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Meaningful Use Stage 2: Relevance to the EP March 15, 2012

Posted by David Scher, MD, FHRS in Allied Health Professionals, EP Physicians, Health Policy.
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My eyes all but glazed over during a comprehensive read of  the Centers for Medicare and Medicaid Services’ (CMS) Electronic Health Record (EHR) Incentive Program – Stage 2 Proposed Rule. It outlines updated objectives and measures that EPs and other health care providers will need to meet in order to be deemed “meaningful users,” so that they continue to earn toward the $44,000 mark in financial incentives.

As usual, the regulation was long…and complicated. Nonetheless, I have deciphered some good news from the rule that I am excited to share! Ok, so perhaps “excited” is a stronger than necessary reference. (more…)

Five Reasons Why Patients with Implantable Defibrillators Deserve Their Data February 17, 2012

Posted by David Scher, MD, FHRS in Allied Health Professionals, EP Physicians, Health Policy, Industry.
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The Health Information Technology for Economic and Clinical Health (HITECH) Act, enacted as part of the American Recovery and Reinvestment Act of 2009, was signed into law on February 17, 2009.  The objective of Measure 12/15 of Meaningful Use regulations of the HITECH Act, which refers to electronic health records, states that eligible professionals “Provide patients with an electronic copy of their health information (including diagnostic test results, problem lists, medication lists, medication allergies) upon request.” 

 A patient’s implantable defibrillator consists of a diagnostic test of the patient’s rhythm as well as of the implanted device itself. I do not see a distinction between data derived from these devices and other diagnostic tests.  In this post I will explain why, in addition to conforming to the above regulatory requirement, the furnishing of this data will benefit patients.   (more…)

Five Reasons Why Physicians Will Love mHealth January 18, 2012

Posted by David Scher, MD, FHRS in Allied Health Professionals, Education, EP Physicians, Health Policy.
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1. Mobile health technology will increase patient engagement. Most patients do not take the responsibility they should for their own health. They are likely preoccupied with all the stresses of everyday life and might therefore take the ‘I feel good, so I must be’ approach. They possibly mutter these words after wiping their faces, hurriedly walking out of McDonald’s for lunch. Or is it because of mistrust of their physician who they get to see for a big 15 minutes that the electronic record time slot permits? Or that they are caregivers to others and sacrifice their own well-being for that higher purpose? (more…)

Business Models of Mobile mHealth January 12, 2012

Posted by David Scher, MD, FHRS in Allied Health Professionals, Education, EP Physicians, Health Policy.
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PriceWaterhouse Coopers’ Health Research Institute released a comprehensive report (free registration required) describing business models and opportunities for the mobile health industry.

In the operational/business model, providers see mHealth as more efficient and beneficial to the patient. According to the study, one-third of physicians make decisions based on incomplete information and mHealth can result in better care by providing more robust and timely information from the patient or device. (more…)

Five Things Healthcare Providers Should Know About Electronic Health Record Security September 29, 2011

Posted by David Scher, MD, FHRS in Health Policy, Uncategorized.
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 1.  Privilege management
This refers to the management of users with regard to their access to features and data in the Electronic Health Record (EHR) system. Some EHRs predefine roles and access, while others may be left for the practice to determine. This is a fluid process which will be dictated by changes in personnel roles over time. The assignment of IT user roles should be left to the practice or IT managers. This management is protective from technical as well as HIPPA standpoints. It should also apply to the Internet in general, as many EHRs are ‘cloud-based’ and this will decrease the introduction of viruses and other common problems. (more…)

Ten Ways Healthcare Providers Can Get the Most out of EHRs September 2, 2011

Posted by David Scher, MD, FHRS in Education, EP Physicians, Health Policy.
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Electronic Health Records (EHRs) are being promoted by the Centers for Medicare and Medicaid Services’ Meaningful Use Program to improve patient outcomes and reduce cost. The value of EHRs to healthcare providers is that they can streamline workflow and advance patient care on an ongoing basis. Some examples and tips:

1.   Utilizing the EHR to prepare for the encounter in advance. Review the patient record the day or evening before a day in the clinic. Make short notes about the results of tests performed since the last visit, and what treatment plan options you might formulate. (more…)

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