Boston Physician Atul Gawande wrote The Checklist Manifesto in 2009 stressing that medicine should adopt “pilot’s checklists” to ensure that operating room teams are “ready for takeoff” before a scapel is ever opened. BIDMC implemented The Checklist Manifesto ideas in software in 2010. Here’s the “Time Out” done among all OR team members before a case beings - it includes a list of staff participating in the timeout, the agreed upon procedure, the verification of consent, appropriately marked operative site, patient identity verification, and best practices for prophylaxis...
EHR Implementation
See the following -
5 Ways ONC Plans for Interoperability
Diana Manos | Healthcare IT News | June 6, 2014
Interoperability, the Achilles heel of electronic health record progress has been in the limelight since the beginning of the stimulus package incentive funding for EHR adoption. And though EHR implementation rates have proven successful, interoperability leaves something to be desired...
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AHRQ Grants Show Use Cases For Clinical Decision Support
Kyle Murphy | EHR Intelligence | August 15, 2013
Want to know how healthcare analytics is impacting healthcare right now? A new report published by the Agency for Healthcare Research and Quality (AHRQ) has published a new report highlighting findings and lesson learned through its awarding of grants through its Improving Quality Through Clinician Use of Health IT Grant Initiative, a portion of which demonstrates use cases for clinical decision support (CDS)...
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An EHR Implementation of The Checklist Manifesto
By John D. Halamka, MD | June 29, 2016
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Canadian Physicians Choose Pen and Paper Over EHR During Cerner Go-Live
Akanksha Jayanthi | Becker's Health IT & CIO Review | June 8, 2016
Vancouver Island Health Authority in British Columbia, Canada, is in the midst of rolling out Cerner's EHR across its system, but physicians are petitioning to suspend the go-live, citing concerns regarding patient safety, according to a Times Colonist report. In 2013, Island Health signed a 10-year, $50 million deal with Cerner to implement the EHR across the system, which includes an additional $124 million for hardware and training. The EHR went live at Nanaimo Regional General Hospital, a residential care center and another health center on March 19...
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Court Dings CA County For Mishandled EHR Implementation
Jennifer Bresnick | EHR Intelligence | June 5, 2014
The Ventura County Grand Jury has identified a lack of resources, proper training, and investment as the major culprits in a rocky EHR rollout at the county-run healthcare system, according to an official report. The implementation of the Cerner system was stymied by poor leadership and preparedness, lackluster commitment to training, and insufficient purchasing of infrastructure hardware, which left staff members locked out of the system and put patients at risk of harm due to the confusion...
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Critical Access Hospitals Still Facing EHR Adoption Challenges
Jennifer Bresnick | EHR Intelligence | July 11, 2014
The high costs of EHR implementation, a chronic lack of adequate staffing, and a lack of access to quality high-speed broadband internet are still presenting significant barriers to critical access hospitals (CAHs) throughout the nation, according to a new Health Affairs study authored by members of the Office of the National Coordinator...
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Doctors Are Overloaded with Electronic Alerts, and That’s Bad for Patients
Shefali Luthra | The Washington Post | June 13, 2016
Some people receive constant reminders on their smartphones: birthdays, anniversaries, doctor’s appointments, social engagements. At work, their computers prompt them to meet deadlines, attend meetings and have lunch with the boss. Prodding here and pinging there, these pop-up interruptions can turn into noise to be ignored instead of helpful nudges. Something similar is happening to doctors, nurses and pharmacists. And when they’re hit with too much information, the result can be a health hazard...
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DSS, Inc. Releases New Version of Open Source EHR, vxVistA, to Healthcare IT Community
Press Release |
Document Storage Systems, Inc. |
June 28, 2016
Document Storage Systems, Inc. (DSS, Inc.), a leading provider of health information technology (HIT) solutions for federal, private and public healthcare organizations, today announced the release of the latest vxVistA Open Source electronic health record (EHR) version 15.0 under Apache 2.0 license. The latest version of vxVistA will improve workflow efficiency, enable interoperability and enhance patient safety through modernizing the Veterans Health Information Systems and Technology Architecture (VistA) legacy system. Hospitals, clinics, physician practices and community health organizations are able to access vxVistA 15.0 via The VistA Extensions Hub...
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EHR Implementation Remains Top Concern Among Physicians, Practices
Press Release |
UBM Medica US |
July 9, 2014
As more physicians and medical practices work toward meaningful use of an EHR, getting the technology seamlessly integrated into daily work flow continues to be a main concern. For the second straight year, EHR adoption and implementation issues were ranked as the most pressing information technology problem by respondents of the Physicians Practice 2014 Technology Survey, sponsored by Kareo.
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EHR Optimization: Necessary Because EHRS Are Never “Done”
D’Arcy Guerin Gue | Phoenix Health Systems Blog | March 22, 2017
Why, if over 95 percent of hospitals have implemented EHRs, are so many planning to invest in improvements or replacements this year? A new Healthcare IT News survey of hospital executives showed that 24 percent are conducting a major EHR system upgrade, and 21 percent are replacing their EHR at one or more sites. KPMG’s survey of CHIME members last month found that at least 38 percent of CIOs are investing in EHR optimization projects this year; in fact, they plan to spend more on EHR optimization than any other area of HIT. These numbers are huge when you consider that most hospital EHRs are newer versions implemented to meet MU attestation requirements...
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EHR Replacement: Addressing Data Ownership And Migration
Jennifer Bresnick | EHR Intelligence | April 4, 2014
In many cases, an EHR replacement ends up being even more complicated than an initial implementation. Clinicians now have a laundry list of complaints about the first system and may be vocal in demanding specific changes that a new EHR must include.
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EHR Use Hindered by Revenue Loss, Lack of Interoperability
Sara Heath | EHR Intelligence | August 31, 2015
EHR use has been on the rise since the 2009 passing of the Health Information Technology for Economic and Clinical Health (HITECH) Act provided financial incentives for EHR implementation. However, do the gains of EHR adoption outweigh the substantial costs? A recent study written by Tara O’Neill of the American Action Forum takes a look at these questions and states that although there are considerable benefits to EHR adoption, these come with costs that can only be resolved with changes in healthcare policy...
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EHRs For Behavioral Health Tough Task
Tom Sullivan | Healthcare IT News | March 11, 2014
Behavioral health and long-term post-acute care are perhaps the two most significant areas left out of the meaningful use program. “When we look at the big circle of care, there’s a huge hole — behavioral health,” said Mark Caron, CIO of Capital Blue. “Behavioral health is a mess.”
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Epic EHR Implementation Cited in Denver Health CEO’s Departure
Kyle Murphy, Ph.D. | EHR Intelligence | April 1, 2016
Is the forthcoming retirement of Denver Health CEO a sign of bad things to come for the health system which is set for an Epic EHR go-live in a week's time? Two reports lean well toward the affirmative. On Wednesday, the hospital's CEO Arthur Gonzalez announced his decision to step down from office on June 30...
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Health Officials Axed Amid Probe For Improper Billing
Yoav Gonen | New York Post | August 17, 2015
Three top officials with the city’s Health and Hospitals Corp. have been forced out amid a probe of improper billing for a $764 million revamp of its records system, The Post has learned. Chief Information Officer Bert Robles was forced to resign from his $296,000-a-year job in February while investigators were looking into allegations, including claims that his domestic partner received taxpayer-funded training on the new electronic medical records — even though she doesn’t even work for HHC.
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