Black Book Rankings: 2013 State of Replacement EHR Market Study

Black Book releases rankings of top EHR solutions

Black Book Rankings has released the "2013 State of Replacement EHR Market Study," the most recent in a series of Black Book™ strategic industry reports focused on the healthcare technology market. The study is a follow up assessment on the status of electronic health record users, all of which indicated deal-breaking dissatisfaction with the current vendor, termed the "Year of the Great EHR Switch" in a previous Black Book poll.

OSEHRA: Conducting Usability Evaluations for Meaning Use Stage 2 Funding

Healthcare Usability will be presenting at the OSEHRA conference

We are pleased to announce that our talk, "Conducting Usability Evaluations for Meaning Use Stage 2 Funding " was presented at the OSEHRA 2nd Annual Summit.

When: Friday, September 6, 2013 10:30am White Oak Rm B

Where:
Bethesda North Marriott Conference Center

For information on conducting and reporting on the §170.314(g)(3) Safety-enhanced Design Criteria for meaningful use stage two certification see:

The use of electronic health records can reduce the costs of outpatient care

Study shows EHRs save money on outpatient care

Use of electronic health records can reduce the costs of outpatient care by roughly 3 percent, compared to relying on traditional paper records.

That's according to a new study from the University of Michigan that examined more than four years of healthcare cost data in nine communities. The "outpatient care" category in the study included the costs of doctor's visits as well as services typically ordered during those visits in laboratory, pharmacy and radiology.

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ONC has a new certification mark!

ONC Certified HIT

The new mark for certified electronic health records technology was unveiled Wednesday and will appear on EHR products that have been certified by an ONC-Authorized Certification Body, indicating that the product meets the 2014 Edition Standards and Certification Criteria.

Eligible professionals and hospitals must demonstrate meaningful use of EHR technology that has been certified under the ONC Health Information Technology Certification Program to qualify for Medicare and Medicaid EHR incentive payments.

For $199.00, the AliveCor Heart Monitor turns your iPhone into an ECG

Alivecor Heart Monitor for iPhone

The AliveCor Heart Monitor gives you instant, portable screening opportunities. Utilize the device anytime, anywhere to evaluate heart rate and rhythm. The AliveCor Heart Monitor is cleared by the FDA for sale in the U.S. to licensed medical professionals and prescribed patients to record, display, store,
and transfer single-channel electrocardiogram (ECG) rhythms.

For more info check out their site: http://www.alivecor.com/en

ONC publishes cool Electronic Health Records Infographic

How do electronic health records (EHRs) connect you and your doctor? In the past, medical data was only stored on paper, making it difficult for your health care providers to share your information. Between 2001 and 2011, the number of doctors using an EHRsystem grew about 57%, making it easier for you and all of your doctors to coordinate your care, and often reducing the chance of medical errors. Where are electronic health records headed? In this Infographic, view the history of electronic health records and see how they may improve your health and health care in the future.

Healthcare Providers Aren't Happy With EHR Systems

The federal government is happy to point out that more than 50 percent of physicians and 80 percent of hospitals are using electronic health record (EHR) systems, with those users having received some $14.6 billion in meaningful use incentives initially allocated in the 2009 stimulus.

Data Visualization of #HDPalooza

Health Datapalooza IV (#HDPalooza) recently ended as the fourth annual national conference born from government efforts to liberate health data.

Two conference days concluded with 11,141 tweets created! An amazing feat! In the same spirit of liberating health data, our friends at Symplur have taken the data from Twitter and visualized it in the network centrality analysis.

See http://www.symplur.com/shorts/data-visualization-of-hdpalooza/ and gain some interesting insights about the conference

CMS releases updated quality measures for MU

CMS Meaningful Use

In an effort to align the clinical quality measures used within the EHR Incentive Program with the goals of CMS and the Department of Health and Human Services, the National Quality Strategy (NQS), and recommendations from the Health Information Technology Policy Committee, each clinical quality measure has been assessed against six domains based on the NQS’s six priorities.

A Doctors view on the lack of usability in EHR systems

We found an article at KevinMD written by a cardiologist named David Mokotoff.

This article is a great read for gaining the perspective of an doctor that has had to deal with a number of the issues (mostly usability based) with some of the EHR systems he has been required to use. His frustration with the status quo is evidence that things need to change. EHR Vendors need to understand their end-users and establish a User-centered design approach.

Health DataPalooza 2013

We found a great review article about the goings on at this years Health Data Palaaoz held in Washington DC. "A key theme throughout the two days was the importance of unlocked health data trapped in institutions still using inadequate technology."

Secretary of Health and Human Services Kathleen Sebelius spoke to the importance of developing health data tools and transparency for fully implementing health reform on a broad scale. She described the opportunity as a long overdue unleashing of innovation in American health care.

"Current practices and payment may limit the sharing of information. Neither culture nor technology change is easy." “We have our work cut out for us.” "Economic strains are a forcing function, which compel the health care industry — and all stakeholders — to participate in this transformation."

Is English the second language of medical documentation?

English only?  Perhaps not the best solution for EHRs

In a recent article written by the American College of Physicians, Yul Ejnes suggests that although English is the first language of Medicine, it has become the second language of EHRs.

"How and why did this happen? Most of it stems from the morphing of the medical record from a clinical tool to an audit and billing tool. The focus is no longer on capturing the patient’s history, examination, test results, and the physician’s thought process. Instead, today’s goal is to record as many things that were said or done as one can in order to justify the highest billing code, meet the performance measure, earn a high quality score, and lawyer-proof the record – and to do so in as little time as possible."

HealthIT.GOV publishes EHR Adoption Dashboard

HealthIT Interactive Dashboard for Meaningful Use adoption rates

For some reason, everyone seems to like dashboards. Maybe it is because a lot of us can think better visually than we can with just text.

To help visual thinkers, The Centers for Medicare and Medicaid Services (CMS) Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs found an interesting way to publish the data about the adoption and meaningful use of health information technology.

The information displayed in their visual dashboard is derived from data published by CMS.

EHR adoption: Way better than HHS expectations!

HHS.Gov Logo

The Department of Health and Human Services has announced that it has gone beyond their goal of having 50% of doctors and 80% of eligible hospitals using electronic health record systems (EHRs) by the end of 2013.

HHS Secretary Kathleen Sebelius said during an interview on May 22 that, as of the end of April, more than half of doctors and other eligible professionals and more than 80% of eligible hospitals have received Medicare or Medicaid incentive payments for the meaningful use of EHRs (For more on MU, see http://bit.ly/18JvJc4 ).

FDA's Regulation of Mobile Medical Apps Will Probably Confuse You

Patel on stage (via RP-VITA) at WLSA 2013. Image via Twitter

FDA's Bakul Patel took the stage at the WLSA Wireless Convergence Summit 2013 using an iRobot RP-VITA to speak with the audience on the status of FDA's mobile health application regulations. It was a gesture as symbolic as it was quasi-futuristic. Patel could have just as easily conferenced in using Skype or Facetime (but then again this is a health conference). Likewise, given the current stage of FDA's draft guidance on mobile medical apps, one has to wonder if there might be a more convenient way...or at least one that brings up fewer questions.

EHRs are changing the way doctors behave

Researchers from Stanford University Department of Biomedical Informatics and Harvard Medical School examined the case of a two-year-old boy who died after clinical staff overrode EHR alerts about potential drug allergy cross-reactivity. Prior to inappropriately administering a diuretic to the patient, the clinical staff overrode more than 100 alerts over the course of one month.

The Slow Crawl Toward Improved EHR Usability and Interoperability

Usability testing for EHR

Well-developed electronic health records hold the promise of helping health care professionals improve patient care and deliver it more efficiently, and the American Medical Association recognizes that enhancing EHR usability and interoperability will further ensure our nation's goal of a high-performing health care system. Physicians are generally prolific users of technology: new patient monitoring devices, diagnostic imaging, equipment and advanced surgical tools, to name a few.

July 3 Deadline!

July 3, 2013 is last day that eligible hospitals and critical access hospitals (CAHs) in their first year of participation of the Medicare EHR Incentive Program can begin their 90-day reporting period to demonstrate meaningful use for Fiscal Year (FY) 2013.

Hospitals in their second and third years of participation must demonstrate meaningful use for the full FY.

Note these important dates for eligible hospitals and CAHs:

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