Received the following study recently that is quite interesting; thought it worthy of sharing:
Emergency department physicians are less likely to admit patients to the hospital when they have readily available electronic access to those patients’ health records, Weill Cornell Medical College researchers have found.
Its study, published March 12 in Applied Clinical Informatics, illustrates the value of combining multiple providers’ digital patient charts into a single source for health care providers – particularly in an urgent setting like the emergency department. With information such as previous test results, prescriptions and other patient history immediately accessible, providers are able to treat patients more efficiently and effectively than when they lack that data.
“New York State has made significant investments in health information exchange,” said Dr. Joshua Vest, an assistant professor at Weill Cornell and the lead author on the study. “Our study shows that providing physicians, nurses and allied health care professionals such as physician assistants real-time access to community-wide, longitudinal health records does in fact benefit patients.”
With federal and New York State government backing, hospitals and medical practices across the state are investing millions of dollars to make health records sharable among physicians when they need the information. The digitized charts contain doctors’ notes from every patient visit; family medical history; immunization records; lab results; medication history; allergies; reminders for preventative care and more.
Garth Graham, M.D., M.P.H., specializing in cardiology, is the current president of the Aetna Foundation and former deputy assistant secretary at the U.S. Department of Health and Human Services (HHS) during both the Bush and Obama administrations. Here he discusses the Aetna Foundation, improving quality of care, how the health IT community continues to change, how can it best be used as a positive tool for better health outcomes, even at the individual level.
Tell me about the Aetna Foundation and your role within the organization? How does the Foundation impact healthcare community?
The Aetna Foundation is the philanthropic arm of Aetna, Inc. funding a number of activities across the country that promote thought-leadership and community-based impact as well as research around improving health outcomes. As the Foundation’s president, I oversee the philanthropic work, including grant-making strategies aimed at improving the health of people from underserved communities.
Overall, at the Aetna Foundation we seek to impact the healthcare community by supporting research and organizations focused on improving the health and wellness of individuals throughout the United States.
How do you go about working to improve the health status and quality of care of the individual and community?
Our Digital Health Initiative is the most recent example of our efforts to fund both national and local programs that are striving to limit healthcare disparities among vulnerable populations, as well as increase positive health and wellness outcomes for individuals. Through this initiative, we are supporting technology that can empower individuals with the convenience and control to meet their personal health and wellness goals.
We hope that by arming individuals with the best possible tools to improve their health, we can ultimately build healthier communities.
Guest post by Brian O’Neill, president and CEO, Office Ally.
As healthcare reform rolls out nationwide, medical providers at all points across the care continuum are acknowledging the critical role that practice management systems play in population health management. Moving onto an electronic medical record is an important first step. Maximizing the digital capabilities these systems provide is a close second priority – and one that can yield big dividends in enhanced communications and better patient care.
One of the stars in the pantheon of indispensible functionality is real-time clinical messaging. Similar to texting but on a grander scale, real-time clinical messaging notifies medical providers before, during or after patient encounters of the recommended procedures that will improve patient outcomes. The two-way messaging can come directly from outside sources, such as third party administrators, IPAs, health plans or accountable care organizations, as well as other parties important to the care of patients. Studies have shown that such real-time digital communication significantly improves quality of care and allows for better outcomes in disease management patients. It can also result in fewer hospitalizations and a reduction in serious medical errors.
Clinical messaging can also facilitate direct communication between the medical provider’s office and a health plan’s case manager. This uninterrupted linkage improves the timeliness of the care provided, allowing case managers to contact the physician’s office prior to a member’s appointment to discuss procedures to be provided. Clinical messaging also enables the electronic two-way transfer of documents between the physician and the health plan, while allowing the case manager to communicate with the provider’s office while the patient is present in ways that maximize the efficacy and efficiency of that visit.
Most important of all clinical messaging helps to improve quality, which is the reason the healthcare exists in the first place. It can accurately capture all of the mandated HEDIS preventive care measures, demonstrating compliance with HEDIS and NCQA standards in a manner that can improve the “Star Ratings.” Both have become standard measures of quality throughout the healthcare industry and are increasingly becoming tools that employers and individuals use in selecting healthcare providers.
According to new research from Accenture, despite slower-than-expected growth, the global market for electronic health records (EHR) is estimated to reach $22.3 billion by the end of 2015, with the North American market projected to account for $10.1 billion or 47 percent, released today at the annual HIMSS Conference in Orlando.
According to Accenture, although the worldwide EHR market is projected to grow at 5.5 percent annually through 2015, Accenture’s previous research shows that would represent a slowdown from roughly 9 percent growth during 2010. Despite the slower pace of growth globally, the combined EHR market in North and South America (The Americas) is expected to reach $11.1 billion by the end of 2015, compared to an estimated $4 billion in the Asia Pacific region and $7.1 billion in Europe, the Middle East and Africa (EMEA).
“Although the market is growing, the ability of healthcare leaders to achieve sustained outcomes and proven returns on their investments poses a significant challenge to the adoption of electronic health records,” said Kaveh Safavi, global managing director of Accenture Health. “However, as market needs continue to change, we’re beginning to see innovative solutions emerge that can better adapt and scale electronic health records to meet the needs of specific patient populations as well as the business needs of health systems.”
Driven by consolidation and the federal Meaningful Use guidelines, the United States is expected to remain the largest EHR market in the Americas and globally, with a projected annual growth rate of 7.1 percent and will total $9.3 billion by the end of 2015. Along with increasing U.S. market demand, Brazil, projected at $0.4 billion, may represent the greatest relative growth opportunity as a country-wide federal initiative, the Unified Health System, is expected to drive 9.7 percent annual growth over the next several years.
The market for electronic health and health records (EHRs) is set to experience rapid growth over the coming years, with EMR peer group value estimated to climb from approximately $10.6 billion in 2012 to $17 billion by 2017, at a Compound Annual Growth Rate (CAGR) of 9.8 percent, according to research and consulting firm GlobalData.
The company’s new report estimates that McKesson had the largest healthcare information technology software and services revenue in 2012, with $3,300 million, placing it as the EHR market leader. McKesson is followed by Cerner and Allscripts, which achieved revenues of $2,666 million and $1,477 million, respectively.
According to GlobalData, this rapid EHR market growth is because of incentives offered under the American Relief and Recovery Act of 2009, which delivers opportunities for providers to transform unstructured, paper-based data into electronic digitized information that can be shared across the entire care industry.
An enterprise-wide data warehouse and a cross-functional team approach to analyze care delivery and protocols has enabled Texas Children’s Hospital in Houston to improve care and achieve millions of dollars in savings at the same time.
Implementing electronic health records was only a starting point for the process, says Myra Davis, senior vice president and CIO for the Houston-based facility. Analyzing the data from the EHR system and other information systems in the hospital with diverse team members using visualization applications has enabled significant improvements in clinical processes, she said.
The use of the data warehouse and improved analytical processes has strong support from clinicians and research specialists, who lauded the approach’s ability to conduct research.
“It’s great to be in a meeting to slice and dice the data,” said Terri Brown, research specialist and assistant director of data support at Texas Children’s Hospital. “When it used to take three months to get a report, now within 30 minutes you have such a great understanding of the data. It takes away the false leads. It tells you what the source of truth is for how we have changed care delivery. It has been revolutionary.”
Guest post by Randy Van Egdom, partner/implementation manager at AdventEMO.
We understand how difficult it is to decide on an electronic health record (EHR) that is customized for your needs and requirements. But, because of the need, you have now finalized on an EHR which has been marketed to you as the perfect match for your practice. Now that the EHR is in place, you have started using it with the help of the vendor training, but hold on, why isn’t it working just as it was promised to you?
It happens more often than ever that the EHR works just right ‘til you have the vendor standing by your side training you on its implementation. Yet, it just fails to work the way it is supposed to when that training period is over. This is because that you face real problems only when you are totally dedicated towards it. During the training tenure you never look at it like an ongoing process.
In all likelihood, this EHR might be the one that will bring a great turnover and growth with your existing and new staff. Not just the efficiency of your staff increases with an EHR in place, even the EHR will update and change with time easing the entire process. The key driving element is to have a strategy that works for your organization and allows time for its development and deployment.
Here are the six EHR training tips you shouldn’t miss. Having this in place will take your practice a long way with the EHR.
The healthcare industry has to grapple with a lot of sensitive information of patients, and also deal with numerous stringent regulations. This is an industry that has to manage a considerable amount of information without compromising on its safety. From patients’ medical records to prescriptions, information needs to be maintained securely, but also be available for quick access to healthcare professionals.
With all the technological advancements being introduced each day, information has indeed become readily available in the modern world. As a result, healthcare professionals tend to get a larger amount of files and spend more time trying to manage these files. Fortunately, technology has also introduced ways for us to manage documents more efficiently. Document imaging is one of these ways.
What is Document Imaging?
Document imaging involves the conversion of paper documents into computer files and electronic images. There is a good number of document imaging software available and they all allow you to easily retrieve your documents within seconds. The benefits offered by a document imaging system are such that several companies and organizations all over the world are now using it in lieu of the traditional paper filing system.
Benefits of Document Imaging
These are the most notable benefits of having a document imaging system:
– It prevents the loss of important records and documents. A while ago, an article in BioSpace spoke about China halting shipments of HIV therapy because of a missing regulatory document. That could never happen with document imaging and cloud based sharing.
– It allows you to save a great deal of physical storage space and use it for other important purposes.
– It helps you manage your records efficiently. SureClinical has given healthcare companies a cloud based ecosystem that helps them manage content. Collaborative cloud digital signing functionality gives clients the opportunity to adhere to EsMD or Electronic Trial Master File Standard which is a part of the US Medicare program.