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With the stimulus money on the table and the Stark provision allowing hospitals/labs to cover most the expense associated with purchasing and implementing an EHR solution, there are many physicians who are being pushed into programs that may or may not work best for their practice.
Below is an excerpt from EMRandHipaa.com where John expresses concern over the HITECH act and its impact on the open source EMR movement. There will be a certification requirement and more and more and it looks as thought that will be the CCHIT certification. Some states have already independtly adopted CCHIT for their state healthcare facilities and it is just a matter of time before the government moves forward with this standardization.
ATLANTA – R. Andrew Eckert, who as CEO of the Eclipsys Corp. saw the company through a restructuring in 2006 and back to prosperity, is stepping down from the helm of the Atlanta-based company and will be replaced by a well-known industry insider.
The Centers for Medicare and Medicaid Services on Dec. 30 posted a proposed–and long awaited–rule defining the “meaningful use” of electronic health records which is how physicians will qualify for the stimulus money that is part of the ARRA HITECH program. There are a lot of details in this bill and a lot still to be determined. I have identified some of the many key points found in this rule. It is a rule worth reading for those with the time and attention span. Final rule is not expected before March 2010 which means there are probably going to be many more changes before this is implemented.
I will be visiting some offices and speaking with some physicians/administrators who are currently using or have previously used the Greenway EMR/PM program. This will be an important evaluation for us because of the growth Greenway has experienced in recent years. They have been very successful in some of their advertising campaigns and VAR partnerships. We would like for anyone who has experience with this program, good or bad, to post their experience below. I have already spoken with a few practices who are still on the fence about the program and but plan to make a decision by the end of this year. Any feedback would be greatly appreciated. A good friend of mine is a PM&R doc and he just purchased the Greenway suite for his office and surgery center. I did not agree with the way Greenway did the database integration between the practice and ASC but other than that the local VAR seemed to be a responisble IT vendor.
We face an uphill battle in regards to successfully upgrading our current HIT. It will take much more than financial incentives to overall our health care infrastructure. Here are a collection of quotes and comments from various health care executives and legislators. This is an informative read and is worth the time for those interested in attempting to keep up with the ever changing HIT climate.
Do I want a Client Server-based EMR software, or will Web-based software be more efficient for our practice?
Which EMR model will work better for my practice: Client Server or web-based EMR?
Do you want your EMR software to reside on your own computers, and be maintained solely by your practice – or would you rather purchase SAAS (Software as a Service) web-based EMR?
The smart answer to these questions depends on the singular features of your practice. A larger practice which can afford to customize software by itself for its particular needs and
Originally Posted on EMRandEHR.com
Along with helping me understand the difference between Vista and Vista-FM Chris Richardson, provides an update on some of the other things happening with the open source community around Vista. I don’t agree with everything he says, but it’s definitely interesting.
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