solutions for physicians, hospitals, clinical education and medical services Computerized Patient CPR, Order Entry, CPOE, Document Clinical Information Informatics, Computer-based, SOAP, HIT, Healthcare Encounter Forms, web based, online, clinical rules database, electronic prescribing, e-prescribing, eprescribing, athenaClinicals, certified EMR, certified EHR, HITECH Act VAR Reseller Dealer hipaa privacy doctor, healthcare performance management, data security, hosting, arra, free, InterFAX, MyWay, HIPPA, EasyPayMedicare, MedicAID, SureScripts, FNC, billing, superbill iMedica Tiger on Windows, eprescribe pqri simple practice management revenue cycle e-cw e-clinicalworks greenway emds nextgen ge sage athena epic klas Dragon NaturallySpeaking speech recognition Google Health, Microsoft Healthvault Health Internet certified "meaningful use" violations HealthPresence Health Presence Sencilo “transformative” telemedicine medicaid medicare Seminole County Medical Society Orange county Orlando Medical News Trusted Advisor e-Prescription e-Rx CareTracker paperless scanning document storage hippa audits iscribe document scanning fi-6130 fi-6040 CCHIT ARRA surescript
A Guide to Implementing Backup HIPAA Data Offsite Guidelines - June 21, 2010
Orlando Florida --
With new regulations in play more and more companies are considering backup HIPAA data offsite solutions. In some cases it’s the law and in other’s our health records are one thing most of us want to keep private. The reason for this consideration involves the HIPAA legislation, its effects on the health care industry, what those effects mean for data storage, and what medical offices need to consider. By reviewing this information on backup HIPAA data offsite storage, you may be better prepared to make choices about your storage solutions.
To understand the issue, you may need background on the HIPAA legislation. HIPAA, or the Health Insurance Portability and Accountability Act, became law in 1996. The purpose of the law was to ensure people would maintain health care coverage if they changed jobs. However, Title II of the law dealt with Administrative Simplification, specifically how to deal with electronic data about health care. Obviously, the passage of the law had a drastic effect on the health care industry. And probably more importantly paved the way for an increase in backup HIPAA data offsite providers.
Because of the Administrative Simplification portion of the law, medical facilities today must take great care when dealing with a patient’s electronic files. For example, HIPAA required a hierarchical approach to data access. Physicians might be able to access patient information that would not be available to the nurse. Protecting the data from unauthorized access became crucial. As a result, the law has affected the way data storage backups are handled in the medical field. As a consequence backup HIPAA data offsite services have had to adjust there service offerings.
Today, data storage for these facilities must be carefully controlled. HIPAA requires that all of the data be backed up and that data must be secured with 100% reliability. The government wants to make sure no one gets into your personal medical records. That means, however, that backup HIPAA data offsite storage facilities must take special precautions to ensure the service they provide meets these requirements.
If you’re looking for offsite-backup for HIPAA data storage, you should look for a few factors. Make sure to find out if the storage service specializes in this type of data storage. There are many that do. You should also ask about the back up process, security, and storage to make sure you are comfortable with how the data will be handled.
Conclusion
Overall, the HIPAA law has changed the way medical facilities deal with patients’ electronic medical information. Remember to do careful research on any storage service before trusting them with your data, especially when you’re dealing with this sensitive data. Armed with this knowledge, hopefully, you’ll feel confident to make a wise storage decision.
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For more information please call (407) 494-4EHR (4947) or visit us at: http://www.sencilo.com and let us "Uncomplexify your Information
Technology"
Sencilo HealthIT Solutions eHealthcare Architecture: More than technology With Sencilo HealthIT Solutions eHealthcare Architecture, you can leverage the same productivity tools and technology resources that have transformed business. And you get a full portfolio of services too. By working with Sencilo HealthIT Solutions, you can get:
A dedicated customer team
A website customized for your institution
A full portfolio of robust solutions
Easy setup, implementation and maintenance
Simple ordering and delivery
Technology training
Flexible financing options
Sencilo HealthIT Solutions Professional Services makes it easy.
In addition to providing high-quality technology at a low cost, Sencilo HealthIT Solutions Professional
Services can help you plan your healthcare computing from the ground up. By working with you from the initial construction phases, we can help you save time and money and lead to a truly customized solution.
Sencilo HealthIT Solutions Professional Services offers complete services that include:
Design
Procurement
Installation
Training
Maintenance
Support
About Us
Sencilo HealthIT Solutions is a Florida-based integrator specializing in EHR Cost Cutting storage, security and managed services solutions. Sencilo delivers a comprehensive portfolio of products from best-of-breed hardware and software from multiple manufacturers including Allscripts, VMware, Dell Fujitsu EMC, Hitachi, Symantec, IBM, HP, Cisco, Microsoft, Gateway Sencilo has offices throughout Florida including: Orlando Lake Mary Daytona, Medical City solutions include Security "meaningful use" "meaningful usage" EMC HP IBM Quantum Compliance Gartner Magic Quadrant Quadrent LTO Daytona Beach Deland Melborne Tampa Clearwater, Dragon, Voice Recognition, Dragon Dictation
Network Backup appliance Data Recovery Backup Health IT Healthcare IT Digital Hospital Allscripts Patient Data electronic health record P4P rules and the HITECH Act PayerView Rankings practice management tools $44,000 in Medicare or $66,000 in Medicaid from the American Recovery and Reinvestment Act eClinicalWorks, Allscripts, NextGen, GE Centricity, and Meditech Electronic Healthcare IT Medical Records EHR Clinical Practices eClinicalWorks Allscripts Florida EMR, EHR, electronic medical record, health, records, practice management systems solutions, medication services, PHR Otolaryngology, Orthopaedics, pediatrics, dermatology, electronic documention, CCI edits, CPT codes, ICD 9 Codes, ICD 10 codes, comploiance, electronic medical records, Pain Nuerosurgery, Urology, Ophthalmology, Cardiology, Billing, Appointment Scheduling, clinicalworks, eClinicalWorks, solutions for physicians, hospitals, clinical education and medical services Computerized Patient CPR, Order Entry, CPOE, Document Clinical Information Informatics, Computer-based, SOAP, HIT, Healthcare Encounter Forms, web based, online, clinical rules database, electronic prescribing, e-prescribing, eprescribing, athenaClinicals, certified EMR, certified EHR, HITECH Act VAR Reseller Dealer hipaa privacy doctor, healthcare performance management, data security, hosting, arra, free, InterFAX, MyWay, HIPPA, EasyPayMedicare, MedicAID, SureScripts, FNC, billing, superbill iMedica Tiger on Windows, eprescribe pqri simple practice management revenue cycle e-cw e-clinicalworks greenway emds nextgen ge sage athena epic klas Dragon NaturallySpeaking speech recognition Google Health, Microsoft Healthvault Health Internet certified "meaningful use" violations HealthPresence Health Presence Sencilo “transformative” telemedicine medicaid medicare Seminole County Medical Society Orange county Orlando Medical News Trusted Advisor e-Prescription e-Rx CareTracker paperless scanning document storage hippa audits iscribe document scanning fi-6130 fi-6040 CCHIT ARRA surescript
Customers have high expectations for Allscripts - June 21, 2010
Orlando Florida --
CHICAGO – Leadership and execution are key to the success of the Allscripts-Eclipsys merger, according to the Allscripts customers, who say the merger presents both challenges and opportunities.
Chicago-based Allscripts, a company focused on selling electronic health record systems to physician practices and community clinics, announced on June 9 it would enter the hospital market by merging with Eclipsys Corp. in a stock deal valued at $1.3 billion.
Allscripts customers say the deal is a good match. Though some caution that how the merger turns out will depend on how well Allscripts can execute. It will require strong leadership, they say.
"I continue to be impressed with Glen's leadership," said William Spooner, senior vice president and CIO of Sharp Healthcare in San Diego, referring to Allscripts CEO Glen Tullman. "It will be a great opportunity for him to demonstrate it once more."
However, Spooner's endorsement was not without reservation.
"It's good to see another enterprise vendor in the market," Spooner said. "I hope they can execute on the planned integration, yet my focus continues to be interoperabilty between Allscripts and Cerner – my two EHRs."
"I believe this merger will be positive for the healthcare industry," said Michael O'Rourke, senior vice president and CIO for Denver-based Catholic Health Initiatives, which operates 72 hospitals and is ranked as the third-largest faith-based health system in the nation. "At CHI, we recently contracted with Allscripts to provide their ambulatory health record and practice-management solution to our more than 1,000 employed physicians across the 18 states in which we have a presence.
As O'Rourke sees it, the merger of Allscripts with Eclipsys represents the ongoing evolution of the health information technology industry, which recently has been propelled by the necessity to address the exchange of health information and to meet the requirements of meaningful use.
"I think that as these two organizations combine their market strengths, it will translate into new, highly integrated services and products," O'Rourke said.
Integration will, indeed, be critical says Todd Cozzens, CEO of Picis, the Andover, Mass.-based technology company that sells high-acuity systems for emergency departments, intensive care units and operating rooms.
"On the surface it makes sense," Cozzens said of the merger. He added that proof of success would be in the rollup of products to be able to offer an enterprise-wide system that is robust.
Allscripts, he notes, is moving from working with small systems with small price points to large integrated systems.
George Brenckle, CIO at UMass Memorial Health Care, says the merger looks like a good fit to him.
"Allscripts is one of our key strategic partners, and the merger with Eclipsys will help make Allscripts a stronger, more diverse company, which can only be good for UMass Memorial Health Care," said Brenckle. "In the near term, we don't see it having any negative impact or change in focus on Allscripts as our ambulatory EHR for our employed physicians and our preferred EHR for private physicians in the community."
"We've had an outstanding partnership with Allscripts as we work to deploy Allscripts Enterprise product with our physician practices and community," said Chuck McDevitt, CIO of Self Regional Healthcare in Greenwood, S.C., which serves as the referral hospital for the seven South Carolina counties. "We don't expect that to change per our discussions with Allscripts. We can certainly see these things being a distraction but given their recent merger with Misys, it is our expectation that their level of service and support will continue to be as good as it today if not better."
Spooner said Allscripts made the merger with Misys work, and he expects it will set the stage for the Eclipsys merger.
"The Allscripts-Misys merger brought some benefits as they brought in new technical capabilities and made organizational changes to support transition to larger company and larger client base," Spooner said. "I expect that similar opportunities may present in this next stage."
----------
For more information please call (407) 494-4EHR (4947) or visit us at: http://www.sencilo.com and let us "Uncomplexify your Information
Technology"
Sencilo HealthIT Solutions eHealthcare Architecture: More than technology With Sencilo HealthIT Solutions eHealthcare Architecture, you can leverage the same productivity tools and technology resources that have transformed business. And you get a full portfolio of services too. By working with Sencilo HealthIT Solutions, you can get:
A dedicated customer team
A website customized for your institution
A full portfolio of robust solutions
Easy setup, implementation and maintenance
Simple ordering and delivery
Technology training
Flexible financing options
Sencilo HealthIT Solutions Professional Services makes it easy.
In addition to providing high-quality technology at a low cost, Sencilo HealthIT Solutions Professional
Services can help you plan your healthcare computing from the ground up. By working with you from the initial construction phases, we can help you save time and money and lead to a truly customized solution.
Sencilo HealthIT Solutions Professional Services offers complete services that include:
Design
Procurement
Installation
Training
Maintenance
Support
About Us
Sencilo HealthIT Solutions is a Florida-based integrator specializing in EHR Cost Cutting storage, security and managed services solutions. Sencilo delivers a comprehensive portfolio of products from best-of-breed hardware and software from multiple manufacturers including Allscripts, VMware, Dell Fujitsu EMC, Hitachi, Symantec, IBM, HP, Cisco, Microsoft, Gateway Sencilo has offices throughout Florida including: Orlando Lake Mary Daytona, Medical City solutions include Security "meaningful use" "meaningful usage" EMC HP IBM Quantum Compliance Gartner Magic Quadrant Quadrent LTO Daytona Beach Deland Melborne Tampa Clearwater, Dragon, Voice Recognition, Dragon Dictation
Network Backup appliance Data Recovery Backup Health IT Healthcare IT Digital Hospital Allscripts Patient Data electronic health record P4P rules and the HITECH Act PayerView Rankings practice management tools $44,000 in Medicare or $66,000 in Medicaid from the American Recovery and Reinvestment Act eClinicalWorks, Allscripts, NextGen, GE Centricity, and Meditech Electronic Healthcare IT Medical Records EHR Clinical Practices eClinicalWorks Allscripts Florida EMR, EHR, electronic medical record, health, records, practice management systems solutions, medication services, PHR Otolaryngology, Orthopaedics, pediatrics, dermatology, electronic documention, CCI edits, CPT codes, ICD 9 Codes, ICD 10 codes, comploiance, electronic medical records, Pain Nuerosurgery, Urology, Ophthalmology, Cardiology, Billing, Appointment Scheduling, clinicalworks, eClinicalWorks, solutions for physicians, hospitals, clinical education and medical services Computerized Patient CPR, Order Entry, CPOE, Document Clinical Information Informatics, Computer-based, SOAP, HIT, Healthcare Encounter Forms, web based, online, clinical rules database, electronic prescribing, e-prescribing, eprescribing, athenaClinicals, certified EMR, certified EHR, HITECH Act VAR Reseller Dealer hipaa privacy doctor, healthcare performance management, data security, hosting, arra, free, InterFAX, MyWay, HIPPA, EasyPayMedicare, MedicAID, SureScripts, FNC, billing, superbill iMedica Tiger on Windows, eprescribe pqri simple practice management revenue cycle e-cw e-clinicalworks greenway emds nextgen ge sage athena epic klas Dragon NaturallySpeaking speech recognition Google Health, Microsoft Healthvault Health Internet certified "meaningful use" violations HealthPresence Health Presence Sencilo “transformative” telemedicine medicaid medicare Seminole County Medical Society Orange county Orlando Medical News Trusted Advisor e-Prescription e-Rx CareTracker paperless scanning document storage hippa audits iscribe document scanning fi-6130 fi-6040 CCHIT ARRA surescript
ONC Rules on Temp EHR Certification: Press Release, FAQs, Overview, Blumenthal Blogs - June 21, 2010
Orlando Florida --
ONC Issues Final Rule to Establish the Temporary Certification Program for Electronic Health Record Technology
HHS Press Release June 18, 2010
The Office of the National Coordinator for Health Information Technology (ONC) today issued a final rule to establish a temporary certification program for electronic health record (EHR) technology. The temporary certification program establishes processes that organizations will need to follow in order to be authorized by the National Coordinator to test and certify EHR technology.
Use of “certified EHR technology” is a core requirement for providers who seek to qualify to receive incentive payments under the Medicare and Medicaid Electronic Health Record Incentive Programs provisions authorized in the Health Information Technology for Economic and Clinical Health (HITECH) Act. HITECH was enacted as part of the American Recovery and Reinvestment Act (ARRA) of 2009. The Centers for Medicare & Medicaid Services will soon issue final regulations to implement the EHR incentive programs.
Certification is used to provide assurance and confidence that a product or service will work as expected and will include the capabilities for which it was purchased. EHR technology certification does just that: It assures health care providers that the EHR technology they adopt has been tested and includes the required capabilities they need in order to use the technology in a meaningful way to improve the quality of care provided to their patients.
On March 10, 2010, the U.S. Department of Health and Human Services (HHS) issued a notice of proposed rulemaking (NPRM) entitled Proposed Establishment of Certification Programs for Health Information Technology. The NPRM proposed the establishment of two certification programs for purposes of testing and certifying EHRs —one temporary and one permanent. The temporary certification program final rule issued today will become effective upon publication in the Federal Register. The final rule for the permanent certification program is expected to be published this fall.
“By purchasing certified EHR technology, hospitals and eligible professionals and hospitals will be able to make EHR purchasing decisions knowing that the technology will allow them to become meaningful users of electronic health records, qualify for the payment incentives, and begin to use EHRs in a way that will improve quality and efficiency in our health care system,” said David Blumenthal, M.D., M.P.P., national coordinator for health information technology. “We hope that all HIT stakeholders view this rule as the federal government’s commitment to reduce uncertainty in the health IT marketplace and advance the successful implementation of EHR incentive programs.”
This final rule is issued under the authority provided to the National Coordinator for Health Information Technology in section 3001(c)(5) of the Public Health Service Act (PHSA) as added by the HITECH Act.
For more information about the temporary certification program and rule, please visit http://healthit.hhs.gov/certification.
For more information about other HHS Recovery Act Health Information Technology funding and programs, see http://www.hhs.gov/recovery/programs/index.html#Health.
Picture picked up from ONC home page, June 19, 2010.
###
Overview: Temporary Certification Program
Excerpted from ONC site June 19, 2010
The Office of the National Coordinator for Health Information Technology (ONC) has established a temporary certification program for health information technology (health IT). The program provides a way for organizations to become authorized by the National Coordinator to test and certify electronic health record (EHR) technology.
Certification assures health care providers that the EHR technology they adopt includes the capabilities they will need to participate in the Medicare and Medicaid EHR incentive programs.
Use of certified EHR technology is a core requirement for health care providers to become “meaningful users” and eligible for payment under Medicare and Medicaid EHR incentive programs.
To become an ONC-Authorized Testing and Certification Body (ONC-ATCB), an organization must submit an application to ONC to demonstrate its competency and ability to test and certify Complete EHRs and/or EHR Modules.
Applicants are required to request, in writing, an application for ONC-ATCB status from the National Coordinator at ATCBapplication@hhs.gov. The application has two parts:
Part I: Provide general identifying and contact information; complete and submit the results of self-audits to all sections of ISO/IEC Guide 65:1996 (Guide 65) and ISO/IEC 17025:2005 (ISO 17025); submit additional documentation related to Guide 65 and ISO 17025; and agree to adhere to the Principles of Proper Conduct for ONC-ATCBs.
Part II: Successfully complete a proficiency examination.
Applicants are required to complete and submit both parts of the application to the National Coordinator for the application to be considered complete. Please review Section III of the final rule for more details about the application and application review processes.
Learn more about the Temporary Certification Program:
» Temporary Certification Program Final Rule [PDF - 56 KB]
» Fact Sheet
» Frequently Asked Questions
» CMS MU NPRM
» Standards/Certification IFR
For other questions relating to the Temporary Certification Program, email ONC.Certification@hhs.gov.
ONC FACT SHEET ON
HITECH Temporary Certification Program for EHR Technology
Excerpted from ONC site June 19, 2010
The Health Information Technology for Economic and Clinical Health (HITECH) Act provides HHS with the authority to establish programs to improve health care quality, safety, and efficiency through the promotion of health information technology (HIT), including electronic health records (EHRs) and private and secure electronic health information exchange.
The HITECH legislation directs the Office of the National Coordinator for Health Information Technology (ONC) to support and promote meaningful use of certified electronic health record (EHR) technology nationwide through the adoption of standards, implementation specifications, and certification criteria as well as the establishment of certification programs for HIT, such as EHR technology..
About the Temporary Certification Program and ONC-ATCBs
To provide assurance to eligible professionals, eligible hospitals and critical access hospitals (CAHs) that the EHR technology they adopt will assist their achievement of meaningful use, the Department of Health and Human Services (HHS) issued a final rule to establish a temporary certification program for EHR technology on June 18, 2010. The rule outlines how organizations can become ONC-Authorized Testing and Certification Bodies (ONC-ATCBs). Authorized by the National Coordinator, ONC-ATCB are required to test and certify that certain types of her technology (Complete EHRs and EHR Modules) are compliant with the standards, implementation specifications, and certification criteria adopted by the HHS Secretary and meet the definition of “certified EHR technology”.
About the Standards, Implementation Specifications, and Certification Criteria
On January 13, 2010, the Secretary published in the Federal Register an interim final rule that adopted standards, implementation specifications, and certification criteria for HIT. A final rule, which will realign with the Medicare and Medicaid EHR Incentive Programs final rule, is expected to be released in the near future.
What Certification Means for Health Care Providers
EHR technology, certified by an ONC-ATCB must be used in order to qualify for incentive payments. The temporary certification program provides assurance that the EHR technology health care providers adopt is technically capable of supporting their efforts to achieve meaningful use.
What Certification Means for Developers of EHR Technology
The temporary certification program provides a way for developers of EHR technology to have their HIT tested and certified so that it can be subsequently adopted by eligible professionals, eligible hospitals and CAHs who seek to achieve meaningful use.
For other questions related to the Temporary Certification program, please email ONC.Certification@hhs.gov.
• Temporary Certification Program, visit http://healthit.hhs.gov/certification
• Medicare and Medicaid EHR incentive programs, visit http://www.cms.gov/EHRIncentivePrograms/
Frequently Asked Questions:
Temporary Certification Program Final Rule
Excerpted June 19, 2010 from ONC site. Please check ONC site for latest updates.
A. Background/General
Key Messages
Health Care Providers: Key Points
In order to qualify for Medicare and Medicaid EHR incentive payments, providers must use EHR technology that has been certified by an Office of the National Coordinator for Health Information Technology-Authorized Testing and Certification Body (ONC-ATCB, or ATCB). The temporary certification program provides assurances that the EHR technology adopted by health care providers is technically capable of supporting their efforts to achieve meaningful use.
Developers of EHR Technology: Key Points
The temporary certification program provides a way for developers of EHR Technology to have their EHR technology tested and certified so that it can be subsequently adopted by health care providers who seek to achieve meaningful use.
A1. What is the temporary certification program final rule?
The Secretary of Health and Human Services (the Secretary) issued the temporary certification program final rule to establish a process through which organizations may become ONC-ATCBs. An ONC-ATCB is authorized by the National Coordinator to test and certify EHR technology (Complete EHRs and/or EHR Modules).
A2. What is the purpose of the temporary certification program?
The temporary certification program is the first part of ONC’s two-part approach to establish a transparent and objective certification process. The temporary certification program was established to ensure that “Certified EHR Technology” will be available for adoption by health care providers who seek to qualify for the Medicare and Medicaid EHR incentive payments beginning in 2011. ONC-ATCBs will be required to test and certify EHR technology (Complete EHRs and/or EHR Modules) as being in compliance with the standards, implementation specifications, and certification criteria to be adopted by the Secretary in a forthcoming final rule.
A3. When will the temporary certification program end?
The temporary certification program will be in effect until the permanent certification program is in place. We anticipate that certifications issued under the permanent certification program will occur no earlier than January 1, 2012.
A4. How will ONC work with the National Institute of Standards and Technology (NIST) in regard to certification and standards?
ONC will work with NIST to ensure the availability of relevant test methods and other resources for the temporary certification program. ONC will continue to work with NIST in developing the permanent certification program.
B. Application Process
B1. How does an organization become an ONC-ATCB?
An organization must submit an application to the National Coordinator to demonstrate its competency and ability to test and certify EHR technology (Complete EHRs and/or EHR Modules). Once authorized, ONC-ATCBs are required to comply with the principles and conditions applicable to the testing and certification of EHR technology as specified in the temporary certification program final rule.
B2. Can you provide an overview of the application process?
Applicants are required to request, in writing, an application for ONC-ATCB status from the National Coordinator at ATCBapplication@hhs.gov. The application has two parts:
Part I: Provide general identifying and contact information; complete and submit the results of self-audits to all sections of ISO/IEC Guide 65:1996 (Guide 65) and ISO/IEC 17025:2005 (ISO 17025); submit additional documentation related to Guide 65 and ISO 17025; and agree to adhere to the Principles of Proper Conduct for ONC-ATCBs.
Part II: Successfully complete a proficiency examination.
Applicants are required to complete and submit both parts of the application to the National Coordinator for the application to be considered complete. Please review Section III of the final rule for more details about the application and application review processes.
B3. When will ONC begin accepting applications, and when will applicants be informed if they have received ONC-ATCB status?
The National Coordinator will begin accepting applications on July 1st and any time thereafter while the temporary certification program is operating. Because the final rule is effective immediately, the National Coordinator will review, process, and make determinations regarding submitted applications as soon as possible.
B4. Will ONC limit the number applicants who apply for ONC-ATCB status?
ONC will not restrict the number of applicants who may apply for ONC-ATCB status. Having available more organizations with ONC-ATCB status will give developers of EHR technology more options for testing and certification.
C. Certification Process
C1. I have an EHR technology ready for market. Is there anything I can do to get the technology certified now so that I can start marketing to hospitals and physicians?
Until organizations are authorized by the National Coordinator to perform testing and certification, EHR technology cannot be tested and certified in accordance with the temporary certification program final rule. At this time, no organizations are currently authorized to test and certify EHR technology under the temporary certification program established by HHS, but when organizations attain ONC-ATCB status ONC will make it publicly known and post their names on our website. ONC will work with ATCBs to encourage them to begin certifying EHR technology as soon as possible after they are authorized to do so.
C2. When will ONC-ATCBs be up and running?
ONC-ATCBs are permitted to start testing and certifying EHR technology consistent with the scope of their authorization as soon as it is received. Some ONC-ATCBs may need more time to establish their processes than others; however, we anticipate that ONC-ATCBs would be ready to test and certify EHR technology within a few weeks of attaining their authorization.
C3. How long will it take for an EHR technology to be certified?
This will vary according to the process used by the ONC-ATCB.
C4. What does a developer of EHR technology need to do to get its EHR technology tested and certified?
A developer of EHR technology will need to (1) select an ONC-ATCB that is authorized to test and certify its EHR technology (Complete EHR or EHR Module), and (2) demonstrate in accordance with the ONC-ATCB’s processes that the EHR technology provides the capabilities required by all applicable certification criteria adopted by the Secretary.
C5. Where can I find out information about EHR technology that has been certified?
ONC will maintain on its website a Certified HIT Products List (CHPL) as a single, aggregate source of all certified Complete EHRs and EHR Modules reported by ONC-ATCBs to the National Coordinator. The CHPL will comprise all of the certified Complete EHRs and EHR Modules that could be used to meet the definition of Certified EHR Technology. It will also include the other pertinent information we require ONC-ATCBs to report to the National Coordinator, such as a certified Complete EHR’s version number. Eligible professionals and eligible hospitals that elect to use a combination of certified EHR Modules may also use the CHPL webpage to validate whether the EHR Modules they have selected satisfy all of the applicable certification criteria that are necessary to meet the definition of Certified EHR Technology.
C6. Will EHR technology previously certified under any other programs or organizations automatically be certified by this new process?
No. In order to meet regulatory requirements implementing the HITECH Act, including the definition of “Certified EHR Technology,” EHR technology (Complete EHRs and/or EHR Modules) must be tested and certified by an ONC-ATCB. Any other certifications issued by an organization that is not an ONC-ATCB at the time of issuance will be invalid for purposes of meeting the definition of Certified EHR Technology and cannot be used to qualify for incentive payments under the Medicare and Medicaid EHR Incentive Programs. Unless reissued in accordance with the requirements of the temporary certification program, certifications previously issued by an organization that has subsequently become an ONC-ATCB will also be invalid for purposes of satisfying the definition of “Certified EHR Technology,” because such certifications were issued prior to the organization achieving ONC-ATCB status.
Certification by an ONC-ATCB means that EHR technology meets the specific standards, implementation specifications, and certification criteria established for the temporary certification program. (HHS issued an interim final rule outlining specific standards and certification criteria on December 30, 2009, and a final rule is expected to be issued in the near future.)
EHR technology must be tested and certified by an organization authorized by ONC as an ONC-ATCB, using currently adopted standards and certification criteria. Once ONC has authorized testing and certification organizations as ONC-ATCBs, the follow actions are appropriate:
» Developers of EHR technology who wish to have their EHR technology tested and certified should contact an ONC-ATCB
» Health care providers who are eligible under the Medicare and Medicaid EHR Incentive Programs should contact their vendors to ensure their EHR technology is tested and certified by an ONC-ATCB under the temporary certification program requirements
C7. Will EHR technology certified under the temporary certification program be automatically certified under the permanent certification program?
EHR technology tested and certified by an ONC-ATCB under the temporary certification program will remain certified once the permanent certification program replaces the temporary certification program. The change in certification programs will not affect the certified status of EHR technology at the time of change. However, we anticipate that new or modified certification criteria will be adopted by the Secretary to support future stages of meaningful use, and as a result, certifications issued by ONC-ATCBs will presumably no longer indicate or represent that a Complete EHR or EHR Module can provide all of the capabilities necessary for an eligible professional or eligible hospital to achieve a future stage of meaningful use.
C8. Whose responsibility is it to make sure that EHR technology gets tested and certified as required to meet the certification criteria adopted to support meaningful use?
In most cases it will be the responsibility of developers of EHR technology that sell EHR technology. However, a health care provider that has developed its own EHR technology and is eligible under Medicare and Medicaid EHR Incentive Programs likely will be responsible for getting it tested and certified.
C9. If I buy an EHR technology that is tested and certified, does that qualify me for the Medicare or Medicaid EHR incentive payments?
Having EHR technology that is certified by an ONC-ATCB is an essential part of qualifying for the EHR incentive payments. For details on the Medicare and Medicaid EHR Incentive Programs, please visit http://www.cms.gov/Recovery/11_HealthIT.asp
C10. I already use EHR technology. If it gets certified, will I qualify for the Medicare or Medicaid EHR incentive payments?
If the EHR technology you currently use is certified in the HHS temporary certification program, you may be eligible for incentive payments. For details on the Medicare and Medicaid EHR Incentive Programs, please visit http://www.cms.gov/Recovery/11_HealthIT.asp
D. Comments on Proposed Rule
D1. Where can I learn about how my comments on the proposed rule on the Establishment of Certification Programs for Health Information Technology issued in March were addressed in the temporary certification program final rule?
ONC staff carefully reviewed and considered each comment received on the proposed rule. Section III of the temporary certification program final rule includes a discussion of how the comments were incorporated into the temporary certification program final rule.
E. Related Rules
E1. How does this final rule relate to the Medicare and Medicaid EHR Incentive Programs Proposed Rule?
The National Coordinator will use the temporary certification program to authorize organizations to test and certify EHR technology (Complete EHRs and/or EHR Modules). Once tested and certified, these types of HIT may be used to meet the regulatory definition of “Certified EHR Technology.” Health care providers who are eligible to qualify for incentive payments under the Medicare and Medicaid EHR Incentive Programs are required to use Certified EHR Technology, as promulgated in the CMS final rule.
HHS expects to issue final rules related to the initial set of standards, implementation specifications, and certification criteria and to the Medicare and Medicaid EHR Incentive Programs in the near future.
E2. When will the permanent certification program final rule be published?
We anticipate that a final rule for the permanent certification program will be issued by fall 2010 and that the permanent program will be in place in 2012.
For other questions related to the Temporary Certification program, please email ONC.Certification@hhs.gov.
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ONC Health IT Buzz Blog Post by Dr.David Blumenthal
Temporary Certification Program
Originally posted on June 18, 2010 on Health IT Buzz Blog by Dr. David Blumenthal
A surgeon can’t operate without the proper equipment. A clinician can’t achieve meaningful use of electronic health records without an EHR that is designed to improve patient care and practice efficiency.
The Secretary of the Department of Health and Human Services announces today a big step in ensuring that clinicians can easily identify EHRs and EHR modules that have the capabilities needed to achieve meaningful use and thereby reap the financial incentives offered by Medicare and Medicaid. The temporary certification program lays out a path by which organizations can become authorized to test and certify EHR products. Certification can give physicians confidence that the EHR product they choose has the capabilities to help their practices achieve meaningful use.
However, it does not mean that choosing an EHR will be a simple decision, or that certification of an EHR guarantees the provider using it will accomplish meaningful use. Certification is another example of how ONC supports the nation’s clinicians in the move towards a fully functional, secure health information exchange system. Combined with the technical advice and support of Regional Extension Centers, certification helps level the playing field and enables practices large and small to make educated choices that will lead to meaningful use.
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For more information please call (407) 494-4EHR (4947) or visit us at: http://www.sencilo.com and let us "Uncomplexify your Information
Technology"
Sencilo HealthIT Solutions eHealthcare Architecture: More than technology With Sencilo HealthIT Solutions eHealthcare Architecture, you can leverage the same productivity tools and technology resources that have transformed business. And you get a full portfolio of services too. By working with Sencilo HealthIT Solutions, you can get:
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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
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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
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CSC: Payors should pay attention to meaningful use - June 18, 2010
Orlando Florida --
While it initially appeared as if there was less at stake in the HITECH Act provision for payors, as the details of healthcare reform have emerged, the links between meaningful use, health IT, nd payor industry business practice reforms are becoming more explicit, according to a report from Computer Sciences Corporation (CSC).
“It’s important for health plans and payors to understand what the meaningful use challenge means to providers and hospitals, if they are to be able to identify the business risks and opportunities that are associated with it,” stated the Falls Church, Va.-based CSC.
According to the report, payors and health plans that ignore the challenges that meaningful use and EHR implementation create for hospitals and providers risk missing significant opportunities.
The report authors stressed five meaningful use considerations that health plans and payors be aware of:
Health IT adoption and its meaningful use will improve the performance of existing payor sector cost and quality programs: Because health plans rely on repositories populated by claims data, this creates data lags and latency issues preventing timely identification and interventions for members at risk for disease. “Widespread adoption of integrated health IT processes by hospitals and providers will certainly make that information easier for providers to obtain,” the report observed.
Implementing health IT and meeting meaningful use criteria will strain the resources of provider organizations and may threaten the stability of plan and payor provider networks: “Most provider organizations will struggle financially and operationally to execute these projects and will have little organizational energy or resources for other initiatives,” stated the authors, noting that collaboration will be difficult in this time among payment and networks arrangements.
There’s no reason to think that Medicare Advantage plans will remain exempt from some level of participation in HITECH and meaningful use: Although the final requirements haven’t been fully written into law, it’s "not hard to imagine" that health IT implementation and meaningful use by Medicare Advantage plan provider networks will become part of the definition of “quality” that triggers bonus payments.
Where Medicare leads private sector health coverage purchasers follow: Because employer purchaser coalitions are becoming strong supporters of the HITECH Act provisions and deadlines, the report stated that those are “strong signals from important customers that health plans and payors would be foolish to ignore.”
Plans and payors have a big stake in making sure that their provider networks are successful in implementing and using health IT: Ensuring provider success with EHR implementation and meeting meaningful use criteria will allow plans capitalize on improvements that health IT and meaningful will bring to existing cost and quality control programs.
“At minimum, plans should use this as an opportunity to reformulate and realign existing pay-for-performance incentives with health IT implementation and meaningful use deadlines,” concluded CSC. “Minimizing differences between plan-sponsored incentive programs and Centers for Medicare & Medicaid-sponsored programs will also serve to simplify compliance and achievement, for provider organizations.”
----------
For more information please call (407) 494-4EHR (4947) or visit us at: http://www.sencilo.com and let us "Uncomplexify your Information
Technology"
Sencilo HealthIT Solutions eHealthcare Architecture: More than technology With Sencilo HealthIT Solutions eHealthcare Architecture, you can leverage the same productivity tools and technology resources that have transformed business. And you get a full portfolio of services too. By working with Sencilo HealthIT Solutions, you can get:
A dedicated customer team
A website customized for your institution
A full portfolio of robust solutions
Easy setup, implementation and maintenance
Simple ordering and delivery
Technology training
Flexible financing options
Sencilo HealthIT Solutions Professional Services makes it easy.
In addition to providing high-quality technology at a low cost, Sencilo HealthIT Solutions Professional
Services can help you plan your healthcare computing from the ground up. By working with you from the initial construction phases, we can help you save time and money and lead to a truly customized solution.
Sencilo HealthIT Solutions Professional Services offers complete services that include:
Design
Procurement
Installation
Training
Maintenance
Support
About Us
Sencilo HealthIT Solutions is a Florida-based integrator specializing in EHR Cost Cutting storage, security and managed services solutions. Sencilo delivers a comprehensive portfolio of products from best-of-breed hardware and software from multiple manufacturers including Allscripts, VMware, Dell Fujitsu EMC, Hitachi, Symantec, IBM, HP, Cisco, Microsoft, Gateway Sencilo has offices throughout Florida including: Orlando Lake Mary Daytona, Medical City solutions include Security "meaningful use" "meaningful usage" EMC HP IBM Quantum Compliance Gartner Magic Quadrant Quadrent LTO Daytona Beach Deland Melborne Tampa Clearwater, Dragon, Voice Recognition, Dragon Dictation
Network Backup appliance Data Recovery Backup Health IT Healthcare IT Digital Hospital Allscripts Patient Data electronic health record P4P rules and the HITECH Act PayerView Rankings practice management tools $44,000 in Medicare or $66,000 in Medicaid from the American Recovery and Reinvestment Act eClinicalWorks, Allscripts, NextGen, GE Centricity, and Meditech Electronic Healthcare IT Medical Records EHR Clinical Practices eClinicalWorks Allscripts Florida EMR, EHR, electronic medical record, health, records, practice management systems solutions, medication services, PHR Otolaryngology, Orthopaedics, pediatrics, dermatology, electronic documention, CCI edits, CPT codes, ICD 9 Codes, ICD 10 codes, comploiance, electronic medical records, Pain Nuerosurgery, Urology, Ophthalmology, Cardiology, Billing, Appointment Scheduling, clinicalworks, eClinicalWorks, solutions for physicians, hospitals, clinical education and medical services Computerized Patient CPR, Order Entry, CPOE, Document Clinical Information Informatics, Computer-based, SOAP, HIT, Healthcare Encounter Forms, web based, online, clinical rules database, electronic prescribing, e-prescribing, eprescribing, athenaClinicals, certified EMR, certified EHR, HITECH Act VAR Reseller Dealer hipaa privacy doctor, healthcare performance management, data security, hosting, arra, free, InterFAX, MyWay, HIPPA, EasyPayMedicare, MedicAID, SureScripts, FNC, billing, superbill iMedica Tiger on Windows, eprescribe pqri simple practice management revenue cycle e-cw e-clinicalworks greenway emds nextgen ge sage athena epic klas Dragon NaturallySpeaking speech recognition Google Health, Microsoft Healthvault Health Internet certified "meaningful use" violations HealthPresence Health Presence Sencilo “transformative” telemedicine medicaid medicare Seminole County Medical Society Orange county Orlando Medical News Trusted Advisor e-Prescription e-Rx CareTracker paperless scanning document storage hippa audits iscribe document scanning fi-6130 fi-6040 CCHIT ARRA surescript
