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Patient Portals and Chronic Disease Management – #HITsm Chat Topic

Posted on January 23, 2018 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.

We’re excited to share the topic and questions for this week’s #HITsm chat happening Friday, 1/26 at Noon ET (9 AM PT). This week’s chat will be hosted by Monica Stout (@MI_turnaround) from Medicasoft on the topic of “Patient Portals and Chronic Disease Management.”

The Centers for Disease Control and Prevention posted a statistic stating that roughly 117 million people have one or more chronic health conditions. One in four people has two more chronic conditions. That is so many people! It’s 2018 and there are tons of innovative technologies out there. Why aren’t we doing a better job of managing our health conditions?

In a recent blog, I posted that chronic disease management represents one of the best opportunities for a personal health record or patient portal to link wellness and healthcare together to affect positive health outcomes. What changes in healthcare technology need to be made to more effectively treat and manage patients with chronic conditions?

Join us to talk about patient portals and chronic disease management during this week’s #HITsm chat.

Topics for This Week’s #HITsm Chat:
T1: Would you (or do you) use technology to help manage your health and wellness? Why or why not? #HITsm

T2: Effectively managing chronic disease can involve changing habits and forming good habits. What are some ways IT can help patients form and maintain good habits? #HITsm

T3: What’s a feature you wish patient portals had that they currently do not? #HITsm

T4: If patient portals collected data so providers could participate in MACRA/MIPS more seamlessly, would you be more apt to encourage their use in your organization? #HITsm

T5: Does your employer provide you a PHR as an employee benefit? If so, does it motivate you to be an engaged patient? #HITsm

Bonus: What are the benefits of having a complete personal health record that you can access anywhere? #HITsm

Upcoming #HITsm Chat Schedule
2/2 – TBD

2/9 – TBD

2/16 – TBD

2/23 – #HIMSS18
Hosted by #HIMSS18 Social Media Ambassadors

3/2 – Machine Learning and AI in Healthcare
Hosted by Corinne Stroum (@healthcora)

We look forward to learning from the #HITsm community! As always, let us know if you’d like to host a future #HITsm chat or if you know someone you think we should invite to host.

If you’re searching for the latest #HITsm chat, you can always find the latest #HITsm chat and schedule of chats here.

How is Society’s Drive for Everything “On Demand” Changing Healthcare? – #HITsm Chat Topic

Posted on January 17, 2018 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.

We’re excited to share the topic and questions for this week’s #HITsm chat happening Friday, 1/19 at Noon ET (9 AM PT). This week’s chat will be hosted by Darin Vander Well (@DarinVanderWell) from @docutap on the topic of “How is Society’s Drive for Everything “On Demand” Changing Healthcare?

Netflix, Amazon, Uber, DVR, smart watches, smart homes – Today’s devices, apps, and technologies are making nearly every facet of our lives available in an instant. One industry that has resisted full-scale turnover into an on-demand delivery model has been healthcare.

Whether unwilling or unable, there are many pieces of the healthcare ecosystem that – albeit, with technology – are delivered on the same timelines that have always been used.

However, we are beginning to see some change. Urgent care and retail clinics, telemedicine, and even a return to house calls are helping to usher in the move, but who’s next in healthcare’s push towards on demand? And who should push back?

Join the conversation during this week’s #HITsm chat.

Topics for This Week’s #HITsm Chat:
T1: What are some ways you’ve already seen healthcare moving toward an on-demand model? #HITsm

T2: Regardless of current adoption, which segments of healthcare make the most sense to deliver on-demand? Which make the least sense? #HITsm

T3: How will the delivery of more healthcare on demand affect patient experience and expectations? #HITsm

T4: How does delivery of healthcare on demand affect population health? #HITsm

T5: How can healthcare organizations begin to change their mindset to deliver (more) healthcare on demand? #HITsm

Bonus: As the on demand healthcare landscape expands, what types of services (HCIT and beyond) do you expect to evolve alongside it? #HITsm

Upcoming #HITsm Chat Schedule
1/26 – Patient Portals and Chronic Disease Management
Hosted by Monica Stout (@MI_turnaround) from Medicasoft

2/2 – TBD

2/9 – TBD

2/16 – TBD

2/23 – TBD

We look forward to learning from the #HITsm community! As always, let us know if you’d like to host a future #HITsm chat or if you know someone you think we should invite to host.

If you’re searching for the latest #HITsm chat, you can always find the latest #HITsm chat and schedule of chats here.

Why Clinicians Need a 2015 Certified EHR

Posted on January 11, 2018 I Written By

The following is a guest blog post by Lisa Eramo, a regular contributor to Kareo’s Go Practice Blog.

What does “2015 Certified EHR” mean to practicing clinicians? The once-flooded EHR market is now whittling down to those vendors equipped to respond to regulatory and industry changes. The Office of the National Coordinator (ONC) for Health Information Technology listed more than 4,000 EHRs with 2014 certification criteria, according to the most recent data from healthIT.gov. And to date, only about 200 EHRs have passed the rigorous 2015 certification criteria.

However, beyond the fact that 2015 is indeed the most recent certification criteria as issued by the HHS, why should medical practices care?  

When vendors certify their EHRs, physicians—and patients—are ultimately the beneficiaries, says Beth Onofri, EHR and industry advisor at Kareo, who led the 2015 Certification process for the Kareo Clinical EHR. Physicians benefit because the technology allows them to easily attest that they’ve met quality requirements specified in the Medicare Access and CHIP Reauthorization Act (MACRA). This includes Advancing Care Information (ACI)-related measures that help physicians boost their payments. ACI accounts for 25 percent of a physician’s performance score that dictates reimbursement under the Merit-based Incentive Payment System (MIPS). Patients benefit because they’re able to access and exchange their own health information more easily than ever before. It’s a win-win all around, says Onofri.

“The 2015 criteria require functionality supporting unprecedented patient engagement, care coordination, and information exchange, all of which bodes well for physicians striving to improve outcomes.”
—Beth Onofri, EHR and Industry Advisor at Kareo

Although using a certified EHR is important, implementing one that’s certified using only the 2015 criteria (not the 2014 criteria or a combination of the two) is a critical piece of the puzzle under MACRA, says Onofri. EHRs certified with the 2015 criteria help pave the way for physicians to receive a bonus in 2018. In addition, the 2015 criteria require functionality that supports unprecedented patient engagement, care coordination, and information exchange, all of which bodes well for physicians striving to improve outcomes.

Still, many physicians aren’t aware of how the 2015 certification criteria can help their practices, says Onofri.

Of the 60 different 2015 certification criteria, Onofri says these five are particularly helpful for practices seeking to improve the quality of the care they provide, ultimately fostering accurate payments under value-based payment reform:

1. View, download, and transmit health information to a third party

The 2015 criteria require a secure method of access (usually through a patient portal) as well as the ability to send information to an unsecured email address of the patient’s choice, says Onofri. The idea is that offering various access options improves overall patient engagement and outcomes.

She suggests creating a brochure that explains to patients how they can access and use the portal, including how to view, download, and transmit their health information. Another idea is to recruit a volunteer who can show patients how to use the portal while they wait in the waiting area. “There needs to be a strong advocate in each practice to make sure that these functionalities are implemented and used,” she adds. “Those practices with an advocate are the ones that will succeed.”

2. Secure messaging

This functionality allows physicians to send messages to—and receive messages from—patients in a secure manner, helping to improve engagement and communication. Practices must define how they’ll use secure messaging, including who will respond and what types of questions they’ll permit (e.g., fulfill appointment requests vs. answering clinical inquiries). “There are a small percentage of doctors who will want to answer their own messages, but there is a larger percentage of doctors who will want their staff to answer the emails and, if necessary, escalate to the provider,” says Onofri.

3. Patient health information capture

This functionality allows physicians to accept patient-generated health data into the EHR. For example, Onofri notes that the Kareo Clinical 2015 Edition EHR allows patients to record their health information at home to easily upload the information to their portal and transmit it securely to the physician for shared decision-making. The idea is that access to more comprehensive health data can help physicians prevent and manage disease—and it could be a game-changer in terms of population health management.

Start small when rolling out this functionality, she says. For instance, encourage patients with high blood pressure to upload their blood readings daily before engaging a second population (e.g., those with diabetes who upload their glucose levels).

4. Transitions of care

This functionality calls for interoperable documents that include key health data (e.g., name, date of birth, and medications) as well as standardized format for exchange. A transition of care summary provides critical information as patients transfer between different physicians at different health organizations or even distinct levels of care within the same organization.

“It’s not uncommon for our providers to send the referral right as they are completing the note with the patient in the room,” says Onofri. “This obviously speeds the care coordination for patients in terms of seeing another doctor.” The only caveat is that practices must compile a list of direct email addresses for physicians to whom patients are frequently referred, she adds.

5. Application programming interfaces (APIs)

“This is one of those requirements that is the foundation of things to come,” says Onofri. “It’s the first step toward interoperability.” API functionality will eventually allow patients to aggregate data from multiple sources in a web or mobile application of their choice.

Physicians who take the time to explore each of these 2015 certification functionalities may be more likely to improve outcomes and reap financial rewards under MACRA, says Onofri. “The improved functionality is there—is your practice taking advantage of it?”

About Lisa Eramo
Lisa Eramo is a regular contributor to Kareo’s Go Practice Blog, as well as other healthcare publications, websites and blogs, including the AHIMA Journal. Her focus areas are medical coding, clinical documentation improvement and healthcare quality/efficiency.  Kareo is a proud sponsor of Healthcare Scene.

Driving Innovation in Healthcare Forward Requires New Ways of Thinking – #HITsm Chat Topic

Posted on January 9, 2018 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.

We’re excited to share the topic and questions for this week’s #HITsm chat happening Friday, 1/12 at Noon ET (9 AM PT). This week’s chat will be hosted by Constance Sjoquist (@CASjoquist), Chief Content Officer at HLTH.co on the topic of “Driving Innovation in Healthcare Forward Requires New Ways of Thinking.”

Traditional channels for ideating, learning, and sharing ideas, products and services that can improve healthcare outcomes, lower costs and make it easier on everyone involved are changing. Health plan members, budding consumers, both new and long-time patients, sponsor payers, employers, providers, medical device companies, pharma companies and start-ups and investors all have a vested interest. Not to mention the various federal and state-level government agencies that regulate all of these constituents.

So how can all of us – ALL OF US – work together to improve healthcare outcomes and lower costs – all while making it easier on all of us?

This chat raises and explores some ideas to help drive innovation in healthcare forward. We need new ways of thinking. Gigantic conferences and one-sided media movements are not cutting it.

Come join this exchange on how we can ALL participate and contribute in the drive to make healthcare more innovative.

Topics for This Week’s #HITsm Chat:
T1: What are the primary reasons why the transformation of healthcare in the United States in 2018 and beyond is so difficult and challenging? #HITsm

T2: How can plan members, budding healthcare consumers, new & long-time patients, their sponsor payers, employers, providers, medical device companies, pharma companies & start-ups – help to reduce healthcare costs while improving quality of care? #HITsm

T3: In what ways can healthcare conferences, forums and media – traditional and digital – help to drive innovation in the health industry? And help to reduce healthcare costs while improving quality of care? #HITsm

T4: In what specific ways can disruptive technologies like #AI, #BigData, #MachineLearning, AR/VR, #3DPrinting, #PrecisionMedicine, Mobile & #IoT drive & support transformation of #healthcare? #HITsm (How’s that for too many hashtags!)

T5: Where can plan members, #healthcare consumers, new & long-time patients, their sponsor payers, employers, providers, medical device companies, pharma companies & start-ups look for examples of successful industry transformation? #HITsm

Bonus: What‘s one thing #healthcare conference organizers, the media that promote #healthcare & those that attend & support conferences help to move healthcare forward? What are they currently not doing? #HITsm

Upcoming #HITsm Chat Schedule
1/19 – How is society’s drive for everything “on demand” changing healthcare?
Hosted by Darin Vander Well (@DarinVanderWell) from @docutap

1/26 – Patient Portals and Chronic Disease Management
Hosted by Monica Stout (@MI_turnaround) from Medicasoft

2/2 – TBD

2/9 – TBD

2/16 – TBD

2/23 – TBD

We look forward to learning from the #HITsm community! As always, let us know if you’d like to host a future #HITsm chat or if you know someone you think we should invite to host.

If you’re searching for the latest #HITsm chat, you can always find the latest #HITsm chat and schedule of chats here.

Is A Cerner Installation A “Downgrade” From Epic? Ask This Guy

Posted on January 8, 2018 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.

I don’t know if I’ve ever quoted a letter to the editor in a column for this publication, but I have to this time. I thought it had an interesting story to tell.

The letter, written by a patient at the Banner University of Arizona Medical Center in Tucson, offers a scathing critique what he sees “degradation of services” taking place after the institution switched from an Epic to a Cerner EHR, a change he refers to as a downgrade throughout the letter.

Since the “downgrade,” said the patient, John Kimbell, appointments take much longer. “Three weeks after the downgrade, my 30-minute appointment took three hours and 40 minutes,” he complains.

His other concerns include:

  • Data exchange problems: “My local doctor has TWICE sent results of a scan to my oncologist, and they never arrived.”
  • Privacy issues: With the automated paging system gone, “nurses call out names in the waiting areas in each clinic,” Kimbell notes.
  • Useless information: After Kimbell’s most recent appointment, he says, he was “handed out a 13-page printout that gave 12 pages information I didn’t need.” Before the Epic to Cerner switch, he reports, he was able to access this information online.
  • Communication issues: Kimbell says he never gets telephone call reminders of appointments anymore.

As Kimbell sees it, the quality of care has slipped significantly since Epic was switched out for a Cerner system. “All the cancer patients I have known while a patient there are in need of better care than Banner now provides,” he writes.

It’s important to note here that the Epic-to-Cerner switch-off took place in October last year, which means that the tech and administrative staff haven’t had much time to work out problems with the new installation. It may be the case that the concerns Kimbell had in late December won’t be an issue in a couple of months.

On the other hand, I do think it’s possible that as the letter implies, UMC owner Banner Health may have had reasons to push the Cerner install into the facility, most particularly if all of its other properties already operate using Cerner.

Regardless, if everything is as Kimbell describes, let’s hope it all gets back in order soon.  From the looks of things, UMC seems to offer a renowned cancer treatment program. Let’s hope that a quality program isn’t undermined by IT concerns.

Cerner $10 Billion VA Contract Comes To Screeching Halt

Posted on January 5, 2018 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.

After Cerner captured the massive multi billion dollar contract to roll out its EMR for the Department of Defense, everyone was a bit stunned, as many thought Epic was a lock for the job.

Cerner seems to have been conducting the rollout as promised, so there’s that. But when it comes to its performance in meeting the requirements of its $10 billion contract with the VA, things aren’t looking as good. Apparently, Cerner’s DoD implementation isn’t sharing data well with Cerner’s VA systems. Oops.

According to Politico, the Cerner contract with the VA is running into serious questions about its capacity for fluid data sharing. The VA’s Cerner rollout has been held up by questions about its ability to interoperate with the DoD system.

VA Secretary David Shulkin, who’s perhaps the biggest critic of Cerner’s efforts, had his agency issue a request for information looking for examples of data-sharing solutions. Shulkin is proposing that the VA conduct tests of the system’s capacity for interoperability, in which the department would send patients through the VA system and see whether it can share useful data with the VA along the way. If the test has a bad outcome, it’s likely to ramp up the tension considerably.

What makes all of this particularly embarrassing is that the VA awarded the contract to Cerner without conducting the usual bidding process, largely because the agency believed having its own Cerner implementation would make it easier to share data with the DoD. Good luck with that, folks.

I’m sure that key managers on the VA project are freaking out at this point.  The combined multi billion dollars the DoD and VA have entrusted Cerner with represents a massive commitment, and when a customer that size starts questioning whether they’ve made a good investment, the ground must have begun trembling under Cerner’s feet. Not to mention the consultants from Leidos, etc who are charged with delivering a massive chunk of the project.

It’s hard to imagine that Epic isn’t seeing if it can take advantage of the situation. While it may not have the ability to horn in on the contracts themselves, I’m sure that it’s making sure customers know about what’s happening, and using the news to suggest that Cerner doesn’t have its act together.

I don’t know what will happen if the VA continues to find fault with Cerner, but it can’t be pretty.

What’s Trending in #HealthIT in 2018? – #HITsm Chat Topic

Posted on January 3, 2018 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.

We’re excited to share the topic and questions for this week’s #HITsm chat happening Friday, 1/5 at Noon ET (9 AM PT). This week’s chat will be hosted by John Lynn (@techguy), Founder of Healthcare Scene, the Healthcare IT Marketing and PR Conference, and Health IT Expo, on the topic of “What’s Trending in #HealthIT in 2018?

As we start 2018, we thought it would be appropriate for the #HITsm chat to take a short look back at 2017 and then to start looking forward to 2018. What are going to be the hot topics for 2018? What should we be doing to be prepared for what’s coming? What can we do to better improve healthcare in 2018? Plus, hopefully, you’ll also share some ideas for what you’d like to see from #HITsm in 2018 as well.

Join us as we dive into this topic during this week’s #HITsm chat using the following questions.

Topics for This Week’s #HITsm Chat:

T1: What was the biggest #HealthIT announcement, change, trend, etc in 2017 and why? #HITsm

T2: Which part of #HealthIT in 2018 are you most watching because you’re scared about what will happen? And Why? #HITsm

T3: Which part of #HealthIT in 2018 gets you most excited or will be most transformative? And Why? #HITsm

T4: What are you doing to prepare for what’s coming in #HealthIT in 2018? #HITsm

T5: What are some creative ideas/hosts/etc you’d like to see happen during #HITsm chats in 2018?

Bonus: What are your personal and/or career goals for 2018? #HITsm

Upcoming #HITsm Chat Schedule
1/12 – Driving Healthcare Innovation Forward Requires New Ways of Thinking
Hosted by Constance Sjoquist (@CASjoquist), Chief Content Officer at HLTH.co

1/19 – TBD
Hosted by Darin Vander Well (@DarinVanderWell) from @docutap

We look forward to learning from the #HITsm community! As always, let us know if you’d like to host a future #HITsm chat or if you know someone you think we should invite to host.

If you’re searching for the latest #HITsm chat, you can always find the latest #HITsm chat and schedule of chats here.

EHR Physician Use by Time of Day

Posted on December 27, 2017 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 continue our holiday week of sharing interesting healthcare IT and EHR images, today’s image comes from the NEJM Catalyst. This image charts the Percent of total EHR work time against the hour of the day. Plus, it also splits it out into weekday work and weekend work.

The thing I hate about this chart is that it doesn’t show when doctors use to spend time doing paper charts. I still wonder how similar those charts would be. I’m just not sure we have that data anywhere.

“Twas the Night Before Go-Live – Fun Friday

Posted on December 22, 2017 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 Friday before Christmas. Everyone’s favorite day at work. I hope all of you are enjoying the Holiday season and that you’re ready for Monday. I know I still have work to do.

I thought this holiday poem from Moxe Health would be a nice way to finish off the week as we head into Christmas. I think you’ll all enjoy it too:

Here’s the text of the poem:
‘Twas the night before go-live at Whoville Saint General-
Hospital, Clinics (and Drug Store) for Medical-
Treatment of Sore Throats and Coughing and Sneezing
(And any old illness your aunt might think pleasing).

The doctors and nurses were not in their beds.
How could they when ransomware danced in their heads?
The nighttime clinicians were making their rounds,
And hoping to not hear “Code grey!” or worse sounds.

With thoughts of the past their brave CMO trembled,
Like dachshunds on ice, which he somewhat resembled,
His hospital soon would wear new healthcare software,
In hopes that efficiencies soon would be found there.

Back months ago all the directors (nice folk),
With one voice had told him, “Get better!” They spoke:
“Our PHI — all of it’s leaking outside.
Our payers are livid! Please help us,” they cried.

The hospital CMO was a good man.
He said, “I will fix it as soon as I can.
When treating our patients I brook no delay.
We need a solution? So be it! I’ll pay!”

Then what to his sleep-deprived eyes should be seen,
An elf health IT vendor on his touchscreen!
She promised to help him to her best ability,
Promising inter-o–operability.

‘Twas smart and so friendly — a right jolly elf,
Millennial – but she could laugh at herself.
She sang, “As we move toward performance incentives,”
“It’s time for you all to start using preventives.”

With warnings of breaches piled up at her side,
“It’s time to stop mailing or FAXing,” she cried.
“Now with the Merit-Based Incentive Payment,
You must better serve ev’ry insurance claimant.”

“The blocking of info will be in the past,
Devices will network, in full and at last.
With EMR apps and solutions galore,
Just think of me as your IT superstore.”

Excited, our CMO then called his CEO,
Who in turn brought in their wonderful CFO,
And teleconferenced their hospital CIO,
“Yes, yes,” here, “Yes, yes there,” Ee yi oh, Ee yi oh.

The elf dressed in white, just like fresh snow, she said,
“Because in a hospital no one likes red.”
Her tech so disruptive, her sales pitch so merry!
Our CMO called for his tech guy, named Larry.

“On, Epic! On, Cerner, Athena, McKesson,
On, NextGen and Praxis!” The fairy’s good lesson:
“On, HIMSS, MIPS and HIPAA! On, HEDIS and Star!
Your hospital will be the most bestest by far!”

They went through the install. The elf vendor fairy-
Helped all the clinicians and IT guy Larry.
The CMO’s big day would swiftly arrive.
The button was pushed and the system went live!

Clinicians and board members feared for the worst, or
At least a big pop-up to “X” with the cursor.
But then it was just so amazing to see,
How swiftly was reconciled all HCC.

Staff pushback all melted, just a like spring icicle,
As they began their new revenue cyclical.
All the clinicians were filled with such gratitude,
And even patients took on a new attitude.

Screens, how they twinkled, and noses — they crinkled,
The food tasted better and sheets were not wrinkled.
With CPOE and all gap management flying,
Our CMO could not stop sillily smiling.

The fairy then left, trailing laughter and mirth,
As our CMO learned what good IT was worth.
You don’t even need to be the biggest spender
(So long as you have a good elf for your vendor).

6 Unique Anesthesiology Needs Where Traditional EHRs Fall Short

Posted on December 21, 2017 I Written By

The following is a guest blog post by Douglas Keene, MD Chief Medical Officer and Founder, Recordation Perioperative Information Management.

Anesthesiology has traditionally been thought of as a specialty profession limited to the operating room (OR). Over the past few years however, a revolution has been underway as the industry pushes to provide higher quality care at lower costs, motivating anesthesiologists to expand their typical role. Private anesthesiology groups are becoming more involved in the overall operations of the OR to improve the quality of care delivered inside and outside the operating room as well as keep their business’ running.

On average, the OR contributes between 60-70 percent of overall hospital revenue, solidifying the need for more efficient processes within the OR. Fortunately, we live in a world full of valuable insights and methods to capture data that can provide a lens into what’s working and what isn’t when it comes to operations. By further understanding how the operating room is running through specific data capture sets, not only are anesthesiologists, surgeons and other OR providers able to understand how they are performing during each surgery, hospital executives are also able to see quantitatively how their OR operations are performing. To do this however, anesthetists and hospital leaders need to identify a software that can address both hospital and clinical needs to improve outcomes.

There are many challenges decision makers face when it comes to identifying the best platform or solution for their hospitals’ OR operational needs. With so many options available between software systems and EHRs, it can be difficult to identify the best one for your practice, especially when it comes to the OR specifically. Here are a few things to consider when looking to adopt a new solution in your OR:

  • Get Specific: Your software should be designed for the unique characteristics of administering anesthesia in a variety of settings and situations. Since anesthesiology is a very precise specialty where differences in factors like body weight, drug interactivity, cardiac output, age, metabolism, ventilation and timing can influence what type and how anesthesia is administered, the ideal system must be able to capture all this type of data accurately.
  • Interoperability: Anesthesiologists rely heavily on medical devices to help monitor and detect abnormalities in blood pressure, heart rate, oxygen levels, etc. The anesthesiology software being used should integrate along with the other devices in order to pull the crucial information onto one cohesive platform. This will help anesthesiologists focus more on the patient rather than trying to keep up with watching multiple monitors and capturing it all by hand.
  • Data Capture: Anesthesiologists regularly interact with a team of nurses and other physicians (in addition to the patient), so the perioperative suite needs to be able to seamlessly export and import data from other EMR platforms.
  • Up-to-Date Drug Usage: Because the anesthesiologist’s role is to monitor the amount of medications being administered, it’s imperative for there to be a robust alert system to notify the anesthesiologist of any potential adverse drug reactions or allergies prior to any operation.
  • Physician Burnout Reduction: It’s no secret today’s physicians are burnt out from the amount of added work brought on by poorly developed EHR systems. As you look to implement a digital system within your OR setting, be sure to identify a technology that will not create more work for the physician and, at the same time, allow them to put more focus on the patient currently being treated.
  • Program Design: When looking for an OR solution, consider the architecture of the system and whether it is cloud-based or on-site as that will affect the installation and maintenance of the program. Choosing a platform that integrates without hassle is far more likely to be widely accepted by not only anesthesiologists, but other clinicians within the hospital.

There is certainly no shortage of EHR solutions out there, some with or without anesthesiology-specific technology. For hospital decision-makers and anesthesiologists, it’s important to be confident the solution you choose can improve your clinicians and overall OR operations while focusing on patient care.

About Recordation
Recordation is a cutting-edge Healthcare Informatics company revolutionizing how clinicians report and access crucial patient information before, during and after a patient’s operation. Founded by a physician, board-certified in Anesthesiology, Pain Management and Clinical Informatics, Recordation is a by-providers-for-providers company that reduces time spent on data capture, allowing for deep dive analysis of both clinical and operational data. Recordation contributes to a safer OR environment for the patient. The company is headquartered in Wayland, Mass. To learn more about Recordation, please visit the company online at www.recordation.com.