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Certified Allscripts Enterprise v11.2 (The One for Meaningful Use) Is Delayed Until Fall 2012?

Posted on June 21, 2011 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 got this interesting email from someone who works for a REC:

I caught word that Allscripts Enterprise v11.2 (that will allow ambulatory physician practices to reach meaningful use) will be delayed until Fall of 2012. I haven’t seen anything on the Internet or through my social networking connections. I was just curious of you heard about this and if you can help determine if this is just a rumor or fact.

I haven’t heard this and I’d be surprised if it were true. Could Allscripts really be that far behind on releasing their Certified EHR that will be able to get users to meaningful use?

I did a search on the ONC-CHPL website which lists all the EHR software that’s been certified. The Allscripts Enterprise EHR 11.2 has been certified as a complete EHR. In fact, it’s certified twice as a complete EHR and once as a modular EHR. I assume that’s based on the various configurations and third party software it can connect with to meet the complete EHR certification requirements.

So, the software is at least in good enough shape to be certified. Will it really take until next year for them to roll the software out to their practices? I recently found out that Practice Fusion has taken a month or so to get out their certified EHR. However, they’re a SaaS EHR and a month is much more reasonable than a year.

I wonder if the timeline might be very clinic specific. For example, Allscripts might be ready to deploy their certified Allscripts Enterprise EHR right now, but the clinic that already has it installed might need the next year to project manage the upgrade. Still seems like a long time to upgrade, but I’ve seen worse.

With that in mind, I’d have to call this a rumor for now. Although, I’m going to send this post to some of my contacts at Allscripts and see if I can get a response.

HIPAA Violations Aren’t Happening in SaaS EHR

Posted on June 20, 2011 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.

Micheal Koploy over at Medical Software Advice put together an interesting post that looked at all the HHS breach data. He does a pretty in depth look at the various incidents of breach that occurred and even does a deep dive into the specific EMR related HIPAA breaches that are listed. He then forms an interesting conclusion:

HIPAA Violations Aren’t in the Cloud
Some have said that increasing the number of EMRs make our records more vulnerable. I’d cite the above data to argue otherwise. Paper records and portable devices are the weakest link in HIPAA security. The systems themselves – and certainly cloud-based systems – have a pretty good track record. HIPPA violations aren’t happening in the cloud. Rather, they’re happening in the doctor’s office, hospital IT closets, cars, subways, and homes.

And the statement that cloud-based EMR systems are more vulnerable to security breaches simply isn’t supported by facts. Of course, it remains to be seen if this holds true as more cloud-based systems are deployed. As more physicians move their records to the cloud, the opportunity for breaches will increase.

If my doctor asked me how to ensure patients’ data is secure, I would offer the following: go to the cloud. Web-based EMRs eliminate the most common security risks because there aren’t physical files to be compromised. And no matter your system, it’s essential to train your staff on the necessary security measures to ensure patient privacy is a systematic imperative

I think he makes a good point about it possibly being too early to really know how many cloud based SaaS EHR companies are going to have breaches. I also think it’s fair to consider that when those do happen, they’re going to be big breaches. They won’t just be a few records that are breached, but a whole bunch. Although, this is true for any electronic medical record HIPAA breach as compared with a paper chart HIPAA breach.

The other thing I can’t help but wonder is if there are more breaches with cloud EHR software, but we just don’t know that their happening. Although, that goes against the common thinking that EHR software does a much better job of tracking breaches than a paper chart. Your digital fingerprints are all over a digital chart and can be reported on quite easily. It’s a little harder to track the inappropriate fingerprints on a paper chart.

All in all, I’d have to agree with Michael and his assertion that we’re likely to see many fewer EHR breaches from a SaaS or cloud based EHR company than we will see from all the in house EHR software. In an in house system, the EHR company can just blame the clinic for the breach (in most cases). In a SaaS based EHR system, a HIPAA breach would have a much more damaging effect on the future sales of that EHR company. So, they’re more likely to put in the effort needed to avoid such breaches.

Intuit Health to Make the Next Major EMR Vendor Acquisition?

Posted on April 25, 2011 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.

Medical Software Advice has an interesting look at why Intuit Health might be the next company to acquire one of the 300+ EHR vendors on the market. The initial analysis of Intuit Health’s current healthcare IT offerings is really good and does point to them possibly acquiring an EMR company. It also does make a lot of sense for them to acquire a web based EMR software vendor that has a lot of traction. I think the Mint.com acquisition by Intuit points to the direction they’re taking the company when it comes to SaaS based products (which would include a SaaS EMR company).

My only issue with the article about Intuit Health and their potential acquisition choices is that it’s a pretty casual consideration. The idea of listing AdvancedMD after they were just acquired is pretty funny. Although, Intuit Health acquiring an EMR vendor would be a similar new EMR consolidation as Neil Versel called it.

Same actually goes for Practice Fusion after their recently announced $23 million financing round from Founders Fund. I don’t think Intuit Health is looking for a $200+ million acquisition which is what that type of financing round would likely require. Unless they did a DST style transaction, but I think that’s unlikely. In fact, I think Mitochon Systems might actually be more to Intuit Health’s liking than Practice Fusion. Smaller user base, but could likely acquire them for much cheaper than Practice Fusion.

With the 300+ EHR vendors out there, I guess it was brave to mention any EMR vendors. One thing they definitely got right though, Intuit Health has plenty of interesting companies to choose from. It’s definitely a great time to be an EHR vendor.