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National Patient Identifier, Allscripts Discontinues MyWay, EHR Incentive Payments Stopped, and Remotoscope — Around Healthcare Scene

Posted on October 7, 2012 I Written By

Katie Clark is originally from Colorado and currently lives in Utah with her husband and son. She writes primarily for Smart Phone Health Care, but contributes to several Health Care Scene blogs, including EMR Thoughts, EMR and EHR, and EMR and HIPAA. She enjoys learning about Health IT and mHealth, and finding ways to improve her own health along the way.


HIMSS Pushes for National Patient Identifier System

An estimated 14 percent of medical records contain incorrect patient information. Because of this, deadly errors can occur. In an effort to cut back on these errors, HIMSS is trying to implement a national patient identifier system. A single identifier isn’t going to solve problems, but it’s a step in the right direction.

Dr. Nick, CMIO of Nuance Talks About Their Acquisition of Quantim and J.A. Thomas & Associates

In this interview, Dr. Nick discusses an important string of acquisitions by Nuance. This is an interesting move by Nuance and Dr. Nick does a good job of describing the vision of Nuance going forward with these acquisitions and their view of how healthcare documentation will happen in the future.

EMR Thoughts

Allscripts May Sell Out To Private Equity Buyer & Allscripts to Discontinue MyWay EHR

It has been a really busy week for Allscripts. First came the news that Allscripts was considering a sell to a Private Equity Buyer. This news is harder to read since it could mean a big sell or it could just be posturing. In what I think is even bigger news is that Allscripts is discontinuing their MyWay EHR. This is a big move on Allscripts part. It’s a necessary decision by Allscripts because they have too many EHR software to manage, but it’s going to leave a lot of doctors and a lot of VARs scrambling.

EMR, EHR and Healthcare IT News

HIMSS Opposes Call for Suspension of EHR Incentive Program

We’ll be writing some more pieces soon on the members of Congress that are calling for a halt on the HITECH Act and payment of EHR incentives. However, this was HIMSS’ response to the request to halt EHR incentive payments. It’s not a surprising response, but I do like the data that HIMSS provides to the conversation. Most people see this move as a political one, and not necessarily one that puts the HITECH EHR incentives at risk.

Hospital EMR and EHR

Smart Bed Technology Interview with Casey Pittock of BAM Labs 

Vice President of Sales and Marketing at Bam Labs was recently interviewed over at Hospital EMR and EHR. BAM Labs created the Smart Bed, a mat that is placed under a person’s mattress that can measure heart rate, breathing rate, and motion. Pittock discusses how it was created, the accuracy of it, and how providers can interact with the data.

Meaningful Health IT News

Attending Health 2.0? Donate Your Old Smartphone

If you have plans to attend Health 2.0 next week, be sure to bring along any old smartphones. Health eVillages will take the device and load onto it different medical materials and sent to doctors that are in third world countries. There are sites for Health eVillage in the countries of Haiti, China, Kenya, and Uganda, with plans to expand to more.

Wired EMR and EHR

The Naivete of mHealth

There are many mHealth creations coming out at a rapid pace. At first glance, these innovations seem incredible and life-changing. However, without supporting documents and proof of the effectiveness, the money and time that goes into implementing certain technologies might not be worth it. This post talks about a home monitor for CHF, and although it’s a great idea, unless a patient is really dedicated to following all the alerts, it may not be effective. Technology needs to be reliable and proven to work before it should be recommended for use.

Smart Phone Health Care

Remotoscope – Diagnose Ear Infections at Home Using Your iPhone

Many children get ear infections, and it’s no fun taking them to the doctor if the diagnosis of one is uncertain. Luckily, a new tool has been invented to help parents and physicians diagnose from home. The tool is a detachable clip that turns a smart phone into otoscope, and parents can take a picture of their child’s eardrum to send to their physician for further analysis.

Meaningful Use Measures: Clinical Quality Measures – Meaningful Use Monday

Posted on April 11, 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.

I am starting the discussion of the individual meaningful use measures with “reporting on clinical quality measures (CQM)” for two reasons: It is one of the three pillars of meaningful use identified in the legislation, and it is a measure that appears to be causing a great deal of confusion.

Just one of the 15 core measures required of meaningful users, it sounds a lot like PQRI (now PQRS); and many of the measures are, in fact, taken from that program. However, unlike PQRS, meaningful use requires reporting only—it does not set required thresholds, at least not in Stage 1—and reporting is not limited to Medicare patients. Interestingly, physicians can earn both PQRS and EHR Incentives in the same reporting period (in contrast to ePrescribing and EHR incentives.)

While EPs cannot exclude this measure, providers can report “0”s (for denominators and numerators) if they cannot find measures that apply to their patient population.

The Final Rule shortened the list of quality measures contained in the Proposed Rule—eliminating the specialty-specific measure sets—and created a list of 44 CQMs from which EPS must choose. Some specialists perceived this change as good news, while others were disappointed.

Reporting Requirements:

Eligible professionals must report on 3 “Core CQMs” and 3 “Additional CQMs” as follows:

  • There are 3 Required Core CQMs” (Hypertension, Smoking Cessation, and Adult Weight Screening) and 3 “Alternate Core CQMs” (Weight Assessment for Children, Flu Vaccinations for Patients over 50, and Childhood Immunizations.) EPs must report on the 3 Required Core CQMs. If a physician reports “0”s for one or more of the 3 Required Core CQMs, he/she must then report on up to 3 Alternate Core CQMs. (Some specialists, therefore, may have to report on as many as 6 core CQMs.)
  • There are 38 Additional CQMs from which physicians must also select 3. Again, there will be some specialists who find few measures, if any, that are relevant to their patient populations. They must still report on 3 of these measures with actual numerators and denominators where possible and “0”s for the others.

You can read more about the quality measures and their specifications in the Final Rule, pages 44398-44408, and on the CMS website.

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. Check out Lynn’s previous Meaningful Use Monday posts.