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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.


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.

Meaningful Use Stage 2 is Here! Are You Ready?

Posted on March 2, 2012 I Written By

Priya Ramachandran is a Maryland based freelance writer. In a former life, she wrote software code and managed Sarbanes Oxley related audits for IT departments. She now enjoys writing about healthcare, science and technology.

MU Stage 1 has found some slow-moving and grudging acceptance. According to this news brief from Fierce EMR, a good 42% of providers offices have already attested for MU Stage 1, while another 17% plan to attest within the next year. However, there is also a large number – 39% – who have no plans to do so in the near feature.

The reasons cited include changing technological requirements and budgetary concerns. And in the midst of all this drama, CMS is waiting in the wings with Stage 2 Meaningful Use. The Stage 2 Requirements will be published in the Federal Register on March 4 (Here’s a good meaningful use stage 2 summary for providers).

Are we truly ready for MU Part Deux? I’m not sure we are, and I’m not sure that’s the right question to ask. I’m almost giddy with the promise that MU Stage 2 offers – with greater interchange of information, in standardized formats, and public health reporting realizing its full potential. Maybe a few years into the future, I’ll break a leg skiing in the Swiss Alps and my attending physician there will be able to look up my EHR on his local software. I mean Stage 2 doesn’t come with promises of true international portability of data, but getting past Stage 2 will mean we’re that much closer to true health information flow (if we get state exchanges to effectively exchange information or significant benefits to public health reporting, CMS will declare MU Stage 2 a success.)

Even if you think MU is a load of bunk, you can still be an essential part of the process by participating in the comment stage.

Here’s a direct link to MU Stage 2 rundown published by CMS. The document has details on how you can send CMS your comments.

All comments will go on the website. I’m going to be watching that space in the next two months.

Top 10 Meaningful Use Challenges

Posted on April 27, 2010 I Written By

John Lynn is the Founder of the 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 and John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

CSC report lists top 10 challenges that doctors face when it comes to meeting the stage 1 meaningful use requirements. Here’s the list:

1. Capture the data–that includes collecting and entering data in a structured formats so that data can be sorted and selected for reporting purposes, said Zywiak.

2. Establish effective workflows to reinforce data entry, including medication reconciliation. For instance, “often, an organization’s workflow needs to be modified to make sure data is entered,” while patients are being cared for, whether it’s vital signs like blood pressure or allergy updates, said Zywiak.

3. Drive provider involvement in adoption of the EHR. “The primary users of these systems need a say” in what’s selected, said Zywiak.

4. Computer-based provider order entry (CPOE). “In ambulatory settings, 80% of orders, including tests, referrals and medication prescriptions, will need to be entered electronically,” he said.

5. Start e-prescribing. “Do this as soon as possible,” he said.

6. Develop a process for managing clinical decision support. This could include different clinical reminders for individual doctors in the same multi-specialty practice. For instance, a primary care doctor might need different alerts than a dermatologist caring for the same diabetic patient.

7. Implement patient health information exchange workflows. As a healthcare provider, “you’ve got to provide patients access with information–but will you do this via a patient portal or through a [third party] personal-health record” site, such as Google Health, said Zywiak.

8. Formulate a provider health information exchange strategy. “How will you exchange patient summary data with hospitals, specialists?,” he said.

9. Ensure privacy and security compliance. “Most primary care organizations haven’t been on an EHR, so they think of HIPAA in terms of protecting paper-based information,” he said.

10. Initiate EHR-based quality performance measurement support.“You’ll need to report quality measures to Medicare and Medicaid,” he said.

How does this list make you feel about the meaningful use guidelines?