Medicare ACOs Improving Care Coordination With Health IT, But Still Have Work To Do

Healthcare IT Today

A recent study by the HHS Office of Inspector General suggests that Medicare ACOs coordinate care more effectively when they have the right health IT tools in place, particularly when ACO members share one EHR platform and have access to a robust HIE.

CMS To Run Pilot Giving Providers Access To Medicare Claims Data

Healthcare IT Today

Ambulatory Analytics/Big Data Clinical EMR-EHR Health IT Company Healthcare IT IT Blue Button 2.0 CMS FHIR API Health Data Sharing Healthcare Interoperability hl7 Medicare Claims Data MyHealthEData

CMS overhauls meaningful use EHR program, removes redundancies

Mobi Health News

Centers for Medicare and Medicaid Services Administrator Seema Verma on Tuesday announced changes to overhaul the meaningful use EHR incentive program, including equipping patients with access to their electronic health records on the day they leave the hospital

CMS launches Medicare info mobile app

Morning eHealth

Optum comes back swinging in employment war — Comments on EHRs and clinician burden

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Doctors Say EHRs Are Good for Storage, But Risky for Patient Relationships and Burnout

Health Populi

That deficiency is, in three words, lack of interoperability; that challenge has required one-half of physician-users to use work-around’s to make their EHR investments more useful. 7 in 10 PCPs believe EHRs greatly contribute to physician burnout.

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MIPS Audits: Lessons Learned from Meaningful Use

Healthcare IT Today

Just as the Meaningful Use (MU) EHR Incentive program brought potential audits to providers, so it will be with the MIPS program. The following is a guest blog post by Jim Tate, Founder of EMR Advocate & MIPS Consulting.

Research: EHRs Prove Effective in Creating Registries for Prediabetes Patients

hea!thcare innovation - Clinical IT

The study also helped lead to Medicare coverage of Centers for Disease Control and Prevention-recognized lifestyle-change programs

CMS new rule: Experts weigh in on big changes to clinical documentation, EHRs and interoperability

Mobi Health News

The "historic changes" announced late yesterday by the Centers for Medicare & Medicaid Services, promising big adjustments to its policies around the Physician Fee Schedule and the Quality Payment Program, already have the healthcare industry talking

Who should reconcile differences in VA and DOD EHR?

Morning eHealth

Minibus spending bill bumps up HHS budget — Health leaders say Stark Law blocks innovation in Medicare

MU Study Suggests That A Health IT Divide May Be Emerging Among Physicians

Healthcare IT Today

Ambulatory Clinical EMR-EHR Healthcare IT IT Role Health IT Digital Divide MACRA meaningful use Medicare MIPS Physician MU Attestation SK&A

When Will Self-Service Come to Health Care?

Health Populi

Yet despite increased use of EHRs by clinicians and smartphones and wireless technology by patients, the fundamental approaches to managing hypertension, diabetes, and chronic lung disease have remained the same for 50 years… The physician–patient encounter is health care’s choke point.

ACOs with Multiple EHRs Struggle with IT Health Care Coordination

BHM Healthcare Solutions

ACOs connected by a single EHR were more successful at care coordination, though most also supplement their EHR platform with other tools and technology, according to a report from HHS’ Office of Inspector General. The report is based on an evaluation of six Medicare ACOs.

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E-Prescribing of Controlled Substances Still Underused

Healthcare IT Today

Ambulatory Clinical EMR-EHR Healthcare IT IT Andrew Gettinger Electronic Prescribing of Controlled Substances EPCS Medicare Part D ONC Substance Use-Disorder Prevent that Promotes Opioid Recovery and Treatment for Patients and Communities Act Thomas Mason

Health Is Social – The Social Determinants of Health at HIMSS19

Health Populi

That magic wand would wish for clinicians to ask patients and caregivers about their lives, divining SDoH challenges to include in the full profile of the person in her/his EHR. To mitigate SDoH risks for older Americans, Medicare has begun to pay for services that promote coordinated care.

Costs, Consumerism, Cyber and Care, Everywhere – The 2019 Health Populi TrendCast

Health Populi

The announcement this week of Morgan Stanley’s capital influx into Medsphere, an EHR company, is a hint of what more is to come in 2019 as an example of investors’ expanded interest in health IT and new-and-improved healthcare services and business models.

Fred Trotter on Data Journalism and Cybersecurity — Harlow on Healthcare

Health Blawg

Fred notes that the DocGraph dataset of Medicare physician relationships with patients is the largest graph dataset — i.e. a dataset organized with nodes and edges — using real-name data out there, and is one of the few “people” graphs that are open. EHRs used to be so far behind the firewall at healthcare organizations that they weren’t really vulnerable. Now EHRs — and PHRs — are more accessible.

How one lab interfaced with 100 EHRs, saving $120,000 annually

Healthcare Guys

With help from its integration platform, MedLabs reduced the time it takes to perform an integration to weeks from months, eliminated $33,000 in Medicare reimbursement write-offs and reduced its annual operating expenses.

Blockchain in Healthcare: A Vehicle Towards Digital Health 2.0?

The Digital Health Corner

now that it has entered the digital world (albeit tepidly) via EHRs and IT support. digitalhealth clinical trials digital health digital health technology drug addiction FDA healthcare economics Healthcare IT IT security medical apps medical devices patient engagement patient safety pharma technology #hcldr blockchain cybersecurity EHR healthcare IT hospitals Medicare telehealthI would like to apologize to the readers of this site for the long hiatus.

Health Wizz pilots blockchain and FHIR mobile app for EHRs

Healthcare Guys

The startup is working in conjunction with Cape Fear Valley Health pilot test to add social features for Medicare beneficiaries with congestive heart failure.

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OIG: Medicare ACOs have yet to realize full potential of health IT

Healthcare Guys

Medicare accountable care organizations aren’t using electronic health records to their full potential, a new report shows.

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Fred Trotter on Data Journalism and Cybersecurity — Harlow on Healthcare

Health Blawg

Fred notes that the DocGraph dataset of Medicare physician relationships with patients is the largest graph dataset — i.e. a dataset organized with nodes and edges — using real-name data out there, and is one of the few “people” graphs that are open.

Fred Trotter on Data Journalism and Cybersecurity — Harlow on Healthcare

Health Blawg

Fred notes that the DocGraph dataset of Medicare physician relationships with patients is the largest graph dataset — i.e. a dataset organized with nodes and edges — using real-name data out there, and is one of the few “people” graphs that are open.

The The Five Biggest Areas of Opportunity for Digital Health

The Digital Health Corner

Electronic health records (EHRs) and personal fitness trackers have helped create awareness through use. According to most recent statistics from the Office of the National Coordinator, use of EHRs has increased from 20% in 2004 to 87% in 2015. EHRs were designed as documentation centers for billing and regulatory purposes. the regulatory and billing data entry should be performed by someone else and relegated to an (almost) invisible part of the EHR.

Healthcare groups urge ONC to focus on interoperability, usability to reduce EHR burdens

Healthcare Guys

Numerous studies have documented that EHR tasks take up a large part of a doctors workday.In late November, the Department of Health and Human Services (HHS) issued its 74-page draft strategy, which was developed by ONC in partnership with the Centers for Medicare & Medicaid Services (CMS).

Fred Trotter on Data Journalism and Cybersecurity — Harlow on Healthcare

Health Blawg

Fred notes that the DocGraph dataset of Medicare physician relationships with patients is the largest graph dataset — i.e. a dataset organized with nodes and edges — using real-name data out there, and is one of the few “people” graphs that are open. EHRs used to be so far behind the firewall at healthcare organizations that they weren’t really vulnerable. Now EHRs — and PHRs — are more accessible.

Fred Trotter on Data Journalism and Cybersecurity — Harlow on Healthcare

Health Blawg

Fred notes that the DocGraph dataset of Medicare physician relationships with patients is the largest graph dataset — i.e. a dataset organized with nodes and edges — using real-name data out there, and is one of the few “people” graphs that are open. EHRs used to be so far behind the firewall at healthcare organizations that they weren’t really vulnerable. Now EHRs — and PHRs — are more accessible.

Fred Trotter on Data Journalism and Cybersecurity — Harlow on Healthcare

Health Blawg

Fred notes that the DocGraph dataset of Medicare physician relationships with patients is the largest graph dataset — i.e. a dataset organized with nodes and edges — using real-name data out there, and is one of the few “people” graphs that are open. EHRs used to be so far behind the firewall at healthcare organizations that they weren’t really vulnerable. Now EHRs — and PHRs — are more accessible.

Health IT roundup—Remote monitoring company settles with DOJ for $550K; EHR rebrand ‘misses the point’

FierceHealthIT

A Pennsylvania company that provides real-time intraoperative neurophysiological monitoring during surgical procedures agreed to pay $550,000 to settle allegations it billed Medicare even when a physician wasn't monitoring live data streams. Meanwhile, UCSF directors say EHRs should be "connected" rather than "comprehensive

Is It Time For The Federal Government To Create A National HIE?

Healthcare IT Today

Earlier this year, ONC and CMS issued new draft guidelines requiring that all insurers and providers serving the Medicare population make their data available electronically by 2020.

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Five Ways a Good Digital Health Registry Addresses Healthcare System Needs

The Digital Health Corner

Clinical or other predetermined data relevant to a given patient can be collected real-time from anywhere the patient is seen, regardless of the data’s EHR vendor of origin. The Physician Quality Reporting System (PQRS) has been used since 2015 as a metric to determine negative Medicare payment adjustments to providers who do not meet quality standards.

The 2019 Invasion of Disruptors in Healthcare (Part 2) — Google, Lyft, Uber, IBM

Phoenix Health Systems

Ventures include the Google Brain project that uses AI-powered speech recognition and machine learning tools to help doctors automatically fill out EHRs and reduce documentation time. In a strategic windfall, the Centers for Medicare and Medicaid Services (CMS) announced last April that it would cover non-emergency transport, freeing up hundreds of thousands of dollars for rideshare companies.

Dr. Nick van Terheyden and the Invisible Patient – Harlow On Healthcare

Health Blawg

Instead he urges that we must Look at the EHR, at Rx data, appointment data, anything that exists about the patient, and assemble it in one place, and examine it carefully. The system has been implemented at Banner Health, for certain conditions, in the Medicare Advantage population, after Banner tested the BaseHealth algorithms by applying them to old data about patients that had been followed at Banner.

EHR 111

Texting patient information – The latest from CMS

Health Blawg

We are now back to the status quo ante, at least with respect to the question of whether and how texting may be used in hospitals subject to the Medicare Conditions of Participation (i.e., Orders are to be entered into a medical record by hand or via CPOE (CPOE, unlike texting, is permitted because it is set up to auto-download into the EHR, with date, time and authentication taken care of). CMS has a communications problem.

HIE 95

Dr. Nick van Terheyden and the Invisible Patient – Harlow On Healthcare

Health Blawg

Instead he urges that we must Look at the EHR, at Rx data, appointment data, anything that exists about the patient, and assemble it in one place, and examine it carefully. The system has been implemented at Banner Health, for certain conditions, in the Medicare Advantage population, after Banner tested the BaseHealth algorithms by applying them to old data about patients that had been followed at Banner.

EHR 95

The 2019 Invasion of Disruptors in Healthcare (Part 1) — Amazon and Apple

Phoenix Health Systems

Apple is also collaborating with EHR vendors, including athenahealth, Cerner and Epic, to help their users access personal health records on iPhones. Apple developed its Health Records feature using FHIR (Fast Healthcare Interoperability Resources), in order to transfer medical records to and from disparate healthcare organizations and EHRs. Future of Health IT Amazon Apple apps disruptor EHR healthcare healthcare systems interoperability patient portals

The 2019 Invasion of Disruptors in Healthcare (Part 1) — Amazon and Apple

Phoenix Health Systems

Apple is also collaborating with EHR vendors, including athenahealth, Cerner and Epic, to help their users access personal health records on iPhones. Apple developed its Health Records feature using FHIR (Fast Healthcare Interoperability Resources), in order to transfer medical records to and from disparate healthcare organizations and EHRs. Future of Health IT Amazon Apple apps disruptor EHR healthcare healthcare systems interoperability patient portals

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Privacy Issues with Patient Portals

BHM Healthcare Solutions

The article, written by Hannah Galvin, MD, a member of the American Academy of Pediatrics Council on Clinical Information Technology, states that the inability to hide a patient’s sensitive health information in the EHR has presented limitations to patient portals for various organizations. Often when sensitive data is entered into the EHR, it can automatically appear in the patient portal, be printed in a care summary report or get transmitted to other providers or payers.

EHR 40

Texting patient information – The latest from CMS

Health Blawg

We are now back to the status quo ante, at least with respect to the question of whether and how texting may be used in hospitals subject to the Medicare Conditions of Participation (i.e., CMS has a communications problem.

HIE 78

Texting patient information – The latest from CMS

Health Blawg

We are now back to the status quo ante, at least with respect to the question of whether and how texting may be used in hospitals subject to the Medicare Conditions of Participation (i.e., CMS has a communications problem.

HIE 78

Texting patient information – The latest from CMS

Health Blawg

We are now back to the status quo ante, at least with respect to the question of whether and how texting may be used in hospitals subject to the Medicare Conditions of Participation (i.e., Orders are to be entered into a medical record by hand or via CPOE (CPOE, unlike texting, is permitted because it is set up to auto-download into the EHR, with date, time and authentication taken care of). CMS has a communications problem.

HIE 60