November 17, 2010 12:54 PM
Posted by: Jenny Laurello
, EHR integration
The Institute for Health Technology Transformation’s EHR Landscape Report for 2010 takes an in-depth look at the emerging electronic health records landscape.
The report discusses in particular the resiliency of the healthcare information technology space during the most recent financial crisis, both in terms of issuance of public equity and merger and acquisition activity.
The report can be downloaded directly by visiting the Institute for Health Technology Transformation’s Download Center at http://ihealthtran.com/downloadcenter.html
Interested in this and other iHT2 content? Become an Institute for Health Technology Transformation subscriber today! Visit www.ihealthtran.com to learn more.
November 17, 2010 12:31 PM
Posted by: Jenny Laurello
Q&A on HL7 with Eliot Muir, president, iNTERFACEWARE
1. What do you see as the biggest challenges associated with HL7 integration?
HL7 standards are a set of loosely defined standards. Unlike some standards that enforce strict guidelines, HL7 standards were designed to find a quick solution to healthcare integration woes. As a result, there are many different versions and aspects of HL7 floating around and interfacing between disparate systems can be extremely difficult.
Additionally, various parts of the standard are ambiguous at best and include a significant amount of optionality. This leads to different vendors making their own interpretations. As a result, one of the main challenges of integration is simply being nimble enough to adapt to these various interpretations.
2. What are the key drivers for the adoption of and consistent use of HL7 standards?
HL7 standards are the most widely deployed standards across the healthcare industry. They have successfully eliminated the headache of custom interface programming on the part of both the sending and receiving application vendors. HL7 standards have been around long enough to be tried and tested for creating interfaces. They have helped the healthcare industry reduce costs by outlining best practices for processes such as collection of patient attributes or a standard set of interesting events.
3. What best practices should hospitals and healthcare providers adopt to ensure they meet healthcare standards such as HL7?
1) Do the simplest translation possible.
The shortest distance between any two points is a straight line. The same principle is true for integration. When integrating two systems, there’s much less risk of lost or mis-translated information if you keep the translation in the same language.
For instance, if you’re tasked with translating some text from Quebecois French to Parisian French, it doesn’t make any sense to translate it into English first. The same rule applies for HL7
Approximately, more than 90 percent of interfaces require transforming or translating one version of HL7 v2.x into a different version of HL7 v2.x. HL7 v3 is XML based and a complete rewrite of the standard. As a result, it is time-consuming and cumbersome to integrate systems by translating from HL7 v2.x into XML based systems and then back into a different dialect of HL7 v2.x. This should be avoided if the goal is for a cost-effective timely integration.
2) Use tools with good visibility into the transactions
Integration is always a moving target. Vendors make minor alterations to their products regularly. These changes often alter their interfaces in terms of what data they send/receive or how it’s formatted. When looking for an integration solution, it’s important to make sure there is clear visibility around the transactions. As you go live with your interface, it will save time and money if your support team can quickly look up all the transactions into and out of your system
3) Work from real data, not the standard.
Integration is a real-world problem, not a theoretical one. Many of the core systems at hospitals were built more than a decade ago. These systems are in place because they work and meet the operational needs of healthcare providers not because they strictly adhere to the standards. As discussed earlier, the shortest and the most accurate path to interoperability provides the most flexibility for optimal real world interfacing.
Some of the common descriptions for HL7 include: “HL7 is a non-standard, standard” or “HL7 is a great standard, everyone has one.” This has led to lenient adoption of the standard. Therefore, it is important to be flexible and be able to work with existing data and interfaces, rather than build specific interfaces that can only work with the standard.
4. What’s different about HL7 version 3? How can healthcare providers prepare for the updated standards?
HL7 Version 2 was developed with the goal of standardizing and reducing the costs of building interfaces in healthcare. To expedite the adoption of these standards and to increase the number of users, clinical interface specialists and vendors tried to incorporate data fields and interface frameworks already in use. As a result, Version 2 was a set of loosely defined standards built in an ad hoc fashion but easy to conform to. Version 3 (V3) on the other hand was developed with a more ambitious goal of attempting to make a complete data model framework to try and achieve consistency across the whole message set. Additionally, V3 is XML based and therefore each message is significantly larger by one or two orders of magnitude compared with V2.
We’re still very much at the early adopter phase for V3 standards. Other than at the government level there really has not been much penetration of V3 standards into clinical environments.
iNTERFACEWARE is a software provider committed to simplifying HL7 integration. More information about iNTERFACEWARE, can be found at: http://www.interfaceware.com/.
November 17, 2010 11:48 AM
Posted by: Jenny Laurello
, Value based purchasing
“It’s about really trying to improve the care that is delivered, and the outcomes of health that our beneficiaries receive.”- Dr. Betsy Thompson, CMO, Region IX, Centers for Medicare and Medicaid Services
Listen in on this 10 minute discussion previewing Dr. Betsy Thompson’s keynote presentation at the Fall Health IT Summit as she discusses how the largest payer is striving to evolve to a value purchaser rather than a passive payer, and how HITECH initiatives and working with REC’s can be a simple process to improve care and outcomes.
Click Here to View this Exclusive Interview
Interested in this interview and other health IT content? Become an Institute for Health Technology Transformation subscriber today! Visit www.ihealthtran.com to learn more.
November 9, 2010 11:00 AM
Posted by: HealthITGuru
, Data security
An Exclusive ecfirst Signature Webcast 11/10:
NEWPORT BEACH, CALIFORNIA, USA – November 10, 2010: Organizations are increasingly considering applying the ISO 27000 international security standards, NIST and PCI DSS Standards to comply with various U.S. federal (e.g. HIPAA, HITECH Data Breach and Meaningful Use) and state regulations (CA, MA, others).
The ISO 27000 is a global standard that provides a comprehensive framework that organizations can adopt to address compliance requirements and establish a resilient information infrastructure. NIST Standards provide a terrific opportunity for businesses to establish their policies, plans and procedures for security capabilities and controls. ISO 27000, NIST & PCI Standards provide best practice recommendations on information security management, risks and controls within the context of an overall enterprise compliance and security program.
Examine how to apply the ISO 27000, NIST and PCI DSS Standards to address critical federal and state privacy and security requirements.
In this session, you will learn about:
- The ISO 27000 global information security standard and its application to compliance mandates
- The NIST Special Publication guidance and standard publication critical to address incident management, contingency planning and other regulatory requirements
- State regulations for privacy and security, with emphasis on California and Massachusetts, and the application of ISO 27000, NIST & PCI DSS to address critical requirements
- Getting started with a checklist to establish the foundation for a comprehensive information security program to address HITECH and HIPAA mandates for data breach management and Meaningful Use (risk analysis)
Ali Pabrai, chief executive of ecfirst is a highly sought after information security and compliance expert. He is also author of the executive brief Cyber Security Strategy: The 4 Laws of Information Security. Pabrai was the first to launch a program focused on global information security regulations, the Certified Security Compliance SpecialistTM (CSCSTM) program. The CSCSTM program addresses PCI DSS, FISMA, ISO 27000, FISMA and other security regulations and standards.
Mr. Pabrai’s clients have included hundreds of hospitals, payer organizations, long term care facilities, Microsoft, HP, Symantec, Kemin, Ernst&Young, Elkay, Intuit, Pella, Principal Financial, U.S. Department of Veteran Affairs, as well as numerous federal, state and county governments.
Webcast Date: November 10, 2010 @ 11 am central. Register @ www.ecfirst.com.
For more information, please contact: John Schelewitz– John.Schelewitz@ecfirst.com — 480.663.3225
October 18, 2010 11:32 AM
Posted by: Jenny Laurello
, EHR Adoption
, EHR integration
Accelerating EHR Adoption – A FREE, one-day interactive seminar
Presented by: SearchHealthIT.com
Thursday, Nov. 4, 2010 * 8:00 AM – 3:30 PM * Boston Marriott-Newton, Newton, MA
Offering first-hand expertise from some of today’s top health IT practitioners, attend SearchHealthIT.com’s complementary, interactive seminar on Nov. 4, where you will:
- EXAMINE SOLUTIONS through organizational case studies of excellence, featuring Fallon Clinic, Atrius Health, Physicians’ Clinic of Iowa, Brigham and Women’s, and more!
- FIND ANSWERS to your toughest EHR integration questions and hear lessons learned and tools for success
- NETWORK AND ENGAGE one-on-one with our expert speaking faculty and contributing industry experts
- HEAR FROM PROVIDERS who have “been there, done that”
- GARNER INSIGHT from association leaders on federal mandates and future implications
Learn about the latest updates in the EHR technology landscape and walk away with practical advice on:
· 10 keys to a successful EHR install and adoption
· Privacy and security safeguards and HIPAA compliance strategies
· Methods to streamline your service lines
· How to assess the effect of EHR on workflows
· Quality measurement and reporting strategies
· Frameworks for EHR success from industry practitioners
· Virtualization options to meet changing storage requirements
· Techniques to enable health information exchange within your walls and outside
· And much more!
For more information, including registration, speaker bios and more, visit the seminar Web site or call Steven Hart at (617) 431-9711: http://events.techtarget.com/EHR/?Offer=CommunityBlog
October 6, 2010 3:08 PM
Posted by: Jenny Laurello
As part of the American Recovery and Reinvestment Act of 2009 (ARRA), signed into law in February of 2009, President Obama enacted the Health Information Technology for Economic and Clinical Health Act (HITECH Act). The primary goal of the HITECH Act is to advance the adoption and meaningful use of health information technology and health data exchange, with the overarching objective being to expand the continuum of care, improve patient outcomes and overall drive quality of care up, and cost of care down.
Also included in the HITECH Act is the Health Information Technology Extension Program, which established the creation of Regional Extension Centers (RECs), designed to successfully move providers though the process of electronic health record (EHR) selection, installation, implementation and adoption. The main function of each REC is to provide both education and technical assistance to providers in specific geographic areas to accelerate health IT adoption and enable meaningful use of EHR systems.
To find the REC serving your area, please refer to the alphabetized list below:*
|Alabama Regional Extension Center
||TRP III Suite 1100, 307 North University Boulevard, Mobile, AL, 36688251-414-8170
(251)460-6333 Russ Lea – email@example.com
|Alaska eHealth Network
||PMB 1143, 2440 East Tudor Road, Anchorage, AK, 99507
(907) 729-3934 Rebecca Madison – firstname.lastname@example.org
|Arizona Health-e Connection
||810 W. Bethany Home Road, Phoenix, AZ, 85013(602) 288-5130 Melissa Rutala – email@example.com
|Arkansas Foundation For Medical Care- HIT Arkansas
||401 West Capitol Ave, Little Rock, AR, 72201
Johnathan Fuchs – firstname.lastname@example.org
|California – Local Initiative Health Authority for Los Angeles County
||555 West 5th Street, 29th Floor, Los Angeles, CA, 90013
(213) 694-1250 x 4347Sajid Ahmed – email@example.com
|CalHIPSO (North & South)
||555 12th St, 10th Floor, Oakland, CA 94607Phone: 510-285-5723
Toll Free: 888-589-4897
(510) 285-5723 Speranza Avram – firstname.lastname@example.org
||1120 West La Veta Avenue, Suite 200
Orange, CA 92868General: 1-714-246-8500
|Colorado Regional Extension Center (CORHIO)
|| 3773 Cherry Creek N., Suite 615, Denver, CO 80209
Phyllis M. Albrritton – email@example.com
|Connecticut- eHealth Connecticut
||1111 Cromwell Ave, Suite 201, Rocky Hill, CT , 06067(860) 240-5617
Scott Cleary – firstname.lastname@example.org
|Delaware – Quality Insights of Delaware, Inc.
||3411 Silverside Road, Baynard Building, Suite 100, Wilmington, DE, 19810
(304) 346-9864 x 2228 Kathleen Merrill – email@example.com
|District of Columbia Primary Care Association (DCPCA)
||1411 K Street NW, Washington, DC, 20005
(202) 638-0252 Donna Ramos-Johnson – firstname.lastname@example.org
|Florida -Rural and North Florida Regional Extension Center
||140 Fountain Parkway Suite 210, St. Petersburg, FL, 33716
(727) 573-2422Diane Gaddis – email@example.com
|Florida – Health Choice Network, Inc.
||9064 NW 13 Terrace, Miami, FL, 33172
(305) 599-1015 Kevin Kearns – firstname.lastname@example.org
|Florida – University of Central Florida
||12201 Research Parkway, Suite 501, Orlando, FL, 32826
(407)823-4071 Jeanette Schreiber – email@example.com
|Florida- PaperFree Florida- USFHealth
||12901 Bruce B. Downs Blvd.
Tampa, Florida 33612Cheryl Lesko- firstname.lastname@example.org
|Florida- South Florida Regional Extension Center
||9064 NW 13 Terrace, Miama, FL, 33172305 471 8710, ext 8281
|Georgia – Morehouse School of Medicine
||720 Westview Drive, Atlanta, GA, 30310
(404) 756-8960 Dominic Mack M.D. – email@example.com
|Hawaii Health Information Exchange
||345 Queen Street, Suite 601, Honolulu, HI, 96813
(808)791-7830 Christine Sakuda – firstname.lastname@example.org@hhie.org
|HealthBridge, Inc (select areas in KY, OH and IN)
||11300 Cornell Park Drive, Suite 360 Cincinnati, Ohio 45242
(513) 469-7222 x4
|Illinois – Northern Illinois University
||Northern Illinois University, Regional Development Institute, 301 Lowden Hall, DeKalb, IL, 60115
(815) 753-0936John Lewis – email@example.com
Joan Laurino – info@ILHITREC.org
|Illinois- Chicago Health Information Technology Regional Extension Center (CHITREC)
||750 N. Lake Shore Drive, 9th Floor
Chicago, Illinois 60611
312.503.2986 – main
312.503.6743 – fax
|Indiana – Purdue University
||155 S. Grant St., West Lafayette, IN, 47907
(765) 494-9095Vic Lechtenberg – firstname.lastname@example.org
|Iowa Foundation for Medical Care (IFMC)
||1776 West Lakes Parkway, West Des Moines, IA, 50266800-373-2964
FAX (515) 222-2411
Susan Harr – email@example.com
|Kansas Foundation for Medical Care, Inc. (KFMC)
||2947 SW Wanamaker Drive, Topeka, KS, 66614(800) 432-0770
|Kentucky – University of Kentucky Research Foundation
||109 Kinkead Hall, Lexington, KY, 40536
(859)257-9420Deborah Davis – firstname.lastname@example.org
|Louisiana Health Care Quality Forum
||304 Laurel Street, Suite 2D, Baton Rouge, LA , 70801
(225)334-9299Jenny Smith – email@example.com
|Maine – HealthInfoNet
||125 Presumpscot Street, Box 8
Portland, Maine firstname.lastname@example.org
(207) 430-0688 Devore Culver – email@example.com
|Maryland – Chesapeake Regional Information System for our Patients
||5525 Research Park Drive
Catonsville, MD 21228(410) 402-9211
General inquiries: firstname.lastname@example.org
|Massachusetts eHealth Initiative (MeHI)
|| 860 Winter Street
Waltham, MA 02451-1411
Contact: Jeff Loughlin
Telephone: (781) 434-7751
New Hampshire: email@example.com
|Massachusetts – MA Technology Corporation
||75 North Drive, Westborough, MA , 01581
(617) 371-3999 X 233 Richard F Shoup, PhD – firstname.lastname@example.org
|Michigan – M-CEITA
||3520 Green Ct #300, Ann Arbor, MI, 48105
Dan Armijo – email@example.com
|Minnesota Regional Extension Assistance Center for HIT- Key Health Alliance
||2901 Metro Drive, Suite 400, Bloomington, MN, firstname.lastname@example.org
(877) 331-8783 ext. 222
Sue Severson – email@example.com
|Mississippi Regional Extension Center for Health Information Technology
|| 175 E. Capitol St.,
Jackson, MS 39201
|Missouri HIT Assistance Center
|Morehouse School of Medicine
||720 Westview Drive SW Atlanta, GA firstname.lastname@example.org
|Montana – Mountain-Pacific Quality Health Foundation
||3404 Cooney Drive, Helena, MT, 59602
(406) 443-4020Janice Conners – email@example.com
|National Indian Health Board
|| 926 Pennsylvania Avenue, SE, Washington, DC, 20003
(202)507-4070Stacy Bohlen – firstname.lastname@example.org
|Nebraska – CIMRO Nebraska
||1230 “O” Street, Suite 120, Lincoln, NE, 68508
402-476-1399Greg Schieke – email@example.com
(402) 476-1399 X 514
|Nebraska- Wide River
|New Jersey Institute of Technology
||University Heights, 378 Fenster Hall, Newark, NJ, 07102
(973) 596-5275Norma Rubio – firstname.lastname@example.org
|New Mexico – LCF Research
||LCF Research 2309 Renard Place SE, Suite #103, Albuquerque, NM, 87106
(505)935-9903 Robert E White – Bob.White@LCFresearch.org
|New York eHealth Collaborative (NYeC)
||220 Church Street , 5th Floor, New York, NY, 10013
(646) 619-6726Alex Low – email@example.com
|New York -NYC Reach
||161 William St. 5th Floor
New York, NY 10038
(212) 788-5711Amanda Parsons – firstname.lastname@example.org
|North Carolina – University of North Carolina at Chapel Hill
||145 N. Medical Drive, Campus Box 7165, Chapel Hill, NC, 27599
(919) 966-8961Thomas J Bacon – email@example.com
|Ohio – Greater Cincinnati Health Bridge Inc.
||11300 Cornell Park Drive, Cincinnati, OH, 45242
(513) 247-52660 Trudi Matthews – firstname.lastname@example.org
|Ohio Health Information Partnership (OHIP)
||3455 Mill Run Drive Suite 315, Hilliard, OH 43026
(614) 664-2600Amy Andres – email@example.com
|Oklahoma Foundation for Medical Quality
||14000 Quail Springs Parkway, Suite 400, Oklahoma City, OK, 73134
405-840-2891Daniel Golder – Dgolder@ofmq.com
|Oregon – O-Hitec
||707 SW Washington Street, Portland, OR, 97205
|Pennsylvania – Quality Insights of Pennsylvania, Inc. (Central, Eastern & Western)
|| (304)346-9864 x 2228
Kathleen Merrill – firstname.lastname@example.org
2601 Market Place Street, Suite 320
Harrisburg, PA 17110
630 Freedom Business Center, Suite 116
King of Prussia, PA 19406
Penn Center West
Building II, Suite 220
Pittsburgh, PA 15276
|Puerto Rico – Ponce School of Medicine
||388 Zona Industrial Reparada 2, Ponce, PR, 00716
(787) 840-2575 x2119Joxel Garcia Garcia – email@example.com
|Rhode Island Quality Institute
||275 Promenade Street, Suite 225, Mail Stop 23, Providence, RI, 02908
(401) 276-9141Gary Christensen- firstname.lastname@example.org
|South Carolina Research Foundation
||1320 Main Street
Columbia, SC 29201803.544.HSSC
|South Dakota – Dakota State University
||820 North Washington St, Madison, SD 57042
(605)256-5555Daniel Friedrich – email@example.com
|Tennessee – Qsource
||3175 Lenox Park Blvd. Suite 309, Memphis, TN, 38115
(901) 273-2635Jennifer McAnally – firstname.lastname@example.org
|Texas- CentrEast Regional Extension Center
3833 Texas Avenue, Suite 150
Bryan, Texas email@example.com
|Texas – North Texas REC
||250 Decker Drive, Irving, TX, 75062
|Texas – University of Texas Health Science Center at Houston
||P. O. Box 20036, Houston, TX, 77225
|Texas Tech University Health Sciences Center
||3601 4th Street, MS 6271, Lubbock, TX, 79430
(806)743-4569Victoria Rivera – firstname.lastname@example.org
|Utah and Nevada – HealthInsight
||Corporate/Utah Office-Salt Lake City:
348 East 4500 South, Suite 300
Salt Lake City, Utah 84107
Nevada Office-Las Vegas:
6830 W. Oquendo Road, Suite 102
Las Vegas, NV 89118
Sharon Donnelly – email@example.com
|Vermont Information Technology Leaders
||144 Main Street Suite 1, Montpelier, VT, 05602
(802) 223-4100 X 103Paul Forlenza – firstname.lastname@example.org
|Virginia – VHQC (Virginia Health Quality Center)
||9830 Mayland Drive, Suite J, Richmond, VA, 23233
(804) 289-5320 Cathy Zager – email@example.com
|Washington and Idaho- WIREC- Qualis Health
||10700 Meridian Ave North, Suite 100, Seattle, WA, 98133
(206)288-2471Peggy Evans – firstname.lastname@example.org
|West Virginia Health Improvement Institute, Inc
||P.O. Box 1782 | Charleston, WV 25326
(301) 529-7858Roger Chaufournier – email@example.com
|Wisconsin – MetaStar, Inc.
||2909 Landmark Place, Madison, WI, 53713
608-729-2700 or 866-710-4212Jesi Wang – firstname.lastname@example.org
*You can learn more about the the Office of the National Coordinator for Health Information Technology’s Extension Program here.
September 23, 2010 2:19 PM
Posted by: Jenny Laurello
, EHR integration
, Meaningful use
A message from Craig D. Schneider, Ph.D, Director of Healthcare Policy, Massachusetts Health Data Consortium: Don’t miss HealthMart10 on Oct. 5!
The American Recovery and Reinvestment Act of 2009 enabled the spending of $40 billion or so on health information technology. Almost all of these funds will be in the form of additional payments to physicians and hospitals for implementing electronic health record systems, and the “meaningful use” of these systems.
While this is an exciting time for those of us in the HIT field, there are enormous challenges to realizing the government’s vision. How do we inform providers about the funding and the meaningful use criteria? How should clinicians choose an EHR vendor? How do we re-design clinical practice workflows to maximize the value of the EHRs? How do we add new technology without disrupting the physician-patient interaction, and in fact use the technology to make care more patient-centered?
Addressing these and other challenges will take a number of years. A worthwhile place to start meeting the challenge is at HealthMart10, which is being hosted by the Massachusetts e-Health Institute (the Regional Extension Center for Massachusetts) and the Massachusetts Health Data Consortium. This event will be held from 8:00 – 4:00 on Tuesday, October 5th at the DCU Center in Worcester.
The HealthMart10 Conference and Trade Show: How to Achieve Meaningful Use is free to members of the Massachusetts Medical Society, the Massachusetts Hospital Association, the League of Community Health Centers, and the Medical Group Management Association. To receive complimentary admission, go to http://mahealthdata.org/Events?eventId=173080, select: Partner – MeHI, and enter the case sensitive code: HM10-maehi . Readers of this post who do not fall into these categories may attend at the member rate of only $100 (a $75 discount).
This program will enable physicians to meet with 50 different health IT and other healthcare vendors, and to attend five of a possible 25 breakout sessions. We encourage you to take advantage of this opportunity to hear how your organization can achieve meaningful use and qualify for the additional Medicare and Medicaid payments.
-Craig D. Schneider, Ph.D, Director of Healthcare Policy, Massachusetts Health Data Consortium
August 26, 2010 8:38 AM
Posted by: Jenny Laurello
, Data storage
, EHR incentives
Is your organization well on its way to achieving meaningful use? Get the knowledge you need from the people in the know at SearchHealthIT.com’s fall event series, Accelerating EHR Adoption.
By attending the first of this three-part, FREE event series on Sept. 14, you will hear how some of today’s leading physicians, hospitalists and industry practitioners are navigating the ever-changing health information technology landscape. Key provider stakeholders will present case studies of success and address mission-critical best practices for promoting compliance, achieving meaningful use and overall demystifying the EHR integration process.
Register for free today and learn how to:
- Select EHR technology that will get you to meaningful use.
- Rationalize and unify multiple EHR systems.
- Optimize the performance and scalability of your infrastructure.
- Improve EHR system accessibility with the latest Web portal technologies.
- Meet capacity and bandwidth requirements for PACs integration.
- Identify the pros and cons of vendor vs. open-source mobile apps.
- And much more!
View the agenda and session descriptions for this free virtual seminar — see below for additional information!
SearchHealthIT.com’s “Accelerating EHR Adoption” Event Series:
August 18, 2010 10:37 AM
Posted by: Jenny Laurello
, Meaningful use
Answers below provided by Aman Bhasin, Chief Information Officer, Preferred Health Partners
Q. Why must workflow analysis be a critical component of the EHR selection and adoption process?
- If the goal for your project is to make it easier for a physician to record the patients health information as well as make it easier for the physician or other care providers to access the information in the future, then it is imperative that the workflow not get disrupted. The software should be an enabler and make your staff more productive and efficient. If the workflow is disrupted, it will cause you to have less acceptance and more resistance towards the change and your project will be doomed before it begins. It will also reduce the learning curve of your staff. They (both clinical and non-clinical) have enough to learn in the new system and do not need the additional burden of learning new workflows. Transparency is critical especially in the earlier stages. As you get more mature in your adaptation, you can always work on changing workflow using the tools that the EMR provides to you.
Q. What are the biggest challenges you’ve faced as CIO of a multi-practice system over the past two years?
- There are many large challenges for a CIO as we are in a dynamic environment and technology in healthcare is still in its infancy stages. Clearly one of the biggest challenges has been the acceptance of the system by physicians. You need to understand that adoption is on a one time process – it is a cyclical one. There are continuous changes in the technology, the physician comfort level with the system and the demand for enhancements. There are forces that cause us to change the system which are not always clinically driven. Sometimes it is a need from administration so we can better measure and report on metrics and other times it may be finance (coding, billing, etc). Those reporting demands tend to require changes to the physician templates so we may better record data or better capture details of a patient visit. This means that you need to have a good means of communication to your users for changes in the system along with a continual training program.
Q. What are your top recommendations for providers as they continue their journeys toward achieving meaningful use?
- Understand the requirements and have a strategic plan for all stages, not just the first.
- Try to make changes to your system that will benefit your practice in the long run overall – not just meaningful use dollars as they will run out!
- Review your community connect strategy – you are basing the sharing of patient information to your RHIO or HIE – do they have a long term financial model? What will you do if they are not around in 4 years?
- How many external parties do you refer to or connect to for data exchange? Are you equipped to develop or may for dozens of interfaces or are you better off going with a broker.