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A Do-Not-Forget Checklist for EHR Switchers on the Hook for Meaningful Use

The following is a guest post by Tom S. Lee, PhD, CEO and Founder at SA Ignite.

According to a recent survey by Black Book rankings, as many as 16 percent of ambulatory EHR users may become  EHR switchers within the next 12 months.  Large health systems such as Intermountain (a client of ours) and the Department of Defense have recently announced that they are switching EHRs or are currently evaluating a change. Many such organizations are planning to switch EHRs while continuing to meet increasingly difficult Stage 2 Meaningful Use (MU) requirements.  According to past National Coordinator  Dr. Farzad Mostashari, there will be no delay of MU Stage 2. That means your health IT road map may now include switching EHRs, managing Stage 2 attestations, and achieving ICD-10 compliance.

How do you switch jugglers while the number of balls in the air increases at the same time?

We have encountered a common set of issues and questions in our work with clients, discussions with prospects, and exchanges with thought leaders in the industry related to the EHR switching scenario, especially as it relates to Meaningful Use.  Here are some things to consider:

1. Assess and properly store data from your old EHR for future MU audits. A recent wave of MU audit notices has been sent by CMS to some of the country’s leading health systems. Each MU attestation is subject to audit 6 years after the attestation date.  With this in mind, be sure to pull out and securely and centrally store all supporting data from your old EHR before its license expires.  Get expert assistance if needed to understand how to build a comprehensive and solid audit trail.  One great place start is the guidance on audit documentation provided by CMS.

2. Optimize the timing of the EHR switch relative to government reporting timelines.  For example, in 2014 there is a one-time opportunity to report on only a calendar quarter’s worth of data for many eligible providers, rather than the entire year.  This modification to MU was originally made to accommodate delayed Stage 2 certifications by the EHR vendors.  However, it can also be leveraged by EHR switchers who can time the switch to happen within 2014 to benefit from a lower compliance bar while the massive impacts of switching EHRs are absorbed by the organization.

3. Plan to merge data across EHRs to meet MU reporting requirements.  Even with the 2014 calendar-quarter reporting reprieve, for many hospitals and eligible providers to achieve Meaningful Use in an EHR-switching year it’ll be necessary to stitch together Meaningful Use data across the old and new EHRs in order to meet many MU reporting requirements.  For example, this may be required simply to meet the minimum certified EHR usage threshold to be eligible for the MU program in that year.  Assume merging data will be necessary, prepare how to do so before your old EHR license expires, seek help, or do both. An interesting contingency we have seen is to drive eligible providers to “over perform” on their MU measures on the old EHR in anticipation that MU performance will drop at the outset of adapting to the new EHR.  This will increase the chances that providers’ total MU performance within a reporting period spanning both EHRs will end up above threshold.

4. Plan to be supporting two EHRs at the same time.  Although it is sometimes possible to do a “big bang” switchover to a new EHR across an entire organization, we often see that rollout plans for the new EHR are phased across specialty, location, or other sub-groups.  During those periods when the organization could be supporting two different EHRs, such as two ambulatory EHRs in different geographic regions, it is important to organize and align teams to not only handle the immediate demands of MU but also transition completely to supporting the new EHR.  For example, MU data reporting and attestation can be hard enough for just one ambulatory EHR, much less two.  It takes preparation well in advance of the EHR switch and government attestation deadlines to avoid 11th hour fire drills.

Is your organization juggling MU requirements while switching EHRs? If so, I’m sure that you’ve found there are additional considerations surrounding an EHR switch that are important to keep in mind. I’d love to hear your suggestions in the comments.

November 21, 2013 I Written By

HIPAA and ICD-10 Courses

One of the real telling things I learned this week as I traveled to the MGMA Annual Conference and then the CHIME Fall Forum was how unprepared organizations are for ICD-10 and HIPAA Omnibus. It was amazing the stories I heard and I’m sure these will be topics I write about much more in the future.

One of the stories I heard was a medical practice who was asked if they were ready for ICD-10. The practice said that they were ready. Then, they were asked what they’d done to prepare for ICD-10. Their response was that their vendor said that they were ready for ICD-10.

We could really dig in to reasons why that practice might want to verify that their EHR vendor is really ready, but we’ll save that for future posts. What was amazing to me was that this practice thought they didn’t need to do anything to train their doctors and coders on ICD-10 to be ready for the change. They’re in for a rude awakening.

At a minimum, these organizations should look at a course like the Certificate of ICD-10-CM Coding Proficiency (20% discount if you use that link and discount code). The course looks at the key changes in coding with the implementation of ICD-10. Plus, it’s a course that looks to bridge your ICD-9 knowledge to ICD-10. Once you start digging into this content, you realize why your organization better have some ICD-10 training or you’re organization will suffer.

The same applies to HIPAA. So many people don’t realize (or remember) that as part of HIPAA compliance you need to have regular HIPAA training for your staff. This is particularly true with all of the changes that came with HIPAA omnibus. How many in your organization know the details of the changes under HIPAA omnibus?

An online courses like the Certified HIPAA Security Professional are such a great option since you can work on them when you have time and come back to them later while helping to protect you against a HIPAA audit. Plus, the course linked above includes a HIPAA “Business Associate Agreement” downloadable template which I’m quite sure many organizations still need. I recently asked a doctor’s office I was working with for their EHR business associate agreement. They told me they didn’t have one (more on that in future posts). Really? Wow!

Certainly each of these courses and training take some commitment to complete. Although, when your colleagues ICD-10 reimbursement becomes an issue or the HIPAA auditor knocks on your door, you’ll sleep much better knowing you’ve made the investment. Those who don’t will likely pay for it later.

October 11, 2013 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 14 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John 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. Healthcare Scene can be found on Google+ as well.

Must-See Sessions, Exhibitors at HFMA #ANI2013

It’s that time of year again. The Healthcare Finance Management Association’s annual ANI conference is just days away. I’ve come to associate the month of June with all things revenue cycle and the anticipation of learning more than I ever wanted to know about financial risk, reimbursement strategies, RACs, coding … the list could go on and on. I do enjoy the show, almost more than HIMSS, because it is smaller, shorter and so much more manageable from a logistics standpoint. HFMA puts out a great mobile app each year, and this year marks the first time I’ll be able to take advantage of it thanks to a (finally) upgraded phone.

Last year in Las Vegas, the show floor and educational sessions were largely focused on ICD-10 and ACOs. Flipping through this year’s brochure, I see that health insurance exchanges, Stage 2 of Meaningful Use and payer relationship strategies will also see a bit of the limelight. Personally, I’m looking forward to learning what healthcare finance folks think of this surge in healthcare consumer cries for price transparency. Are they paying attention? Will charge masters ever change (for the better)?

I thought I’d share some of the sessions I’m most looking forward to attending. I admit that I’m a big fan of panel discussions. Solo presenters can turn into sleep-inducing monologues far too quickly.

To Merge or Not to Merge: Hospital Executive Panel Discussion (Monday, 6/17)
What are the advantages and challenges of maintaining stand-alone status? What factors could influence a decision to see affiliation partners? What various affiliation strategies have worked for others?

Living in Atlanta, which has seen its fair share of hospital mergers and partnerships, I’ve often wondered why some facilities choose to go it alone and some choose to affiliate. I’m looking forward to hearing some inside scoop from the four scheduled hospital executives.

Transitioning to Value: Barriers, Solutions and Opportunities (Tuesday, 6/18)
Former CMS administrator Don Berwick will give this keynote address, which promises to “identify the barriers that must be overcome to reform the delivery system, the outcomes of successful delivery models, and the signals of progress within provider organizations.”

I can’t help but wonder how his stage presence will compare to Farzad Mostashari’s, and what sort of neck attire he’ll don.

Physician/Hospital Revenue Cycle Integration: a Panel Discussion (Tuesday, 6/18)
This session will cover the “opportunities and challenges of unifying the revenue cycle to reduce overall costs while increasing collections and patient satisfaction.”

I think it will be interesting to hear from providers just how important patient satisfaction (and presumably referrals) are to a provider’s bottom line. I expect at least one of the panelists will bring up Stage 2, as I’m learning that patient engagement and satisfaction are closely intertwined.

Women as Leaders: Charting the Course (Tuesday, 6/18)
As I mentioned in a recent post, I’m looking forward to learning how the HFMA board members (dare I call them #RevCycleChicks?) on this panel manage careers, families and communities.

Quiet: Harnessing the Strengths of Introverts to Change How We Work, Lead and Innovate (Wednesday, 6/19)
This keynote from author Susan Cain seems tailor-made just for me. Until social media came into my life, I’d always considered myself an introvert. But social networks have turned that idea on its head in unexpected ways, and so I wonder if Cain will touch on digital media in her presentation.

Best Practices for Managing Consumer Payments in the Current Environment (Wednesday, 6/19)
This “late-breaking session” promises to share best practices on improving collections and patient satisfaction.

I hope they’ll touch on the “future” environment, as it seems reasonable to assume that 2014 will likely make a number of current best practices out of date.

Then, of course, there is the exhibit hall, which I always enjoy roaming around without plan or purpose. A few recent postcards have piqued my interest in several companies:

sock

I’m not even sure what the name of this company is, but the idea of a singing sock intrigues me.

emdeon

I fared poorly at Emdeon’s Cash Stacker games last year, and am determined to do better this time around. Plus, the company always seems to be doing interesting things in the revenue cycle space, so I look forward to catching up with several of their team members to get the inside scoop.

relayhealth

I’m very intrigued by the idea of provider benchmarking at the moment, so I’m planning to learn more about what RelayHealth is doing in this area.

athenahealth

While this postcard doesn’t allude to athenahealth’s recent claims of guaranteed ICD-10 compliance, it will definitely be my main talking point when I stop by their booth.

Good works are always a good idea, and several companies are making charitable contributions in lieu of giveaways:

optum

jpmorganbnymellon

What sessions and exhibitors are you looking forward to? Let me know what I shouldn’t miss via the comments below.

June 13, 2013 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.

Great & Powerful Oz Grants Kansas PHR Access

It is unlikely that author Frank L. Baum imagined citizens of the Emerald City would ask the Great & Powerful Oz for better healthcare. In reality, that is just what the state of Kansas – home to Dorothy, Toto, Auntie Em and fantasy-inspiring twisters – is offering its citizens in the form of a free personal health record.

The news is timely, only because I just saw the movie Oz the Great & Powerful, which portrays Oz as a con man who stumbles into greatness, and saves the people of Oz along the way. (Anyone know the ICD-10 code for injury due to hot air balloon crash? Leave it in the comments section below and I’ll have my daughter Dorothy sing Somewhere Over the Rainbow to you.)

While Kansas isn’t suffering from attacks of the Wicked Witch variety, it seems to be facing healthcare challenges similar to the rest of the country – a need to improve communication and quality, and a desire to increase patient engagement as part of Meaningful Use requirements.

According to a recent write up in The Wichita Eagle, the Kansas Health Information Network (KHIN) may be “the first statewide exchange in the country to provide a personal health record portal for patients.” It plans to provide portal access this summer to patients at no charge, with full operation anticipated by next year. Provider access will be included in KHIN membership. KHIN selected PHR vendor NoMoreClipboard to supply the technology.

Details around set up and access have yet to be determined, according to the story. The bigger question, I think, is how are providers going to get their patients to fill in information on their own time, and on their own dime, so to speak. I’ve attempted to be proactive and fill out one for my daughter, and, I’m ashamed to admit, it was just too time consuming to keep up with. Perhaps making the PHR portal available to patients on mobile devices would up the data input rate. The NoMoreClipboard website does mention its PHR is available for mobile phones.

I’m thinking that patients would need some serious incentive to go to the trouble of all that data entry, which is perhaps where payers come in. I might be persuaded to keep up with my PHR is I received some sort of discount on healthcare services.

Perhaps the Great & Powerful Oz could grant the good patients of Kansas the ability to enter their own healthcare data in the blink of an eye, or, as they say in the Emerald City, at least no longer than it takes to follow the yellow brick road.

March 21, 2013 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.

Call to Halt ICD-10 Puts New Angle on Demand for Physicians

The American Medical Association’s most recent call to halt implementation of ICD-10 codes brings to light an interesting angle to the coding story – one that I hadn’t recognized until I read up on just why the AMA has consistently made it known that the switch is a bad idea.

The association believes transitioning to the new, 68,000 codes will place too much of a financial and administrative burden on physicians (especially small practices), and will ultimately force many of them to shut their doors.

Attending education sessions at AHIMA last fall left me with the impression that though learning the new codes and suffering through dual coding wouldn’t be fun, they would ultimately help physicians and hospitals receive proper reimbursement for their services. Yes, there were vendor cheerleaders on many panels, but the logic made sense even to a novice like me.

I realize that physician practices are quite a different kind of beast when it comes to handling administrative tasks, and I can certainly understand how a small practice would feel completely overwhelmed when, as the AMA stated in a letter to CMS, overlapping federal regulations combined with predicted Medicare pay cuts will make switching to ICD-10 a huge difficulty for them.

But I feel as if there’s a catch 22 here. If physicians don’t make the switch, they won’t see the potential financial benefits of more accurate coding. If they do make the switch, they’ll likely face such huge financial strains that they’ll opt to go out of business. Are there any physician readers out there who are cheerleading the ICD-10 switch?

It occurred to me, reading recently about the predicted banner year for physicians seeking hospital employment, that physicians that do decide to close their doors as a result of ICD-10 may contribute to this glut of MDs looking for work.

Perhaps there’s a domino effect waiting to happen – CMS stands firm on the ICD-10 deadline / Physicians work incredibly hard to try and make it happen. / Physicians fail and go out of business, or decide early on that it’s just not worth the trouble and close up shop. / Said physicians seek hospital employment. / There aren’t enough hospital jobs to go around and many MDs are left in the unemployment line.

That’s just one scenario I’ve been mulling over, and of course doesn’t take into consideration the large amount of other challenges facing physicians right now. What’s your take on the ICD-10 and physician staffing situation?

January 12, 2013 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.

ICD-10 Implementations and EHR Workflow Optimization

These two topics don’t necessarily go together, but they were both short and sweet thoughts I’d written down at one of the many healthcare IT events that I’ve attended this Fall (Thankfully I don’t have any travel on my schedule until HIMSS).

Here’s the first one that was said by an EHR vendor:
“Not All ICD-10 Are Created Equal”

Obviously the idea here is that this EHR vendor believes that his EHR has produced a higher quality ICD-10 engine than many of the others he’s seen on the market. It’s interesting that an ICD-10 engine could be so different when the output is exactly the same (a number). Although, when you get into the complexities of how a doctor may go about finding the right ICD-10 code, it makes more sense. Maybe we need to have an ICD-10 lookup challenge with each EHR vendor at HIMSS 2013. Would be interesting to see the results.

This next one was an interesting insight info one of the side effects of meaningful use on EHR adoption. This came from a former hospital CIO and current hospital EHR consultant who said, “There’s no time to optimize as you go anymore, because you have to get to meaningful use to get the EHR incentive money.”

I wonder how many others have seen this change as well. I’ve no doubt seen the rush to implement EHR in order to show meaningful use and get access to the government money for EHR. It’s just unfortunate to think that the process is rushed by the dangling carrot. Rushing an EHR implementation can lead to very bad results in the long term. Many EHR users will be dissatisfied. EHR does not solve bad workflows. In fact, it often accentuates whatever bad workflows may exist.

December 11, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 14 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John 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. Healthcare Scene can be found on Google+ as well.

ICD-10 Benefits for Population Health

I’ve asked many people why we haven’t had more stories on the benefits of ICD-10 since so many other countries have been using ICD-10 for many years.

In the following video I asked Doris Gemmell, BSc, MBA, CHIM, Director of Coding Services at Accentus Inc. about the benefits of ICD-10 to population health and she provided an answer from her ICD-10 experience in Canada.

You should also check out this video where Doris Gemmell talks about the patient benefits of ICD-10. Plus, Doris also has a blog.

November 13, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 14 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John 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. Healthcare Scene can be found on Google+ as well.

And the #AHIMACon12 Winner Is …

… ICD-10 by a landslide. For those of you wondering whether “upcoding” might just steal 10′s thunder, it wasn’t meant to be. Providers and vendors alike brushed aside the phrase – some with a shrug of the shoulders, others with a roll of the eyes, and some with a “What did you expect?” The general consensus I gathered on the show floor was that technology such as electronic medical records enables doctors to code more accurately – not fraudulently. Everyone agreed that paper-based processes have for years resulted in doctors under-coding, and now that technology and workplace culture have caught up, those same doctors are finding it more efficient to code accurately, thus leading to more accurate, i.e. higher, reimbursement.

Speaking of reimbursement, John mentioned in a recent blog that ICD-10 is on the list when it comes to Top 5 Revenue Cycle Management Issues, and I couldn’t agree more. Talking with vendors and their physician customers at the show brought home to me just how fine a line providers walk when it comes to coding and revenue. As we move closer to Oct. 1, 2014, and the final push towards ICD-10, I am eager to see how these more granular, accurate codes play out in the revenue space. If a doctor codes more accurately in 10 (and hopefully provides quality care at the same time), and as a result sees higher reimbursements, will this somehow turn into a price increase that will trickle down to patients through payers? Where will the touted cost-effectiveness really come in? At any rate, I am definitely seeing the cause and effect relationship between coding and revenue more clearly as the ICD-10 deadline draws near.

ICD-10 was the focus of the only educational session I was able to attend, and it was well worth the time. “The Good, the Bad and the Reality: Lessons from the Frontlines of ICD-10 Implementation” featured the stories of Sutter Health, Vanderbilt University Medical Center and Deloitte Consulting. Both Danielle Reno from Sutter Health and Gary Perrizo from VUMC stressed strategy, education and testing in the run up to 2014. I got the impression from them and the physicians in the audience with me that though everyone is grateful for the extra time to make the switch, no one should be taking the time for granted. “Lollygagging” as I tell my children, is not advisable.

As you probably know by now, I’m a big fan of social media in the healthcare space, and I was very impressed with the efforts the AHIMA team took to incorporate social networking into just about everything – especially compared to last year. The attendees at AHIMA seem more like a Facebook crowd, and that was indeed the sentiment I heard from several vendors. That being said, I do think the tweet stream was more active than last year, probably due in large part to the @AHIMAResources team taking a proactive approach to socially marketing the event. I hear that next year (the event will be in my hometown of Atlanta) we’ll see the hashtag on all the slide presentations, which may encourage attendees to get in on the tweeting action.

Overall it was a fun, educational first trip to Chicago and second trip to AHIMA. (You can check out some of the more memorable images from the show below.) Seeing the sun rise and set over Lake Michigan in early Fall was a real treat. I hope that Atlanta will have equally spectacular vistas to offer next year.

AHIMA 2013 will take place in Atlanta Oct. 26-30.

This book caught my eye on the show floor. Anyone read it yet?

This picture does no justice to the spectacular views I had from the 95th floor of Chicago’s John Hancock building, thanks to the fun folks at Healthport.

The Precyse team flew a special member in just for the show.

The Friedman Marketing group was nice enough to hold another tweetup after show hours.

My coworkers presented me with a lovely birthday balloon bouquet from one of the two balloon artists on the show floor.

October 3, 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.

Top 5 Revenue Cycle Management Issues

Like Jennifer, I’m going to be heading to AHIMA 2012 as well. She correctly identifies that ICD-10 is a major AHIMA topic and Upcoding is the topic de jour, but another topic which I think continues to sit under the radar at AHIMA is revenue cycle management.

In many ways this makes sense when you consider that the ICD-10 has such an influence on revenue. Upcoding is all about revenue. Even healthcare documentation is dominated by a discussion of its impact on revenue (Yes, we could discuss why this should be about patient care in a future post). While many don’t want to admit it, humans need to get paid to survive and they want to get paid as much as they can get. Last that I checked doctors were human.

What then are the challenges that doctors face with revenue cycle management (or revenue integrity which many like to call it)? Here’s a great list of RCM challenges as listed by Ruth Zwieg on LinkedIn:

1. Managing the revenue cycle of a practice starts with good Practice Management (PM) software; one that has an easy to use scheduling tool for the front desk and that can determine insurance eligibility before the patient arrives so that the practice can collect the correct co-pay and/or out-of-pocket expenses up front before seen by the physician. This increases A/R and saves time instead of spending resources collecting after the fact which is time consuming and expensive.

2. The PM software must be easy to integrate with their existing or new EMR so that the physician group can show meaningful use and get that incentive money. Many practices still think they have to get new Practice Management software when they start looking at EMRs and many EMR companies try to sway them this way so they can get the sale for their PM software and their EMR.

3. ICD-10 – Need I say more – you have written about this in detail. Some Practice Management systems have a coding assistant built in but most do not. Coding correctly determines payment.

4. Staff training is very important from the beginning of the revenue cycle (scheduling, verifying insurance) to managing the patient once he/she checks in to when the physician sees them to check out and billing/collecting. Just like every other business, time has to be managed and time is money, especially a physician’s time. The more efficient the staff and their use and understanding of the software, the more patients the physician can see.

5. Many hospitals have and still are purchasing physician practices because the physician either does not know the business side of running a practice or just wants to be on salary and get rid of the headaches. Billing for physician practices is different than hospital billing. Hospitals are realizing that their hospital staff may not be doing the best job of that. In addition, the hospitals are realizing that their hospital system’s EHR does not have the desired functionality that a physician group needs or worse, they have multiple physician practices all using different EMRs that the hospital now has to manage or integrate into one.

I find this list really interesting and does speak to many of the revenue challenges healthcare faces. If we could solve these five challenges we’d have done a lot of good for doctors.

September 27, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 14 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John 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. Healthcare Scene can be found on Google+ as well.

Things EMR Doctors Never Say

Here’s a quick look at Things EMR Doctors Never say (maybe I’ve been watching too many late night shows):

“I’m so glad to be doing meaningful use!”

“I can’t wait until ICD-10 makes my life easier.”

“I wonder when that ACO model is finally going to kick in. I can’t wait.”

“I miss trying to read Dr. Smith’s handwriting.”

“I wish I could go and ask HIM for a chart pull.”

“I miss hiding behind the pile of paper charts on my desk.”

“I love this fax machine.”

“I miss the coffee stains on the paper charts.”

“I love the mix of EHR, EMR, HIE, ACO, ONC-ATCB, ICD-10, 5010, BI, with the RCM cherry on top.”

I’m sure I missed some. Please add more in the comments and I’ll add them to the list.

September 20, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 14 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John 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. Healthcare Scene can be found on Google+ as well.