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Monthly Archives: May 2012

EHR systems are constantly being updated to provide new features and improve existing features. However, given the complexity of these systems, the updates may not be apparent unless they directly affect your workflow. As a result, many practices just keep doing the same thing they have been doing, even though a more streamlined alternate approach…

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Many clinicians are still unclear what clinical decision support (CDS) means. Eligible Professionals (EPs) in medical practices who have attested, or are in the process of attesting, to the Medicare and Medicaid EHR Incentive Programs should already know that they must meet the Stage 1 menu criteria related to CDS. That means they must implement one clinical…

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We are very pleased to announce the winner of the draw for a new iPad in the recent ASCO AmericanEHR Partners EHR satisfaction surve. Congratulations to Dr. Julia Smith. Dr. Smith is one of nine doctors and seven midlevels in an academic hospital-based hematology/oncology practice. The majority of her patients have breast cancer, but she…

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Over the last two years, thousands of clinicians have submitted satisfaction ratings through AmericanEHR for over 150 different EHR products. EHR users regularly share additional comments regarding their EHR experiences. Lack of adequate training is a consistent theme that many clinicians report as having a negative impact on their ability to effectively use their EHRs….

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The following comment was submitted by a physician because of his inability to interpret his own notes a few weeks after entering encounter information into his EHR. His experience questions the value of discrete data (such as pick lists, radio buttons, numeric values, or predefined descriptions) vs. free text or narrative notes. “All of the…

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Hiring an IT consultant requires a different approach compared to the hiring of a full or part-time employee. An IT consultant is generally brought in to complete a specific task in an area in which he/she has domain expertise. They are generally expensive resources and as a result it is important to find the right…

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Interested in how many Eligible Professionals have attested for Meaningful Use? By state? By Regional Extension Center? Want to see how much money has been spent for HITECH programs (e.g. Beacons, SHARPs…)? Well, the Office of the National Coordinator (ONC) has posted an interactive map that allows the user to examine some interesting statistics. Users…

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During the 2012 ACP annual meeting in New Orleans, I had an opportunity to field and respond to member questions on health IT. A selection of most frequently asked questions and answers are provided for your reference below. EHR Selection I have tried to purchase an EHR system but none of the vendors are returning…

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Today’s the day… All comments are due to CMS and ONC regarding the NPRMs for Stage 2 of Meaningful Use (MU). Judging from off-the-record conversations with colleagues, CMS and ONC are likely to receive a barrage of comments from many different perspectives. Some of the likely areas of tension will be between and among: Technology advocates…

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Clinical Decision Support Systems (or CDSSs) are increasingly available through Electronic Health Records and include reminders, alerts, drug interaction checking and dose calculation systems as well as chronic disease reporting dashboards. Despite the pervasiveness of CDSSs, there is limited evidence regarding the ability of these systems to improve care and reduce costs. A systematic review…

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EHR adoption is climbing as a result of national policies designed to encourage widespread use of Health IT such as the HITECH Act. However, adoption is not consistent across all specialties, geographies, and practice sizes — as was recently pointed out in an April 24, 2012, Health Affairs article published online by Decker, Jamoom and…

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