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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
The 5 Best IPad Apps for Business - May 26, 2010
Way to do too much, too little time? Like any good entrepreneur or corporate climber knows, time is money. And someone does with an iPhone or IPAD that time wasted is money wasted. Use to fill your apps otherwise wasted time commuting, travel, and personal time with new ways to stop sweating the details business Start Getting Things Done. Better yet, these applications will make your business housework so much fun you can not even notice that it is long past 05.00 clock. Here are the top 5 apps for business IPAD, iPhone or iPod touch.
Dragon Dictation, Nuance Communications, Free. You know those movies where the hip young screenwriter gets a voice recorder and says: “idea for a screenplay …”? Apart from being trite and self-referential, this scene never describes the laborious transcription. “That’s what secretaries are for,” you say? Save the money and let the app do the work – or more precisely, the cloud behind the App. They talk, they will send to the server cloud, and back comes the voice recognition transcription. Great accuracy, since the code is not app to the appropriate size squashed. Just do not use to send national secrets to the other guys in the NSA. If you are concerned about interception, use iTalk to transcribe a reporter, and the old fashioned way.
Cisco WebEx Meeting Center, Cisco, Free. You may want to distract trot up to the deck and off the beach itself, according to circuit breakers other visitors. Yes, Cisco WebEx Meeting Center is mobile now, and if your company uses WebEx Meetings, you are a convincing pitch away from freedom. What do you bring to the table is still up to you, remember people talking all the time calling “them” and “iPhoning it in” Will you not get good grades either. However, if the main problem is that the meeting in Lansing, and you’re in the Cayman Islands, you can now view a full screen, audio and any shared documents on your iPhone. If you are lucky enough to have the IPAD are, then you will get all your documents to almost normal size to enjoy.
Jobs, Career Builder. com, Free. So, exactly how the job where you can relax in the Caymans to get into the Ing WebEx meeting, and (we assume) is other important business matters? You can find it at Career Builder. com, and if you browse it through the search for CB, the largest online job site can be found, you will find you by your iPhone or IPAD anywhere with a wireless signal. Match your skills with what an employer is looking for – from the Cayman Islands. If the guy in the WebEx meeting is the setting, SCORE! If not, in this economy, you may have to settle for gainful employment in your chosen field.
USPS Mobile, Mobile UPS, FedEx Mobile for the iPhone, Various, Free. They do exactly what you think, what they do. Call for a pickup and length of the broadcast from your iPhone or IPAD with WiFi. If you are traveling and want to make sure that your package is behaving well, is one or more of these applications is a must.
office2 Plus, Byte Squared; Free. Office2 Plus you get access to take your docs, docs sent to mobile-friendly cloud computing services like Google Docs and residing MobileMe docs and e-mail. Through in-app upgrades, which are not free, you can also create and edit Microsoft Word and Microsoft Excel files on your IPAD or even on your iPhone when you are in a pinch.
These applications are the best of the best – some trendy, some workmanlike, but all essential if you want to start, your business from your IPAD or iPhone.
HITECH HIPAA Compliance Steps for Business Associate - May 26, 2010
Business Associates are required to comply with HIPAA Privacy and Security rules as per the American Recovery and Reinvestment Act of 2009 (the Act). Title XIII of the Act is artfully Orlando Florida -- Business Associates are required to comply with HIPAA Privacy and Security rules as per the American Recovery and Reinvestment Act of 2009 (the Act). Title XIII of the Act is artfully entitled the Health Information Technology for Economic and Clinical Health (also referred to as HITECH) Act.
It is very important for the covered entities to inform the business associates about these changes and let them know how they can achieve their compliance. Many business associates are avoiding and delaying their HIPAA compliance.
How covered entity can ensure that the business associates are HIPAA complaint? To help the covered entities with this task, business associate HIPAA compliance checklist can be used to evaluate the compliance status of business associates. This form should be sent to all business associates of covered entities.
Steps for HIPAA & ARRA’s HITECH compliance for the business associates:
1) Assign HIPAA compliance officer
2) Certified HIPAA Privacy Security Expert (CHPSE) training for the HIPAA compliance Officer
3) Create privacy policies & procedures
4) Create security policies & procedures
5) Conduct HIPAA risk analysis assessment
6) Remediation of non complaint areas
7) Create HIPAA contingency plan if required
8) Train all employees with Certified HIPAA Privacy Associate (CHPA), Certified HIPAA Privacy Expert (CHPE) or Certified HIPAA Security Expert (CHSE) based on their job role.
9) Final Audit
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
DEA Interim Ruling on Electronic Prescriptions for Controlled Substances - May 25, 2010
Orlando -- Florida March 31, 2010 the Drug Enforcement Agency (DEA) published the Electronic Prescriptions for Controlled Substances Interim Final Rule (IFR). Its purpose is to establish rules for the electronic submission of controlled substances.
OVERVIEW
The IFR sets rules for allowing electronic prescribing of controlled medications. The focus is on diversion and non-repudiation. Stringent security requirements have been defined that focus on the key areas of identity proofing, access control, two-factor authentication, and audit requirements. The IFR gives prescribers the option of signing and transmitting prescriptions for controlled substances electronically. Written, manually signed, and oral prescriptions for controlled substances, where applicable, are still permitted.
COMPLEX PROCESS
This is an important milestone and has started an industry-wide process of technical advance. New layers of infrastructure will be developed at the local, state and national levels to enable the industry to create a system that meets the DEA's new security requirements. Here are a few examples of the changes required to turn this rule into reality:
Processes will be developed to validate the identity of all legally authorized prescribers. Credentials for electronic prescribing of controlled substance will be issued.
National standards that govern communication of digitally-signed prescriptions will be defined. Electronic prescribing vendors (such as Allscripts) will need to incorporate the new standards and requirements into products. Pharmacy software vendors will adapt their systems to accept incoming controlled substance e-prescriptions and to validate their authenticity.
WHAT'S NEXT?
Given the complexity of implementing these changes, it remains unclear precisely when the industry will be ready to enable providers to electronically prescribe controlled substances. While Allscripts expects that this process will take 12-18 months, we are working hard with our industry partners to accelerate this timeline wherever possible.
Allscripts is the leader in e-prescribing, and we will lead the industry in this process as well.
Providers should continue to electronically create and print controlled substance prescriptions using the Allscripts prescribing solutions that they currently use.
SUMMARY
The DEA Electronic Prescriptions for Controlled Substances Interim Final Rule is a significant and positive step for the industry. Allscripts is working diligently with our industry partners and other stakeholders to deliver this new capability as quickly as possible. We will continue to keep you updated as our plans take shape.
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
Doc calls EHR copy and paste function a "modern medical illness" - May 24, 2010
Orlando Florida -- April 23, 2010 | Molly Merrill, Associate Editor
NEW YORK – The copy and paste function of an electronic health record is "one of the most egregious dangers of electronic charting," according to a recent editorial in the American Journal of Medicine.
Arie Markel, MD, director of one of the departments of internal medicine at a hospital in Israel, found out first hand the ill effects of copying and pasting in patients' charts.
Markel wrote a letter entitled "Copy and Paste of EHRs: A Modern Medical Illness" in response to the AJM editorial in which he said he "identified strongly" with the subject of the editorial written by Ronald Adelman, MD, medical director of the Irving Wright Center of Aging and co-chief of the Division of Geriatrics Medicine and Gerontology at The New York-Presbyterian Hospital, and Eugenia L. Siegler, MD, medical director of the Geriatrics Inpatient Service at the Weill Cornell Campus of New York Presbyterian Hospital.
Adelman and Siegler said some of the problems with copying information from a prior note and pasting it into a new one are that it reduces the credibility of the recorded findings, clouds clinical thinking, limits proper coding, and robs the chart of its narrative flow and function.
Markel said that in reviewing patient charts at his hospital he found that the copy and paste function was of the "same magnitude" as described in the AJM editorial.
"Medical diagnosis in previous admissions that have no relevance for the present hospitalization are repeated and copied from one summary to the other. Previous medications are copied and printed as if they were the patient's current treatment even if the patient is no longer taking them. Data presented in a previous hospitalization are repeated without changing the details or actualizing the date; subsequently the reader may not be able to understand or may misinterpret the data," said Markel.
But Markel says it is not just the copy and paste function that is problematic, but all computer functions that allow automatic copying of all previous chart diagnoses, physical examination results, and whatever else is in the chart.
The AJM editorial suggested that disabling the copy and paste function in the EHR could be a way to eliminate the problem, but said that staff were still able to copy and paste from documents saved in text formats outside the electronic chart.
Markel said the problem became so serious at his medical center that they did just that, but came up against the same problem of not being able to completely eliminate the use of copying and pasting from other documents.
"As computer techniques advance and are of immeasurable help in our work as physicians and investigators, the way to overcome uses and abuses of this medium in our routine work seems to remain beyond us," said Markel.
The AJM editorial called for "thinking creatively" about charting as a communication tool.
"An electronic health record can document a patient's course, foster meaningful patient narratives, free up more time for direct patient contact, and advance care by enhancing both intradisciplinary and interdisciplinary communication. To do so, we must change not only the health record but also the way we create it, evaluate it and use it," the article concluded.
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
"ePediatrics" something parents want - May 24, 2010
Orlando Florida -- March 29, 2010 | Bernie Monegain, Editor
ANN ARBOR, MI – "ePediatrics" could become more common, as parents are requesting more electronic communication with their children's doctors, according to a new poll.
According to a national poll by C.S. Mott Children's Hospital in Ann Arbor, Mich., about one-half of parents think it would be very helpful to be able to accomplish administrative and clinical tasks such as requesting records or prescription refills through e-mail or online.
The poll, conducted by Knowledge Networks, Inc. in January 2010, asked 1,612 parents of children ages 0-17 across the United States about how they communicate with their children's healthcare providers.
Although the poll found that half of parents would like to have access to electronic communication features with their children's doctor's office, less than 15 percent of parents reported that they are currently able to have online or e-mail communication with their children's healthcare providers.
"Electronic communication between parents and their children's healthcare providers offers a lot of potential benefits," says Matthew Davis, MD, director of the poll and associate professor of pediatrics and communicable diseases in the CHEAR Unit at the University of Michigan Medical School. "For administrative tasks that almost all parents need to complete, electronic communication can reduce wasted time and minimize frustration for both parents and office staff. For clinical services, parents often have questions about whether minor injuries or illnesses require an office visit; electronic communication provides a way to obtain advice without waiting on hold for long periods of time."
In a similar study by Johns Hopkins Children's Center nearly 90 percent of the 229 parents polled said they would welcome e-mail as a way to communicate with their child's doctor. The study, which was conducted earlier this month, found that only 11 percent could currently do so. Hopkins investigators said they are planning a study of pediatricians' attitudes toward e-mail.
Most physicians who are reluctant to e-mail today, chose not to because they are not reimbursed for electronic services or because they are concerned that these types of services could leave them susceptible to medical liability.
"Some healthcare providers have expressed concerns about reimbursement for electronic services that require staff time. Others worry about medical liability associated with offering clinical advice via e-mail or the Internet, without examining the patient," says Davis, who is also associate professor of internal medicine and associate professor of public policy at the Gerald R. Ford School of Public Policy. "However, given the strong endorsement for electronic communication from this national sample of parents, significant efforts should be made to address these challenges. The obvious advantages of electronic medical records – efficiency, clarity, documentation – are the same reasons why we should work to make e-communications available for our patients and families."
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
Medicare, Medicaid to boost Web sites - May 24, 2010
Orlando Florida -- May 19, 2010 | Bernie Monegain, Editor
WASHINGTON – The Centers for Medicare & Medicaid Services will spend $73.2 million to update three Web sites that garner more than 500 million page views a year from beneficiaries.
CMS awarded the five-year contract to CGI Federal in a competitive bid.
The three Web sites – Medicare.gov, cms.hhs.gov, and MyMedicare.gov – serve as CMS's online communication channels for beneficiaries and providers. The sites offer information about coverage, claims, medications and eligibility.
"CMS is at the forefront of the national health agenda," said George Schindler, president of CGI Federal. "CGI is proud to be chosen again to support their efforts which directly impact so many citizens."
CGI has been working with CMS to evolve the Web sites to better meet the agency's mission of education, outreach and service, as well as government requirements for increased transparency, participation, and collaboration.
For example, Schindler said, the Hospital Compare and Nursing Home Compare tools combine geographical data from Google maps with healthcare provider quality-of-care information to help users locate and assess healthcare facilities near them.
"CMS is always focused on continuous improvement and innovative ideas to improve services to its beneficiaries, which makes the work very rewarding," said Cheryl Campbell, vice-president, CGI Federal.
CGI Federal Inc.is a wholly owned U.S. operating subsidiary of CGI Group Inc., with offices in the United States and around the world.
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
