Health IT leaders reflect on notion of post-EHR era | Ed Marx comments on the post-EHR era | CMS extends application deadline for MU hardship exemption
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October 9, 2014
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Health IT leaders reflect on notion of post-EHR era
The health care sector has made big strides in EHR adoption, but health IT leaders say the notion of a post-EHR era is off the mark. "I'd be a little careful with the 'post' word. Because there are a lot of EHRs in place that are not used as well as they should be. The technology has been installed, but the organization hasn't leveraged it as well as they should to reengineer their processes and improve care," Siemens Health Services CEO John Glaser said. Meanwhile, Mark Segal of the HIMSS EHR Association said that rather being in a post-EHR era, he sees the industry as entering an "evolved EHR world" in which EHR systems will become more interoperable. Healthcare IT News (10/7)
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Ed Marx comments on the post-EHR era
Ed Marx, SVP and CIO, Texas Health Resources
Ed Marx, SVP and CIO, Texas Health Resources
While I think it's too early to declare we are in a post-EHR era, we have come a long way over the past five years. I have talked about this before, depicting our industry as being in that somewhat awkward teenage phase of life -- no longer toddlers, but with lots of growing up to do before we reach adulthood.

I had the opportunity to spend a significant part of my summer in Europe, visiting some old cities built in the Middle Ages scattered throughout Italy, Switzerland, Spain and Portugal. Our industry is certainly in a renaissance, but has not yet gotten to enlightenment. We will get there through continued maturity driven by innovation -- just as in the Middle Ages, when we saw the explosion of art, mathematics and science that completely transformed life as it was known then.

To get there, it will require our leadership, not government programs or vendor M&A. We can accelerate this process by advocating for and adopting new technologies and sunsetting transaction-based systems and ideas as quickly as possible.
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EMR and CPOE and BYOD! OH MY!
Practitioners are asking for their clinical workloads to be delivered to more devices. This increased demand can make any IT exec nervous. Learn how a leading nonprofit innovator relies on Citrix to empower doctors and nurses with anytime, anywhere, any device access to critical applications, improving productivity and security while reducing costs. Read more.
 
Strategy & Leadership
CMS extends application deadline for MU hardship exemption
The CMS announced that it will accept hardship exemption applications from providers until Nov. 30 to help them avoid penalties for failing to meet meaningful use requirements. The previous deadlines had passed on April 1 for eligible hospitals and July 1 for eligible professionals. EHR Intelligence (10/7), AuntMinnie.com (free registration) (10/7)
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CHIME CEO reacts to extended MU hardship exemption deadline
The CMS' decision to push back the application deadline for meaningful use hardship exemptions through Nov. 30 will benefit only a few doctors and hospitals, CHIME CEO Russell Branzell said. What the industry needs is a widespread change that benefits all sizes of providers, he said, adding that his group will continue its efforts to push for the passage of a bill that would allow for greater MU reporting flexibility. Healthcare Informatics online (10/7)
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Technology Spotlight
Global patient monitoring market grows to $29.7B, report says
The global market for patient monitoring systems is currently valued at $29.7 billion, a 7% increase from 2013, according to a Kalorama Information report. Bruce Carlson, Kalorama's publisher, attributes this growth in part to the transition to remote or wireless systems and the need to reduce the amount of time patients spend in the hospital. MobiHealthNews.com (10/7)
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Management & Operation
Study links greater EHR accuracy with patient feedback
Data published in the health IT journal eGems show that patients want to provide feedback on their EHR medication lists, and in 89% of cases they suggested changes to the list. In the study, changes were then reviewed by a pharmacist, and 68% were approved. "Online medication reconciliation provides a model for collaborative processes that can be employed to improve the quality of problem lists, immunizations, allergies and other areas of the medical record," the researchers wrote. Clinical Innovation + Technology online (10/7)
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Health groups begin to link Apple's HealthKit with EHRs
Health systems including Ochsner Health System in New Orleans have begun integrating Apple's mobile health platform HealthKit with their EHR systems. The goal is seamless data sharing between providers and patients, and Ochsner's Dr. Robert Bober says it should be particularly beneficial for those with chronic conditions. BeckersHospitalReview.com (10/6)
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Regulatory & Legislative
365-day reporting language under 2014 CEHRT rules clarified by CMS
The CMS last week offered clarifications surrounding the 2014 Certified EHR Technology requirements, saying that while hospitals needed to have clinical decision support systems in place by Oct. 1, not all functionalities need to be in place for the full year. In some instances, providers just need to satisfy thresholds within the 365-day reporting period. For public health measures, however, there must be successful ongoing submissions in place by Nov. 30. Healthcare Informatics online (10/6)
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Market Focus
S.C hospital rolls out telehealth technology
A new two-way computerized audiovisual technology has been implemented by the Ralph H. Johnson VA Medical Center in Charleston, S.C. The platform was deployed to allow VA health specialists in various locations to easily communicate with and provide care to intensive care unit patients at the Charleston hospital. San Francisco Chronicle (free content)/The Associated Press (10/7)
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CHIME News
Thinking about becoming a Certified Healthcare CIO?
The next in-person CHCIO exam will be held in conjunction with the CHIME14 Fall CIO Forum on Monday, Oct. 27, at 1 p.m. and Tuesday, Oct. 28, at 9 a.m. at the JW Marriott San Antonio Hill Country in San Antonio, Texas. Candidates must register to take the exam. Get more information.
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Get essential education at CHIME14 track sessions
Track sessions have been announced for the CHIME14 Fall CIO Forum. There will be a total of 16 peer-reviewed and peer-presented sessions. Tracks include: Strategy and Leadership; Organizational Performance Improvement; Business and Care Transformation; and Emerging Issues in Healthcare and Health IT. Get more information about the sessions and registering for the Oct. 28-31 event.
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-- Italo Calvino,
Italian journalist and writer
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