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August 2010 Features

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  EMR / EHR


Evaluating EHR systems

 By Vivek Jain, August 2010

What practice owners should consider when looking at electronic health records systems.

jain2Passage of the HITECH Act provides medical practices a windfall of incentives (ranging up to $44,000) to adopt and use a certified electronic health record (EHR) system in a meaningful way. Because of this, there has been a renewed effort from solution providers to promote solutions as a one-stop shop for all the needs of the practices. At the same time, practices are trying to implement a solution and reap the benefits ASAP. However, before the practices start scouting and evaluating products, it is important to understand that the implementation of an EHR product is a complex activity requiring dedicated effort and due diligence. The numbers of implementations that fail in the first year of their implementation provide testimony to this.


Tagged:    EMR / EHR


  Infrastructure


Critical considerations for mobile device deployments

 By Greg Davidson, August 2010

The right device is dependent upon the user, where it will be used and the tasks being performed.

There is no one-size-fits-all mobile computing solution in healthcare, but one point is universal: With the adoption of electronic medical records (EMR) on the rise — from 34.8 percent in 2007 to 43.9 percent in 2009, according to the CDC's National Center for Health Statistics — it's critical to pair EMR software with the right mobile computer. Without the proper pairing, you'll either lose money on your investment or fail to maximize it.


Tagged:    Infrastructure


  Pioneers


Voice recognition: The key to hospital dominance

 By Tim K. Zinn, August 2010

Although still three to five years away, digitized voice recognition and input may hold the key to a comprehensive electronic patient clinical record.

Editor's Note: This is the 12th and final installment in our year-long 30th anniversary "Pioneers in Healthcare IT" celebration, featuring articles from past issues of Health Management Technology, formerly called Computers in Healthcare. This article appeared in the December 1991 issue. At the time, Tim Zinn was president of Zinn Enterprises Ltd., a Chicago-based hospital information system consulting organization. A graduate of Harvard, Zinn was a nationally known healthcare consultant and futurist specializing in healthcare trends.

pioneerDigitized voice recognition has far-reaching ramifications for healthcare information systems (HIS). It holds great promise in the hospital setting, where most professionals are working with their eyes and hands continually. This approach will allow doctors and nurses to enter information about their tasks while they are actually working, rather than relying on their memories to record accurate facts at a later time.

Documenting while doing is especially advantageous for those charged with making detailed and accurate records that are both timely and critical in nature, a situation physicians and nurses encounter regularly during the course of patient care. Further, information can subsequently be sorted into multiple data formats with only one handwritten copy of doctors' orders. Clearly, this form of data entry will not only be more convenient, but will capture close to 100 percent of clinically necessary information, as opposed to the 40 percent that current HIS automation now captures.


Tagged:    Pioneers


  Hospital Information Systems


Walking in the patients’ shoes

 By HT Snowday, August 2010

PacMed adopts a real-time locating system to improve processes, safety and the bottom line.

The care needs and documentation required to meet today's healthcare standards compel caregivers to expect more time and information from patients and processes than ever before. While there are tools to help make documentation easier, healthcare has traditionally lacked a good system to allow caregivers to "right-size" time with patients.


Tagged:    Hospital Information Systems


  Products and Services


Mobile clinical assistant

 August 2010


Tagged:    Products and Services


  Products and Services


Military-grade tablet PC

 August 2010


Tagged:    Products and Services


  Products and Services


Fee-for-use PACS service

 August 2010


Tagged:    Products and Services


  Products and Services


Cloud services automate IT

 August 2010


Tagged:    Products and Services


  Products and Services


Wireless access-point mounts

 August 2010


Tagged:    Products and Services


  Products and Services


Improved imaging reports

 August 2010


Tagged:    Products and Services


  Products and Services


Faster wireless Toughbook 52

 August 2010


Tagged:    Products and Services


  Products and Services


Manage self-pay

 August 2010


Tagged:    Products and Services


  Products and Services


Improve clinical work flow

 August 2010


Tagged:    Products and Services


  Products and Services


Burn studies to CD/DVD

 August 2010


Tagged:    Products and Services


  Products and Services


Independents go digital

 August 2010


Tagged:    Products and Services


  Products and Services


Area-imaging scanners

 August 2010


Tagged:    Products and Services


  EMR / EHR


The meaningful use party finally begins

 By Arthur Gasch, founder, Medical Strategic Planning, August 2010

GaschSince our article ran in the July issue of Health Management Technology on the impact of delays in defining meaningful use (MU), the long-awaited update to January's interim MU release was finally issued on July 13. MSP is already analyzing the changes and updating its MSP EHR Selector to reflect them. The EHR Selector is a Web-based tool that uses 689 criteria to characterize all EHR products from developers who submit them and are willing to have them independently vetted. Once this update has been completed, MSP will invite (via e-mail) all currently subscribed EHR developers to update their product profile to indicate compliance with the final MU standards. The EHR Selector includes an MU profile that allows all MU criteria to be asserted with one mouse click.


Tagged:    EMR / EHR


  Viewpoint


The more things change …

 By Phil Colpas, Managing Editor, August 2010


Tagged:    Viewpoint


  Thought Leaders


Healthcare IT support: Recommendations for a critical need

 By Karl Graham, August 2010

Today's advanced service desk professional should be able to provide assistance between the major IT platforms while simultaneously dealing with the usual clinical processes.

grahamWith the rapid deployment of complex IT implementations in healthcare, the need for enhanced IT support services has never been more urgent — and will only increase in the near future, particularly with ARRA requirements taking effect in 2011. It has never been truer that "meaningful use requires meaningful support."

In addition, the sophistication of current IT systems is increasing at an exponential rate. Whether developed in-house or partnered with a healthcare-specific provider, the need for an equally sophisticated support network is critical in the most literal sense. The focus should be on an enhanced help desk which is really more of a complete "service desk."


Tagged:    Thought Leaders


  Industry Watch


CHIME supports changes incorporated into final meaningful use rule

 August 2010


Tagged:    Industry Watch


  Industry Watch


Thomson Reuters report focuses on cutting healthcare costs

 August 2010


Tagged:    Industry Watch


  Industry Watch


EMR for the long haul

 August 2010


Tagged:    Industry Watch


  Industry Watch


Allscripts to buy Eclipsys in $1.3 billion all-share deal

 August 2010


Tagged:    Industry Watch


  Industry Watch


Service providers should embrace cloud services, says Analysys Mason

 August 2010


Tagged:    Industry Watch


  Hospital Information Systems


Transcription makeover

 By Mike Rozmus, August 2010

As part of a two-phased project in 2009, Harrisonburg, Virginia-based Rockingham Memorial Hospital (RMH) set out to improve its clinical documentation process, implementing advanced speech-recognition technologies. Even though speech-recognition technology was not new to RMH, the hospital sought to find a new solution that would improve medical-transcription (MT) and clinical-documentation processes.


Tagged:    Hospital Information Systems


  Hospital Information Systems


Automated referrals close the communications loop

 By Joel Vengco, August 2010

The primary care physician (PCP) refers a patient to a specialist; the specialist treats the patient and then sends the patient and a report back to the PCP. It's a simple process, but for most organizations it actually comprises a number of steps that make for a complex work flow for facilities, clinicians and patients.


Tagged:    Hospital Information Systems


  EMR / EHR


Is an EHR regional extension center right for you?

 By Arthur Gasch, founder, MSP; and Bill Andrew, executive VP, MSP, August 2010

U.S. physicians who are eligible providers (EPs) will adopt electronic health records (EHR) in the next three to four years or face federal patient reimbursement penalties. To assist EPs, regional extension centers (RECs) were funded to move practices from paper-based to EHR-based documentation; but there are other ways to accomplish the same result, including independent EHR consultants and "do-it-yourself" approaches. This article contrasts these approaches and looks at how the change in the federal approach has affected EHR adoption processes overall.


Tagged:    EMR / EHR


  Infrastructure


Roam if you want to: carts roundup

 August 2010

Offering everything from videoconferencing to security-enabled medication management, these aren't your grandfather's carts.

It could be said that the 21st century is the Golden Age of mobile workstations. Gone are the days of clunky, squeaky-wheeled shopping carts on steroids. The confluence of necessity and cutting-edge technology have conspired to transform today's mobile workstations, carts and COWs (computers on wheels) from the frumpy flotsam of our forefathers into the beautiful belles of the ball.


Tagged:    Infrastructure