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Dealing with Old Paper Charts in an EHR World

To preview this post, start by enjoying this quick 1 minute video preview:

Such a well done video by ChartCapture. Plus, it intrigued me enough to get me interested in what they had to offer. I think I’d actually met them at the Canon booth at HIMSS before, but somehow I did’t capture the full simplicity of their chart scanning solution until I saw this video demonstrating how their solution works:

I love really simple and straightforward appliances and chart capture is the perfect solution for an appliance like this. It’s beautiful to have a plug and play appliance with no server, no setup, and just ready to go without having to get IT to make it a priority.

As I talked to Scott Ferguson from ChartCapture, I asked him when most customers chose to start using their product during an EHR go live. He responded, “Most customers typically drop us in 90 days prior to go live (or as soon as the have the “realization moment”).”

I love the concept of the realization moment and anyone who’s worked on an EHR implementation knows what I’m talking about. It’s that moment during the EHR implementation that the users ask the question “what about the paper charts?” For some reason many people just think that the EHR vendor will somehow magically just deal with the paper charts. The realization moment is when they realize that they’re going to figure out what to do with the paper charts.

I’ve long been a proponent of scanning in your old paper charts. I still love the outsourcing option because some of the quality they can provide in the scanning process. However, that option is cost prohibitive to many. So, an appliance like ChartCapture is a nice alternative solution for scanning your paper charts at a lower cost. Just be sure if you choose to scan in house that you make sure you hire detail oriented people for the job. It’s a monotonous job and requires detailed effort to do it right.

January 10, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 5000 articles with John having written over 2000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 9.3 million times. John also recently launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and Google Plus.

A List of Key Insights for EHR Data Conversion

Healthcare Scene sat down with Sean West, VP of Data Conversion at HealthPort, to discuss EHR data conversion. EHR data conversion is quickly becoming a hot topic for many organizations that rushed their initial EHR selection and implementation. In our video discussion embedded below, Sean West offers a number of key insights including the following:

  • Convert the Data Close to the EHR Conversion
  • Ensure You Have Enough Time to Make the Conversion
  • Consider How Much Data Needs to Be Converted
  • Look at the Impact on Performance of Converting All EHR Data
  • Evaluate Your Legacy EHR Vendors Willingness to Work with You on Data Conversion

Check out the following video for all the details:

We also asked Sean West about when an organization would want to consider a vendor neutral archive for their EHR. While the vendor neutral archive is incredibly popular with PACS systems, we’re just now starting to see the idea crop up with EHR data. In the following video, Sean West provides some good insight into when an organization might want to consider a vendor neutral archive for their EHR data.

December 17, 2013 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 5000 articles with John having written over 2000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 9.3 million times. John also recently launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and Google Plus.

A Patient Perspective on Meaningful Use

I came across this great xtranormal video that looks at meaningful use from a patient’s perspective. I’ve posted some videos like this before. In fact, I’ve started creating a whole YouTube playlist of Funny Healthcare IT Videos. If you’re deep in the trenches of meaningful use, then you’ll enjoy this one (or not depending on how you look at it).

November 18, 2013 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 5000 articles with John having written over 2000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 9.3 million times. John also recently launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and Google Plus.

Fee for Service is Dead

In a recent call with the Collaborative Health Consortium, Mark Blatt, MD, Director of Intel Health made some pretty strong statements as a front end to the Healthcare Unbound conference happening this week. In his comments he essentially predicts the end of Fee-For-Service, calling it a dinosaur that will not survive and saying that “this is like a 30-day eviction notice…and it’s happening faster than anyone thinks.”

I find this really interesting because he’s the second high level leader in healthcare that I’ve heard say that the switch away from Fee for Service is happening faster than any of us realize. I wonder what the consequences will be of us not realizing this change is happening. Plus, the odd thing is that we can all see this change happening. Is is that we’re just not understanding the consequences the change will have on the healthcare business?

I also was really intrigued with Mark Blatt’s list of thing you need for a successful transition from Fee for Service:
1. Patient empowerment
2. Mobilize data
3. Share data
4. Gather and store data

When I first considered this list, I realized that EHR could help to enable all of these things. In many ways it already is working to make many of these things possible in an organization. Without the EHR’s involvement, many of these objectives will fall flat.

Although, I also realize that many of these objectives require something outside of the EHR. Will they eventually integrate with the EHR, that’s the vision of some EHR vendors. However, I believe it will take years for us to get there. Until we get there, I think it’s going to create a really tough integration challenge for organizations.

You can hear all of Mark Blatt’s comments in the video below.

July 9, 2013 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 5000 articles with John having written over 2000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 9.3 million times. John also recently launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and Google Plus.

Blausen Google Chrome Extension for Health Information

A while back, I suggested that EHR vendors might want to integrate Google Search into their EHR. I still think this is a really interesting idea since I’m sure that many are doing Google Searches regularly as part of the care they provide.

While I’m sure that many doctors use Google searches in their care, I was really intrigued by a demo video I saw of the Blausen Google Chrome extension. Rather than try and explain it, you can watch the video demo:

This is a really fascinating product and a simple way to distribute the content that Blausen has available in their library. While the Google Chrome extension is interesting, I could see something similar easily added to an EHR interface.

Imagine a doctor wanting to show a video demonstrating something to their patient. Straight from their EHR, they could pull up the Blausen video and show the patient in a really rich way something about their condition.

Of course, we’re just at the start of what could be done with great visual education like this. Over time I’m sure we’ll be able to get to very specific parts of a video or pieces of education. We’ll be able to publish the educational information you saw in the office in your patient portal. Not only does that reinforce what was said in the office, but it also provides patients a great way to share what’s going on with their loved ones.

I know Force Therapeutics is doing work like this with videos for Physical Therapists and Orthopedics. I think we’re going to see a lot more video integration into our patient care over the next couple years and that’s a very good thing.

November 9, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 5000 articles with John having written over 2000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 9.3 million times. John also recently launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and Google Plus.

EHR Upcoding, Meaningful Use Stage 2, Interoperability, EHR Consolidation, and ACOs Video – Burning Topics with Dr. Nick

I recently sat down with Dr. Nick van Terheyden, CMIO of Nuance to talk about some of the Burning Health IT topics. In the following video Dr. Nick and I talk about EHR Upcoding, Meaningful Use Stage 2, Interoperability, EHR Consolidation, and ACOs. Enjoy and I hope you’ll extend our conversation in the comments.

October 24, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 5000 articles with John having written over 2000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 9.3 million times. John also recently launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and Google Plus.

Getting Patients Comfortable with EMRs

Sometimes I feel as if the healthcare industry head honchos from every vertical get together once a month and determine when and how they’ll put out major press announcements. Sometimes they just seem so well timed. Take, for example, the release of a new video from the ONC’s HealthIT.gov website, “Health IT For You: Giving You Access to Your Medical Records.”

I really like the style of animation, and the incorporation of mobile devices like tablets into the video. My favorite line: “It’s time healthcare caught up to the way we live the rest of our lives.” So true! (Pretty clever of them to put a billboard for HealthIT.gov on the side of a bus that drives by.) Overall, it’s well done, short and simple enough to get the point across to patients that may be in waiting rooms. I hope that providers will think to incorporate it into their digital communications as well, and that the ONC will consider putting one out in Spanish.

If you have the nearly 3 minutes it takes to watch the video, you’ll notice the “padlock” image that appears over every transmittal of patient-to-doctor data, symbolizing that the information is secure, and presumably HIPAA-compliant.

Which brings me to that PR synchronicity I mentioned above. Results from a Harris Interactive survey conducted on behalf of the Breakaway Group, released around the same time as the video, found that “[b]arely a quarter of U.S. adults want medical records converted from paper to electronic, and 85% of the public [surveyed] expressed concerns about electronic health records.” Some of those surveyed cited concerns over privacy – thus, I suppose, inclusion of the “padlock” images in the ONC video.

This small swirl of press around patient engagement – a hot topic in healthcare at any time these days – serves to reemphasize the need for continued focus on patients’ knowledge of and reaction to electronic medical records. What with all sorts of ancillary reports coming out about physician adoption of, happiness with and resignation to this technology, it’s important to realize that it is the patient that should ultimately benefit – in a variety of ways – from the implementation.

August 10, 2012 I Written By

As Social Marketing Director at Billian, Jennifer Dennard is responsible for the continuing development and implementation of the company's social media strategies for Billian's HealthDATA and Porter Research. She is a regular contributor to a number of healthcare blogs and currently manages social marketing channels for the Health IT Leadership Summit and Technology Association of Georgia’s Health Society. You can find her on Twitter @JennDennard.

Lawsuits and EHR Adoption, Mobile Apps for Runners, and Connecting Mobile With Desktop Challenges: Around HealthCare Scene

EMR and HIPAA

Lawsuits Will Eventually Drive EHR Adoption? 

“Once EHR’s are the standard of care sadly lawsuits will drive adoption .. “so why didn’t you see the lab results doctor?” This was tweeted in a recent #HITsm chat by Sherry Reynolds. This tweet prompts several questions, including, when will EHR become the standard of care, and, as the title of this post suggests, will lawsuits eventually drive EHR adoption?

Meaningful Healthcare IT

Eric Dishman Needs a Kidney

This post is less informative, more personal. Eric Dishman, director of health innovation and policy for Intel’s Digital Health Group, is very ill and currently is in need of a kidney transplant. Read this post to be directed to more details about how to help. Let’s help this great man get the kidney he needs to survive.

Smart Phone Health Care
5 Must Have Mobile Apps for Runners

There are many apps out there available for runners. However, which ones are actually worth downloading? This post has a list of some apps that every runner — from the marathoner to the ones just starting out — should have on their phone. From GPS trackers to ab exercises, you don’t want to miss out on this post.

Is mHealth Poised to Explode? Infograph Showing Growth of mHealth

mHealth is growing in many ways. Over 80 percent of doctors use smart phones, more than 10,000 health apps are available, and 78 percent of US consumers are interested in mobile health solutions. These are only a few of the interesting facts presented in an infograph depicting how mHealth is growing, and what it’s future might hold.

EHR and EMR Videos
Meeting the Future Challenges of the NHS: Roland Rott

Roland Rott, head of Ultrasound IT explains how software has quickly become the driving force in ultrasound innovation and why cloud computing, social media and mobile technology are creating new paradigms, driving increased efficiency and connectivity among physicians and influencing how doctors and patients interact with each other.

Hospital EMR and EHR
Connecting Mobile with Desktop A Chore

While many doctors are beginning to use mobile phones and tablets, the ability to connect them with a desktop is not easy. There are many things that need to be fixed in order to increase efficiency. M.Modal Juergen Fritsch put together a list of the top issues that need to be resolved. This list includes things such as making tablets documentation friendly and creating a hybrid strategy.

Most Wired Hospitals 2012

The most wired hospitals over 2012 have been released, at least according to Healthcare IT News. Along with this, a survey concerning these most wired hospitals was done as well. Significant differences were discovered between the wired and non-wired hospitals, however, the areas surveyed may seem disappointing to seem. Read more about it and voice your opinion.

August 5, 2012 I Written By

Katie Clark is originally from Colorado and currently lives in Utah with her husband and son. She writes primarily for Smart Phone Health Care, but contributes to several Health Care Scene blogs, including EMR Thoughts, EMR and EHR, and EMR and HIPAA. She enjoys learning about Health IT and mHealth, and finding ways to improve her own health along the way.

Funny Physician Exam Room EHR Etiquette Video

I usually reserve the various EHR videos I find for the Healthcare Scene EHR video website. However, this one was too funny to not share with a wider audience. Here’s the YouTube description for the video:

Meaningful Use of Electronic Health Records (EHRs) involves more than implementing an EHR. It involves interacting with patients and the computer in the exam room in a way that is productive and enhances the interaction between the patient and the physician. Learn about how Reliant Medical Group (formerly known as Fallon Clinic) uses Kaiser Permanente’s LEVEL technique to ensure a successful patient encounter.

While I’ve said that the video is funny, it also does bring out some really important points about physician exam room EHR etiquette. When I first started watching the video I was wondering how they were going to get physicians to actually take the time to watch the video. Then, about half way through I was laughing at the video which made me watch through more of it. I’m not sure if the humor was intentional or not, but I expect those reading this site will get a good laugh at the video embedded below while seeing some important points on EHR etiquette.

Thanks to Carl Bergman for pointing the video out to me.

July 30, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 5000 articles with John having written over 2000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 9.3 million times. John also recently launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and Google Plus.

SCOTUS Decision, Combating Mobile Health Threats, and a Video from RockHealth: This Week at HealthCareScene.com

EMR and HIPAA

Medicaid Doctors and Dentists Gaming the EHR Incentive Program

In order to get the EHR incentive money, Medicaid Doctors and Dentists are only required to purchase the equipment. They can, technically, just buy it and do anything with Meaningful Use. Recently, Dentrix recently partnered with Henry Schein to get access to this money. In this post, the legality of doing this, with no intention of actually passing Meaningful Use standards, is discussed.

SCOTUS Decision and Healthcare IT

The recent decision on the “Affordable Health Act” has gotten the attention of many people across the country. Will this decision affect the IT and EHR world? This post delves into that question, as well as addresses how the SCOTUS decision will impact healthcare reimbursement.

Wired EMR Doctor

My Presentation Submission to 2012 mHealth Summit

Many doctors are hesitant to embrace mHealth. Dr. Michael Koriwchak submitted a talk to the 2012 mHealth Summit, explaining why he feels this is the case. This post gives a basic overview of his talk, which is split into three sections: 1) addressing practicing physicians concerns about mHealth, 2) addressing the culture differences between physician and HIT communities and, 3) outlining the concessions both physicians and the HIT community need to make in order to facilitate communication, promote adoption of mHealth, and improve the quality of mHealth products.

Smart Phone Health Care

Combating Mobile Health Threats: 13 Tips Everyone Should Read

There is a big concern for the security of mHealth, and rightfully so. With all the intelligence to create this technology, there’s people out there wanting to steal information from it. An article a mhimss.com created a list of 13 tips for “combating mobile health threats”. Read the tips and other commentary this week over at Smart Phone Health Care.

App Created to Connect Patients With Doctors Immediately

Consult-a-Doctor is a program designed to connect users with a doctor without ever leaving their home. This cloud-based program is available for the iPhone and requires a subscription. Patients are able to access live medical consultations, treatment, and even receive prescriptions through this program.

EHR and EMR Videos

RockHealth Startup Elements: Product Design with Dave Morin

RockHealth has created a series of videos concerning the elements of starting up a healthcare company. The video featured this week on EHR and EMR Videos features David Morin talking about Product Design. To check out other videos in the series, some of them are posted here.

EMR and EHR Thoughts

$34 Million Series C Funding for Practice Fusion

Practice Fusion brought their total funding to over $64 million, with $34 million coming from recent Series C Funding. Although Practice Fusion seems to be one of the major players in the EHR world, there are some complications that may make it difficult to live up to this $64 million financing.

July 1, 2012 I Written By

Katie Clark is originally from Colorado and currently lives in Utah with her husband and son. She writes primarily for Smart Phone Health Care, but contributes to several Health Care Scene blogs, including EMR Thoughts, EMR and EHR, and EMR and HIPAA. She enjoys learning about Health IT and mHealth, and finding ways to improve her own health along the way.