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Monthly Archives: August 2012

The Office of the National Coordinator for Health IT (ONC) and The Centers for Medicare & Medicaid Services (CMS) have just released the Stage 2 Meaningful Use regulations for the Electronic Health Records Incentive Programs.  The regulations can be found at: CMS – http://www.ofr.gov/OFRUpload/OFRData/2012-21050_PI.pdf ONC – http://www.ofr.gov/OFRUpload/OFRData/2012-20982_PI.pdf A fact sheet on CMS’s final rule is…

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While it is expected that CMS will delay the implementation of ICD-10 to October 2014 instead of October 2013, the final rule confirming these changes has yet to be published. Regardless, it is still important that you and your practice keep moving towards ICD-10 adoption. The switch to the new code-set will affect every aspect…

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Guest Editorial by David Wiljer, PhD & Sara Urowitz, PhD As EHRs and EMRs have started to become more pervasive, and as reams of data are being generated, the focus on Meaningful Use of EHRs has been divided into primary and secondary uses of the data. Although there are several definitions emerging of primary and…

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Terri Monk, MD, MS, Duke University Health System Terri Monk is a practicing anesthesiologist and professor of anesthesiology at Duke University Health System. She is also an expert in developing national standards for how anesthesiology information can and should be exchanged among providers. In her work she has found challenges in transferring patient health information…

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The following is a letter circulated by CMS about the PQRS program reminding physicians that “it is not too late” to participate for 2012: It is not too late to start participating in the 2012 Physician Quality Reporting System (PQRS) and potentially qualify to receive an incentive payment equal to 0.5% of an eligible professional’s…

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Guest Editorial by Michael W. Jakovcic The federal incentives made available through the HITEC Act are driving thousands of practices to adopt EHRs. All too many times practices feel the need to rush the process, only to realize that the system they have just implemented does not meet their needs. It is important to have…

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The following article is published on behalf of Donald T. Mon, PhD, Chair, HL7: If you are going through an EHR system selection process, or would like to evaluate the capabilities of your current Electronic Health Record (EHR) system against industry standards, you should check out the HL7 International standard for EHR system functionality —…

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Many physicians report that e-prescribing tends to increase their workload by adding extra clicks and keystrokes to tasks that previously were either easier to perform or done by other staff members altogether. I remember when I was first practicing and would have to handwrite multiple prescriptions for almost every patient I saw and at almost…

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I don’t usually write about personal anecdotes, but my 12-year-old son taught me a lesson a few days ago that is worth sharing. For his birthday a few months ago, my wife and I bought him what we thought was a computer game that he’d play on a laptop without needing (or wanting) Internet access. It…

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The final standards and certification rule for Stage 2 of Meaningful Use was submitted by the Office of the National Coordinator for Health Information Technology to the White House Office of Management and Budget — a signal that the final rule is on track for being published in the current Federal Fiscal Year, which ends…

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In the July issue of the JAMIA, Peggy Wagner et al provide an interesting report on the use of personal health records (PHR) in an effort to improve hypertension control. In this well-designed study, 446 patients were randomized to either receive access to a PHR connected to the patient’s electronic medical record or usual care…

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