This series is brought to you by MedPage Today. 1. Groups Want Delay in Meaningful Use Rules. Some leading medical groups have called on the Department of Health and Human Services (HHS) to delay implementation of Stage 3 of meaningful use of electronic health records (EHRs), saying providers are still trying to implement Stages 1 and 2. 2. Migraines Hike Women's Risk for Heart Problems. Women who have ...

Read more...

”Email is the killer app of patient portals.” I heard a variation of that quote when interviewing people for the patient-provider communication chapter of the book I’ve been co-editing and writing for HIMSS with Jan Oldenburg, Brad Tritle and Kate Christensen. For the organizations who’ve pushed patient portals the furthest into their patient base, email is always the place where things started. In other words, email is the gateway drug for ...

Read more...

This series is brought to you by MedPage Today. 1. ICD-10 First of Many Health IT Mandates. With 2013 barely started and the "fiscal cliff" debate barely finished, many doctors are worried about a "cliff" of a different sort that they will be facing a year from now -- one dealing with information technology (IT). 2. Fast Foods Tied to Allergies, Eczema in Kids. ...

Read more...

A recent New York Times headline read that "Medicare Is Faulted on Shift to Electronic Records."  The story describes an Office of Inspector General (OIG) report, released November 29, 2012, that faults the Centers for Medicare and Medicaid Services (CMS) for not providing adequate oversight of the Meaningful Use incentive program. Going after “waste, fraud, and abuse” always makes good headlines, but in this case, the story ...

Read more...

Computers are meaningless in health care without computable data If this were a business concerned with bottom lines, cash flows and sustainability, this would be a good time to begin planning one of those posh executive retreats to evaluate current strategy. People would be feverishly working on pulling data for PowerPoint presentations, summarizing market research and deciding whether to select the vegetarian meal or not. If this were a better ...

Read more...

Unlike EMRs, paper charts never crash Which of the following events is most traumatic for a practicing physician?

  • Your staff doesn’t show up because the roads are flooded, but the waiting room is full of patients.
  • Medicare notifies you that coding discrepancies will result in an audit of 2 years of Medicare records.
  • You receive an offer of employment by a corporate medical institution who will bury your practice if ...

    Read more...

My wife Elaine was hospitalized for 6 days recently with an array of ailments related to her advancing cancer, so diagnosing and addressing her problems required a multidisciplinary approach. In addition to the nursing and support staffs, she was tended by an emergency physician, two hospitalists, three gastroenterologists, a pulmonologist, an infectious disease physician and an interventional radiologist. With the exception of one specialist who had performed a procedure on ...

Read more...

Protect yourself against fraudulent EHR documentation As physicians, we know that no matter what care we provide, Medicare and private payers are going to do what they can to reduce payouts. For the health of the nation, healthcare spending simply cannot continue on its current trajectory. Reform measures such as accountable care organizations, bundled payments and penalties for potentially preventable complications and readmissions may help reduce expenditures, ...

Read more...

Will doctors recommend health apps to patients? There has been an explosion in health apps. Patients are using them for weight loss, calorie counting, exercise monitoring, ovulation calculation and for many other health needs. But to truly integrate the concept of health apps in the health care system healthcare providers will need to get involved. There is discussion in the health IT world lately regarding physician adoption of ...

Read more...

Information overload for doctors increases malpractice risk I have used the electronic medical record (specifically EPIC) since 2004.  I have grown accustomed to its nuances, benefits and quirks.  There are parts about it I really like.  There are parts of it I'd like to do without but accept that they are necessary evils in our current health care climate.  I know that there will always be parts of any modified ...

Read more...

Trending