MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'eprescribing'. Sat, 03 Sep 2011 02:36:20 +0100 http://www.medworm.com/index.php?rid=5174703&cid=t_101339_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2Fg_faMvFVu7k%2F Lynn Scheps is Vice President, Government Affairs at EHR vendor SRSsoft. In this role, Lynn has been a Voice of Physicians and SRSsoft users in Washington during the formulation of the meaningful use criteria. Lynn is currently working to assist SRSsoft users interested in showing meaningful use and receiving the EHR incentive money. Check out Lynn’s previous Meaningful Use Monday posts. A great deal of work, discussion, and debate by the HIT Policy Committee and its Workgroup members went into developing the recommendations for meaningful use Stage 2 (discussed in the last two Meaningful Use Monday posts). Meetings were frequent and lengthy, but I tried to listen in on most of them to gain some insights into the thinking behind the decisions being made and the future direction of me... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=5174703 Mon, 29 Aug 2011 17:35:33 +0100 5174703 http://www.medworm.com/index.php?rid=5130856&cid=t_101339_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2F7izZd7JZcgo%2F Lynn Scheps is Vice President, Government Affairs at EHR vendor SRSsoft. In this role, Lynn has been a Voice of Physicians and SRSsoft users in Washington during the formulation of the meaningful use criteria. Lynn is currently working to assist SRSsoft users interested in showing meaningful use and receiving the EHR incentive money. Check out Lynn’s previous Meaningful Use Monday posts. A few weeks ago, the HIT Policy Committee forwarded its Stage 2 meaningful use recommendations to CMS. CMS is expected to issue a Proposed Rule in early 2012 and the Final Rule in mid-2012.  The first recommendation—intensely debated, but overwhelmingly supported in the end—is to delay the start of Stage 2 until 2014, recognizing the unrealistic time pressure that vendors and providers would fac... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=5130856 Mon, 15 Aug 2011 16:43:35 +0100 5130856 http://www.medworm.com/index.php?rid=5107649&cid=t_101339_113_f&fid=34634&url=http%3A%2F%2Fwww.emrandhipaa.com%2Femr-and-hipaa%2F2011%2F08%2F03%2Feprescribing-controlled-substances%2F Back on September 13, 2009 I wrote a post titled, “FDA Approves Pilot Electronic Prescribing of Controlled Substances.” I’d link to the post, but unfortunately the news got sent to me prematurely and so I had to take the post down. It was unfortunate, since there was and still is a lot of interest in being able to ePrescribe controlled substances. In fact, I’d say that not being able to prescribe controlled substances electronically is the current Achilles heal of ePrescribing. Fast forward to the recent announcement that DrFirst’s announcement of the Nationwide Launch of their ePrescribing Controlled Substances product. Their latest ePrescribing product for controlled substances is called EPCS Gold and is fully certified to meet the prescription processing re... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=5107649 Wed, 03 Aug 2011 19:33:22 +0100 5107649 http://www.medworm.com/index.php?rid=5062199&cid=t_101339_87_f&fid=34765&url=http%3A%2F%2Fhcrenewal.blogspot.com%2F2011%2F07%2Feprescribing-assuming-issues-like-this.html No surprise here to anyone with engineering sense (e.g., in my case, arising from my decades of experience in amateur radio, operating many different brands and types of extremely complex radio equipment):American Medical News (American Medical Association)Upgrading e-prescribing system can bump up error riskSome of those risks can put patients in jeopardy in the first few weeks of implementation, a study finds.By PAMELA LEWIS DOLAN, amednews staff. Posted June 13, 2011.Switching to new or upgraded electronic-prescribing systems may pose patient safety risks during the transition period, despite the advanced clinical decision support tools offered by the newly implemented technology.Let me translate this euphemism: "Patient safety risks" = risks that patients will be maimed or killed.Many ... Health Care Renewal blogs http://www.medworm.com/rss/comments.php?id=5062199 Sun, 24 Jul 2011 13:04:00 +0100 5062199 http://www.medworm.com/index.php?rid=5028570&cid=t_101339_113_f&fid=38236&url=http%3A%2F%2Fwww.healthcareitnews.com%2Fblog%2Favoid-1-e-prescribing-penalty The Federal Government’s commitment to advancing healthcare IT is seen in its “carrot and stick” approach. Now, for the first time, physicians who are not yet e-prescribing are feeling the “stick” end of the equation. Those doctors who did not report at least 10 paperless drug orders to CMS by the end of June will be penalized by a 1% reduction in Medicare payments. A limited number of hardship exceptions exist: read more (Source: Healthcare IT News Blog) Healthcare IT News Blog blogs http://www.medworm.com/rss/comments.php?id=5028570 Tue, 12 Jul 2011 12:25:05 +0100 5028570 http://www.medworm.com/index.php?rid=4992632&cid=t_101339_87_f&fid=34765&url=http%3A%2F%2Fhcrenewal.blogspot.com%2F2011%2F06%2Felectronic-medication-prescribing-magic.html Computers once again are proving not to be the plug-and-play-panacea they've been made out to be in the complex world of medicine. The Magic Bullet Theory of IT-Enabled Transformation once again bites the dust in the real world of medicine:Errors Occur in 12% of Electronic Drug Prescriptions Matching HandwrittenBloombergBy Michelle Fay CortezJun 29, 2011As many as 12 percent of the drug prescriptions sent electronically to pharmacies contain errors, a rate that matches handwritten orders for medicine from physicians, researchers said.An analysis of 3,850 computer-generated prescriptions written over a four-week period found 452 contained errors, including 163 that could harm the patient, according to a report published today in the Journal of the American Medical Informatics Association. ... Health Care Renewal blogs http://www.medworm.com/rss/comments.php?id=4992632 Thu, 30 Jun 2011 17:28:00 +0100 4992632 http://www.medworm.com/index.php?rid=4921556&cid=t_101339_113_f&fid=34634&url=http%3A%2F%2Fwww.emrandhipaa.com%2Flynn%2F2011%2F06%2F06%2Frelief-may-be-in-sight-for-some-penalty-threatened-eprescribers-%25e2%2580%2593-meaningful-use-monday%2F Some physicians—most notably, surgeons and pain-management specialists—have expressed concern that they will be unfairly subject to the 2012 ePrescribing penalties, based on the fact that their opportunities to ePrescribe are limited by the nature of their practices. The Proposed ePrescribing Rule published in the Federal Register on June 1 offers a potential remedy for these providers.  The rule, which amends the (MIPPA) 2011 ePrescribing rule, affords providers several new arguments they can use to request a “hardship exemption” from the 2012 penalties. (These are in addition to the already existing reasons, i.e., rural areas that lack high speed internet access and/or rural areas that lack pharmacies that accept ePrescriptions.) The new justifications include:       1)  ... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=4921556 Mon, 06 Jun 2011 17:35:42 +0100 4921556 http://www.medworm.com/index.php?rid=4753799&cid=t_101339_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2FjBXbmtWKn1I%2F You know on the weekends I love to through in a little round up of some interesting things said about healthcare IT, EMR and other topics on Twitter. Hopefully, they’ll educate, entertain and inform. If not, tomorrow’s another edition of Meaningful Use Monday. #bbpBox_62326577878417408 a { text-decoration:none; color:#A08574; }#bbpBox_62326577878417408 a:hover { text-decoration:underline; } T2: I used to read 4 newsletters, now I don’t. I’ve chg’d to read tweets & blog post – so much more current. #hcsm April 24, 2011 6:26 pm via TweetDeckReplyRetweetFavorite @Colin_Hung Colin Hung I’ve been talking about this quite a bit lately on this blog (see my post about social media EMR information). However, I love how the described their shift... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=4753799 Mon, 25 Apr 2011 06:49:58 +0100 4753799 http://www.medworm.com/index.php?rid=4747726&cid=t_101339_113_f&fid=34634&url=http%3A%2F%2Fwww.emrandhipaa.com%2Femr-and-hipaa%2F2011%2F04%2F18%2Fmeaningful-use-measures-eprescribing-meaningful-use-monday%2F I hope that by now, readers have heeded the advice I gave in a previous post, “No Matter What Else You Do in 2011, You’ve Got to ePrescribe” and are covering their bases regarding ePrescribing under MIPPA. Even though providers can’t collect a meaningful use incentive (as a Medicare participant) during the same year that they earn an ePrescribing incentive, having the ePrescribing workflow in place for MIPPA purposes will prepare them well for meaningful use. Meaningful Use Core Measure: ePrescribing More than 40% of all permissible prescriptions written by the EP are transmitted electronically using certified EHR technology. This is a core, i.e., required, measure that can only be excluded by an EP who writes fewer than 100 prescriptions during the reporting period and attests t... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=4747726 Mon, 18 Apr 2011 15:21:48 +0100 4747726 http://www.medworm.com/index.php?rid=4532282&cid=t_101339_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2FH5NRyC5wBA0%2F The last Meaningful Use Monday post detoured from the EHR incentives to ePrescribing under MIPPA—given its importance based on the impending schedule of penalties. Because I receive ePrescribing questions on a daily basis, I thought a quick recap of ePrescribing basics might be helpful: Incentives and penalties: Year Incentives* Penalties* 2011 1% – 2012 1% 1%** 2013 0.5% 1.5%** 2014 on – 2% *Percent of provider’s total Medicare Part B FFS Allowable Charges. (Incentives assume provider does not receive EHR incentive for that year.) **Based on 2011 ePrescribing activity Incentives are earned per provider, and each provider must individually meet the requirements. This means that some providers within a practice might qualify for an incentive, while o... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=4532282 Mon, 28 Feb 2011 15:58:42 +0100 4532282 http://www.medworm.com/index.php?rid=4477869&cid=t_101339_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2FM7bwC-aDYy8%2F No Matter What Else You Do in 2011, You’ve Got to ePrescribe With all of the focus on meeting meaningful use, the requirements related to ePrescribing under the Medicare MIPPA program seem to be getting lost in the shuffle. Just as some practices didn’t get the message about the 2010 change in ePrescribing G-codes until late in the year, I am hearing that the communication hasn’t reached everyone about the importance of ePrescribing in 2011; so I thought I would post a reminder: 2011 ePrescribing activity will be the basis for the 2012 and 2013 ePrescribing Medicare penalties (AKA “adjustments”) under MIPPA. If you are not already ePrescribing, it’s important to start very soon. The following are the rules: ePrescribe on 10 Medicare encounters between now and June 30, 2011 to ... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=4477869 Mon, 14 Feb 2011 15:39:08 +0100 4477869 http://www.medworm.com/index.php?rid=4361099&cid=t_101339_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2FGi9w-tkf70Y%2F To continue last Monday’s post regarding the differences between participation under Medicare and Medicaid, the Medicaid program imposes no penalties (or as Medicare euphemistically calls them, “adjustments”) for not being a successful meaningful user. Medicare adjustments are scheduled to begin in 2015. Upon discovering this discrepancy, one (somewhat devious-minded) physician suggested to me that this provided a loophole: declare as a Medicaid participant, begin participating (successfully or unsuccessfully) in 2015, and insulate yourself from any penalties. I’m sorry to report that, as creative as this strategy seemed, non-meaningful use Medicaid participants will still be subject to adjustments to their Medicare fee schedules when those penalties begin. Two other noteworthy dif... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=4361099 Mon, 17 Jan 2011 17:09:12 +0100 4361099 http://www.medworm.com/index.php?rid=4331080&cid=t_101339_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2FNSpOF3oMI-g%2F Physicians who are eligible for both programs will likely find participation under Medicaid to be a preferable option because the incentives are higher, the first year rewards adoption/purchase, (without requiring demonstration of meaningful use depending on the state); and the program offers more flexibility in terms of time frames. To participate under Medicaid, a provider must have a practice that is 30% Medicaid (20% for pediatricians), based on number of patient encounters (as opposed to revenue). Some providers are only eligible under Medicaid—nurse practitioners; certified nurse-midwives; dentists; and physician assistants who practice in a Federally Qualified Health Center or rural health clinic that is led by a physician assistant. Not all states have their EHR incentive program... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=4331080 Mon, 10 Jan 2011 22:57:32 +0100 4331080 http://www.medworm.com/index.php?rid=4304954&cid=t_101339_113_f&fid=34634&url=http%3A%2F%2Fwww.emrandhipaa.com%2Femr-and-hipaa%2F2010%2F12%2F30%2Fsurescripts-becomes-onc-atcb-ehr-certification-body%2F In the weirdest news I’ve seen in a while, SureScripts has become an ONC-ATCB. Here’s the details from Health Data Management: In a Dec. 23 announcement, the Office for the National Coordinator for Health IT said that Arlington, Va.-based Surescripts can verify that e-prescribing, privacy and security modules meet the standards laid out in the meaningful use requirements. Surescripts is the sixth authorizer to be approved by ONCHIT, but it’s the only one with limited certification abilities—the five others have ONCHIT’s blessing to certify Complete EHRs and EHR modules. Doesn’t this scream conflict of interest? They run a nationwide e-Prescribing network, and yet they can certify ePrescribing for ONC. I guess you could make the argument that they know ePrescribing w... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=4304954 Fri, 31 Dec 2010 05:59:44 +0100 4304954 http://www.medworm.com/index.php?rid=4251164&cid=t_101339_113_f&fid=34634&url=http%3A%2F%2Fwww.emrandhipaa.com%2Femr-and-hipaa%2F2010%2F12%2F07%2Fmore-meaningful-use-clarifications-and-maximizing-ehr-arra-and-eprescribing-mipaa-incentives%2F I love the smart readers from this site. They always keep me in line and do a good job clarifying the details of meaningful use for me and you. A few such comments were made on my years for meaningful use post. I thought they were worth sharing since I know that many of you don’t go back and read the great comments people make on my posts (I’ll forgive you for now). Lynn Scheps from SRSsoft wrote the following comment about a benefit to not showing meaningful use in 2011 and electing to wait until 2012. It’s a way to maximize your incentive money. Although, you will need to implement your EHR quickly to maximize them. Here’s Lynn’s comment: There is an additional benefit to electing 2012, instead of 2011, as an EP’s first EHR incentive payment year (an unint... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=4251164 Tue, 07 Dec 2010 18:58:27 +0100 4251164 http://www.medworm.com/index.php?rid=3625624&cid=t_101339_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2FJLmd9JK2w5A%2F One of the challenges of this blog is writing content that will be interesting and useful to a wide variety of readers. At times I think I assume that those visiting EMR and HIPAA have read my 770 previous posts and should have a good understanding about the EMR world. Of course, the reality is that many of the people visiting this site might only read a couple different posts. Even more significant is that they might only have a remedial understanding of EMR and in particular the EMR stimulus money. This leaves me with the challenge of keeping the long time readers interested and benefiting from the content I create while still helping the EMR newbies understand what they need to know. In that vein, here’s some questions that I got in an email about meaningful use and the EMR stimul... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=3625624 Wed, 02 Jun 2010 16:34:30 +0100 3625624 http://www.medworm.com/index.php?rid=3522697&cid=t_101339_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2FZFVEhZiDM3M%2F I’m still really disturbed by the fact that we have so few practical meaningful use details. Sure, we have a lot of guidelines and a lot of prognosticators guessing at what they mean and how they’ll be measured. We even have a certifying body trying to guess what the EHR certification will be. Sadly, they’re all still guesses. Let’s just take a simple example for a second and see some of the complexities. Objective: Generate and transmit permissible prescriptions electronically (eRx). Measure: At least 75 percent of all permissible prescriptions written by the EP are transmitted electronically using certified EHR technology. This certainly seems pretty straight forward. Probably about as straightforward as it comes as far as objectives. Basically, 75% of the prescri... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=3522697 Fri, 30 Apr 2010 15:47:39 +0100 3522697 http://www.medworm.com/index.php?rid=3460245&cid=t_101339_113_f&fid=34634&url=http%3A%2F%2Fwww.emrandhipaa.com%2Femr-and-hipaa%2F2010%2F04%2F07%2Feprescribing-controlled-substances-patient-matching-rate%2F I’ve been wanting to write about ePrescribing controlled substances since 9/13/09. In fact, I even did write post about the FDA approving a pilot to do electronic prescribing of controlled substances which I posted on that day. Turns out, it was a press release that was sent to me prematurely, so I hid it from view. Well, a couple weeks ago, the Drug Enforcement Administration (DEA) released it’s interim final rule on ePrescribing of controlled substances (PDF). John Halamka described some of the most important details of this rule on his blog: (a) To sign a controlled substance prescription, the electronic prescription application must require the practitioner to authenticate to the application using an authentication protocol that uses two of the following three factors: (1) ... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=3460245 Wed, 07 Apr 2010 14:30:06 +0100 3460245 http://www.medworm.com/index.php?rid=3056737&cid=t_101339_113_f&fid=34634&url=http%3A%2F%2Fwww.emrandhipaa.com%2Femr-and-hipaa%2F2009%2F11%2F30%2Fhit-projects-you-can-implement-today%2F Many people are sitting their on the proverbial fence waiting to see what’s going to happen with the HITECH act and meaningful use before they actually go and implement an EMR. Now, I’m not going to let those people off the hook from evaluating and selecting an EMR. That should be done anyway. However, lately I’ve been thinking that many of these clinics shouldn’t be waiting to implement technology in their offices. Sure, EMR is a game changer and a major change for any office and has tremendous upside (regardless of stimulus money). However, for those of you in the wait for HITECH act money camp, there are still a number of IT projects that you can implement today that will benefit you once you actually implement an EMR. Here’s just a few of them: Fax Server ... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=3056737 Mon, 30 Nov 2009 17:17:17 +0100 3056737 http://www.medworm.com/index.php?rid=2879491&cid=t_101339_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2F-Lo21DhCyFI%2F ePrescribing seems like the in vogue thing to do these days. It’s part of the proposed meaningful use matrix and so no doubt we’re going to hear a lot more about it (and we should). However, ePrescribing isn’t without its challenges. A little while ago I put the question to you my readers about the challenges associated with ePrescribing. The following are a couple of the responses that I received from people about their experience with ePrescribing. Doctor’s advocate that I am, I’ll start off with a doctor’s experience… E-Rx has been one of the best additions to our EHR. We have reduced paper use significantly, and rarely have problems with transmission. The problems mainly relate to the extra work of entering which pharmacy the patient ants to us... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=2879491 Thu, 08 Oct 2009 15:20:46 +0100 2879491 http://www.medworm.com/index.php?rid=2876139&cid=t_101339_113_f&fid=34634&url=http%3A%2F%2Fwww.emrandhipaa.com%2Femr-and-hipaa%2F2009%2F10%2F04%2Feprescribing-challenges%2F I’ve heard a number of good and bad things about ePrescribing. I think that e-Prescribing is one of those things that people generally love, but has some major challenges that are still yet to be overcome. Those challenges can absolutely drive people nuts. Since my readers are much smarter than me, let’s hear the challenges you’ve faced as you’ve used or implemented ePrescribing. Let it all hang out. If you have ideas or solutions to the problems you’ve faced, let us know those too. Assuming I get enough responses, I’ll take your responses and do a summary post of people’s comments along with a link to your website (if you leave one). Related posts:ePrescribing Through Online AMA Platform I was recently sent a news release about DrFirst offering.... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=2876139 Sun, 04 Oct 2009 15:25:19 +0100 2876139 http://www.medworm.com/index.php?rid=2790318&cid=t_101339_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2FzuWe5iHjidM%2F I was sent the following guest blog post from DrFirst. Controlled substance regulations have always thrown a bit of a wrench in the cranks of ePrescribing initiatives. So, the fact that the first ever electronic prescriptions of a controlled substance is an important milestone for digitizing healthcare. Check out the full guest blog post: At 2:42pm EDT yesterday, Michael Blackman, MD and CMIO of Berkshire Medical Center, sent the nation’s first prescription of a controlled substance electronically, using DrFirst’s Rcopia electronic prescribing application. DrFirst was granted a DEA waiver to send Schedule II-V Medications as a part of the Electronic Prescribing of Controlled Substances (EPCS) pilot program in Massachusetts, a program facilitated by an AHRQ grant. After Rcopia’s drug,... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=2790318 Sun, 13 Sep 2009 15:30:51 +0100 2790318 http://www.medworm.com/index.php?rid=2770159&cid=t_101339_113_f&fid=34898&url=http%3A%2F%2Fbillkosloskymd.typepad.com%2Fwirelessdoc%2F2009%2F09%2Fahrq-to-survey-docs-providers-on-e-prescribing---modern-healthcare.html . The Agency for Healthcare Research and Quality plans to survey physicians and pharmacists about their electronic-prescribing habits to determine how those features are being used. (Source: Wireless Doc) Wireless Doc blogs http://www.medworm.com/rss/comments.php?id=2770159 Sun, 06 Sep 2009 11:02:04 +0100 2770159 http://www.medworm.com/index.php?rid=2602073&cid=t_101339_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2FDBSqcvQjMyA%2F I came across this blog post which had the actual definition of meaningful use as listed in the HITECH act itself. Check it out: ‘(2) MEANINGFUL EHR USER.— ‘‘(A) IN GENERAL.—For purposes of paragraph (1), an eligible professional shall be treated as a meaningful EHR user for an EHR reporting period for a payment year (or, for purposes of subsection (a)(7), for an EHR reporting period under such subsection for a year) if each of the following requirements is met: ‘‘(i) MEANINGFUL USE OF CERTIFIED EHR TECHNOLOGY.—The eligible professional demonstrates to the satisfaction of the Secretary, in accordance with subparagraph (C)(i), that during such period the profes- sional is using certified EHR technology in a meaning- ful manner, which shall include the use of electronic presc... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=2602073 Tue, 14 Jul 2009 19:08:39 +0100 2602073 http://www.medworm.com/index.php?rid=2390015&cid=t_101339_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2FlTTJzcTDQuQ%2F We’re all still sitting here waiting for the government to finally decide two key terms in regards to gaining access to the $18 billion in stimulus money in the HITECH act (ARRA). I’ve been interested in the subject myself since before it was even settled that we’d call it meaningful use as opposed to meaningful EMR user. From the looks of that post back in February, there was still a lot of confusion about “meaningful use” and “certified EHR.” Turns out that a few months later, we still have very little clarification about what these two terms mean. Certified EHR discussion has really revolved around CCHIT certification or some other alternative. We’ll try to leave that discussion for other posts. What has been interesting is in just the pas... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=2390015 Tue, 05 May 2009 13:19:39 +0100 2390015 http://www.medworm.com/index.php?rid=2376320&cid=t_101339_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2FobYqjBTwwQE%2F I was recently sent a news release about DrFirst offering their ePrescribing services to physicians through a new online American Medical Association (AMA) platform. Here’s a short description of the new AMA platform: DrFirst is the first company to announce that it is offering its services through the new AMA online platform. The platform, which is currently in beta testing, is aimed at providing physicians access to information, products, services and resources that can facilitate medical practice and ease adoption of evolving health information technologies. The AMA aims to launch its new platform in early 2010. I find the concept of the AMA offering a platform for doctors interesting. Does anyone else know anything about this platform? On face it just sounds like the AMA trying t... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=2376320 Mon, 27 Apr 2009 18:52:05 +0100 2376320 http://www.medworm.com/index.php?rid=1173170&cid=t_101339_113_f&fid=34898&url=http%3A%2F%2Fbillkosloskymd.typepad.com%2Fwirelessdoc%2F2008%2F01%2Ftop-2008health.html This post on Health IT News makes this claim based on legislative efforts by John Kerry, and outspoken proponents such as Newt Gingrich. This one sticking point, though;Many groups say the Drug Enforcement Administration (DEA) rules prohibiting the electronic prescribing of controlled substances is the blocker to progress. Because of these rules, physicians are forced to use both paper and electronic methods to prescribe, keeping many from using electronic methods at all. (Source: Wireless Doc) Wireless Doc blogs http://www.medworm.com/rss/comments.php?id=1173170 Wed, 23 Jan 2008 18:05:39 +0100 1173170 http://www.medworm.com/index.php?rid=1074961&cid=t_101339_113_f&fid=34898&url=http%3A%2F%2Fbillkosloskymd.typepad.com%2Fwirelessdoc%2F2007%2F12%2Fcaveats-for-e-p.html While searching the WSJ online for their coverage of e-prescribing, I ran across a letter posted by a physician in response the an op-ed piece published on Nov. 16, unimaginatively entitled "E-Prescriptions" written jointly by John Kerry and Newt Gingrich. Steven Hanks, MD, Chief Medical Officer, The Hospital of Central Connecticut, New Britain, Conn. said:First, in order for electronic prescribing to be truly effective, the information has to flow bidirectionally. Many patients have prescriptions written by a multitude of practitioners, which are then often filled at a number of different pharmacies. For warning alerts regarding interactions or duplications to be effective, the system needs to be able to access all the data. Second, is our current inability to positively ident... Wireless Doc blogs http://www.medworm.com/rss/comments.php?id=1074961 Thu, 06 Dec 2007 16:48:40 +0100 1074961 http://www.medworm.com/index.php?rid=1074962&cid=t_101339_113_f&fid=34898&url=http%3A%2F%2Fbillkosloskymd.typepad.com%2Fwirelessdoc%2F2007%2F12%2Fsenatorial-bi-p.html John Kerry and Newt Gingrich are making their pitch for e-prescribing. Besides Kerry, there are other sponsors for the "Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007" of both parties in the House and the Senate. According to Healthcare IT News:Kerry is among the sponsors of bi-partisan legislation that would require physicians who treat Medicare patients to use electronic prescribing, starting Jan.1, 2011. The bill would authorize Medicare bonus payments to e-prescribing physicians. The bonuses would begin in 2008. The bill also calls for a 1 percent bonus payment for claims that include e-prescribing.   Gingrich has a for-profit organization, the Center for Health Transformation, through which he discusses solutions to the problems of ... Wireless Doc blogs http://www.medworm.com/rss/comments.php?id=1074962 Thu, 06 Dec 2007 15:11:52 +0100 1074962 http://www.medworm.com/index.php?rid=1044007&cid=t_101339_113_f&fid=34898&url=http%3A%2F%2Fbillkosloskymd.typepad.com%2Fwirelessdoc%2F2007%2F11%2Fhhs-head-mike-l.html E-prescribing is not only more efficient and convenient for consumers, but widespread use would eliminate thousands of medication errors every year. This is a quote from Mike Leavitt's blog post about his reaction to a recent meeting of the American Health Information Community (AHIC), which is an advisory committee that considers health information technology standards. Leavitt uses an anecdote to show his action as Governor of Utah in motivating police officers to use a system of laptop entry of police reports, replacing the system of filling out a "stack of forms that was a quarter-inch thick" for each DUI arrest.  Some said they didn't have the keyboard skills to do this. His reaction was to make it mandatory. This analogy doesn't quite fit entirely, since the most the... Wireless Doc blogs http://www.medworm.com/rss/comments.php?id=1044007 Wed, 21 Nov 2007 19:31:01 +0100 1044007 http://www.medworm.com/index.php?rid=573773&cid=t_101339_113_f&fid=34898&url=http%3A%2F%2Fbillkosloskymd.typepad.com%2Fwirelessdoc%2F2007%2F04%2Fohiohealth_part.html OhioHealth Adopts New ePrescribing System for All of Its 2,300 Physicians This will provide all of OhioHealth's 2300 physicians a chance to use this ePrescribing tool the supports both Pocket PC and Palm OS. The RxNT system will connect to the Pharmacy Health Information Exchange™, operated by SureScripts®, which facilitates the secure, electronic transmission of new prescriptions and refill requests between physicians and pharmacists. Today, more than 95 percent of all pharmacies in the United States are certified to connect to the Pharmacy Health Information Exchange.Technorati Tags: OhioHealth, RxNT, Pharmacy Health Information Exchange, ePrescribing, SureScripts (Source: Wireless Doc) Wireless Doc blogs http://www.medworm.com/rss/comments.php?id=573773 Fri, 27 Apr 2007 17:23:12 +0100 573773 http://www.medworm.com/index.php?rid=572946&cid=t_101339_113_f&fid=34933&url=http%3A%2F%2Fpalmdoc.net%2F%3Fp%3D1247 Palm Healthcare Solutions has a page on ePrescribing ePrescribing is the use of computing devices to enter, modify, review and output or communicate drug prescriptions. It can eliminate the need for hard-to-read handwritten prescriptions, and the serious errors in doses and drug combinations that they sometimes cause. Palm’s website features two key products in this area: iScribe and PatientKeeper. I don’t happen to use either but would be interested to hear from anyone who can share their experience in ePrescribing. via Wireless Doc (Source: The Palmdoc Chronicles) The Palmdoc Chronicles blogs http://www.medworm.com/rss/comments.php?id=572946 Fri, 27 Apr 2007 03:33:06 +0100 572946 http://www.medworm.com/index.php?rid=566425&cid=t_101339_113_f&fid=34898&url=http%3A%2F%2Fbillkosloskymd.typepad.com%2Fwirelessdoc%2F2007%2F04%2Fpalm_eprescribi.html This is Palm's present take on ePrescribing, featuring iScribe and PatientKeeper ePrescription. I wonder if these companies will be porting their software to the new Palm Linux OS, or if it will continue to run on Garnet (present Palm OS) on top of the Linux kernel. Palm - Healthcare Solutions - ePrescribingTechnorati Tags: iScribe, PatientKeeper, Palm, Garnet, Linux (Source: Wireless Doc) Wireless Doc blogs http://www.medworm.com/rss/comments.php?id=566425 Tue, 24 Apr 2007 13:20:04 +0100 566425 http://www.medworm.com/index.php?rid=477697&cid=t_101339_114_f&fid=34646&url=http%3A%2F%2Fhealthcarebloglaw.blogspot.com%2F2007%2F03%2Fstate-journal-news-for-west-virginias.html The West Virginia Legislature passed (almost) SB 69 (HB 2289) allowing West Virginia to join the majority of states that allow e-prescribing. It appears that technical errors that occurred as a result of the House and Senate mistakenly passing separate versions of the bill will be cleaned up in a special session on the state budget.For more information check out the State Journal article, E-Prescribing Soon to Be Reality in W.Va. or iHealthBeat article, West Virginia Likely to Pass E-Prescribing Bill.Tags: eprescribing, health care, WV, West Virginia, law (Source: Health Care Law Blog) Health Care Law Blog blogs http://www.medworm.com/rss/comments.php?id=477697 Thu, 15 Mar 2007 21:47:00 +0100 477697 http://www.medworm.com/index.php?rid=462982&cid=t_101339_114_f&fid=34646&url=http%3A%2F%2Fhealthcarebloglaw.blogspot.com%2F2007%2F01%2Fnepsi-national-e-prescribing-initiative.html Over the last few months I've been involved in a project to understand the barriers to e-prescribing in West Virginia (spin off of HISPC project) and assist with developing legislation to modify current West Virginia law and reduce current restrictions on e-prescribing in West Virginia.Today I received notice from an AHLA colleague announcing the National ePrescribing Patient Safety Initiative (NEPSI). I was not previously aware of the initiative. A large group of partners, including technology and health care companies, have come together to provide free electronic e-prescribing access to every U.S. physician through a web-based e-prescribing system.I'll be interested in reading more about the initiative as it develops. For more information on the initiative check out this Google search a... Health Care Law Blog blogs http://www.medworm.com/rss/comments.php?id=462982 Thu, 18 Jan 2007 06:45:00 +0100 462982