EHR/EMR Hitech Act Stimulus Package

ARRA 2009 was passed on February 17, 2009 as the part of Economic Stimulus Package. President Obama’s Health-care Information System Plan is dedicated to the cause of catalyzing the adoption of progressive health in formation technologies. ARRA is providing incentives for this purpose. Taking this cause into consideration, a scheme has been put forward for the healthcare providers under Medicare and Medicaid programs. This is only for the providers those are ready to make the transformation electronically of maintaining PHI. The funds will be distributed according to the program.
1. Medicare Program- the beneficiary of this program is eligible in providing ambulatory medical facilities by using EHRs (Electronic Health Records). The incentive is $44,000 per physician which will be paid out over a period of five years.
2. Medicaid Program- the physicians are eligible to purchase and use qualified electronic medical records and will get incentives of up to $63,750 for the purpose. They will also help those practices which have not used EMR technologies yet. In this $21,250 will be given to every physician as an incentive to assist the purchasing ad implementing a qualified HER system.

The EHR system should be certified and can submit the information required to maintain EHR function’s integrity. Purchasing and implementing the EHR is necessary as the deadline is 2016 to be eligible for the incentives.

You can find our more information to help your evaluate EMR software and on Medical Records Scanning:

1. Five Recommendable EMR Softwares for Doctors/Clinics – a brief review of some medical records software in the market that have been able to offer competent and affordable services for small-scale or single-physician, private practices.
2. Recommendable EMR Vendors for Hospitals/Enterprise-level Healthcare Information Integration – EMR software available for hospitals and large-scale specialty clinics best suited for hospitals or those seeking an enterprise-level integration of healthcare information.

admin 6 December 2009 Medical HITECH Act 3 Comments

Benefits of President Obama’s Health-care Information System Plan

The benefits of a fully computerized health record system in President Elect Obama’s American Recovery and Reinvestment Plan

President-elect Barack Obama recently spoke at George Mason University on the economy and his plans for it. One of his main promises was that he would take steps to computerize paper health records within a period of five years. This according to Obama would eliminate red tape while minimizing waste, medical errors and the repetition of costly medical tests. This is certainly a good move, but what are the challenges and obstacles faced by this initiative? What are the benefits that would be gained through this venture?

Challenges and obstacles

There are many challenges and obstacles in the way of fully computerizing health-care information systems throughout USA. These are

1] High Costs – According to estimates by Harvard and other organizations, the initiative could cost up to 100 billion dollars over the expected 10 year implementation period.

2] The need for specialized labor and effort – Setting up and maintaining an electronic health records system will be a highly technical task that will require specialized labor and skills. It would require the employment of large numbers of health information technology professionals, who unfortunately are hard to find at the moment. Because of this, many Information Technology professionals will need to be provided with specialized training for employment in the healthcare system.

3] Patient privacy concerns – Patient’s medical records need to be kept private because of their sensitive nature. A computerized health record system raises new challenges to privacy of the records such as hackers and computer failures.

4] HIPAA compliance Issues – Many of the currently existing online health record systems do not comply with HIPAA [Health Insurance Portability and Accountability Act], the American health privacy law.

5] The current state of medical records keeping – Only around 17% of physicians and 8% of hospitals utilize computerized health record systems at the moment. The majority still use paper record systems, hence there is much to be done in this regard.

Tremendous benefits

However, tremendous benefits are expected if the above mentioned challenges and concerns are successfully resolved. One of the main objections to Obama’s plan has been its cost. However the healthcare industry spends around $2 trillion every year whereas Obama’s plan would cost $100 billion to implement according to estimates. So it is a small amount when compared with the expected benefits that the move can bring. Moreover the computerization of the health record system can save the healthcare industry up to 300 billion dollars per year according to some expert estimates. Another benefit is that a number of new jobs will be created, as personnel will be needed to implement and maintain a computerized health record keeping system. Some estimates place the amount of jobs generated at up to 212,000. The system will standardize health record keeping and make tracking a patient’s health data across providers easier. There will also be increased savings for every US family as health care costs will be reduced.

So is this initiative a giant leap forward? Or a shot in the dark? Considering the state that the economy is, we need innovative and forward thinking plans even if they involve taking risks or overcoming many challenges. Moreover, the future is digital. Everything we have seen indicates a switch to computerized systems. Why should the system of keeping medical health records be any different? This initiative will certainly increase healthcare quality and reduce healthcare costs if all goes well.

admin 23 January 2009 Medical electronic medical records, health record, HIPAA, HITECH Act 14 Comments

Electronic Medical Records for (HIPAA) Compliance

Technology promises many important advances in the way the medical industry maintains health records. By introducing new technology and electronic medical records, health-care professionals can prevent medical mistakes, and provide more cost effective record management. Technology improves efficiency and productivity while leading to better health care value. The health care industry has long been at the forefront of technological innovation and this is particularly evidenced by the growth in electronic patient medical records.

There are two types of computerized medical records. The first type of computer medical records are digital images from scanned paper-based medical records in TIFF or PDF formats. The second type is paperless electronic medical record (EMR).

The EMR is the legal record of what happened to the patient during the clinical patient encounter. Included in this information are patient meta data, progress notes, prescriptions, electrocardiogram (EKG) tests, medical history, immunizations, lab results and radiology reports.

The electronic medical record (EMR) is essential for the efficient storage, distribution, and retrieval of patient records in hospitals. An important benefit of EHR is improved workflow as document management software contain built in workflow modules. Workflow modules include manual workflow and rule-based workflow. Manual workflow allows users to view the document and decide who to send it to. Rules-based workflow allows administrators to create rules to direct the flow of the health care through the facility. For instance, approval workflow routes a medical record or data to a group of people for approval.

Hospitals and health care providers still require the old paper-based medical records after the introduction of an electronic medical record (EMR) in a hospital. The solution is to scan in existing medical records and charts using OCR can create PDF files that are searchable. Searching is also done by reading the contents, aided by naming conventions of the PDF file name. These searchable files can be stored on secured servers that can be accessed only by those with the proper credentials. This technology is a win for doctors and patients alike.

This new way data management of patient medical records addresses compliance issues with the Health Insurance Portability and Accountability Act, commonly referred to as the HIPAA. This act requires that hospitals and health care providers maintain detailed patient medical records so that health records are accessible and portable.

When information is stored on a computer connected to a network, there are naturally concerns expressed about the security of the patient medical records. Because of these concerns, the HIPAA mandates that precautions must be taken to ensure the security and confidentiality of any medical records stored on the server. This is accomplished by securing both the server and the network from unauthorized individuals.

The HIPAA also requires that health care providers and hospitals must maintain proper records concerning who has access to the medical records as well as information on those who access the records. This helps maintain the confidential nature of patient medical records.

The end result of scanning in the patient medicals, storing them on a secure server, and then tracking access to the records is that patients are able to receive better, more accurate health care while doctors are able to have much more information about the patient’s condition available to him. Everyone in the health care system can benefit from this increased efficiency.

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