CoArtha Technosolutions provides various healthcare IT services including electronic health record systems, healthcare portals, product development, and infrastructure management. The document discusses CoArtha's experience in healthcare domains, technologies used, and services offered to help healthcare providers achieve Meaningful Use of EHRs and qualify for related incentive payments under the HITECH Act.
Transforming Post-Acute Care with IMPACTCitiusTech
On October 6, 2014, a bipartisan bill on Improving Medicare Post-Acute Care Transformation (IMPACT) was signed. The IMPACT Act seeks to standardize assessments for vital care issues across the gamut of post-acute care (PAC) providers and builds a framework to ensure that the delivered care is mindful of the patient needs; thereby eliminating the current silo-focused approach to quality measurement and resource utilization.
Enhancing Competitive Advantage through Improved HEDIS Reporting and NCQA Rat...CitiusTech
The objective of this document is to provide a high level understanding of the Healthcare Effectiveness Data and Information Set (HEDIS), which is a tool used by more than 90 percent of America's health plans to measure performance on important dimensions of care and service. This document helps in understanding different components of the HEDIS in terms of the measure sets (what it is meant for health plans, changes to the previous year), different methods of collecting data for HEDIS and key requirements for reporting HEDIS
Closed Loop Medication Management - A preferred way to go go forward for Prov...CitiusTech
Closed Loop Medication Management (CLMM) system is a fully electronic medication management process that integrates automated and intelligent systems to completely close the inpatient medication management and administration loop, and seamlessly document all the relevant information.
Health Technology Assessments in Indiashashi sinha
The document provides an overview of health technology assessment (HTA) in India. It discusses how HTA can help optimize resource allocation and ensure affordable access to essential healthcare as part of India's universal health coverage agenda. The HTAIn was established to conduct HTA studies to inform decision making. HTAIn's objectives include maximizing health outcomes while reducing costs and inequality. It has completed several studies that have informed policies on topics like safety engineered syringes, intraocular lenses for cataracts, and long acting contraceptives. Ongoing studies cover additional health technologies. HTAIn aims to support evidence-based policies to expand coverage and financial risk protection.
Transforming Clinical Practice InitiativeCitiusTech
The Transforming Clinical Practice Initiative (TCPI) is designed to help small practices and clinicians achieve large-scale health transformation. The initiative is designed to support more than 140,000 clinician practices over four years duration in sharing, adapting and further developing their comprehensive quality improvement strategies. The TCPI is one part of a unique strategy advanced by the Affordable Care Act to strengthen the quality of patient care and manage health care expenditures, ultimately saving the taxpayer from substantial costs. This document describes the initiative in detail with the type of participants, eligibility and reporting requirements of the participants. Understanding the implementation of this initiative not only helps clinicians, but opens up a huge market for Healthcare IT companies offering the products and services like EHR implementation, Integration, EHR/ Data Migration, Implementation of HIE etc.
NCQA’s Accreditation process provides payers with a comprehensive framework to improve quality of care and services. It allows members and employers to compare health plan performance across various plans and against industry benchmarks. NCQA accreditation has 3 parts – HEDIS, Patient experience CAHPS measures and NCQA standards
This document provides an overview and introduction to VigiFlow, a web-based pharmacovigilance reporting tool. It discusses the history and development of VigiFlow, its features for complete individual case safety report management, and advantages like standardized formats and shared terminology. The presentation then demonstrates how to enter a new report into VigiFlow, including sections for patient information, reactions, drugs, and assessment. It also reviews tools for coded term searching and options for report display and navigation without using a mouse.
The document discusses key aspects of Meaningful Use Stage 1, including:
1) Eligible providers can qualify for EHR incentive payments through Medicare or Medicaid by meeting Meaningful Use objectives such as recording patient demographics and smoking status for a specified number of patients.
2) There are three stages of Meaningful Use with increasing requirements to improve outcomes, such as engaging patients and improving care coordination.
3) Providers have until February 28th of the following year to attest they met Meaningful Use requirements for an incentive payment for the prior year. Failure to meet requirements could result in penalties under Medicare.
Transforming Post-Acute Care with IMPACTCitiusTech
On October 6, 2014, a bipartisan bill on Improving Medicare Post-Acute Care Transformation (IMPACT) was signed. The IMPACT Act seeks to standardize assessments for vital care issues across the gamut of post-acute care (PAC) providers and builds a framework to ensure that the delivered care is mindful of the patient needs; thereby eliminating the current silo-focused approach to quality measurement and resource utilization.
Enhancing Competitive Advantage through Improved HEDIS Reporting and NCQA Rat...CitiusTech
The objective of this document is to provide a high level understanding of the Healthcare Effectiveness Data and Information Set (HEDIS), which is a tool used by more than 90 percent of America's health plans to measure performance on important dimensions of care and service. This document helps in understanding different components of the HEDIS in terms of the measure sets (what it is meant for health plans, changes to the previous year), different methods of collecting data for HEDIS and key requirements for reporting HEDIS
Closed Loop Medication Management - A preferred way to go go forward for Prov...CitiusTech
Closed Loop Medication Management (CLMM) system is a fully electronic medication management process that integrates automated and intelligent systems to completely close the inpatient medication management and administration loop, and seamlessly document all the relevant information.
Health Technology Assessments in Indiashashi sinha
The document provides an overview of health technology assessment (HTA) in India. It discusses how HTA can help optimize resource allocation and ensure affordable access to essential healthcare as part of India's universal health coverage agenda. The HTAIn was established to conduct HTA studies to inform decision making. HTAIn's objectives include maximizing health outcomes while reducing costs and inequality. It has completed several studies that have informed policies on topics like safety engineered syringes, intraocular lenses for cataracts, and long acting contraceptives. Ongoing studies cover additional health technologies. HTAIn aims to support evidence-based policies to expand coverage and financial risk protection.
Transforming Clinical Practice InitiativeCitiusTech
The Transforming Clinical Practice Initiative (TCPI) is designed to help small practices and clinicians achieve large-scale health transformation. The initiative is designed to support more than 140,000 clinician practices over four years duration in sharing, adapting and further developing their comprehensive quality improvement strategies. The TCPI is one part of a unique strategy advanced by the Affordable Care Act to strengthen the quality of patient care and manage health care expenditures, ultimately saving the taxpayer from substantial costs. This document describes the initiative in detail with the type of participants, eligibility and reporting requirements of the participants. Understanding the implementation of this initiative not only helps clinicians, but opens up a huge market for Healthcare IT companies offering the products and services like EHR implementation, Integration, EHR/ Data Migration, Implementation of HIE etc.
NCQA’s Accreditation process provides payers with a comprehensive framework to improve quality of care and services. It allows members and employers to compare health plan performance across various plans and against industry benchmarks. NCQA accreditation has 3 parts – HEDIS, Patient experience CAHPS measures and NCQA standards
This document provides an overview and introduction to VigiFlow, a web-based pharmacovigilance reporting tool. It discusses the history and development of VigiFlow, its features for complete individual case safety report management, and advantages like standardized formats and shared terminology. The presentation then demonstrates how to enter a new report into VigiFlow, including sections for patient information, reactions, drugs, and assessment. It also reviews tools for coded term searching and options for report display and navigation without using a mouse.
The document discusses key aspects of Meaningful Use Stage 1, including:
1) Eligible providers can qualify for EHR incentive payments through Medicare or Medicaid by meeting Meaningful Use objectives such as recording patient demographics and smoking status for a specified number of patients.
2) There are three stages of Meaningful Use with increasing requirements to improve outcomes, such as engaging patients and improving care coordination.
3) Providers have until February 28th of the following year to attest they met Meaningful Use requirements for an incentive payment for the prior year. Failure to meet requirements could result in penalties under Medicare.
Setting up of new pharmacovigilance centresPriti Gupta
Cure & Care Pharma proposes establishing a Pharmacovigilance Centre to monitor drug safety. The centre would be approved by regulatory authorities and function to collect, analyze and communicate information about adverse drug reactions and risks. The proposal outlines the need for pharmacovigilance due to increasing drug availability and irrational practices. It describes the centre's scope, reporting processes, infrastructure needs and budget to effectively oversee post-marketing drug safety.
Meaningful Use Stage 2 and Health Information Exchange (HIE)MassEHealth
Transformational intent of Meaningful Use (MU) and the increased trend toward interoperability in MU Stage 2 (MU2); MU2 objectives with an HIE component and their MU2 measures; Approaches to achieving the transitions of care; Available public health registries and their current status and submission pathway; How to find a trading partner and best practices to engaging
The document provides information on the Medicare and Medicaid EHR incentive programs established under the HITECH Act to promote the meaningful use of electronic health records (EHRs) by eligible providers. It outlines the core and menu requirements to achieve meaningful use certification, associated incentive payment amounts for both programs from 2011-2021, and penalties for providers who do not successfully demonstrate meaningful use. The stages of meaningful use are also summarized, including the objectives and measures for Stage 1 which focus on data capture, tracking clinical conditions, and reporting clinical quality measures.
The document summarizes a proposed rule from the Centers for Medicare & Medicaid Services (CMS) to implement incentive programs for hospitals and healthcare providers to adopt electronic health records (EHRs) as authorized by the Health Information Technology for Economic and Clinical Health (HITECH) Act. The proposed rule defines meaningful use criteria for EHRs, outlines incentive payment structures and eligibility over multiple stages and years, and solicits public comments on the proposals by March 15, 2010.
21st Century Act and its Impact on Healthcare ITCitiusTech
This document gives an overview, core objectives of the act and enumerates purpose of each part / division of the 21st Century Act. It lists down the sections of the act which have a direct impact on Healthcare IT and gives a brief overview of each section.This document also explains the impact of 21st Century Cures Act on regulatory bodies: FDA / NIH / HSS.
These slides use concepts from my (Jeff Funk) course entitled Biz Models for Hi-Tech Products to analyze the business model for Vishuo Biomedical, a Singaporean startup. This startup offers a data analytics bioinformatics platform that includes an integrated drug-gene-relation database and this platform is constantly updated as scientific advances are reported in academic journals. The platform analyzes genetic sequence data and provides visualization and reports for hospitals. Vishuo targets hospitals and research institutes with DNA sequencers but who need data analytic tools to interpret the DNA sequencing output. The slides summarize the business model for Vishuo including the value proposition, customers, method of value capture, scope of activities, and method of strategic control.
NLP (Natural Language Processing) shows a great deal of potential for many applications in the healthcare industry. This document shares 6 promising use cases for NLP to manage Epilepsy treatment effectively.
The document provides guidance on the 2007 Physician Quality Reporting Initiative (PQRI) for eligible medical professionals. It describes the goals of the PQRI to focus on quality of care and reward reporting of quality measures with financial incentives. It outlines the eligible professionals, quality measures, reporting requirements, and bonus payments for successful reporting. It also provides details on understanding the quality measures, applicable codes, modifiers, and examples of successful reporting.
The document outlines standards and requirements for achieving meaningful use of electronic health records under the HITECH Act. It discusses 25 required projects across various domains including clinical processes, clinical quality reporting, computerized provider order entry, electronic prescribing, health information exchange, and public health reporting. Certification organizations will evaluate adherence to evolving standards for content, vocabulary, transmission and security that are meant to establish a floor in 2011 and become more specific in 2013. Achieving meaningful use represents a major organizational commitment requiring healthcare providers to divide projects into discrete steps and leverage available grant programs for support.
The document discusses electronic health records (EHR) and the financial incentives provided by the HITECH Act to encourage physicians and hospitals to adopt EHR systems and achieve meaningful use. It outlines the purpose of the incentives, who is eligible, what meaningful use entails, how much payments are and how to qualify. It also addresses frequently asked questions about EHR incentives and requirements.
This document discusses how new medical technologies can benefit the health care system in Australia. It provides examples of technologies like Transcatheter Aortic Valve Implantation (TAVI) and ablation catheters that treat conditions like aortic stenosis and atrial fibrillation but face regulatory barriers. There are also discussions around mobile health technologies and how they could improve remote monitoring. The document advocates for reforms to the prostheses list that determine private health insurance reimbursements to better support new technologies and reduce costs across the health system.
The document discusses performance evaluation in healthcare. It defines performance evaluation as measuring organizational performance to improve quality of care. Hospitals evaluate performance to plan improvements, ensure efficient resource use, and assess health programs. Evaluation methods include regulatory inspections, consumer surveys, third-party assessments, statistical indicators, and internal assessments. Key performance indicators help facilities compare performance and identify areas for increased patient satisfaction and operational efficiency. The presentation provides examples of operational, financial, internal, public health, and quality of care metrics that are important for performance evaluation.
The evaluation identified several unintended consequences of the electronic prescribing pilot including new types of errors related to prescribing workflows and system defaults. Key lessons learned were that ongoing training and engagement are needed as workflows change over time. Regular monitoring is required to identify errors and develop strategies to address them, such as simplifying multi-step processes and minimizing alert fatigue. Overall the evaluation found that electronic prescribing has benefits but also risks, and a focus on how systems are implemented and used is as important as the technology itself.
Program Overview and Prepare to Review Reported DataMarket iT
This document provides an overview of the Open Payments program and the process for physicians and teaching hospitals to review and potentially dispute payment data reported about them. Applicable manufacturers and applicable group purchasing organizations are required to annually report payments and transfers of value to physicians and teaching hospitals. During a 45-day period, physicians and hospitals can review this data and initiate disputes about any records they believe to be incorrect before the information is made public. The document outlines the registration, review, dispute, and resolution processes for ensuring the accuracy of the published payment data.
These slides use concepts from my (Jeff Funk) course on Business Models at National University of Singapore to analyze the business model for Theranos. Theranos provides diagnostic testing for consumers that is faster and cheaper than the existing system. Its tests are done in easy to access pharmacies (e.g., Walgreens) as opposed to hard-to reach doctors’ offices. The tests use small bio-electronic integrated circuits (ICs) instead of large scientific instruments. These ICs utilize micro-fluidic channels that require a pin-prick of blood instead of a vial of blood, which makes the tests more appealing and faster than the traditional tests. The slides describe the value proposition, method of value capture, customers, scope of activities, and method of strategic control for Theranos.
The document discusses challenges in medication reconciliation and potential benefits of using IT-enabled solutions. It describes research from McGill University that developed an electronic medication reconciliation application called RightRx, which integrated with the Quebec health insurance database to retrieve patient medication histories and automate communication of changes to community providers. The research found that automated retrieval of community medication lists and integration with computerized provider order entry can reduce medication discrepancies and potential adverse drug events.
Clinician Satisfaction Before and After Transition from a Basic to a Comprehe...Allison McCoy
Healthcare organizations are transitioning from basic to comprehensive electronic health records (EHRs) to meet Meaningful Use requirements and improve patient safety. Yet, full adoption of EHRs is lagging and may be linked to clinician dissatisfaction. In depth assessment of satisfaction before, during, and after EHR transition is rarely done. Using an adapted published tool to assess adoption and satisfaction with EHRs, we surveyed clinicians at a large, non-profit academic medical center before (baseline) and 6-12 months (short-term follow-up) and 12-24 months (long-term follow-up) after transition from a basic, locally-developed to a comprehensive, commercial EHR. Satisfaction with the EHR (overall and by component) was captured at each interval. Overall satisfaction was highest at baseline (85%), lowest at short-term follow-up (66%), and increasing at long-term follow-up (79%). This trend was similar for satisfaction with EHR components designed to improve patient safety including clinical decision support, patient communication, health information exchange, and system reliability. Conversely, at baseline, short-term and long-term follow-up, perceptions of productivity, ability to provide better care with the EHR, and satisfaction with available resources, were lower at both short- and long-term follow-up compared to baseline. Persistent dissatisfaction with productivity and resources was identified. Addressing determinants of dissatisfaction may increase full adoption of EHRs. Further investigation in larger populations is warranted.
Eligible professionals and hospitals have core and menu objectives they must meet to achieve Stage 1 Meaningful Use of electronic health records. Objectives include items like electronic prescribing, clinical decision support, and exchanging key clinical information. Professionals must complete 20 objectives total and hospitals must complete 19. Both must report on clinical quality measures to CMS or states. The document provides details on Stage 1 Meaningful Use requirements and measures.
This document discusses plans to develop an electronic health record (eHR) system in Hong Kong called CMS III & eHR. The goals are to improve integrated care, support evidence-based practice, and facilitate information sharing across public and private healthcare settings. Challenges include high patient volumes, an aging population, and currently using paper records. Opportunities include increasing public awareness and more capabilities in the existing CMS system. CMS III will improve quality, efficiency and management. The vision is for a system that supports care delivery, improves outcomes, and facilitates community-wide data sharing. Development will be government-led through a multi-phase process with public-private partnerships.
The document discusses the Indian IT industry and the {Pragmatic} learning solution. It states that the Indian IT industry is worth $76 billion and exports are expected to reach $175 billion by 2020. It also discusses challenges in training the large number of engineering graduates in India to meet industry needs. The {Pragmatic} solution is presented as an intelligent personal mentor on a USB device that provides an interactive learning curriculum focusing on hands-on, practical skills to help students become job ready. Key features include code analysis, quizzes, progress tracking, and networking opportunities.
Este documento presenta una lección sobre tres procesos de pensamiento: considerar los extremos, considerar variables y reglas. El primer proceso involucra pensar en ideas opuestas sobre un tema. El segundo proceso implica identificar las características relevantes de una situación. El tercer proceso se refiere a establecer acuerdos para facilitar la convivencia. El documento incluye ejemplos y prácticas guiadas para aplicar cada proceso.
Setting up of new pharmacovigilance centresPriti Gupta
Cure & Care Pharma proposes establishing a Pharmacovigilance Centre to monitor drug safety. The centre would be approved by regulatory authorities and function to collect, analyze and communicate information about adverse drug reactions and risks. The proposal outlines the need for pharmacovigilance due to increasing drug availability and irrational practices. It describes the centre's scope, reporting processes, infrastructure needs and budget to effectively oversee post-marketing drug safety.
Meaningful Use Stage 2 and Health Information Exchange (HIE)MassEHealth
Transformational intent of Meaningful Use (MU) and the increased trend toward interoperability in MU Stage 2 (MU2); MU2 objectives with an HIE component and their MU2 measures; Approaches to achieving the transitions of care; Available public health registries and their current status and submission pathway; How to find a trading partner and best practices to engaging
The document provides information on the Medicare and Medicaid EHR incentive programs established under the HITECH Act to promote the meaningful use of electronic health records (EHRs) by eligible providers. It outlines the core and menu requirements to achieve meaningful use certification, associated incentive payment amounts for both programs from 2011-2021, and penalties for providers who do not successfully demonstrate meaningful use. The stages of meaningful use are also summarized, including the objectives and measures for Stage 1 which focus on data capture, tracking clinical conditions, and reporting clinical quality measures.
The document summarizes a proposed rule from the Centers for Medicare & Medicaid Services (CMS) to implement incentive programs for hospitals and healthcare providers to adopt electronic health records (EHRs) as authorized by the Health Information Technology for Economic and Clinical Health (HITECH) Act. The proposed rule defines meaningful use criteria for EHRs, outlines incentive payment structures and eligibility over multiple stages and years, and solicits public comments on the proposals by March 15, 2010.
21st Century Act and its Impact on Healthcare ITCitiusTech
This document gives an overview, core objectives of the act and enumerates purpose of each part / division of the 21st Century Act. It lists down the sections of the act which have a direct impact on Healthcare IT and gives a brief overview of each section.This document also explains the impact of 21st Century Cures Act on regulatory bodies: FDA / NIH / HSS.
These slides use concepts from my (Jeff Funk) course entitled Biz Models for Hi-Tech Products to analyze the business model for Vishuo Biomedical, a Singaporean startup. This startup offers a data analytics bioinformatics platform that includes an integrated drug-gene-relation database and this platform is constantly updated as scientific advances are reported in academic journals. The platform analyzes genetic sequence data and provides visualization and reports for hospitals. Vishuo targets hospitals and research institutes with DNA sequencers but who need data analytic tools to interpret the DNA sequencing output. The slides summarize the business model for Vishuo including the value proposition, customers, method of value capture, scope of activities, and method of strategic control.
NLP (Natural Language Processing) shows a great deal of potential for many applications in the healthcare industry. This document shares 6 promising use cases for NLP to manage Epilepsy treatment effectively.
The document provides guidance on the 2007 Physician Quality Reporting Initiative (PQRI) for eligible medical professionals. It describes the goals of the PQRI to focus on quality of care and reward reporting of quality measures with financial incentives. It outlines the eligible professionals, quality measures, reporting requirements, and bonus payments for successful reporting. It also provides details on understanding the quality measures, applicable codes, modifiers, and examples of successful reporting.
The document outlines standards and requirements for achieving meaningful use of electronic health records under the HITECH Act. It discusses 25 required projects across various domains including clinical processes, clinical quality reporting, computerized provider order entry, electronic prescribing, health information exchange, and public health reporting. Certification organizations will evaluate adherence to evolving standards for content, vocabulary, transmission and security that are meant to establish a floor in 2011 and become more specific in 2013. Achieving meaningful use represents a major organizational commitment requiring healthcare providers to divide projects into discrete steps and leverage available grant programs for support.
The document discusses electronic health records (EHR) and the financial incentives provided by the HITECH Act to encourage physicians and hospitals to adopt EHR systems and achieve meaningful use. It outlines the purpose of the incentives, who is eligible, what meaningful use entails, how much payments are and how to qualify. It also addresses frequently asked questions about EHR incentives and requirements.
This document discusses how new medical technologies can benefit the health care system in Australia. It provides examples of technologies like Transcatheter Aortic Valve Implantation (TAVI) and ablation catheters that treat conditions like aortic stenosis and atrial fibrillation but face regulatory barriers. There are also discussions around mobile health technologies and how they could improve remote monitoring. The document advocates for reforms to the prostheses list that determine private health insurance reimbursements to better support new technologies and reduce costs across the health system.
The document discusses performance evaluation in healthcare. It defines performance evaluation as measuring organizational performance to improve quality of care. Hospitals evaluate performance to plan improvements, ensure efficient resource use, and assess health programs. Evaluation methods include regulatory inspections, consumer surveys, third-party assessments, statistical indicators, and internal assessments. Key performance indicators help facilities compare performance and identify areas for increased patient satisfaction and operational efficiency. The presentation provides examples of operational, financial, internal, public health, and quality of care metrics that are important for performance evaluation.
The evaluation identified several unintended consequences of the electronic prescribing pilot including new types of errors related to prescribing workflows and system defaults. Key lessons learned were that ongoing training and engagement are needed as workflows change over time. Regular monitoring is required to identify errors and develop strategies to address them, such as simplifying multi-step processes and minimizing alert fatigue. Overall the evaluation found that electronic prescribing has benefits but also risks, and a focus on how systems are implemented and used is as important as the technology itself.
Program Overview and Prepare to Review Reported DataMarket iT
This document provides an overview of the Open Payments program and the process for physicians and teaching hospitals to review and potentially dispute payment data reported about them. Applicable manufacturers and applicable group purchasing organizations are required to annually report payments and transfers of value to physicians and teaching hospitals. During a 45-day period, physicians and hospitals can review this data and initiate disputes about any records they believe to be incorrect before the information is made public. The document outlines the registration, review, dispute, and resolution processes for ensuring the accuracy of the published payment data.
These slides use concepts from my (Jeff Funk) course on Business Models at National University of Singapore to analyze the business model for Theranos. Theranos provides diagnostic testing for consumers that is faster and cheaper than the existing system. Its tests are done in easy to access pharmacies (e.g., Walgreens) as opposed to hard-to reach doctors’ offices. The tests use small bio-electronic integrated circuits (ICs) instead of large scientific instruments. These ICs utilize micro-fluidic channels that require a pin-prick of blood instead of a vial of blood, which makes the tests more appealing and faster than the traditional tests. The slides describe the value proposition, method of value capture, customers, scope of activities, and method of strategic control for Theranos.
The document discusses challenges in medication reconciliation and potential benefits of using IT-enabled solutions. It describes research from McGill University that developed an electronic medication reconciliation application called RightRx, which integrated with the Quebec health insurance database to retrieve patient medication histories and automate communication of changes to community providers. The research found that automated retrieval of community medication lists and integration with computerized provider order entry can reduce medication discrepancies and potential adverse drug events.
Clinician Satisfaction Before and After Transition from a Basic to a Comprehe...Allison McCoy
Healthcare organizations are transitioning from basic to comprehensive electronic health records (EHRs) to meet Meaningful Use requirements and improve patient safety. Yet, full adoption of EHRs is lagging and may be linked to clinician dissatisfaction. In depth assessment of satisfaction before, during, and after EHR transition is rarely done. Using an adapted published tool to assess adoption and satisfaction with EHRs, we surveyed clinicians at a large, non-profit academic medical center before (baseline) and 6-12 months (short-term follow-up) and 12-24 months (long-term follow-up) after transition from a basic, locally-developed to a comprehensive, commercial EHR. Satisfaction with the EHR (overall and by component) was captured at each interval. Overall satisfaction was highest at baseline (85%), lowest at short-term follow-up (66%), and increasing at long-term follow-up (79%). This trend was similar for satisfaction with EHR components designed to improve patient safety including clinical decision support, patient communication, health information exchange, and system reliability. Conversely, at baseline, short-term and long-term follow-up, perceptions of productivity, ability to provide better care with the EHR, and satisfaction with available resources, were lower at both short- and long-term follow-up compared to baseline. Persistent dissatisfaction with productivity and resources was identified. Addressing determinants of dissatisfaction may increase full adoption of EHRs. Further investigation in larger populations is warranted.
Eligible professionals and hospitals have core and menu objectives they must meet to achieve Stage 1 Meaningful Use of electronic health records. Objectives include items like electronic prescribing, clinical decision support, and exchanging key clinical information. Professionals must complete 20 objectives total and hospitals must complete 19. Both must report on clinical quality measures to CMS or states. The document provides details on Stage 1 Meaningful Use requirements and measures.
This document discusses plans to develop an electronic health record (eHR) system in Hong Kong called CMS III & eHR. The goals are to improve integrated care, support evidence-based practice, and facilitate information sharing across public and private healthcare settings. Challenges include high patient volumes, an aging population, and currently using paper records. Opportunities include increasing public awareness and more capabilities in the existing CMS system. CMS III will improve quality, efficiency and management. The vision is for a system that supports care delivery, improves outcomes, and facilitates community-wide data sharing. Development will be government-led through a multi-phase process with public-private partnerships.
The document discusses the Indian IT industry and the {Pragmatic} learning solution. It states that the Indian IT industry is worth $76 billion and exports are expected to reach $175 billion by 2020. It also discusses challenges in training the large number of engineering graduates in India to meet industry needs. The {Pragmatic} solution is presented as an intelligent personal mentor on a USB device that provides an interactive learning curriculum focusing on hands-on, practical skills to help students become job ready. Key features include code analysis, quizzes, progress tracking, and networking opportunities.
Este documento presenta una lección sobre tres procesos de pensamiento: considerar los extremos, considerar variables y reglas. El primer proceso involucra pensar en ideas opuestas sobre un tema. El segundo proceso implica identificar las características relevantes de una situación. El tercer proceso se refiere a establecer acuerdos para facilitar la convivencia. El documento incluye ejemplos y prácticas guiadas para aplicar cada proceso.
The document is a market report that provides technical analysis indicators for various stock market indexes and commodities on short, intermediate, and long term timeframes. It includes data such as the current price, momentum, stochastic indicators, and trend signals. In general, it finds bullish signals in the short term but sees some bearishness in other timeframes, with commodities showing more bearish signals than stock indexes.
Dokumen tersebut merupakan laporan tentang baterai yang mencakup pengertian, jenis, konstruksi, dan cara pemeriksaan baterai. Dibahas dua jenis baterai utama yaitu baterai kering dan basah beserta perbedaan karakteristiknya. Juga dijelaskan komponen penting baterai seperti sel, elektrolit, terminal dan cara pengecekan kondisi baterai.
This document provides an overview of BMW's global strategy, including its product lines, key consumer segments, challenges, competitors, and recommendations. It discusses BMW's revenues, vehicle and motorcycle sales, market share, employees, and dealership reach. Two main consumer segments are described as "Successful and Show" and "Go-Getters and Big Dreamers." Challenges include expanding into new markets, meeting emissions standards, and competing with tech-focused automakers. Competitors discussed are Mercedes, Audi, Tesla, Google, and Faraday. The future is predicted to include connected cars, customized lighter vehicles, and the rise of Asia Pacific and self-driving technologies. Recommendations center on investing in new markets,
O documento discute tipos de pele quente, fria e neutra com base na cor da pele e veias. Também menciona que calças skinny e looks que mostram o peito são ideais para mulheres baixas para alongar as pernas.
The Indian animation industry encompasses both traditional two-dimensional traditional and 3D animation, as well as visual effects for feature films.1956, Disney Studios animator Clair Weeks, who had worked on Bambi, was invited to Films Division of India in Mumbai to establish and train the country's first animation studio as part of the American technical co-operation mission. Animation seems to be the next big thing in Indian movies and Hollywood may have something to do with it. Movies like Shrek, Ice Age, Cars etc. have been smash hits across the globe and Bollywood obviously would not want to be left behind.
Un eccellente esempio di startup a vocazione sociale: una formidabile piattaforma di comunicazione, coprogettazione e social network per la filiera editoriale.
Fatti non fummo per viver come bruti... ma per seguir virtute e conascenza!
This document summarizes the requirements for achieving meaningful use of electronic health records (EHRs) in order to qualify for incentive payments under the HITECH Act. It outlines the core and menu set objectives that must be met in each reporting period, including recording patient demographics, maintaining problem lists and medication lists, incorporating lab results into the EHR, exchanging health information electronically between providers, and reporting clinical quality measures to CMS or states. It also describes the services that regional extension centers like the North Carolina AHEC can provide to help practices select, implement, and optimize the use of certified EHR systems to meet meaningful use standards.
This document provides an overview of the requirements for achieving Meaningful Use under the Medicare and Medicaid EHR Incentive Programs. It defines Meaningful Use as using certified EHR technology to improve quality, safety, efficiency and health outcomes. The three main components of Meaningful Use are use of EHRs in a meaningful manner, electronic exchange of health information, and submission of clinical quality measures. Stage 1 requirements include completing core and menu set objectives related to EHR usage, engaging patients, care coordination, and privacy/security. Eligible professionals must meet 15 core objectives and hospitals must meet 14.
The document summarizes the opportunity and need for healthcare providers to adopt electronic medical records (EMRs) to qualify for incentive payments under the HITECH Act. It outlines how adopting EMRs can help providers meet meaningful use standards and notes the large costs savings estimated from greater healthcare efficiencies and automation. It also highlights the growing requirements over the next few years that make it important for providers not to wait to implement an EMR system.
This document summarizes changes from the proposed rule to the final rule for Stage 1 of the Medicare and Medicaid EHR Incentive Program's meaningful use criteria. Key changes included lowering thresholds for some objectives, removing administrative transactions, adding new objectives, and modifying clinical quality measures for eligible professionals. The final rule provided more flexibility for states and clarified various eligibility and reporting requirements.
HIT Standards Committee Trudel CMS RulesBrian Ahier
The document discusses changes from the proposed rule to the final rule for Stage 1 of the Medicare and Medicaid EHR Incentive Program. Key changes included clarifying provider eligibility, modifying clinical quality measures, and lowering thresholds for some meaningful use objectives. The final rule kept the same statutory requirements and meaningful use goals as the proposed rule.
This document summarizes changes from the proposed rule to the final rule for Stage 1 of the Medicare and Medicaid EHR Incentive Program's meaningful use criteria. Key changes included lowering thresholds for some objectives, removing administrative transactions, adding new objectives, and modifying clinical quality measures requirements for eligible professionals. The final rule provided more flexibility for states and clarified various eligibility and reporting policies to fully implement the program in 2011.
This document summarizes changes from the proposed rule to the final rule for Stage 1 of the Medicare and Medicaid EHR Incentive Program's meaningful use criteria. Key changes included lowering thresholds for some objectives, removing administrative transactions, adding new objectives, and modifying clinical quality measures for eligible professionals. The final rule provided more flexibility for states and clarified various eligibility and reporting requirements.
This document summarizes changes from the proposed rule to the final rule for Stage 1 of the Medicare and Medicaid EHR Incentive Program's meaningful use criteria. Key changes included lowering thresholds for some objectives, removing administrative transactions, adding new objectives, and modifying clinical quality measures for eligible professionals. The final rule provided more flexibility for states and clarified various eligibility and reporting requirements.
This document summarizes changes from the proposed rule to the final rule for Stage 1 of the Medicare and Medicaid EHR Incentive Program's meaningful use criteria. Key changes included lowering thresholds for some objectives, removing administrative transactions, adding new objectives, and modifying clinical quality measures for eligible professionals. The final rule provided more flexibility for states and clarified various eligibility and reporting requirements.
This document summarizes changes from the proposed rule to the final rule for Stage 1 of the Medicare and Medicaid EHR Incentive Program's meaningful use criteria. Key changes included lowering thresholds for some objectives, removing administrative transactions, adding new objectives, and modifying clinical quality measures requirements for eligible professionals. The final rule provided more flexibility for states and clarified various eligibility and reporting policies.
This document summarizes changes from the proposed rule to the final rule for Stage 1 of the Medicare and Medicaid EHR Incentive Program's meaningful use criteria. Key changes included lowering thresholds for some objectives, removing administrative transactions, adding new objectives, and modifying clinical quality measures for eligible professionals. The final rule provided more flexibility for states and clarified various eligibility and reporting requirements.
The document discusses the objectives and requirements of Meaningful Use (MU), an incentive program that promotes the adoption and meaningful use of electronic health records (EHRs). It outlines the core objectives that eligible professionals and hospitals must meet, such as computerized provider order entry, maintaining active medication lists, and exchanging key clinical information. The document also details the measure thresholds associated with each objective that providers must meet to qualify for MU incentive payments.
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This document discusses changes from Stage 1 to Stage 2 of meaningful use for eligible professionals and hospitals. Key changes include increased objectives for clinical decision support, electronic prescribing, patient engagement and health information exchange. Stage 2 places more emphasis on care coordination through increased objectives for medication reconciliation, patient summaries and electronic transmission of health information between providers. The document also outlines new clinical quality reporting requirements and certification criteria for electronic health records.
iHT2 Health IT Summit Boston – Larry Garber, Medical Director, Reliant Medical Group Case Study: "Maximizing the Value of an EHR: Beyond Meaningful Use Stage 1"
This session will provide the opportunity to explore how Reliant Medical Group began their journey into EHR and now, after receiving the 2011 HIMSS Ambulatory Davies Award, what it is they have done to capitalize on the EHR. Medical Director for Informatics, Larry Garber, MD stands behind belief that “The EHR enables patients to be more engaged in their health through improved communication with the provider team. The EHR also triggers alerts and automates processes to maintain consistent testing, education and follow up with the providers and patients to ensure higher quality, safer and more efficient care with better outcomes.” This presentation will share with the audience what Reliant Medical Group has done, and is continuing to do, that allows them to maximize the value of the EHR
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Connecting Patients, Providers and Payers John Halamka Keynotemihinpr
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Meaningful Use Workgroup Recommendations Brian Ahier
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Keynote Presentation "Meaningful Use Stage 2 and Meaningful Use Audit Insight"
Think far beyond just threshold increases. The differences between Meaningful Use (MU) Stage 1 and Stage 2, including the 2014 Clinical Quality Measures, are technically and clinically challenging. And just when you thought you could safely look at Stage 1 in the rearview mirror, here come the audits! I will highlight the Stage 1 and Stage 2 differences and talk about the challenges they have initiated at Tenet. I will touch on the impact of Quality measures and will also provide you with insight into the basics of MU Audits and will take you through the actual audit experience at Tenet.
Learning Objectives:
∙ Review the program and measure changes from Stage 1 to Stage 2 and how the changes are being managed at Tenet
∙ Provide insight into the 2014 Clinical Quality Measures chosen by Tenet, the challenges posed, solutions that work and a little about the overall
impact of Quality measures
∙ Discuss Meaningful Use Audits, covering the basics as well as providing the benefit of the Tenet experience
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6. Meaningful Use: The American Recovery and Reinvestment Act of 2009 specifies three main components of Meaningful Use: 1. The use of a certified EHR in a meaningful manner, such as e-prescribing. 2. The use of certified EHR technology for electronic exchange of health information to improve quality of health care. 3. The use of certified EHR technology to submit clinical quality and other measures.
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8. * Hospital-based professionals excluded from incentives Eligible Providers - Medicare Eligible Providers - Medicaid Eligible Professionals (EPs)* Eligible Professionals (EPs) Doctor of Medicine or Osteopathy Physicians (Pediatricians have special eligibility & payment rules) Doctor of Dental Surgery or Dental Medicine Nurse Practitioners (NPs) Doctor of Podiatric Medicine Certified Nurse-Midwives (CNMs) Doctor of Optometry Dentists Chiropractor Physician Assistants (PAs) who lead a FQHC)or rural health clinic Eligible Hospitals* Eligible Hospitals Acute Care Hospitals Acute Care Hospitals, Critical Access Hospitals Critical Access Hospitals (CAHs) Children’s Hospitals
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13. Summary of Stage 1 Meaningful Use Objectives and Measures for Eligible Professionals (July 13, 2010) Core Objectives (All must be satisfied) Functional Requirements Objective / Condition 1. Computerized Physician Order Entry (CPOE) • At least one medication ordered via CPOE for >30 percent of unique patients seen with at least one medication on current medication list 2. Drug-drug, Drug-Allergy Checking • CPOE drug-drug and drug-allergy checking features are enabled 3. Generate and Transmit Electronic Prescriptions • >40 percent of all permissible medication orders (excluding controlled substance orders) are electronically prescribed 4. Maintain up-to-date Problem/Diagnosis List • For >80 percent of unique patients seen (at least one structured entry, ICD-9-CM or SNOMED CT) 5. Maintain Active Medication List • For >80 percent of unique patients seen (at least one structured entry) 6. Maintain Active Medication Allergy List • For >80 percent of unique patients seen (at least one structured entry) 7. Record Vital Signs • For >50 percent of unique patients ≥ 2 years old seen, record and chart changes in vital signs (as structured data): – Height, weight, blood pressure – Calculate and display BMI – Plot and display growth chart, including BMI (patients 2-20 years old) 8. Record Demographics • For >50 percent of unique patients seen, record demographics (as structured data): – Gender – Ethnicity, race (federal guidelines), preferred language – Date of birth 9. Record Smoking Status • For >50 percent of unique patients seen ≥ 13 years old 10.Report Quality Measures to CMS and the States • Report ambulatory quality measures — per data captured and calculated by the EHR — to CMS or the states for specified core and specialty measures – For 2011: attest to accuracy and completeness of aggregate numerator and denominator – For 2012 (and beyond): submit (at least one measure) electronically 11. Implement Clinical Decision Support • Implement one rule (with high clinical priority for or relevant to the specialty of the EP) and track compliance Health Information Exchange (HIE) Requirements Objective / Condition 12. Provide Patients with Clinical Summary of Office Visits • Satisfy more than 50 percent of requests for a clinical summary of an office visit (via Personal Health Record (PHR), portal, other electronic media, or printed output) within 3 business days 13. Provide Patient with Electronic Copies of Health Information • Provide >50 percent of patients who request copies with electronic copies of their health information (lab test results, problem, medication, allergy lists) within 3 business days 14. Implement Capability to Exchange Key Clinical Information • Perform at least one test of the capability of the certified EHR system used by the EP to electronically exchange key clinical information (for example, problem list, med list, allergies, test results) with another EHR (not shared) HITECH Privacy And Security Objective / Condition 15. Implement Systems to Protect Patient Data • Conduct or update a security risk assessment per 45 CFR 164.308 (a)(1) and implement security updates as necessary
14. Summary of Stage 1 Meaningful Use Objectives and Measures for Eligible Professionals (July 13, 2010) Menu Set Objectives (5 Must Be Satisfied) Functional Requirements Objective / Condition 1. Incorporate Test Results into EHR • Incorporate clinical laboratory test results into EHR as structured data for >40 percent of all clinical lab tests ordered with positive/negative or numeric results 2. Medication Reconciliation • Performed at >50 percent of relevant encounters and transitions of care 3. Drug Formulary Checking • Drug-formulary check functionality is enabled (with access to at least one internal or external formulary for entire period) 4. Generate Patient Lists • Generate at least one list of the EP’s patients with a specific condition to use for quality improvement, reduction of disparities, and/or outreach Health Information Exchange (HIE) Requirements Objective / Condition 5. HIE: Patients • Provide >10 percent of unique patients seen with electronic access (available on-demand at any time) to their health information (lab test results, problem, medication, allergy lists) within 4 business days of the information’s availability to the EP 6. Patient Follow-up/Preventive Care Reminders • Send reminders for preventive/follow-up care (per patient preference) to >20 percent of patients who are ≥65 or <5 years old 7. HIE: External Providers • Provide summary care record (via electronic exchange, secure portal, secure e-mail, CD, USB drive or printed copy) for >50 percent of patient transitions of care and referrals 8. HIE: Immunization Registries • Perform at least one test of the capability to submit electronic data to immunization registries • Actual submission where required and accepted 9. HIE: Syndromic Surveillance Data • Perform at least one test of the capability to provide electronic surveillance data to public health agencies • Actual transmission according to applicable law and practice 10. Identify Patient-Specific Educational Resources • Use EHR technology to identify and provide >10 percent of unique patients seen with patient-specific educational resources
27. Service Offering EHR / OPD Portal RIM Web Development C#, ASP.NET, .NET Framework 3.0/3.5, PHP Java, Servlets, Web Services User Experience : AJAX, JavaScript, CSS, HTML, XML, Flash, Action Script, JSON, JQuery Windows & Linux, Nagios, Microsoft Exchange, IIS, SMTP, Netorking, Appache, Tomcat, etc. Databases / Data Migration SQL Server 2005/2008, Oracle 10g/ 11g, MySQL Other Technologies HL7 2.x/3.0, CDA SCRUM Agile Project Management
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Editor's Notes
CoArtha TechnoSolutions , is an end-to-end Healthcare IT, Product Development company. We provide healthcare solutions to Providers/Payers to Automate Practice & Clinical Management, Interoperability HIE and Clinical Labs, Portals & User Experience for customers, Outsourced Product Development for Healthcare ISVs, Remote Infrastructure Management and Revenue Cycle Management solutions for Providers. We offer one of the most cost effective and comprehensive outsourcing solutions to healthcare professionals available. Keywords: EHR, HIT, HIE, ARRA, HL7, Interoperability, OPD, Healthcare, RCM, Revenue Cycle Management
Takeaways from the slide:
How to Use this Flow Chart: A Medicaid eligible professional may also be eligible for the Medicare incentive and should follow the path of answering no to the question of Medicaid patient volume to determine Medicare eligibility. An eligible professional who qualifies for both programs may only participate in one program. Eligible Professionals eligible to receive EHR incentive payments under Medicare or Medicaid will maximize their payments by choosing the Medicaid EHR Incentive Program.
What are Clinical Quality Measures? Essentially, the measure of the care you’re providing to your patients based on administrative or medical record data Once benchmark data is gathered, analyzing this data will allows government and the industry to identify patterns in diagnosis & treatment related to geography, insurance coverage, race, language and other segmentation Effective, Safe, Timely Care, Patient-Centered Can attest that almost any of the metrics are irrelevant to your practice to remove it from the list and reduce the number of metrics you must report on Can be dummy data but cannot be simulated tests
Include approximate timelines Project plan to come up with the people involvement at different stages of implementation Step 1: Build the Case for Change Rapidly builds motivation for EHR adoption in even the most skeptical staff member Addresses the major concerns staff members have about EHR adoption so these concerns don’t derail your project later Overcomes complacency and gets staff members to willingly contribute the extra time, effort and energy needed for a smooth and rapid transition Builds urgency for EHR adoption in practice leaders — partners, physicians, practice managers who may not all appreciate the need for an EHR Step 2: Identify the Guiding Team Identifies the right staff members to take the lead in the practice’s transition to Meaningful Use Effectively delegates project responsibilities, so you can focus on patient care Defines communication and decision-making strategies to avoid the miscommunications and misunderstandings that often delay EHR projects and lead to costly mistakes Step 3: Motivate with Inspiring Goals Defines Meaningful Use objectives for the practice & target dates by which to achieve them Sets specific goals for: Improved practice bottom-line performance Enhanced patient care & satisfaction Reduced administrative burdens and improved quality of practice life Step 4: Promote Staff Collaboration Gets staff members involved in implementation & Meaningful Use. By fully engaging staff members in EHR adoption, you can significantly reduce the costs of your implementation Identifies bottlenecks, inefficiencies and sources of productivity slowdowns that can be reduced or eliminated through effective EHR use Delineates the system configuration, peripherals, interfaces (incoming & outgoing), and EHR components your practice needs to achieve the Meaningful Use objectives defined in Step 3 Identifies potential implementation problems before they can cause real damage Ensures successful workflow design Step 5: Translate Plans into Action Identifies the strategies your practice will use for: Migrating patient data into the EHR Data entry Clinical documentation Managing incoming documents that cannot be directly imported into the EHR Provides a system for maintaining accountability, so staff members and vendor implementation teams do what they need to do, when they need to do it, to keep your EHR transition on track Identifies the specific training each staff member should have to build the proficiency needed for Meaningful Use — saving time and money on unnecessary and repetitive training Step 6: Build Confidence Identifies intermediate objectives that build momentum toward Meaningful Use Provides a tracking mechanism, so all staff members can see the progress of the transition Step 7: Achieve & Sustain Meaningful Use Provides a mechanism to track your practice’s progress to meeting Meaningful Use goals in the areas of: core objectives menu objectives clinical quality measures Assists you and your practice staff with registering and attesting for the incentive payments you are eligible to receive Provides you with updates on Meaningful Use guidelines and requirements, so you don’t have to worry about missing changes in deadlines and reporting requirements
- Web-based systems. - ASP with local thin-client: central data center serving multiple hospitals; a combination of onsite and vendor- hosted storage; corporate data centers; local data exported daily to a larger [storage] site; and a remote storage owned by the organization. But for many physicians in small offices, the cost advantages are not enough to overcome concerns regarding the security of their patients’ personal health data when stored off-site. Indeed, this group shows a higher percentage of records stored onsite when compared to hospitals.
The Meaningful Use cost has been segregated into the three categories and the above slide depicts the costs for single provider and the benefits to understand the ROI Year-over-Year and Five year total. Product cost Implementation cost Provider cost Salient points: Provider has choice to take Meaningful use either this year by June or next year by June (to provide necessary time to get the process approved) Overall implementation would take about 2 months and following to it there will be 90 day attestation process (no breaks) Provider can bet for break even ROI in a single year of implementation if he/she plans right Scenarios: Doctors with EMR (for & not for MU), Doctors with no EMR – HIE integration, Integrations with Labs Factors affect timelines Solution: Configuration of EHR, EHR finalization, Which HIE to use? Integration Remote / Onsite, Differentiators slide
Shivaji Mukthavaram, Technology, Business Expert & PMP Haricharan Juvvadi – Healthcare Expert