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Meaningful Use Monday – Follow-up on ePrescribing

Posted on February 28, 2011 I Written By

Lynn Scheps is Vice President, Government Affairs at EHR vendor SRSsoft. In this role, Lynn has been a Voice of Physicians and SRSsoft users in Washington during the formulation of the meaningful use criteria. Lynn is currently working to assist SRSsoft users interested in showing meaningful use and receiving the EHR incentive money.

The last Meaningful Use Monday post detoured from the EHR incentives to ePrescribing under MIPPA—given its importance based on the impending schedule of penalties. Because I receive ePrescribing questions on a daily basis, I thought a quick recap of ePrescribing basics might be helpful:

  • Incentives and penalties:
Year Incentives* Penalties*
2011 1%
2012 1% 1%**
2013 0.5% 1.5%**
2014 on 2%

*Percent of provider’s total Medicare Part B FFS Allowable Charges. (Incentives assume provider does not receive EHR incentive for that year.)

**Based on 2011 ePrescribing activity

  • Incentives are earned per provider, and each provider must individually meet the requirements. This means that some providers within a practice might qualify for an incentive, while others might incur a penalty. (Group reporting options exist, but they are limited and require qualification.)
  • Reporting is by G-Code and there is only one: Use G-8553 on the Medicare claim to report that “at least one Rx was generated and transmitted using a qualified ePrescribing system during the patient encounter.”
  • Surescripts certification qualifies an ePrescribing system. (This is distinct from the ONC-certification required for meaningful use.)
  • Provider eligibility:
    • MD, NP, or PA with prescribing authority
    • At least 100 encounters with the specified CPT codes
    • Specified CPT codes must constitute at least 10% of the provider’s Medicare charges.
  • To request exemption from penalties, use the following G-Codes on one Medicare claim before June 30, 2011:
    • Hardship Code G-8642: Rural area with limited high-speed internet access
    • Hardship Code G-8643: Limited pharmacies for ePrescribing
    • G-8664: Although an eligible provider, you do not have prescribing privileges

In a future post, Meaningful Use Monday will look at ePrescribing in the context of meaningful use.

Lynn Scheps is Vice President, Government Affairs at EMR vendor SRSsoft. In this role, Lynn has been a Voice of Physicians and SRSsoft users in Washington during the formulation of the meaningful use criteria. Lynn is currently working to assist SRSsoft users interested in showing meaningful use and receiving the EHR incentive money.

New Media Meetup at #HIMSS11 Pictures and Video

Posted on I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.


I couldn’t agree more with @MattA_PCMH. I’m obviously biased since I organized the event, but the good part is that it far exceeded my expectations. You never know what’s going to happen when the people attending the event essentially came from two blog posts and a bunch of tweets and retweets. As I mentioned at the meetup, It’s also an amazing illustration of the power of social media.

I was highly impressed with the quality of the people that attended. Besides the fact that it’s fun to meet people IRL (in real life) that you feel like you know because you follow them on Twitter and/or their blog, it’s also neat to meet people from across the spectrum of healthcare IT that’s represented at HIMSS. Despite the various differences and backgrounds, we all had one collective bond: interest in New Media (Blogs, Twitter, Facebook, etc). I think that’s what makes this meetup unique, interesting and a lot of fun!

A really big thanks to our main sponsor MEDecision for the food, drinks, venue and Flip video camera giveaways. Thanks also to Ozmosis for sponsoring the iPad giveaway. I think MEDecision must have seen my flip video camera envy, because at the end of the event they were incredibly kind and hooked me up with my own flip video camera. Very classy organization and I can’t wait to see what we can put together for the 3rd Annual New Media Meetup at HIMSS12 in Las Vegas. I told MEDecision we were going to have to go Big since I call Las Vegas home. I’m sure they’ll deliver like they have the past two meetups.

Someone on Twitter also brought up the idea of a Young Professionals meetup at HIMSS. I think I might have to explore this idea a bit more for next year since it would be an interesting compliment to the New Media Meetup. I’ll just have to set the age high enough that I’m considered a young professional.

Now for a few pictures from the New Media Meetup at HIMSS 2011 (click on the pictures twice to see the full picture):

And this video at the tail end of the meetup after most of the people had cleared out, but some familiar faces were still hanging around:

About Sponsors
MEDecision offers collaborative healthcare management solutions that provide a simple and smart way for payers and providers to harness the power of knowledge to enable the best clinical decisions and improve health outcomes. Designed around a patient-aware health management philosophy, MEDecision’s solutions include Alineo, Nexalign, and InFrame.

Ozmosis provides a social powered knowledge management solution to healthcare enterprises. It’s flagship platform, OzmosisESP, enables clinicians, administrators, staff and researchers at hospitals and health systems to collaboratively develop, manage, and share knowledge within a fully integrated and indexed repository of clinical content and user expertise.

Personal Health Record (PHR) Poll

Posted on February 27, 2011 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

As is often my Sunday tradition, I love to post some healthcare IT related polls. Today’s poll is prompted by this tweet I sent out earlier this weekend:

On that note, I’d love to see how many of my readers use a Personal Health Record (PHR) and more specifically if you update your PHR or not. Of course, this poll will be completely bias since it’s industry people right. Which is why if the results say that few people in the healthcare IT industry are updating their PHR info, then maybe PHR has some issues to be dealt with.

HIMSS11 EMR Company and EMR Market Wrap Up

Posted on February 25, 2011 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

It’s going to take a couple weeks to really process all that I saw and heard at HIMSS 2011. In fact, there’s no doubt that much of the content I publish over the next month or two will be things I learned from the people I learned from at HIMSS or influenced by what I saw and heard. However, after a good night’s sleep in my own bed I’m really happy with my experience at HIMSS. The energy and passion for healthcare IT that was found at HIMSS was really powerful and wonderful to be apart of.

I think those people out there that are asking if we’re in a healthcare IT bubble right now are on the mark. There’s very little doubt in my mind that we’re in a healthcare IT bubble. It’s a feature of $36+ billion in EHR incentive money being given out by the government. I can’t remember the size of the EMR market numbers off the top of my head, but $36 billion in money coming into what is a relatively small market is going to change things dramatically. So, it makes sense that this type of infusion of money would create a bubble of sorts.

One person in their comments that we’re in a healthcare IT bubble asked if the bubble would pop before HIMSS 12 in Las Vegas. I believe we have at least one or two more years before the healthcare IT bubble pops. In fact, if you thought that HIMSS 11 in Orlando was big, I predict that HIMSS 2012 in Las Vegas will be even bigger. The EHR incentive money will have started flowing and the trench battles will be in full swing as the 300+ EMR vendors battle each other for customers.

EMR software was obviously my focus at the conference and despite my comments about the lack of innovation by EMR vendors and the future of EMR, I think there are a ton of really interesting EMR approaches that in aggregate are going to impact the EMR world in really dramatic ways. Here’s some examples:

  • Azzly described a meeting of EHR vendors they attended with ONC. The question was asked which EHR vendors in the room started development after the HITECH act was announced. Azzly was the only one to raise their hand. I’m sure there’s other EHR vendors in that same boat, but it will be interesting to see an Azzly EHR that was built post incentive go up against the legacy EHR software.
  • ClearPractice was the first native iPad EMR (called Nimble) that I’d seen and there’s no doubt they’ve made a big play in that space. Will that combined with the backing of John Doerr and their internet driven sales change EMR as we know it?
  • Will larger companies like Greenway and Sage continue to gain market share as they go after the EMR market while maintaining their customer experience? Or will they head the way of the Misys of the world and be bought up by other EMR vendors?
  • What about NaviNet‘s entrance into the EMR world? Can they leverage their existing connections with so many providers to be a major player in not just interoperability but in EMR as well?
  • Even the big behemoth of a company, GE surprised me when I visited with them. There was a polish and a professionalism that I loved about my visit with GE and GE’s Centricity Advance people. I think there’s a fair comparison with Microsoft. Something about the nature of the US loves the underdog and hates the big name player. Yet, the big company just keeps executing their vision and many doctors are going to happily buy and use their products.
  • What about Ingenix‘s multiple EMR offering strategy? Will it just be confusing to clinicians or will they effectively differentiate their various offerings while providing a backbone for interoperability as well? Is the future large EMR vendor one that aggregates a bunch of niche specific EMR companies?
  • What impact will the transcription based EMR vendors have on the market? I wrote about the change from transcription company to EMR vendor earlier this week. Watch for the names MD-IT, FutureNet, Intivia, and MxSecure.
  • Many people probably don’t recognize the name MedPlus. However, everyone knows the company behind the MedPlus Care360 EMR: Quest Diagnostics. There’s something powerful about being able to turn on an EMR in a medical practice with basically the flip of an electronic switch. That’s what MedPlus can do since Care360 is already being used in so many clinics that use Quest for their lab work. Add in their existing lab sales staff that already have relationships with large numbers of clinics and they’re going to be a very interesting player in the EMR space.
  • Free EMR is a really compelling marketing tool. There’s a reason that Practice Fusion and Mitochon Systems free EMR offerings get so much press and so many doctors evaluating their EMR offerings. While many might disagree with their model or even believe that it will fail, these companies have and will have an interesting impact on the EMR landscape.
  • MicroMD offers an interesting approach. First, because of their existing LONG term practice management clients. Second, because of the interesting integration with the supply side of their company. Not to mention, the executives that I met with were some of the most realistic people and well thought out people I met at HIMSS.
  • Props to EMR company MIE that could use a fake EMR company (Extormity) to launch themselves into the EMR discussion while also helping to open up the discussion as well.  If I were a doctor, I’d want to demo their EMR just so I could see if I could find any Extormity features in their EMR.  Although, maybe that’s just the blogger in me.

I could keep going on, but that gives you a bit of flavor of some interesting EMR vendors and their market approaches. Plus, this is just 16 of the 300+ EMR companies that are working in this space. Each one with their own interesting story.

The most exciting thing for an EMR nerd like myself is that we’re really only at the beginning. Wait until we get beyond 15-25% adoption and reach 50% adoption. Then, the fun really begins.

Full Disclosure: Practice Fusion, MD-IT, MxSecure, and Mitochon Systems are all advertisers on this site. EMRandHIPAA.com’s HIMSS11 coverage was also sponsored by Practice Fusion, provider of the free, web-based Electronic Medical Records (EMR) system used by over 70,000 healthcare providers in the US.

EMR Innovation and the Future of EMR – #HIMSS11

Posted on February 24, 2011 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Turns out that my previous post about lack of EMR innovation at HIMSS was a little more controversial than I expected it to be. Plus, I’m not sure that I communicated the entire message about EMR innovation and the future of EMR software in healthcare (I’m blaming the late nights and lack of sleep).

I’m still suffering the HIMSS hangover and on this too small to type well netbook, but let me try and add some more context to the previous post.

One person emailed me about my “disappointment with EMR software.” I’d be careful to characterize it as disappointment with the EMR industry. I’m really optimistic about the future of EMR. I still think they’re a great value proposition and that EVERY (leave a few rural settings aside) doctor should and will have an EMR and technology in their office. I guess the disappointment is mostly that meaningful use has killed some of the innovation that could have made EMR even more exciting.

One thing seems to be clear. Every EMR vendor that I talked to has conformed with the meaningful use guidelines. So, inasmuch as you see the meaningful use guidelines as innovative, EMR vendors are certainly hitting those guidelines.

Janice commented on my other post that she was optimistic because meaningful use gets content stored electronically and that will unleash the real power of technology. One thing that can’t be argued is the increased interest and focus on EMR software. That I believe will have a great effect on EMR software and I’m optimistic that doctors and clinics will generally do what’s right and best in selecting and implementing EMR software. Plus, while a little harsh to mention, doctors that are on their second EMR implementation do much better and rarely get it wrong the second time.

One vendor described it well when they mentioned that their original business was a great and useful service, but it wasn’t the heart of any clinics business. Thus their move to EMR (although, there were other reasons also). Either way, the message they sent was clear: EMR will be the heart of every medical practice.

With that message in mind, I want EMR vendors to take this to heart and improve their applications in innovative ways for both patients, doctors and healthcare in general. I look forward to seeing those iPad-onian innovations in EHR software. Just like none of us expected or predicted the impact of the iPad. I don’t know where exactly a similar innovation will come in EMR. However, I look forward to it and believe we’ll see many many iPad-onian innovations in healthcare IT.

EMRandHIPAA.com’s HIMSS11 coverage is sponsored by Practice Fusion, provider of the free, web-based Electronic Medical Records (EMR) system used by over 70,000 healthcare providers in the US.

EHR Innovations Have Gone Missing at HIMSS11

Posted on February 23, 2011 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

One of the most disappointing parts of HIMSS for me is that the really creative and disruptive innovations are missing from HIMSS. There are a few items I saw like the Shareable Ink technology, some of the Nuance NLP/voice recognition work, and a pretty cool biometric kiosk by Fujitsu (which I’ll blog about later). Sadly I wasn’t seeing the really creative innovation coming from the EMR companies (and I talked to a lot of them) at HIMSS. I think there’s two possible things at play in this regard.

First, meaningful use is probably largely to blame for much of the lack of innovation that I saw. As someone told me, the regulation of EHR software has damaged and deterred the innovation. I guess you could say I’ve seen some interesting and innovative ways to approach meaningful use, but being innovative in meeting a government regulation is not the innovation I want to see. I think it’s generally clear that EMR vendors have spent the last development cycle focused on EHR certification and meaningful use.

I asked one large EMR vendor about this idea and what innovations their EHR had available. I don’t think he was very comfortable with the assertion. In response, he described how at his EMR company, they had a team that was focused on EHR certification and the meaningful use requirements but that they also had a whole other group that was focused on customer’s needs and meeting those customer needs.

It’s incredibly interesting that so many EHR vendors responded to my innovation (or what differentiated them from other vendors) by playing the EMR usability or “Doctors like using our EMR” better card. That’s related to the above, we have a group that focuses on our customer’s needs.

Certainly focusing on customer requests and needs is vital. However, it seems fitting to mention the oft quoted, “If I asked my customers what they wanted, they’d have said a faster horse. – Henry Ford” Seems like HIMSS was just displaying the faster “horses” [EMR].

A second possibility is that maybe EMR software has become a commodity. Maybe the reason we don’t see that much innovation is because EMR software has now basically become a commodity. I certainly heard many EMR vendors suggest that EMR is basically a commodity service now and that many other factors will determine the success of the EMR company instead of the EMR software itself. I argue that once you reach a certain set of features, functions and successful installs that the software itself does become secondary to the success of most EMR companies. Does that mean EMR is a commodity?

The other angle that a few new EMR vendors are taking is that EMR is not a commodity. It’s just that all the current EMR software is junk. Most then like to compare EMR software to tablets. The Apple iPad came along and finally presented what amounts to an incredibly well thought out and designed tablet and is destroying the market. These new EMR vendors see their product as the innovative “iPad” of EMR software.

Only problem is that I have yet to see any EMR company have an iPad-onian moment.

I could easily argue that the iPad was the most marketed IT device on the HIMSS exhibit floor. Yet, an Apple booth was absolutely no where to be seen.

I wonder what kind of EHR could be so innovative and disruptive that it would be the talk of HIMSS even if they didn’t exhibit?

EMRandHIPAA.com’s HIMSS11 coverage is sponsored by Practice Fusion, provider of the free, web-based Electronic Medical Records (EMR) system used by over 70,000 healthcare providers in the US.

Meaningful Use Dashboards at #HIMSS11

Posted on February 22, 2011 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Today was a bit overwhelming for me. Nothing bad about HIMSS, but there’s some much interesting information and good connections that it’s hard to process all at once. So far, I have only had one or maybe two meetings that weren’t just absolutely enlightening and fantastic. The secret for me was to be very blunt about what I was interested in learning and talking about at HIMSS. Either way, I feel really lucky to be here learning. While it means that I have pretty junky posts during HIMSS, its a time for me to fill my tank with interesting insight.

One of those things that I’ve started to see multiple times now is various EHR vendors meaningful use dashboards. I love this dashboard approach. It really simplifies the meaningful use process for doctors. It’s amazing what a dashboard of progress and direct links in the EMR to the charts that don’t meet meaningful use can do.

I asked quite a few of these EHR vendors if they’d be willing to share some of the data they’re getting from these dashboards. For example, I’d love to know which measures are most difficult to achieve for that EMR vendor. The data would be interesting for each vendor, but if I’m able to aggregate enough of this dashboard info from EMR vendors then we could really find out some good persepective on the meaningful use requirements.

I’m really looking forward to this data and I hope that many EMR vendors will take me up on this offer (even if I didn’t see them at HIMSS).

Lots and lots of more posts in the coming weeks. Also, check out this really interesting post I did about something “Heard in the HIMSS Hallways.”

EMRandHIPAA.com’s HIMSS11 coverage is sponsored by Practice Fusion, provider of the free, web-based Electronic Medical Records (EMR) system used by over 70,000 healthcare providers in the US.

Breaking: The Real People Behind Extormity

Posted on I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

As many of you know, EMR and HIPAA is a big time news company. We have a really fat budget and pay our reporters huge amounts of money to sit and smoke cigars while producing very little content of value.

One of our biggest expenses here at HIMSS is in our investigative reporting department. Our motto is that if someone else breaks a story before us, then we spend the money to break them. Yes, we’re very serious about spending outrageous money breaking stories that no one else can break.

After 3 years of investigation (and no government stimulus money), we’ve finally cracked the code on who’s behind the famous (and hilarious) Extormity EHR software. They’ve been very good about concealing their identity before their big HIMSS press conference in 312C, West Building.

The people behind Extormity EHR is actually the obviously creative and innovative people at MIE – Medical Informtics Engineering and NoMoreClipboard

Credit them for their creativity and bringing to light the atrocities that I call Jabba the Hutt EHR vendors. The good thing for MIE is that I don’t consider them a Jabba the Hutt EHR vendor like the popular Extormity EHR that they created.

More news later after the press conference and presentation at HIT X.0 on Thursday.

EMRandHIPAA.com’s HIMSS11 coverage is sponsored by Practice Fusion, provider of the free, web-based Electronic Medical Records (EMR) system used by over 70,000 healthcare providers in the US.

HIMSS11 Thoughts – Day 2

Posted on February 21, 2011 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Hopefully none of you were expecting Meaningful Use Mondays. We’re taking the week off thanks to HIMSS, but there will certainly be some meaningful use discussion in my day 2 experience at HIMSS11.

I must admit that my morning was a little disappointing. I’d wanted to see Reich speak, but it ended up being too early for me. So, I followed what he said on Twitter. I’m afraid to say that following it on Twitter might possibly have been better than being there. There’s something really cool about the Twitter back channel conversation at a conference.

I was excited to go to the session Dr. No: The Response to HITECH, but it was a dud for me. Maybe it means I’m just too involved with the HITECH act that she didn’t offer me much to chew on. Plus, the presentation was pretty dry and flat. Oh well, at least I could enjoy the interesting Twitter chatter about the social media session by Mayo Clinic. Makes sense that Twitter would go wild during a social media session.

Next I attended the HIT X.0 presentation with John Glaser and Aneesh Chopra. Aneesh brought the rock star energy like usual, but John Glaser was pretty terribly boring. It’s not a good sign when the most memorable part of their presentation was Aneesh calling him Johnny G. I also was glad that they had the Twitter comments on screen. Too bad they were too strict with the filter of it, but baby steps.

Lots of interesting content from my meeting with GE healthcare. I loved how organized and professional they were about it all. Plus, their government liaison made an interesting comment about how the time frame for delivering meaningful use stage 2 details (Summer 2012 I think) and when hospitals need to show meaningful use stage 2 (October 2012 I think) is too compressed.

I also got a chance to look at the GE Centricity Advance iPad app. They’re following the same iPad EMR strategy I suggested previously where you only implement a subset of the EMR functionality on the iPad and as native iPad app that maximizes the iPad interface. I see most EMR vendors doing the same.

I had a very interesting chat with Jonathan Bush from Athena Health. I was excited to meet with him since you never know what’s going to come out of his mouth. I took a video of him where I did a “Tell me something I don’t know” with the most common HIMSS buzzwords. Once I get home, I’ll upload the video and post it on the blog.

After that I met with Rohit Nayak, from MedPlus (Quest Diagnostic’s EMR company that offers the Care360 EMR). Another day I’ll do a post to talk more about the Care360 positioning and what makes them unique. It’s really fascinating to see how a lab company is attacking the EMR market. It’s pretty unique.

Care360 recently made an announcement about Care360’s participation with Microsoft HealthVault and the Direct Project. Aneesh actually made the prediction in the session mentioned earlier that by the end of 2012 80% of doctors will have a direct project address. Rohit agreed that it was possible and that Care360 would be playing a major part. He even said that Aneesh was considering a leaderboard for which company assigns the most direct project addresses. I’d be very interested to see that happen. It’s amazing how having your name on a leaderboard will motivate companies.

After this I met with a whole set of people from Henry Schein (which offers the MicroMD EMR). The dynamics of a large successful company with an EMR division (similar to Quest) I find really interesting. Plus, Henry Schein has had their Practice Management software for a long time (14,000 PMS users).

I was impressed by MicroMD’s approach to marketing their software. They acknowledged that it’s hard to be all things for every type of potential EMR user. So, they’re all about focusing on those specialties where their EHR fits well.

I was interested in how they were approaching meaningful use. Similar to how they’ve done ePrescribing tracking, they’re meaningful use certified EHR will be reporting back how many of their users are meeting the meaningful use requirements. I’m hopeful that once they start collecting this information in full, that they’ll share that information on here. They sounded open to the idea. It would be quite interesting to know which meaningful use measures doctors were generally finding hard to meet.

I already wrote about my time at the MTIA name change. Go and read it if you’re someone that transcription is dead.

Then, off to HIStalkapalooza. I was actually surprised that the event was pretty empty. Much nicer than last year where you basically couldn’t move. Plus, it was great to see the ESD people and see them get featured for their great set of shoes. They also loved the special ESD HIMSS top 10 shirt I was wearing. It was perfect for the event. Here’s what was on the shirt:

The Top 10 REAL Reasons I’m at HIMSS Orlando:
#10 Disney World totally beats Coke World.
#9 Orlando won’t have snow like Atlanta did last year.
#8 ESD’s plantable seed card which turned into a real dill plany for ccooking. The swag that keeps on giving!
#7 I’m secretly hoping Colbie Calliat will do an encore performance this year.
#6 I need to walk off those holiday cookies.
#5 I hope I get scanned by the RFID devices and magically transported to a tropical island.
#4 Booth Babes!
#3 Can you say parties?
#2 I’m just here for the food.
And the #1 reason….Anything for the EMRandHIPAA.com fan girls.
Enterprise Software Deployment – We Implement IT

I thought about going to a couple other events, but just opted to come back and write a few blog posts. Lots lots more planned tomorrow. Be sure to find me at HIMSS tomorrow so you can win a free HD TV.

EMRandHIPAA.com’s HIMSS11 coverage is sponsored by Practice Fusion, provider of the free, web-based Electronic Medical Records (EMR) system used by over 70,000 healthcare providers in the US.

Medical Transcription Becomes Clinical Documentation

Posted on I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Neil already broke the news a few weeks ago that the MTIA (Medical Transcription Industry Association) changed its name to the CDIA (Clinical Documentation Industry Association). I was able to attend the press event that they held to officially announce the change.

I’m sure that many might not think this is such a big deal. Ok, the name change isn’t that big of a deal. However, I’d say that this part of the movement that I’ve been talking about for quite a while. Basically the survival of transcription for the forseeable future.

I don’t think I talked to any transcription companies at the event that weren’t working on some sort of EMR tied to transcription strategy (MD-IT, FutureNet, and MxSecure to just name a few). In many cases they’re doing their very own EMR offering.

I do think that the small transcription provider is likely in trouble. However, I won’t be surprised if transcription companies become successful EMR companies.

There’s still quite a few question marks with this strategy. For example, how well can a transcription company that’s use to working with people transition to making software?

The good thing is that these transcription companies already have relationships with a lot of doctors who want an EMR that somehow still uses transcription. I talked with one transcription company that offers an EMR and they had an interesting way of using transcription and voice recognition to transition them to EMR while helping them to learn to get use to doing the voice recognition. Very interesting approach.

Maybe transcription isn’t the long term solution. However, I wouldn’t count out the transcription companies just yet.

EMRandHIPAA.com’s HIMSS11 coverage is sponsored by Practice Fusion, provider of the free, web-based Electronic Medical Records (EMR) system used by over 70,000 healthcare providers in the US.