Sunday, July 1, 2012

emr and the news

news article of emr in 2011 http://health.usnews.com/health-news/most-connected-hospitals/articles/2011/07/18/most-connected-hospitals news article of emr in 1999 http://news.google.com/newspapers?id=kTwdAAAAIBAJ&sjid=KqYEAAAAIBAJ&pg=2984,970734&dq=electronic+health+records&hl=en the difference is that in 1999 a news article stated doctors were chasing their fortune with the internet and online medical records....now in 2012 it is a requirement.

support from the emr company

EMR support is very important and can come from the company itself or other vendors that support multiple companies. Below I will list a few of the services described by some different companies. What is important to note is that some companies charge extra for 24 hour service, and if the system is in house or out house. http://www.vcpi.com/Portals/96686/docs/2011-02-cioc-emr-cost-study-final.pdf is a website that shows some of the estimated costs. Welcome to Acentec support services. We take great pride in the services that we offer to our customers. Our highly skilled and experienced support team is dedicated to making sure your problem is resolved expeditiously. We offer different support options (email, online remote support, phone support, and onsite) to ensure that you get help when you need it. Emergency support is available 24/7 via email or by phone. Whether you need help implementing or supporting your Cerner EHR or making sure that your computers and servers operate smoothly, MD Tech Pro can assist you. MD Tech Pro has a team of experienced Cerner experts to assist your practice with: Transitioning and implementation support for Cerner Hardware sourcing, installation and setup to support an Cerner implementation Configuration services to interface with lab orders and results, medical billing systems or other interface requirements Managing support tickets within your practice and engaging Cerner support for issues. IT management within your practice including the installation and maintenance of all Cerner software upgrades and patches. Setup and configuration of a Cerner patient portal

Not meeting deadline of emr

If the deadline of the emr is not met, than penalties ensue: No EMR /EHR Implementation Has a Price For physicians who either have not adopted certified EHR / EMR systems or cannot demonstrate “meaningful use” by 2015, Medicare reimbursements will be reduced by 1%. The deduction rate increases in subsequent years by 2% in 2016, 3% in 2017, 4% in 2018, and up to 95% depending on future adjustments. This works out to: According to EMRandHipaa.com, an average AAFP user is reimbursed 20% by Medicare. This means that overall, a private practice with $500,000 of annual income that fails to meet the electronic medical records mandate will lose $1000 in payments in 2015, $2000 in 2016, and so on. and you can't wait until the last minute because: Since each physician’s digital medical records needs and requirements are different, the lead-time for a certified EMR software provider to plan, install, and implement a system is around 2-4 months. There is also 6-8 months of training so each physician in a practice qualifies as a “meaningful EHR user.” This does not include the time it takes to select an EMR software provider that is effective and efficient for the physician.

failure to implement an EMR

Some hospitals and clinics have failed in their effort to implement an EMR system. Some of the common reasons include stakeholder and process requirements, change management, vendor failures, failures in existing processes, and clinical informatics culture. This is an important point to remember since if an EMR attempt fails, that is lost of funds since the company has to implement an EMR system to prevent Medicaid penalties.

Saturday, June 30, 2012

physician loans for emr

Many EMR companies offer low or no interest loans for physicians to buy their product. This may be through their own finance operations or through third party vendors. The problem is that if a disagreement occurs or you are not happy with the software, you are stuck. It is important to go with a lending company that is not invested in the software to avoid repossession of the EMR. Banks such as Bank of America and Wells Fargo are now offering EMR loans to physicians.

informatics officer

Chief Informatics officers help ensure that the hospital fully leverages their assests and capabilities to provide safe and high quality and cost effective care. As opposed to a chief medical information officer, the clinical informatics officer focuses on the technology itself, not necessarily the clinical dispersal of information. They also report directly to the CEO or chief information officer. They tend to be in charge of the informatics team. This is the in house EMR support that works directly with the vendors. This team can do more build to help the workflow of the different hospital areas and also troubleshoot any EMR issues. This team is in charge of the updates and upgrades that the system requires.

EMR costs

This blog will focus on the costs of EMR. The things to consider are hardware, software, implementation and training and support and maintenance. Hardware- most physician offices need to upgrade existing hardware such as computers and a network server. It may be necessary to check with the EMR vendor being considered to get a list of recommended hardware. The cost of future upgrades will also need to be considered. It is possible to get deals with EMR vendors that have set up deals with certain companies. Software-EMR vendors sell licenses based on the number of physician users in the practice and give discounts for mid level providers. Office employees are granted free access through the providers. Each license can range from $1000-$25000. The average cost is $10000. Training- Can be done through remote training sites or on site training. The average time for a first time user is 45 hours. Training fees are about $75-150 per hour. Support and maintenance- These are typically in the annual contract and include software updates, technical support and scheduled maintenance. However, it is a good idea to hire an in house technician.