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When is the best time to bring in the IT department for the design of applications, device processes and infrastructure? Who should those people be? Video Rating: 0 / 5

Elizabeth Holland is director, HIT Initiatives Group, Office of e-Health Standards and Services for CMS. Describe the scope and process for the Meaningful Use audits for hospitals and EPs.

Keith Figlioli is senior vice president of healthcare informatics of Premier of Charlotte, NC. Give me some background about yourself and your job. I’m the senior vice president of healthcare informatics at Premier

Top News Defense Secretary Chuck Hagel says his office has taken direct control of the DoD-VA EHR integration project as he acknowledges to a House subcommittee that “we’re way behind.” Hagel told the committee that he has personally blocked the DoD’s EHR request for proposal because “I didn’t think we knew what the hell we were doing.” He added, “Until I get some understanding of this and get some control over it, we’re not going to spend any money on it.” Hagel, whose experience includes tours as an infantry squad leader in Vietnam and serving as a VA deputy administrator as its VistA system was being developed, says the DoD will have its marching orders within a month. Reader Comments From Mr.

Today’s EHR and HIT News includes partnership news from the Premier Health Alliance who has partnered with Phytel to automate population health services, as well as a news update from Acclaim Healthcare. Premier healthcare alliance, Phytel Helping Providers Efficiently Coordinate Ambulatory Care and Better Engage Patients to Keep People Healthy The Premier healthcare alliance has partnered with Phytel to automate population health services, helping health systems deliver safer and lower-cost care across the continuum. A comprehensive population health suite allows providers to manage patient care more efficiently, with a better understanding of outcomes and total cost

I recently spoke at Columbia University to the graduates of their healthcare IT certificate program. I used these slides. I started with an overview of my top 10 buzzwords for 2013 describing a strategy for each of them: Secure and Compliant – BIDMC has a multi-million dollar security enhancement program with 14 work streams Hosted […]

During the recent Dell Healthcare Think Tank which I took part in, I had an idea that I think is incredibly powerful and not talked about nearly enough. In fact, I think its reasonable to say that if we want to get healthcare costs down, then we have to learn how to do this well. The idea revolves around how we talk about privacy of health information with patients. Far too often, patients just hear news reports that talk about all of the reasons they should fear their health information getting out in the open. Instead, they almost never hear stories about how having their health information shared with the right people will actually improve their health. The simple fact is that if you lead with all the bad things that could possibly happen with health information in the wrong hands, then of course no patient is going to want their patient information shared. However, if they know how sharing their health information with the right people will improve their care, then patients are more than willing to share away. Basically, what I’m saying is that sharing healthcare data has been marketed wrong. The privacy advocates are well organized and have many people fearful for what will happen with their health information. I don’t have any problem with privacy advocates, because they help us to pause to take a reasonable look at the importance of privacy. However, the need for proper privacy controls doesn’t mean that we don’t share healthcare information at all. The beauty of all of this is that the majority of people think this is how it happens in healthcare today. They don’t realize that quite often their healthcare information isn’t traveling with them to specialists and hospitals. In fact, when patients discover that it doesn’t they’re usually quite surprised and don’t understand why it doesn’t. I hope we can work on the data sharing message. We can share your data with the people who need it so we can improve your care. If patients hear this message, healthcare data sharing will not be feared but embraced. Related posts: Doctors Expected To Get “Meaningful Choices” From Patients On HIE Data Use Patients Medical Record Posted to Facebook – HIPAA Violation New Medical Transcription Service Consortium for Sharing Patient Data

As long as I’ve been blogging, I’ve been quite interested in the various EHR selection tools that are available out there. For a while, it seems like there was a new EHR selection tool coming out every week. The frenzy of EHR selection tools has mostly stopped and only a few major ones remain. One of those is EHR consultant (Full Disclosure: Has been an advertiser on EMR and HIPAA for many years) which has been doing this as long as anyone and has one of the most comprehensive EHR databases out there. The other that has lasted all this time is EHR Selector . Then, to round out the various EHR selection websites, there are the websites out there like Medical Software Advice and even the AAFP offers a tool to help in EHR selection (only available for AAFP members). As I suggest in my e-Book on EMR selection , I think you should take advantage of multiple EHR selection tools. I call it triangulating the data since none of them our comprehensive with the EHR world is changing so quickly. So, you take all of the data and triangulate down to the best EHR possible. Many might wonder why I’m talking about EHR selection anyway. Well, if you’re being generous, we’re somewhere around 50% EHR adoption. That’s still a lot of doctors who haven’t adopted EHR. Add to that the number of clinics that are looking to switch EHR software, and there’s still a big need for great EHR selection tools. The reason I started this look at EHR selection websites is because EHR Selector has rolled out an Open Beta with new features. The best feature they’ve rolled out is that EHR selector is now free for everyone to use. I was pretty harsh on EHR selector in the past for charging doctors to use their service. That business model just didn’t make sense to me. Ironically, Carl Bergman (one of the people behind EHR Selector), has since become a regular reader of this site and we regularly exchange emails about the EHR world. So, I’m glad that he converted the service to a free service for everyone to use. I tried out the new release of EHR selector and I have some mixed reviews. It is a beta release so that’s partially to be expected. I was a bit overwhelmed by the number of fields I had to complete to get into the tool. I imagine that could be streamlined some to make it a better experience for the user. Although, I expect the data is part of the reason the service can be made free. Plus, the more data you offer, the better customized experience the EHR selection tool can offer you. What I do love about EHR Selector is that it’s always had a deep set of data available. I wonder if this will backfire for some users thanks to the paradox of choice . Although, as a data lover I really love all the data. Plus, they could help solve this issue with how they choose to display the various EHR and their data with a beautiful UI. I don’t think the UI is to that point yet, but having the data is the first step in that process. My favorite feature of EHR Selector is the Compare EHR feature. I love seeing the features of multiple EHR’s compared side by side. This is where all the EHR data points becomes really valuable as well. One thing I do wish is there was more than just a check mark for each EHR data point. I’d love to have some qualitative description or images of each data point so you could really compare the EHR features that matter most to you. One of the other shortcomings of EHR Selector is they haven’t yet gotten the data for all 300+ EHR vendors . No doubt that’s a daunting task and you have to start somewhere. I expect they’ll work to resolve this over time. Plus, they need the support of the EHR vendors to be able to get the data as well (not always an easy task). Certainly EHR Selector isn’t perfect yet, but with its new Free feature it’s worth taking a look at if you’re in the market for an EHR. It’s another nice data point in the EHR selection process. Related posts: EMR Pricing Comparison Website EHR Discussions Website by e-MDs HHS HIT Website

Obamacare-surgeon will get $180 to do cataract surgery and risk $1.5M fine 4 HIPPA violation/jail 4 EMR error(we’re not stupid) — Kris Held,MD (@kksheld) March 17, 2013 I realize this first tweet might be controversial for many. Any time you bring a bit of politics (Obamacare in this tweet), there’s a risk of bringing out the crazies. Hopefully we can avoid that, but I was intrigued by this tweet also because it had 17 Retweets by other people. That’s a crazy number of retweets for healthcare IT. I think this view is also part of the EHR backlash that we’ve written about before. Whether you agree with the tweet or not, there are a lot of doctors that feel similar to Dr. Kris Held and they’re starting to make their voice heard. Welcome (Good > 7 Ways 2 Maintain Patient Interaction in Age of EHR bit.ly/14W2lvr ) @ isalusofficeemr cloud-based #EMR #EHR #PMS — Charles Webster, MD(@EHRworkflow) March 17, 2013 I love how many people have a focus on increasing patient interaction. An EMR can get you away from it if you’re not careful. The article in this link has some decent suggestions to consider. The most important advice is to be aware of it. Awareness does a lot to improve it. Driving smartphone growth is developing mobile versions of #EMR apps via @ hitnewstweet – ht.ly/iLhMc — CDW Healthcare (@CDW_Healthcare) March 14, 2013 The killer mobile app in healthcare has been Epocrates and largely is today. A well done EHR mobile app could see similar adoption. Although, there are 300 EHR vendors that aren’t focused on mobile (many of them at least), and so that’s why we don’t hear as much about it. Future of Information-Driven Healthcare Think Tank topics: del.ly/6011nchX | #DoMoreHIT twitter.com/DellServices/s… — EMR, EHR and HIT(@ehrandhit) March 18, 2013 I’m going to be part of the Dell Healthcare Think Tank that’s mentioned in this tweet. They are doing a live online stream of the event and are even opening it up for questions from Twitter I believe. So, it should be a great opportunity to hear from a lot of smart people on the subject of healthcare IT and to participate online as well. Check it out Tuesday if you want to participate. Related posts: Meet the Bloggers Panel Video and Dell Healthcare Think Tank at HIMSS12 Hospital Mergers EHR Data Migration Challenge, Smart Phone HIPAA Security, Healthcare Interoperability and Patch Adams Video Mobile vs Computer and the Patient Interaction

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