Below is one of the charts included in the ONC report giving an update on where the incentives and attesting stands today. It is broken down into several components but the one listed below gives the story in a short visual version. Continue reading: Adoption of EHR Technologies With 66% Meeting Core Objectives, ONC Report
Emedeon and Dr. First were second and third in the survey. As we all know it makes sense today to use a medical records system combined with e-prescribing. The numbers look pretty good with stating 61% of all clinicians are using some degree of e-prescribing. Continue reading: Practice Fusion Leads as the Top EHR Vendor With Satisfied Clients Using E-prescribing
Latest Reports Are Showing About Half the Doctors in the US Are E-prescribing Via Electronic Medical RecordsNovember 29, 2012 | No Comments
This certainly makes sense in today’s era of everything being connected to be e-prescribing. Going back in history just a few years there was a level of separation between EHRs and e-prescribing but not any more. It would almost be a waste of time to use a medical records system and not include e-prescribing as the data all connects and make life easier. Many doctors did start out with e-prescribing and then added their medical records system later. Incentives have been in place since 2010. Continue reading: Latest Reports Are Showing About Half the Doctors in the US Are E-prescribing Via Electronic Medical Records
Currently there are four in place and now two more have been added. The deadline has been extended so doctors again could apply for the exemptions between November 1 and January 31st. Continue reading: CMS Revises e-Prescribing Rules With Adding Two More Hardship Categories
Greenway Medical Technologies Interoperability Expands to Exchange Information With Cerner and Epic Beyond CCRNovember 2, 2012 | No Comments
Information Week reports on Greenway Medical this week and their expansion efforts as an ambulatory EMR to connect with both Epic and Cerner Medical Records which are used in hospitals. Greenway is also on the move with their recent agreement with Walgreens with being the in house ambulatory medical records program used in their Take Care Clinics across the US with 200 installations and a total of 8000 when completely rolled out. Continue reading: Greenway Medical Technologies Interoperability Expands to Exchange Information With Cerner and Epic Beyond CCR
Apoteket, Sweden’s largest pharmacy chain, and Medco Health Solutions, Inc. recently announced the development of Elektroniskt ExpeditionsStod (EES), one of the first national centralized drug utilization review (DUR) programs outside of the United States. This program is intended to improve prescription safety by reducing adverse drug events and thereby reducing the drug related hospitalizations. In Sweden, about 30 percent of emergency care visits and 10 percent of all hospital admissions are the result of preventable adverse drug related events.
E-prescribing is one important component of EHRs. Retail pharmacies are realizing the potential for e-prescribing to increase their safety and productivity, such as Walgreens. The national pharmacy chain’s electronic prescriptions recently reached 4 million in October 2009, a 185-percent increase from the year prior.
It is projected that Walgreens will fill more than 45 million electronic prescriptions in 2009, compared with 15 million filled in 2008. The company expects growth to continue with help from financial incentives in the federal stimulus package, which encourages hospitals, doctors and others to adopt electronic health records, of which e-prescribing is a key component.
The Centers for Medicare and Medicaid (CMS) has announced that starting January 2010, healthcare providers will have the option to use electronic health record systems to report Medicare quality and electronic prescribing measures to CMS in some of its pay-for-performance programs. The revisions are designed “to promote adoption and use of electronic health records and to provide both eligible professionals and CMS with experience on EHR-based reporting,” said CMS.
In its attempts to widely disperse and advocate the use of electronic prescribing (or more popularly known as e-prescribing), the Centers for Medicare and Medicaid Services (CMS) has begun providing incentive payments of up to 2 percent to eligible physicians and other health care providers using this technology for the year 2009.
According to the Medicare E-prescribing Incentive Program, prescribers using a qualified e-prescribing system began receiving payments from Medicare starting January 1, 2009. As the years progress, the reward will drop. For 2011, the 2 percent would become 1 percent and further down to 0.5 percent two years later. Eventually, the incentives would be gone by the year 2013 when it is expected that the technology has been completely adapted. Continue reading: Incentive Payments for E-prescribing
Public health and clinical medicine have different models of care. While little similarities exist between them, health IT may finally present a common thread.
The core principles of public health are focused on preventing and reducing the burden of disease on communities or entire populations. Public health is concerned with health and wellness; prevention of disease; reduction of morbidity and mortality; and identifying and isolating health threats to populations.
The most recent example of public health in action is the identification, control and prevention of the H1N1 (“Swine Flu”) pandemic. Public health professionals must identify and track each case of H1N1 to first, determine how the disease is spreading; second, ascertain how to isolate it; and third, strategize the development and deployment of a vaccine.
Clinical medicine is more concerned with individual health. A physician might receive a rationed number of H1N1 vaccines and disperse the vaccine as a prevention strategy to high-risk patients. Most of clinical medicine is focused on diagnosing and treating disease. If a patient presents to the physician with symptoms of H1N1, they do the blood testing to confirm the diagnosis, and if the results are positive, provide drug therapy to treat the H1N1 virus.
As you can see, it takes both public health professionals and clinical medicine practitioners to both PREVENT and TREAT disease. But because they have different models of care, it’s sometimes difficult for the two disciplines to play nicely together. However, looking at a case study of Rhode Island’s health IT developments, it seems technology in e-prescribing has brought them into accord.
Electronic prescribing is a replacement of the traditional method used by physicians to manually write down the medications for patient. This application allows health practitioners to electronically send a prescription directly to a pharmacy of patient’s choice. Transfer of information is done over a secure network that ensures privacy of individuals and rapidly connects the physician’s computer to the pharmacy.
E-Rx also allows physicians to access patient’s prescription drug benefits information and their prescription medication history. Now patients can avoid visiting the healthcare facility for prescription refills as electronic prescribing allows a pharmacist to send an electronic renewal request to physicians when patients run out of refills. Continue reading: Error reduction and efficiency through E-prescribing (E-Rx)