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e-Learning Gift Card – Black Friday Promo

Posted on November 29, 2013 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.

4med_masthead2 (1) (600x76).jpg     BLACK FRIDAY PROMOTION  

    

 

Beginning Wednesday November 27 through Sunday December 1, 2013, Healthcare Scene is offering 4MedTraining E-learning Gift Cards at 40% OFF with this special BLACK FRIDAY coupon code: HEALTHCARE40

To take advantage of this limited offer visit: www.4medapproved.com/education/giftcard.html Don’t forget to apply the coupon code (HEALTHCARE40) to get the discount.

Buyers will be able to apply this gift card for one full year to any single course in the current or future catalog, up to a retail value of $449!

If you need assistance applying your code or questions about the gift card offer, please contact 4med@4medapproved.com or call (800) 671-1028 to speak with a training advisor! 

Giving Thanks

Posted on November 28, 2013 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.

Last week I did a #HITThanks post as part of the move to show some gratitude for all the great things that are happening in healthcare IT. Jennifer Dennard also followed up with her post talking about being thankful for Patient Portals. However, the thing I’m most thankful for are all the readers and supporters of this site. I sometimes find myself shaking with joy as I think how lucky I am that I make a living as a blogger. None of this would be possible if it weren’t for all of you. So, a big heartfelt thank you to all of you.

I’m also really thankful to be embarking on the new journey after adding Healthcare IT Central to the Healthcare Scene family. It’s a really exciting time for me to see the bond between the two websites grow. I think we’re in for a really special ride and I’m grateful that I have the opportunity to see it first hand.

I hope everyone has a great day today. I know I’ll be enjoying some time with family, amazing food, and football.

Epic Builds Lab Installations At Oregon University

Posted on November 27, 2013 I Written By

Anne Zieger is a healthcare journalist who has written about the industry for 30 years. Her work has appeared in all of the leading healthcare industry publications, and she's served as editor in chief of several healthcare B2B sites.

Epic Systems has agreed to build two lab installations of its EpicCare EMR at the Oregon Health & Science University, one to be used for medical informatics education, and the other giving the school access its source code on the research side, reports Healthcare IT News.

Though the school’s OHSU Healthcare system already runs EpicCare for its hospitals and clinics, students and teachers have had to rely on a basic installation of the open-source VistA system for OSHU’s EMR laboratory course.

According to HIN, this is Epic’s first partnership with an academic informatics program, and potentially an important turning point for the company, which has conducted research and development almost exclusively on its Verona, Wis. campus. (It does release its source code to commercial customers.) And the agreement didn’t come easily; In fact, the school spent several years persuading Epic to participate before it agreed to commit to an academic partnership, Healthcare IT News said.

In a press statement, OSHU notes that the EpicCare research environment should allow students to delve into usability, data analytics, simulation, interoperability,  patient safety and more. The school also expects to prepare prototypes of solutions to to real-world healthcare problems.

Students in both OHSU’s on-campus and distance learning programs will pursue coursework based on the Epic EMR, with classes using the live Epic environment beginning March 2014. Work students will undertake include learning to configure screens, implementing clinical decision support and generating reports.

While this isn’t quite the same thing, this agreement brings to mind a blog item by John in which he describes how prospective programmer hires at Elation are required to shadow a physician as part of their hiring process. In both cases, the people who will be working with the software are actually getting an idea of how the product is used in the field before they’re out serving commercial clients. Sadly, that’s still rare.

I think this will ultimately be a win for both Epic and OSHU. Epic will get a fresh set of insights into its product, and students will be prepared for a real world in which Epic plays a major part.

Should ICD-10 Go Through Rigorous Outside Testing? Definitely. – ICD-10 Tuesdays

Posted on November 26, 2013 I Written By

Anne Zieger is a healthcare journalist who has written about the industry for 30 years. Her work has appeared in all of the leading healthcare industry publications, and she's served as editor in chief of several healthcare B2B sites.

Sometimes it’s fun to critique my health IT editor colleagues in this space, but this time, I can do nothing but agree with a column written by FierceHealthIT editor Dan Bowman.

In his column, he notes that physician practices and hospitals have been quite worried about the transition from ICD-9 to ICD-10, something which is inevitable given the complexity of the switchover. And with the switch set to go into effect Oct. 1, 2014, the time available to prepare is flying by.

So, he says, it’s definitely a Good Thing that CMS may be amenable to do external ICD-10 testing, despite previously asserting that it wouldn’t do so. Now, bear in mind that CMS hasn’t promised to do external testing — it’s just said that it would consider the  idea — but that’s encouraging news.

After the mind-blowing failure of HealthCare.gov, CMS hardly needs another disastrous failure of systems or operations in one of its key responsibility areas. What’s more, if ICD-10 coding doesn’t work right, we’re talking about tying up millions (or even billions) of dollars in reimbursement to providers. That could prove to be a disaster which makes the HealthCare.gov debacle look like a minor blip.

Given that a failure of testing was instrumental in the HealthCare.gov debacle, I can’t imagine why CMS wouldn’t have become super-cautious in its wake. The last thing CMS needs is mass confusion, delayed payments, undercoding, upcoding, fraud….need I go on?

As things stand, CMS’s IT operation is already in turmoil, with the agency’s CIO having resigned and other heads still likely to roll. And Congress, for once understandably, isn’t going to have a lot of patience with anything resembling another IT failure.

CMS, don’t tell the public you don’t have the resources to do more extensive ICD-10 testing. Find them. Your future as an agency may depend on it.

Meanwhile, readers, if you want to keep up with ICD-10 twists and turns, don’t miss John Lynn’s ICD-10 Tuesdays. He’ll have plenty of insights to offer as the big day approaches.

Should Patients Care About Their Doctors’ Text Messages?

Posted on November 25, 2013 I Written By

The following is a guest blog post by Dr. Jose Barreau, CEO of Doc Halo.

For all the money they spend on state-of-the-art EMRs, compliance officers and other measures to ensure they’re protecting their patients’ medical information, many healthcare organizations have a gaping hole in their security.

Physicians and other clinicians are as apt as anyone to send a quick text to a colleague. Maybe an attending physician wants to ask a resident about test results or an office worker needs to pass along a patient’s question.

But standard SMS text messages are not HIPAA compliant. Communicating protected health information in this way could compromise patient privacy and expose your organization to substantial fines.

That’s not to say doctors shouldn’t text. Because of its instantaneous nature, mobile messaging can improve efficiency and quality of care. But healthcare providers should make sure they’re using a secure texting platform.

If you have a non-HIPAA-compliant texting habit, you’re in good company. In research last year, nearly 60 percent of physicians at children’s hospitals said they sent or received text messages for work.

It’s easy to view text messages as “off the record.” Chances are they aren’t going into an EMR, and there’s a sense that no one but the sender and recipient will see them.

But when you fire off a text, you don’t know where it will end up. Some of these text messages contain sensitive details of diagnosis and treatment that have been discussed.  Also it’s hard to say whose servers the messages might be stored on, or for how long.  When patients entrust healthcare providers to care for them, they expect their data to be cared for, too.

The Department of Health and Human Services certainly knows about the problem. Last year the agency told an Arizona physicians practice to address the issue in a risk-management plan. The group “must implement security measures sufficient to reduce risks and vulnerabilities to ePHI to a reasonable and appropriate level for ePHI in text messages that are transmitted to or from or stored on a portable device.”

Healthcare providers can text about their patients without violating HIPAA — but only with secure messaging technology. Here are features to look for in a healthcare texting solution:

  • Encryption at all levels — database, transmission and on the app — with federally validated standards
  • Tracking of whether messages have been delivered, with repeated ping of the user
  • A secure private server that is backed up
  • Remote mobile app wipe option if a phone is lost or stolen
  • Automatic logout with inactivity
  • Ability to work on all spectrums of cell data and Wi-Fi for broad coverage
  • Limited data life — for example, 30 days — for messages

Patients benefit when their healthcare providers have quick and secure ways to stay in touch. A secure text messaging platform can help you to provide better care while avoiding HIPAA violations.

Doc Halo, a leading secure physician communication application, is a proud sponsor of the Healthcare Scene Blog Network.

Epic Jobs, Cerner Jobs, Project Management Jobs, and More

Posted on November 24, 2013 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 we posted about previously, Healthcare IT Central is now a part of the Healthcare Scene network. It’s been really exciting the past couple weeks seeing the two organizations merge together. Plus, I’ve been really impacted by the great work that Gwen has put in to create such an amazing healthcare IT job resource. I have to admit that looking at the various jobs posted and people applying for those jobs tugs at my heartstrings a bit. Seeing a company that’s able to fill a job they need to fill and seeing people find a job or a better job is incredibly satisfying.

Every other week, we’re going to take a minute on the weekend to highlight some of the EMR, EHR and Healthcare IT jobs that are listed on Healthcare IT central. Of course, you can always search the entire database of Healthcare IT jobs as well.

Here are a few of the recently posted Healthcare IT jobs:

Of course, those are just a few of the many EMR jobs that are listed on the site. Here are a few links which will always stay updated with the latest jobs posted for some of the most popular categories of jobs.

I certainly have a lot to learn when it comes to the Healthcare IT and EHR career space. I love to hear stories, experiences, and thoughts from those of you working in the space as well.

Giving Thanks for Healthcare IT – #HITThanks

Posted on November 22, 2013 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 always love the creativity that comes out of the good people at HL7 Standards. In the latest example, I reference a post by Jon Mertz called Giving Thanks for Health Information Technology. In the post, he digs into the idea that gratitude is a mindset and suggests that we could use a little more gratitude in healthcare IT.

I love the concept and power of gratitude and appreciate Jon’s comments about the need for more gratitude in healthcare IT. While I try to avoid this, it’s often easier to report on the train wrecks than it is to report on the benefits. Plus, train wrecks drive readership.

Following Jon’s call for us to express more gratitude for the good things happening in healthcare IT, I thought I’d create my list of thanks. Hopefully you’ll join in with your list in the comments, on your blog, or on twitter (see the hashtag #HITThanks).

  • I’m grateful I don’t have to search for lost paper charts.
  • I’m thankful I don’t have coffee stained paper charts.
  • I appreciate that multiple people can add to the chart at the same time (at least in most EHR systems).
  • I’m glad I don’t see stacks of paper charts on my desk.
  • I appreciate being able to read whatever my doctor documents in my chart.
  • I’m thankful for the nurses who do a bang up job with EHR software that’s almost always developed with them as an afterthought.
  • I’m grateful we no longer have to remember that Aq comes after Am and that the person who filed the chart might have been moving quickly and filed Am after Aq.
  • I appreciate all the thousands of thoughtful, caring, and wonderful people that work day in and day out to provide amazing care.
  • I’m thankful a nobody in Las Vegas can start a blog and give back to the healthcare IT community in some way.

I’m sure I could list many more. I hope you’ll join in.

Can Cloud Computing Help Solve Healthcare’s Looming IT Crisis?

Posted on November 21, 2013 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.

The title of this post comes from a whitepaper called “How Cloud Computing Can Help Solve Healthcare’s Looming IT Crisis” that was done by Intel together with CareCloud and terremark (A Verizon Company). My initial reaction when reading this whitepaper was “what looming healthcare IT crisis are they talking about?”

The whitepaper makes the general case about the challenges of so much regulation, security, and privacy issues related to healthcare IT. I guess that’s the crisis that they talk about. Certainly I agree that many a healthcare CIO is overwhelmed by the rate of change that’s happened in healthcare IT to date. Is it a crisis? Maybe in some organizations.

However, more core to what they discuss in the paper is whether cloud computing can provide some benefits to healthcare that many organizations aren’t experiencing today. The whitepaper cites a CDW study that just 30 percent of medical practices have transitioned to cloud computing services. No doubt I’ve seen the reluctance of many organizations to go with cloud computing. Although, as one hospital CIO told me, we have to do it.

The whitepaper makes the case that cloud computing can help with:
-Security, compliance and privacy
-Cost efficiency and improved focus
-Flexibility and scalability

I’d love to hear your thoughts on the whitepaper and its comments on the value of cloud computing. Should healthcare be shifting everything to cloud computing? Is there a case to be made for in house over cloud computing? Will some sort of hybrid approach win out?

Is Your EMR Compromising Patient Privacy?

Posted on November 20, 2013 I Written By

James Ritchie is a freelance writer with a focus on health care. His experience includes eight years as a staff writer with the Cincinnati Business Courier, part of the American City Business Journals network. Twitter @HCwriterJames.

Two prominent physicians this week pointed out a basic but, in the era of information as a commodity, sometimes overlooked truth about EMRs: They increase the number of people with access to your medical data thousands of times over.

Dr. Mary Jane Minkin said in a Wall Street Journal video panel on EMR and privacy that she dropped out of the Yale Medical Group and Medicare because she didn’t want her patients’ information to be part of an EMR.

She gave an example of why: Minkin, a gynecologist, once treated a patient for decreased libido. When the patient later visited a dermatologist in the Yale system, that sensitive bit of history appeared on a summary printout.

“She was outraged,” she told Journal reporter Melinda Beck. “She felt horrible that this dermatologist would know about her problem. She called us enraged for 10 or 15 minutes.”

Dr. Deborah Peel, an Austin psychiatrist and founder of the nonprofit group Patient Privacy Rights, said she’s concerned about the number of employees, vendors and others who can see patient records. Peel is a well-known privacy advocate but has been accused by some health IT leaders of scaremongering.

“What patients should be worried about is that they don’t have any control over the information,” she said. “It’s very different from the paper age where you knew where your records were. They were finite records and one person could look at them at a time.”

She added: “The kind of change in the number of people who can see and use your records is almost uncountable.”

Peel said the lack of privacy causes people to delay or avoid treatment for conditions such as cancer, depression and sexually transmitted infections.

But Dr. James Salwitz, a medical oncologist in New Jersey, said on the panel that the benefits of EMR, including greater coordination of care and reduced likelihood of medical errors, outweigh any risks.

The privacy debate doesn’t have clear answers. Paper records are, of course, not immune to being lost, stolen or mishandled.

In the case of Minkin’s patient, protests aside, it’s reasonable for each physician involved in her care to have access to the complete record. While she might not think certain parts of her history are relevant to particular doctors, spotting non-obvious connections is an astute clinician’s job. At any rate, even without an EMR, the same information might just as easily have landed with the dermatologist via fax.

That said, privacy advocates have legitimate concerns. Since it’s doubtful that healthcare will go back to paper, the best approach is to improve EMR technology and the procedures that go with it.

Plenty of work is underway.

For example, at the University of Texas at Arlington, researchers are leading a National Science Foundation project to keep healthcare data secure while ensuring that the anonymous records can be used for secondary analysis. They hope to produce groundbreaking algorithms and tools for identifying privacy leaks.

“It’s a fine line we’re walking,” Heng Huang, an associate professor at UT’s Arlington Computer Science & Engineering Department, said in a press release this month “We’re trying to preserve and protect sensitive data, but at the same time we’re trying to allow pertinent information to be read.”

When it comes to balancing technology with patient privacy, healthcare professionals will be walking a fine line for some time to come.

Outfitting for the ICD-10 Voyage – Breakaway Thinking

Posted on November 19, 2013 I Written By

The following is a guest blog post by Laura Speek from The Breakaway Group (A Xerox Company) and Honora Roberts from Xerox. Check out all of the blog posts in the Breakaway Thinking series.
ICD-10 Boat
These are challenging times for healthcare providers in every imaginable vessel – and the whitewater ride is not over yet. Just around the bend looms the transition to ICD-10, scheduled for October 1, 2014. Most providers know the wisest course is to start preparing now, yet few have dared to navigate these uncharted waters.

For many, a major problem is not knowing where to start. Others may be suffering from protracted procrastination. And still others may be well on the road to ruin via the path of good intentions.

An effective way to put some wind in your ICD-10 sails is to get real about the serious costs of noncompliance. After October 1, 2014, claims must be submitted using ICD-10 coding to be eligible for reimbursement. In other words, if you don’t bill with ICD-10 codes, you simply won’t get paid. And that’s the cold, hard truth.

The transition to ICD-10 will affect every facet of healthcare, but it begins with understanding the basic differences between ICD-9 and ICD-10. First and foremost, ICD-10 is not just a simple expansion of ICD-9. There is no reliable one-to-one mapping system. Some ICD-9 codes equate to multiple ICD-10 codes, while some do not correspond to any.

ICD-10 codes include much greater specificity; care providers must document etiology, laterality, exact anatomical site, and other information. Patient encounter documentation must include proper detail to enable coders to locate the correct ICD-10 diagnosis and procedure codes. Physicians and mid-level providers should begin to assess their documentation today to identify where ICD-10 coding requirements are already being met and where improvement is needed.

Because clinical documentation is at the core of every patient encounter, it must be complete, precise, and accurately reflect the scope of care and services provided. Assuring depth and consistency of documentation represents a challenge for many organizations.

ICD-10 encompasses a huge increase in accessible codes. The ICD-10-CM diagnostic code set, used in all healthcare settings, increases from roughly 13,000 to 68,000 codes. The ICD-10-PCS procedural code set, used within inpatient settings only, expands from roughly 3,000 to 87,000 codes. It should be noted that ambulatory settings will continue to use CPT (Current Procedural Terminology) procedural codes.

Given this massive growth in coding scope, the importance of detailed clinical documentation becomes even more pronounced. Physicians and other healthcare providers typically are not trained to develop proper documentation skills in medical school or residency; nurse practitioners (NPs) and physician assistants (PAs) generally do not receive such training during graduate school or clinical rotations. Hospitals and healthcare systems need to compensate for this training deficiency by instituting educational programs and tools that align healthcare providers with proper documentation practices to clear the decks for successful transition to ICD-10.

ICD-10 requires physicians, NPs, and PAs to thoroughly document each and every patient encounter to a much greater level of specificity than is needed in ICD-9. Nonspecific or incomplete documentation within ICD-10 will cause delays, claim denials, cash-flow interruptions, and inaccurate quality reporting. Definition and terminology changes inherent in ICD-10, particularly for surgical procedures, will also require focused education and training.

At the end of the day, providers aren’t coders. They are far less concerned with ICD-10 codes than they are with improving quality of care. This is where ICD-10 can be viewed as a welcoming beacon on a rocky shore. It gives healthcare providers an incentive to establish a clinical documentation improvement (CDI) program. In fact, implementing and sustaining an effective CDI initiative should be a top priority for all healthcare organizations preparing for ICD-10. For those with no CDI program in place, the time to begin is now. Consider improved clinical documentation as essential equipment for maneuvering through the twists, turns, and churns that accompany the voyage to ICD-10.

Honora Roberts - Xerox
Honora Roberts is Vice President of Healthcare Provider Services at Xerox.

Laura Speek  - The Breakaway Group
Laura Speek is a Learning and Development Specialist at The Breakaway Group (a Xerox company).

Xerox is a sponsor of the Breakaway Thinking series of blog posts.