Medical billing has always been a crucial element in the health care industry. The article talks about how medical billing mistakes have an impact on practices across the globe and how various types of services ensure the best record of care for patients. Years of studies and implementation, practice providers have managed to mark their […]
Nightingale and HealthFusion Partner to Deliver Electronic Health Record (EHR) Benefits to Customers in Kmart HealthFusion has been selected as the vendor of choice for Nightingale Preventative Care, a Long Island-based primary care center based out of the local Kmart. Nightingale has reported that the Nightingale Kmart clinic is thriving and that it intends to expand its presence across Kmarts nationally. The Emerging Benefits of Electronic Medical Record Use in Community-based Care In Canada, PwC releases a report which suggests that more than $1.3 billion in administrative savings has been realized since Canadian primary care providers began adopting EHRs in 2006
As I mentioned in my previous post on EHR Penalties and Meaningful Use Failure , I had a really good discussion with Stoltenberg Consulting about rural hospital EHR at HIMSS this year. While Stoltenberg no doubt works with hospital systems of every size, I could tell that they had a real affection for the rural hospital EHR challenge. Plus, it was great to be educated some more on the challenges rural hospitals face when it comes to meaningful use and EHR since I’ve been doing a lot more writing about it on my Hospital EMR and EHR website. I collected a few observations from my chat that I think are worth talking about when it comes to the unique rural hospital EHR situation. One of those ideas is the challenge that rural hospitals have in providing EHR help desk support. It’s worth remembering that hospitals are 24/7 institutions that need 24/7 support in many cases. Now imagine trying to staff an EHR help desk for a small rural hospital. From what I’ve seen, most can barely have an IT support help desk available, let alone an EHR help desk. Stoltenberg Consulting wisely sees this as a great opportunity for EHR consults to provide this type of service to rural hospitals. If you spread the cost of a 24/7 EHR help desk across multiple hospitals, the costs start to make sense. Another interesting observation was that most rural hospitals are mostly Medicare and Medicaid funded. I’m not an expert on the pay scales of rural America, but when you look at the costs of living in the rural areas you realize that they don’t need to make as much money to live. Plus, I imagine in some cases there just aren’t that many jobs available to them. If they aren’t making as much money, then they’re more likely to qualify for Medicare and Medicaid. Why does this matter? The amount of Medicare a rural hospital has matters a lot since if they don’t show “meaningful use” of a “certified EHR” then they will incur the meaningful use penalties. It’s simple math to see that the more Medicare reimbursement you receive the larger the EHR penalty you’ll incur. There’s something that doesn’t feel right about the rich hospitals who’ve likely implemented an EHR before the stimulus getting paid the EHR incentive money while rural hospitals who can barely afford to keep their doors open getting not only penalties, but large penalties because of their large Medicare reimbursement. It’s probably water under a bridge now, but I could see why Stoltenberg Consulting suggested that rural and community hospitals should have been given more time to show meaningful use of an EHR. As I mentioned, I’m still learning about the rural hospital EHR space, but I found these points quite interesting. If you have a different view or have experience that differs, I’d love to hear about it in the comments. No doubt there are thousands of unique rural environments and I’d love to learn more about them and how they’re approaching EHR. Please share your experiences and thoughts in the comments. Related posts: EHR Penalties after Meaningful Use Failure Rural vs. City Medical Record Perspective New Hospital Specific ARRA EHR Certification Program – EACH
In working with a client that is evaluating acquisition of a new PACS (Picture Archive and Communications System) and the addition of a RIS (Radiology Information System), discussions with Philips confirmed that they have discontinued their RIS! One of the premises for this is that so much of the RIS functionality has been taken over by the Electronic Medical Record (EMR) that there is no longer a need for a RIS! read more
Over the next few months, the majority of my time will be spent discussing topics such as care coordination, healthcare information exchange, care management, real time analytics, and population health. At BIDMC, we’ve already achieved 100% EHR adoption and 90% Meaningful Use attestation among our clinician community.