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

Posted on October 24, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

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.

Getting Patients Comfortable with EMRs

Posted on 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.

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.

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

Posted on 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.

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.

Funny Physician Exam Room EHR Etiquette Video

Posted on July 30, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

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.

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

Posted on 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.

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.

EMR Note Cloning, Meaningful Use, and Doctors Entering the Social Media World: This Week in Healthcare Scene

Posted on June 17, 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.

EMR and HIPAA

Understanding Meaningful Use Stage 1 and Stage Deadlines — Meaningful Use Monday

Zub Emsley, CEO of ChartLogic, Inc., was a guest poster at EMR and HIPAA last week. He talks about the different stages of Meaningful Use, upcoming deadlines, and the potential penalties for missing them. The “tipping point” for EHR adoption has been reached, and Emsley discusses some important topics for anyone involved in EHR adoption to hear about.

Are We Ready For ACOs? Security, Process Issues Abound

The EMR industry is continually growing. With more medical technology being developed as well, this growth probably won’t be slowing down anytime soon. Katherine Rourke predicts that EMRs will look different just 18 months from now, and describes her feelings in this post.

Wired EMR Doctor

EMR Note Cloning is Scarier Than I Thought

One issue that occurs with using EMR is cloning. While some doctors try hard to avoid cloning as much as possible in clinic notes, it sometimes happens accidentally. Dr. Michael Koriwchaz describes some of his “accidental cloning” and how it sometimes can be difficult to avoid cloning in certain situations. He talks about how these experiences made him realize how cloning is “scarier” than he thought.

Smart Phone Health Care

Is Meaningful Use Slowing the Growth of mHealth?

As David puts in this post, “mHealth is cool.” Unfortunately, it appears that many doctors and hospitals aren’t using all this new technology as much as they ought to.  The monetary incentive to implement EHR/EMR in practices seems to be the main catalyst for doctors. David explores some of the reasons why mHealth isn’t growing as quickly as it it could be.

Tips for Doctors Entering the Social Media World

As the world of social media and health care merge, doctors are finding it more necessary to become involved. However, it may not be as easy as one might think. It involves a lot of time and patience, but the benefits are great. Find out some great tips, reasons to become involved, and discover 10 doctors who have embraced social media successfully.

EMR and EHR Videos

Attaining Meaningful Use with athenahealth

ateneahealth, a distributor for medical billing, practice management, and EHR services, are “dedicated to liberating doctors and patients from the administrative expense and stress of the health care system,” according to the company website. The company’s co-founders, Tood Park and Jonathan Bush,  pride themselves in knowing how hard those in the medical field work because they ran a medical facility at one time. Because of their dedication in helping others be successful in meaningful use, they have helped 85% of their providers get paid for it. In this video, atenahealth explains how they did that and gives encouragement to those hoping to attain meaningful use.

Dictation and EMRs, Pocket Health, and the Mirage of Health: This Week at HealthCare Scene

Posted on June 3, 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.

Here’s the weekly roundup of articles throughout HealthCare Scene. Many of these sites have other great articles not highlighted here, so be sure to check those out as well. 
EHR, EMR, & HIPAA

Will Growth in Mobile Use Compromise HIPAA Compliance?

Being able to access data through a mobile device is very valuable for doctors. However, questions about security have been raised, and if certain guidelines aren’t followed, some mobile devices may not be in line with HIPAA standards. Problems are discussed with mobile data security, and the HIPAA standards are explained in this post by Katherine Rourke.

Happy EMR Doctor

Guest Post: Do EMRs Cause a Mirage of Health?

With increased patient access to medical records, there is increased power given to the patient over their health care. However, is it possible that too much access may give false security, or, in some cases, cause someone to worry about something they may not have control over? Ken Harrington, Practice Manager at the Washington Endocrine Clinic, discussed the “mirage of health” that may be created with patient access to EMRs and other medical technology. In this guest post, the questions “is it possible to have ultimate control over one’s health” and “will access to a patient’s medical chart cause them to make better choices — or any choice — to improve their health?” are discussed.

Smart Phone Health Care

PocketHealth Raise the Bar for mPHRs

Personal health records can be very helpful, especially when one has more than one physician. The creation of mobile personal health records (mPHR) has made it even easier to have this information available at anytime. PocketHealth, the latest mPHR to be released, is untethered, was built following the CCD standards, and has raised the bar for other mPHRs.

EHR and EMR Videos

Dr. Frank Davis’ EHR Story from the 2012 HIMSS Conference

At the 2012 HIMSS Conference, Dr. Frank Davis, CMIO and trauma/critical care surgeon at Memorial University Medical Center in Georgia, discussed his experience with EHR at the hospital he works at. In this video, he also gives advice to those starting in EHR Incentive Programs, and the benefits of EHRs and meaningful care.

EMR Thoughts

Meddik, BodyMedia Announce Recent Fundings

This past week, companies Meddik and BodyMedia both announced the large sums of money raised during recent rounds of funding. Meddik raised $750k in seed funding, while BodyMedia raised $12 million. Both companies are dedicated to creating medical and health technology.

Hospital EMR and EHR

Dictation and EMRs: A Bad Marriage? 

A study conducted by researchers with Partners Healthcare in Boston recently examined records on a large number of patients to primary care doctors that are in the Partner’s system. The researchers wanted to see if, and how, the way a physician documents visits affected overall care for patients. Results found that when doctors solely used EMR, they generally provided better care for the patients.

Protecting Children from Identity Theft, the Holy Grail of mHealth, and Using PHR to Improve Safety: This Week at HealthCareScene.com

Posted on May 27, 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.

EMR and HIPAA
The Real Money is in the ACO, Not Meaningful Use
As part of a series of posts that John’s doing about Accountable Care Organizations (ACO’s) John started an interesting discussion about where the money is in healthcare. We see so many EHR companies and doctors chasing after meaningful use dollars, when the reality could very well be that they’re spending a lot of time and money on something that has a limited and short lived pay out. Instead, many of them should consider focusing on the rapidly changing ACO environment since it will likely have long range and a dramatic impact on their financial future.

EHR Technical Breaches, Great Human and Computer Collaborations, and EMR in India
The number of people tweeting about EMR and health care IT is on the upswing. John posts about some of his most interesting finds in the health care twittersphere this past week. He adds his own commentary on the topics as well, such as disagreeing that the use of Cloud will increase security breaches and agreeing that EMRs should be on the “Six Great Human and Computer Collaborations” list.

EMR AND EHR
Veriphyr HIT Gives Littlest Victims of Patient Identity Theft a Fighting Chance
Adults aren’t the only ones that are susceptible to identity theft; children are some of the biggest targets these days. A recent study revealed that 10% of 40,000 children become victims. Veriphyr HIT recently donated a patient privacy breach detection system to a Minnesota hospital, and Jennifer Dennard decided to follow up on the motives behind this. Alan Norquist, CEO of Veriphyr, discussed with her his feelings on why there have been many hospital breaches recently, the time frame for the donation, and more.

Smart Phone Health Care 
Behavior Change May Be the Holy Grail of mHealth, but Should it Be?
Recently, an article was written by Sara Jackson titled mHealth’s Holy Grail: Behavior change. Over at Smart Phone HC this week, David discusses his thoughts on the article. According to David, he believes that the “human element” that is integrated into many apps today really needs to be human and that the best apps encourage behavior change after the use of the app is discontinued. Can the lack of human interaction with certain apps just make some issues worse? Express your thoughts on the matter over at Smart Phone HC.

EMR and EHR Videos
Nuesoft Podcast Series; Medical Practice Design: Meeting Practical Needs While Improving Patient Comfort
Jeffrey K. Griffin is a LEED certified architect that specializes in health care facilities. In this video he talks about different qualities that should be considered when designing (or in some cases, re-designing) a patient care facility. Topics such as sustainability, current trends in products and features, and what to avoid during this process are discussed.

EMR Thoughts
New York eHealth Collaborative Opens Application for Accelerator Program
The NYeC applications are now available for its accelerator program, New York Digital Health Accelerator. Companies that are selected for this program will receive up to $300,000 and have access to technology experts, NYeC-led EHR/HIE Interoperability Workgroup, and more. Check out this post on EMR thoughts for more information; the deadline to apply is coming up on June 1st.

Hospital EMR and EHR
Using PHR To Correct Provider Drug Lists Can Improve Safety
Medication list discrepancies is a problem to occurs more often than it should. A recent study published in the Journal of the American Medical Informatics Association found that when a patient reviewed their medication list through a linked PHR, the likelihood of unexplained errors dropped significantly. This raises the question of if patients should be shown their information located in their provider’s EMR. Also, would enough patients be willing to review PHR information? The discussion on this topic is over at Hospital EMR and EHR this week.

HIPAA Laws, Success of Healtchare IT, the Gap Between Large and Small Hospitals, and More — This Week in HealthCare Scene

Posted on May 20, 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.

Here is the weekly roundup of hot stories around the Healthcare Scene Blog Network:
EMR and HIPAA
HIPAA Applies To Those Who Don’t Know About It
Anyone who knows the rules of HIPAA should be held accountable for breaking them, right? According to a new appellate decision in California, even those who don’t know the rules could be punished. A recent ruling on a case did just that. Read about United States v Zhou and find out if you might be doing something illegal and not realizing it.

Meaningful Health IT News
Mark Versel, 19244-2012
With the recent death of his father, Meaningful Health IT News writer, Neil Versel, has dedicated himself to educating people about patient safety and multiple system atrophy (MSA), which ultimately claimed his father’s life. MSA is similar to Parkinson’s Disease, only more aggressive and fast-acting. During the last weeks of his life, Versel’s father, Mark, was treated at a local community hospital and Georgetown University Hospital. The differences in care between the two are startling, and the lack of appropriate care the community hospital hurt his father in his frail state. Read more about why Versel wants to educate the world about MSA and patient safety to make sure others don’t receive similar care to what his father did.

Smart Phone Health Care
Losing Weight on the Go: Keep Food Diary Easier than Ever
Recording meals and exercise have shown to increase weight loss. However, who wants to carry around a pen and paper everywhere? Luckily, there has been many apps created recently to make tracking food easier than ever. Check out the benefits of doing so and which apps top the chart.

EHR and EMR Videos
PrimeSUITE by Greenway Medical: Usability through Innovation
“When we consider usability we really take it down to a very simple philosophy, and that is, having the information always available to the users at their fingertips. . . The fewest number of clicks to get to information.” PrimeSUITE takes pride in the usability of their systems and discuss how innovation leads to more usability.

Hospital EMR and EHR
EMR Gap Grows Between Large, Small Hospitals
While Meaningful Use incentives have boosted the adoption of EMR, the gap between large and small hospitals continues to grow. Smaller hospitals may get further behind in the Meaningful Use stages because of the lack of resources for a high-volume of patient information. Discover the reasons behind the gap, and the suggestions being made to help smaller hospitals reach the requirements of Meaningful Use.

EHSD, Computing In Front of Patients, EMR Workflow, and more – This Week in HealthCare Scene

Posted on May 13, 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.

Didn’t have a chance to read everything that other HealthCareScene.com websites had to offer this week? Here is a round-up of some of the best articles this week

EMR and HIPAA

EHSD – EHR Hunt Stress Disorder

Are you “worn out, drug out, and generally pooped” about the search for the perfect EMR? If so, the diagnosis might be what Dr. Gregg describes as EHSD — the EHR Hunt Stress Disorder. Sometimes it is hard to know which EHR company to go with, with over 600 out there. Knowing how to narrow the options down quickly might make the decision a little bit easier, and EHSD less severe.

The Happy EMR Doctor

Readers Speak About Computing in Front of Patients

Should not only use, but discuss, EMR in front of patients? Dr. Michael West recently wrote about computing in front of patients. Readers responded about their thoughts on it and hardly any had negative feelings. In this post, Dr. West responds to the comments readers left and how he feels that EMR is here to stay.

Wired EMR Doctor

EMR Workflow Continues to Evolve

Over the last seven years, Dr. Michael Koriwchak has implemented electronic medical records into his practice. While there has been some trial-and-error involved, the skills his staff and him have concerning EMR continually become more fine-tuned. Dr. Koriwchak talks about two different types of workflow, and which one he prefers. He reflects on how the combination of “successful web portal with a sophisticated workflow engine operated by staff” allows a practice to use EMR even more efficiently.

Smartphone Healthcare

New Friend Request . . . From the Family Doctor? 

Social Media is becoming more and more popular, so doctors and hospitals everywhere are jumping on the bandwagon. Would you follow your doctor on Twitter or Facebook, or is that crossing the line for a patient-doctor relationship? The pros and cons of the growing trend for medical professionals going virtual are discussed.

Hospital EMR and EHR

Issues to Consider When Offering Hospital-Subsidized EMRS

Hospitals have started offering subsidized EMRs recently to physicians. While these might be tempting to accept, a physician must be careful about the conditions on which the EMR is accepted. Before accepting a hospital-EMR deal, be sure to read this list of questions to ask the hospital offering it.

EHR and EMR Videos

Smoking Cessation With the Waiting Room Solutions EMR System

There are quite a few preventative measurements required for EHR Incentive Meaningful Use and CQM Compliance. A video from Waiting Room Solutions provides a “how-to” video on how to use the Web-based EMR system for Smoking Cessation.