As we begin 2017, what should be the focus of our work over the next year?... Regardless of the policies, repeals, and delays of the Trump administration, we’ll still need to optimize usability and support the four goals of value-based purchasing - quality measurement, total medical expense management, practice process improvement and technology adoption. BIDMC has already created a prototype of groupware documentation and we should complete our next generation inpatient documentation solution by mid 2017. Part of that work incorporates open source secure texting as part of the medical record. We’re also piloting Google’s G-suite so that our stakeholders can store/share, collaborate, and communicate on any device from anywhere using only a browser...
e-Prescribing
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3 Global Health IT Takeaways You Need to Know - Reflections from ONC 3rd Interoperability Forum
The Office of the National Coordinator for Health IT (ONC) engages in several global health IT projects from a United States government perspective. ONC works with global counterparts to share experiences, and ensure alignment between global interoperability efforts and the United States' approaches to interoperability. This includes working through worldwide partnerships, bi-lateral and multi-lateral engagements, global networks, and memoranda of understanding. Through these engagements, we focus on advancing common health data standards for global interoperability, enhancing individuals' access to their data, progressing healthcare providers' experiences, and improving factors associated with transparency and competition.
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600-bed NHS Hospital in England Goes Live with Open Source Electronic Record for Patients
Taunton and Somerset NHS Foundation Trust has become the first NHS hospital in the UK to go live with an open source electronic patient record (EPR), a landmark move expected to help staff deliver better patient care through improved access to information.The trust has successfully rolled out the system in A&E, theatres, outpatients and the hospital’s 30 wards with the support of IMS MAXIMS, after the software firm released the code for its open source EPR technology to the NHS just over a year ago. Up until now NHS trusts have depended on proprietary software in order to record and manage patient information.
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AHS completes Humana's RightSourceRx conversion to 'open source' ePostRx
AdvanceNet Health Solutions, Inc. today announced that it has completed the conversion of RightSourceRx, Humana's prescription home-delivery service by mail, to the ePostRx™ Enterprise Pharmacy Management Software platform. Read More »
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CMS Promoting Interoperability Program: A Public Health Perspective
Well, here we go again. The Centers for Medicare and Medicaid Services (CMS) has now released a new Notice of Proposed Rulemaking (NPRM), titled Medicare Program; Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2019; Medicare Shared Savings Program Requirements; Quality Payment Program; and Medicaid Promoting Interoperability Program...As this NPRM was released, the CMS Administrator, Seema Verma, published an open letter to doctors which is focused on reducing the burden on doctors so they can spend more time with physicians. HL7 has begun a similar initiative on reducing clinical burden. So the key question is: Does this NPRM go far enough to reduce provider burden in the spirit of Dr. Verma's letter?
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DSS and First Databank Collaborate to Enhance Patient Care and Outcomes
Document Storage Systems, Inc. (DSS), the leading provider of health information technology (HIT) solutions for federal, private and public healthcare organizations, today announced a collaboration with FDB (First Databank), the leading provider of clinical drug knowledge that helps improve medication-related decisions and patient outcomes. DSS will incorporate FDB’s MedsTracker® MedRec and e-Prescribing solutions within its open source EHR system, vxVistA, to enhance patient care transitions and help healthcare organizations achieve Meaningful Use compliance...
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Feds Move Into Digital Medicine, Face Doctor Backlash
"Physicians passionately despise their electronic health records," says Lexington, Ky., emergency physician Steven Stack, the American Medical Association's president-elect. "We use technology quickly when it works … Electronic health records don't work right now."
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Halamka on Why he Disagrees with the "Snake Oil" Analogy
Earlier this week, the American Medical Association CEO called digital healthcare products modern-day "snake oil." As a provider and a technologist, I think we need a deeper dive to understand the issues, avoiding the kind of hyperbole that’s so common in politics today. Paul B. Batalden, MD, Senior Fellow, Institute for Healthcare Improvement (IHI), once said “Every system is perfectly designed to get the results it gets”. Let’s take a brief look at the history of national healthcare IT efforts from 2004-2016 to understand how we’ve achieved exactly the results we designed.
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Halamka Says We Can and Must Improve Healthcare Management
As a physician and CIO, I’m quick to spot inefficiencies in healthcare workflow. More importantly, as the care navigator for my family, I have extensive firsthand experience with patient facing processes. My wife’s cancer treatment, my father’s end of life care, and my own recent primary hypertension diagnosis taught me how we can do better. Last week, when my wife received a rejection in coverage letter from Harvard Pilgrim/Caremark, it highlighted the imperative we have to improve care management workflow in the US. Since completing her estrogen positive, progesterone positive, HER2 negative breast cancer treatment in 2012 (chemotherapy, surgery, radiation), she’s been maintained on depot lupron and tamoxifen to suppress estrogen...
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Halamka Sets Healthcare Innovation Priorities for 2017
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HIE, REC Funding Drying Up Despite Need
Despite many physicians and hospitals now meaningfully using electronic health records, there's still a huge gap when it comes to these providers actually exchanging patient data. That reality has some regional extension centers taking up the work of health information exchange. The funding, however, is often hard to come by...
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How to Achieve Credibility in NHS Open Source IT Projects
Taunton and Somerset NHS Foundation Trust’s clinical lead for electronic patient records explains how clinical engagement has helped make EPR an open source success. Anyone who knows me will know I am not very good with computers. Which may make me seem a curious choice to lead clinical engagement in an important IT implementation for our trust. Two years ago I took a step back from clinical practice as a consultant physician at Taunton and Somerset NHS Foundation Trust to work as chief clinical information officer and clinical lead for the implementation of an open source electronic patient record (EPR) system across the wards and departments of the trust’s Musgrove Park hospital...
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Medsphere Systems and ChartLogic Merge
Medsphere Systems Corporation and ChartLogic, Inc., today announced that they have executed a definitive agreement to merge the two companies. The transaction will expand Medsphere’s existing enterprise healthcare IT products and services to include ChartLogic’s proven ambulatory electronic health record (EHR), practice management and medical billing solutions. ChartLogic will retain its name and operate as a division of Medsphere; the expanded company will offer integrated delivery networks and physician practices an affordable and interoperable choice that meets the clinical needs of providers across the spectrum of care...
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NHS England to fund NHS VistA projects
NHS England will spend some of the £260m Technology Fund on further exploring the creation of an NHS version of the US Veterans Health Association’s open source electronic medical record, VistA. eHI revealed last week that senior figures from NHS England have visited the US to see VistA in action. Read More »
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Open Source Aims To Reach Milestone In Newcastle
NHS England is holding a key open source open day in Newcastle tomorrow. Ahead of the event, EHI editor Jon Hoeksma argues it will have a lot to celebrate; but some acid tests still lie ahead. Read More »
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OpenEMR Vendor Launches Digital Solution to help Healthcare Providers Meet Pandemic Challenges
Handling an influx of sick patients can be challenging at any time, but today with the Coronavirus pandemic, it becomes even more crucial to have procedures in place to manage crowded areas and maintain social distancing. To meet the increasing demands of technology for Health Clinics, Urgent Care and Private Practice, HealthTech has launched new solutions that streamline e-Prescribing and Patient Scheduling, increasing the efficiency of the way patients and healthcare providers connect.
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