Certification

What Happens When CMS Asks for the Sale?

June 7, 2011     By Mark Hagland
blog
One development that occurred last month that hasn’t elicited a tremendous amount of coverage or comment happened on May 17, when the federal Centers for Medicare and Medicaid (CMS) announced a new model for accountable care organization (ACO) development that was obviously designed to improve provider organizations’ interest in concept. The “Pioneer ACO Model,” as CMS is calling it, would allow already significantly integrated health systems to begin participating in the ACO shared savings program as early as this summer, rather than having to wait until January 1 to do so, as the formal program’s start date had established.

HCI 100, Most Interesting Vendors, Rethinking Vendor Relationships, MU and Public Health

May 26, 2011     John DeGaspari
article
Which were the top healthcare IT vendors by revenue in 2010?

Analysis: An Early Wave Crest?

May 26, 2011     Mark Hagland
article
Even a cursory glance at this year's Healthcare Informatics 100 list provides fascinating glimpses into the current state of the healthcare IT vendor market, when this year's list showing 2010 revenues is compared to previous years' lists documenting 2009 and 2008 revenues. With only three exceptions, every single vendor whose revenues are listed in this year's compendium has seen increased revenues between 2009 and 2010, and many vendors have seen considerable upticks, some through expansion or acquisition

Rethinking the Vendor Relationship

May 26, 2011     Mark Hagland
article
As the landscape around contracting with EHR vendors evolves rapidly forward because of meaningful use, CIOs need to think very carefully and very strategically about their relationships with vendors-both those they are now beginning to enter into contracts with, and those they've already partnered with.

Beacon Communities Make Headway with Health System Improvement, Payment Reform

May 17, 2011     Jennifer Prestigiacomo
article
To mark the Beacon Communities one-year anniversary, the Engelberg Center for Health Care Reform at Brookings (Washington, D.C.) in collaboration with The Office of the National Coordinator for Health IT (ONC) hosted “Health IT in an Era of Accountable Care: Update from the Beacon Communities,” a half-day meeting, to highlight the progress Beacon communities were making around health system improvement and payment reform. Aneesh Chopra, CTO, White House Office of Science and Technology Policy, said that physicians in Beacon communities and beyond were now “open to dream the dreams [they] dreamt in medical school” because meaningful use allowed the possibilities to coordinate patient care more effectively and optimize billing that past siloed systems didn’t support.

The Doc's Doc-Part I

May 6, 2011     Joe Bormel, M.D.
blog
Electronic Physician Documentation is quickly becoming recognized as a nightmarishly messy and incoherent linchpin to Meaningful Use. Electronically capturing documentation previously done on paper or through dictation sounds pretty straight forward. It’s not.

Early Attestation in a Solo Physician Practice

May 3, 2011     Mark Hagland
article
Childs Medical Clinic received $18,000 for its attesting eligible professional (EP) Hayden Childs, M.D., having satisfied the 90-continuous days of meaningful use reporting merged with allowable tracking to achieve the incentives thresholds. Despite the fact of the small scale and the relative isolation of the Childs Medical Clinic (Samson is located in far southeast Alabama, just a few miles north of the Florida panhandle), Jule Child and her eight colleagues in the clinic were determined early on to pursue meaningful use under the federal American Reinvestment and Recovery Act/Health Information Technology for Economic and Clinical Health (ARRA-HITECH) Act.

D.C. Report: EHR Clarification Data, MU Implementation, Health Reform Lawsuit Status

May 2, 2011     Sharon Canner, Sr. Director of Advocacy
article
In a FAQ, CMS indicated EHR calculated quality measures (QM) will not need to include all patients. The FAQ acknowledges that all data needed may not be available or accurate. Data submitted is not expected to match what hospitals submit through other CMS programs. CMS states that [it] “considers information to be accurate and complete for CQMs insofar as it is identical to the output that was generated from certified EHR technology.”

First-Day Attestation: Ferdinand Velasco, M.D.

April 26, 2011     Mark Hagland
article
Among the small number of integrated health systems to complete the attestation process on April 18, the first day in which attestation of the fulfillment of the stage 1 requirements for meaningful use under the Health Information Technology for Economic and Clinical Health (HITECH) Act was possible, was the 11-hospital, 24-facility, 4,100-bed Texas Health Resources (THR), based in Arlington, Tex.

One Surgeon's Perspective on Physician Documentation

April 26, 2011     Mark Hagland
article
Douglas Johnston, M.D., a cardiovascular surgeon, and director of the length-of-stay and throughput initiatives taking place at the Cardiovascular Institute, a division of the Cleveland Clinic Health System, Cleveland Oh., is a practicing surgeon who is very supportive of the medical documentation improvement efforts taking place at Cleveland Clinic. He has been working closely with William Morris, M.D., vice chairman of clinical systems, and a practicing hospitalist in the organization, and with Susan Belley, manager of coding and documentation improvement, on a project to improve the quality of physician documentation among doctors practicing in the Cardiovascular Institute there.

D.C. Report: PCAST Workgroup Expresses Concerns on Universal Exchange Language

April 25, 2011     Sharon Canner
article
Members from the HIT Policy and HIT Standards Committee concluded this week that recommendations first laid out in the President's Council of Advisors on Science and Technology (PCAST) report are too ambitious, echoing CHIME’s comments submitted in January. According to the PCAST workgroup, an end-to-end universal exchange standard that utilizes metadata tags instead of standardization is simply not feasible for Stage 2 Meaningful Use inclusion.

Keys to EHR Success

April 22, 2011     Ann Fagan-Cook and Patrick Murfee
article
Rural healthcare organizations are accustomed to feeling a lot like David, worried that their relatively small size precludes them from taking on large challenges. Certainly, as the healthcare industry struggles with the challenges associated with achieving the meaningful use of electronic records required to receive financial incentives available through the American Recovery and Reinvestment Act (ARRA), rural and community healthcare organizations are once again feeling the pain of dealing with a Goliath-like challenge.
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