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May 2010 Features

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  Industry Watch


Gateway EDI Achieves CAQH CORE Phase I Certification for Consistent Health Care Administrative Data Exchange

 May 2010


Tagged:    Industry Watch


  Special Feature


Video System Connects Dementia Patients & Caregivers

 May 2010

drsaraAccording to Dr. Sara Czaja, co-director of the University of Miami's (UM's) Center on Aging, and professor of psychiatry and behavioral sciences, an estimated 22 million family members provide at-home care for disabled and ill relatives. Twenty percent of these caregivers provide care for family members who have dementia. Many of the caregivers also suffer from ill health, self-neglect, a sense of isolation and depression, she says.


Tagged:    Special Feature


  EMR / EHR


EMR data recovery can be challenging

 By Eric Burgener, May 2010

h05art_rrr_optToday, barely more than a quarter of physicians use electronic medical records (EMR) in an ambulatory setting, and roughly only 10 percent of hospitals have the technology to allow physicians to enter orders directly into a computer for transmission to the laboratory, pharmacy or other units. The consolidation inherent in a move to EMR has a number of implications, including the increased importance of IT infrastructure recovery capabilities.


Tagged:    EMR / EHR


  Payers


Radiology decisions lead to cost savings

 By Stephen Herman, May 2010

Radiology Decisions Lead to Cost SavingsPoint-of-order clinical decision-support solutions assure that medically appropriate procedures are given the highest priority.

 While research varies, studies report that up to 25 percent of imaging procedures are unnecessary, inappropriate or duplicative. Many health plans have instituted requirements for physicians to provide prior notification or to secure prior authorization. The process is telephone-based and, in many instances, administered by a third-party utilization-management company. In this model, a physician's office places a call to determine if an advanced study, such as an MRI, CT, PET or nuclear cardiology scan, will be covered for a patient's specific situation. Most require a preauthorization code in order to be reimbursed.


Tagged:    Payers


  Hospital Information Systems


Technology helps track healthcare providers

 By Matthew Haddad, May 2010

Medservant_rotatorComprehensive, accurate, up-to-date and accessible information on healthcare providers is a key to successful healthcare business management. Most organizations, however, have neither accurate nor up-to-date information on their providers. Moreover, information that is captured is contained in multiple silos, reduced to paper files, rarely shared and never used to control costs.


Tagged:    Hospital Information Systems


  Revenue Cycle Management


Leverage business and clinical intelligence

 By Rose Higgins, May 2010

Market consolidation has left payers with legacies of multiple, disparate systems and inconsistent data sets. Many plans have systems that exist in separate silos for various business functions; the systems are unable to routinely communicate essential data between them. This is evident in claims systems that were not designed to receive clinical information.


Tagged:    Revenue Cycle Management


  Pioneers


Architectural strategy: key issue of the 1990s

 By Jay E. Toole, May 2010

headshot_optWhat architectural strategy should my hospital adopt?" How you answer this question when developing an information systems strategy will have significant implications on your hospital's operations in the 1990s — and into the 21st century.

Generally, three architectural models have emerged in the marketplace: single vendors, core systems and open systems. All have advantages, and each has a place in today's varied and volatile market. Making the choice involves careful consideration of important issues.


Tagged:    Pioneers


  EMR / EHR


Voice recognition assists clinicians

 By R. Hal Baker, May 2010

h05art_c-suite_optClinicians are able to insert their thoughts and assessments into the documentation, allowing subsequent caregivers to understand and coordinate care more effectively.

If one reads clinician-authored critiques of the current state of electronic health records (EHRs), a recurring theme emerges: the poor quality of clinical notes in EHRs. The authors may cite excessive use of "cut and paste" to replicate past documentation (often without appropriate changes), excessive citation of results that needlessly expand a note's length, and the absence of any clear articulation of the clinician's thoughts, judgments and priorities.


Tagged:    EMR / EHR


  Thought Leaders


Improve efficiency through technology

 By Bill Bartzak, May 2010

thoughtleader

The adoption of EMR technology holds the promise of improving processing times, patient care, information redundancy and records integrity.

A quick visit to any online practice-management buying guide reveals dozens of alternatives from companies whose products are designed to streamline the operations of today's healthcare practices. Whether single-tenant installed or multitenant systems built on a software-as-a-service (SaaS) platform, the technology space has grown increasingly crowded as insurers and practitioners strive to operate more efficiently and deliver better patient care.


Tagged:    Thought Leaders


  Infrastructure


UC platform increases centerís effectiveness

 May 2010

Community health center Urban Health Plan enhances patient service and simplifies management with unified communications system.


Tagged:    Infrastructure


  Hospital Information Systems


An ICD-10 road map

 May 2010

An ICD-10 Road MapThe transition from ICD-9 to ICD-10 — mandated to occur by Oct. 1, 2013, for organizations subject to the Health Insurance Portability and Accountability Act (HIPAA) — is expected to improve care-management quality and enhance reimbursement accuracy. The transition, however, is expected to be costly and labor intensive; the Department of Health and Human Services (HHS) estimates the cost to providers alone at $3 billion through 2017.


Tagged:    Hospital Information Systems