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Today's healthcare scoops for a better tomorrow.
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Preparing for Stage 2 and Stage 3 Meaningful Use: Q&A with CMS

Elizabeth S. Holland, the Director of the HIT Initiative Group in the Office of E-Health Standards and Services at CMS, sat down with EHRIntelligence to discuss EHR vendors, Stage 2 and Stage 3 Meaningful Use, and upcoming CMS efforts to facilitate communication and prepare providers for new requirements.
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About me

About me | Healthcare Now | Scoop.it

I have a passion for healthcare, and look forward to the day when we more effectively balance the competing interests of stakeholders for the benefit of all.

 

I've been in the healthcare IT industry for about ten years, and in IT for almost thirty. I'm also a psychologist, and made the career switch by way of a special area of artificial intelligence: knowledge acquisition. 

 

I've got advanced academic degrees, written books, had great jobs, and so on. But mainly I want to see the advances in HIT do more than just make the next best widget: I want to see us move from a system of disease management to one of health. Come along for the ride!

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Health Care Reform Update

Health Care Reform Update | Healthcare Now | Scoop.it
The latest developments in health-care reform and and what they mean for consumers of all ages.
Jim Brule's insight:

A good guide for consumers as 2014 approaches.

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DoD to explore commercial EHR options

The U.S. Department of Defense will look to the commercial market for an electronic health record system instead of developing one based on the Department of Veterans Affairs' VistA system.
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New Direct Implementation Guide Will Support Interoperability

New Direct Implementation Guide Will Support Interoperability | Healthcare Now | Scoop.it
Are you seeking guidance on Direct implementation? ONC’s new implementation guide will help to achieve vendor-to-vendor exchange and interoperability.
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MedPAC: Use patient satisfaction to measure success of renal ACO demo

The Medicare Payment Advisory Commission suggested in a four-page letter to CMS this week that the performance of providers involved in the renal-specific Accountable Care Organization demonstration should be judged on not only standard quality...
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ONC unveils Stage 2 transitions of care guidance

The Office of the National Coordinator for Health IT continues to support health information exchange in Stage 2 of the Meaningful Use program, recently releasing a document to help health information organizations support the transition of care...
Jim Brule's insight:

This is a flawed measure. It requires the transmitter to verify that the message was received, but there is no reliable method for doing this. ONC acknowledges this in its guidance, and says that vendors can declare that they believe it works. This will be an auditing nightmare...

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Do payers share enough data with ACO partners?

Providers are beginning to sound alarms that some payers aren't providing adequate or high-quality claims data, making that information unusable.
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Tapping Social, Online Tools To Transform Health Care Delivery

Patients' active, thoughtful self-care and investigation online should not only be commended, it should be celebrated, integrated and prioritized.
Jim Brule's insight:

Pithy quote: "Imagine U.S. health care if communication was as important as the technology."

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6 ways IT helps meet meaningful use

6 ways IT helps meet meaningful use | Healthcare Now | Scoop.it
Jim Brule's insight:

Six good principles for pursuing stage 2, beginning with "Don't ignore the human side."

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Quality Conundrum: Complications Boost Hospital Profits : NPR

Quality Conundrum: Complications Boost Hospital Profits : NPR | Healthcare Now | Scoop.it
Hospitals can make more money when surgery leads to complication that need to be fixed. Critics say the current payment system rewards hospitals for bad care and fails to provide incentives that would benefit patients.
Jim Brule's insight:

It's always important to watch the incentives ... and the unintended consequences of intervention!

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Why you need a population health management IT system

Why you need a population health management IT system | Healthcare Now | Scoop.it
Is the outlay for a PHM worth it? Quality incentives and bonuses can offset the annual cost in 1 to 3 months.

Via Inforth Technologies
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Health-Care Costs: A State-by-State Comparison

Health-Care Costs: A State-by-State Comparison | Healthcare Now | Scoop.it
When it comes to spending, some states may get more bang for their buck.
Jim Brule's insight:

Great data! 

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CMS Issues Guidance on EHR Meaningful Use Audits

The Centers for Medicare and Medicaid Services has published guidance on Medicare electronic health records meaningful use audits being conducted by its contractor, Figliozzi and Company.
Jim Brule's insight:

Critical links in this article on how to prepare for an audit with best practices.

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Health Review - How Sitting all day Decreases Human Life | Infographics

Health Review - How Sitting all day Decreases Human Life | Infographics | Healthcare Now | Scoop.it
Infographic on decrease in human life by sitting all day on Chair in front of PC or TV with health review and tips to overcome it with mobile health apps
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55% of Doctors, 80% of Hospitals Have Received EHR Incentives

HHS has exceeded its goal of 50% of eligible physician offices and 80% of eligible hospitals using electronic health records by the end of 2013.
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Backup plans for EHR failures need regular testing

Backup plans for EHR failures need regular testing | Healthcare Now | Scoop.it
Regardless of whether the system is local or cloud-based, physician practices should have a plan that includes off-site storage of data.
Jim Brule's insight:

The part of MU that is often forgotten...

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How to Prepare For, Survive an EHR Meaningful Use Audit

Use of the words "audit" and "Medicare" in the same sentence tend to make even the most seasoned physician uncomfortable.
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When Private Hospitals Cherry-Pick, Teaching Hospitals Pay the Price

When Private Hospitals Cherry-Pick, Teaching Hospitals Pay the Price | Healthcare Now | Scoop.it

There are overwhelming monetary incentives for physician-owned hospitals to market to the healthiest and wealthiest, who seek a narrow list of procedural interventions. But then those physicians are rewarded with value-based payments for high satisfaction scores and low readmission rates as mandated by the Accountable Care Act.

 

What happens to the rest of the patients—the ones with one if not several chronic conditions and minimal if any insurance?

 

They find their way to teaching hospitals, which treat a disproportionate number of “dual eligibles.”

Jim Brule's insight:

Joanne Conroy, MD, is Chief Health Care Officer at the Association of American Medical Colleges.

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Give Back that Pulitzer, Wall Street Journal Editorial Page

Give Back that Pulitzer, Wall Street Journal Editorial Page | Healthcare Now | Scoop.it
A long, loud screaming campaign against Obamacare ends in a quiet whoops.
Jim Brule's insight:

One of a series of articles advancing the possibility that healthcare reform is actually starting to work, despite WSJ's pessimism.

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AMA Raises Reimbursement Concerns Over EHR Workarounds

AMA chair Steven Stack, MD said that some Medicare carriers have already issued rules that if patient charts look too similar, they will deny payment for them.

Jim Brule's insight:

A great article! It highlights the Catch-22 from CMS and payers to be both consistent and different, as well as many other challenges as we continue this transition to information technology.

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19 Metrics to Measure Hospitals' Progress Toward Value-Based Care

Hospitals and health systems need metrics to determine their progress in moving toward a pay-for-performance model.
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President predicts 'glitches and bumps' in ObamaCare rollout

President predicts 'glitches and bumps' in ObamaCare rollout | Healthcare Now | Scoop.it
President Obama said Tuesday that his healthcare law is bound to hit some snags as it comes fully into place over the next six months.
Jim Brule's insight:

The biggest challenge - no big surprise! - will be healthcare information exchanges.

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EHR Replacement: Challenges for providers making the switch

The pressures are mounting for healthcare organizations and providers to adopt EHR systems to meet federal, state, or organizational mandates to improve the quality and cost of care through the adoption of these health IT solutions.
Via Inforth Technologies
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CMS, in a switch, starts prepayment meaningful use audits - amednews.com

CMS, in a switch, starts prepayment meaningful use audits - amednews.com | Healthcare Now | Scoop.it
Incentive checks could be delayed if a physician's electronic submission is flagged for possible problems, or chosen at random for review.
Jim Brule's insight:

They are also being applied if you don't do well on an audit...

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AHA to CMS: Meaningful use shows problems of reporting CQMs

The AHA has highlighted obstacles and flaws to reporting clinical quality measured electronically presented by the EHR Incentive Programs (i.e., meaningful use).

Jim Brule's insight:

In a letter dated April 8, AHA Vice President and Deputy Director of Policy Ashley Thompson has urged CMS to reconsider its approach to reporting CQMs via the Physician Quality Reporting System and the EHR Incentive Programs based on a lack of necessary infrastructure.

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A bill in Congress has people talking about meaningful use exemptions

Proposed meaningful use exemptions are hailed as a potential boon for some providers, but will a new bill in Congress help bring changes?
Jim Brule's insight:

The idea is to allow exemptions for providers aged 54 and older; there is no mentioned penalty for claiming the exemption and then not retiring. FAIL.

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