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March 7, 2013
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News for healthcare CIOs

  Top Story 
 
  • Hospitals make strides with MU adoption, survey finds
    This year's HIMSS Leadership Survey finds two-thirds of the hospital CIOs polled said their groups had already met the first stage of meaningful use rules, and 75% said they expect stage 2 MU attestation by 2014. The survey also notes that 87% of the CIOs believe they would meet the Oct. 1, 2014, deadline for ICD-10, and 50% said their groups are part of one or more HIEs. EHR Intelligence (3/6) LinkedInFacebookTwitterEmail this Story
  • Bill Spooner revisits meaningful use
      
    Having crossed the four-year mark since passage of the HITECH Act, it is useful to consider how we have fared. The chase for meaningful use incentive dollars has undoubtedly increased EHR and CPOE adoption, but has adoption advanced the EHR to being the best it possibly can be to help our patients? Alternatively, has the race to implement diverted our focus from other efforts that would better improve access, quality and cost of care? What should we be advocating to ensure that our EHRs bring the best value in the long run?

    At the beginning of this race, one’s perspective was influenced by where he or she was already on the adoption curve and how much the pursuit of MU would support or compromise existing organizational strategy. During the extended period required to finalize MU requirements, the range of viewpoint narrowed, reflecting the limited time remaining for vendors to develop the stage 1 capabilities and even less time for providers to implement the software and associated workflow changes. Many providers are ePrescribing, doing CPOE and documenting electronically, and this is better for patient care. At the same time, few providers would believe that they are saving time or using the MU indicators to improve the health of their patients. It is all good work, but it is moving too fast.

    Extending stage 1 by a year was welcome relief, yet stage 2 is another significant hurdle. Expanded reporting indicators, transitions of care summaries, medication reconciliation and patient portals are causing grief for many. This healthy increase is accompanied by ICD-10, population health, insurance exchanges and multiple local initiatives on our transformation agendas. Then there is everything else we want to do to bring better care to our patients.

    Many have recommended a “time out” to assess our progress and to thoughtfully develop the stage 3 advances. This is great advice. The ONC needs the time to carefully consider areas in which the industry is progressing through our own devices (telemedicine, patient engagement, medical device interoperability and the like), as well as areas in which a regulatory push may be warranted (interoperability standards) and a pace of change that the industry can reasonably absorb. We’re doing great work for our patients. Let’s get it right! LinkedInFacebookTwitterEmail this Story

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  Strategy & Leadership 
 
  • Federal MU mandates could be delaying HIE growth, expert says
    Federal meaningful use mandates could be impeding the growth of health information exchanges, Paul de Bazin of Orion Health said. As most providers scramble to meet the stages 1 and 2 MU requirements, they have limited time and expertise to deal with HIE efforts. "In the end, it’s not the technical challenges that are the barriers, the hurdles. It’s all about the politics and these days more than the politics, it’s about the resources," he said. EHR Intelligence (3/5) LinkedInFacebookTwitterEmail this Story
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  Technology Spotlight  
 
  • Few docs may see positive ROI for EHRs within 5 years, study finds
    Doctors on average might lose $43,743 within five years after EHR implementation, according to a study in Health Affairs. The study also showed that only 27% of participating practices with EHRs could have a positive return on investment during the time frame. The study found that practices that used EHRs as a tool to increase revenue, whether by improving billing or seeing more patients, were more likely to see positive returns. BeckersHospitalReview.com (3/4) LinkedInFacebookTwitterEmail this Story
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  Management & Operation 
 
  • ONC cites improved use of EHR functions under MU effort
    The use of certain EHR functions such as active drug lists among acute care hospitals has improved under the federal meaningful use effort, according to the ONC, citing data from the American Hospital Association. The data, presented at the HIMSS13 conference, also indicated that 16 of the 24 MU goals analyzed had an adoption rate of 80% or more in 2012. Health Data Management (3/6) LinkedInFacebookTwitterEmail this Story
  • Pilot testing planned for CCHIT's HIE certification program
    The Certification Commission for Health IT announced its plan to pilot a health information exchange certification initiative. The program provides voluntary certification in three areas: EHRs and systems that support statewide data inquiry, secure messaging software using the Direct protocol and connectivity between HIEs. Health Data Management (3/4) LinkedInFacebookTwitterEmail this Story
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  Regulatory & Legislative 
  • Medicare EHR payments will take a hit from sequestration
    Sequestration will reduce by 2% the EHR incentive payments going to Medicare providers for services offered, starting April 1. On average, the cuts would cost Medicare-only hospitals, which are averaging $1.87 million in incentive payments, about $37,500, and physicians receiving Medicare EHR incentives would lose a few hundred dollars on average. Medicaid EHR incentives will not be affected. Modern Healthcare (subscription required) (3/5) LinkedInFacebookTwitterEmail this Story
  • Lawmakers ask FDA to clarify proposed mHealth regulations
    House Energy and Commerce Committee Chairman Fred Upton, R-Mich., and other Republican House members have asked FDA Commissioner Dr. Margaret Hamburg via a letter sent on March 1 to provide clarity on the agency's proposal to regulate certain mobile health applications. The legislators expressed concern that manufacturers of mHealth apps, smartphones and tablets could be subjected to the 2.3% tax under the health care law if the FDA decides to regulate them as medical devices. DOTMed.com (3/6) LinkedInFacebookTwitterEmail this Story
  CHIME News 
  • Do you have what it takes to be a successful health care CIO?
    Get your hands dirty at CHIME’s Healthcare CIO Boot Camp. During this intensive 3½ day program, attendees learn the seven success factors from a faculty of health care CIO thought leaders. Join Program Director Tim Zoph, FCHIME, at the next Healthcare CIO Boot Camp, scheduled to be held April 13-16 in Chicago. Register online. LinkedInFacebookTwitterEmail this Story
  • CHIME Certified Healthcare CIO examination now available online
    Examinations for the Certified Healthcare CIO (CHCIO) Program will be available online in more than 80 countries. Those working to achieve designation as a Certified Healthcare CIO will be able to take the 125-question CHCIO examination at any of 500 Kryterion Inc. testing centers worldwide. The exam, which is the cornerstone of the CHCIO Program, was developed by industry CIOs within CHIME to test the knowledge and management skills associated with successful accomplishments as a health care CIO. Get more information about the CHCIO Program, including information on registering for the exam. Get Kryterion testing center locations. LinkedInFacebookTwitterEmail this Story
  SmartQuote 
Scientific progress makes moral progress a necessity; for if man's power is increased, the checks that restrain him from abusing it must be strengthened."
--Anne Louise Germaine de Staël,
Swiss author


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