May 18, 2012 in Blog
, Healthcare Protocols and other Tech by support Team | Comments Off on Phase I Meaningful Use for Pediatric Practices: The Need to Change or Modify Practice Processes
I was on the phone with one of our valued customers this morning discussing Phase I Meaningful Use and the details on the “how” related to Meaningful Use. The overall goal of Health and Human Services is that providers utilize a certified E.H.R. in a meaningful way. A group of individuals invested months of discussions and feedback to obtain a list of parameters. One challenge for the group is to provide a universal list that applies across all fields of medicine. Some of the parameters in Pediatrics only apply to a certain segment of the population. For example, smoking status is for patients greater than 13 years of age. There are core measures that each provider needs to meet the benchmark for all these measures during the 90 day period being measured as well as selecting a list of 5 of the 10 menu measures.
A good E.H.R. system should provide a simple manner for a physician and/or Practice Administrator to evaluate performance of each of these benchmarks as well as very easily ‘drill down’ to identify how to correct/update patient data associated with the measure. How to use a meaningful use dashboard should take minimal training and review. The E.H.R. vendor should be able to guide an individual in the practice on the process via a web meeting or teleconference. So if you selected the ‘right’ E.H.R. system for Pediatrics, using the software and monitoring meaningful use should be straight forward.
The ‘tough’ part of Meaningful use: Changes to how the practice operates. For example, most practices did not record language, race and ethnicity as part of their intake/demographics. This needs to be captured for over 50% of patients seen during the 90 day measurement period for Phase I. If your E.H.R. system is well design, the practice should be able to click on a link and show the patients that do not have this information during the 90 day period. The most efficient way to enter this information is to capture the data when the patient visits the office. The “ah-ha” moment for many individuals is when they first run a meaningful use report, then they make the changes to their office flow and intake forms as needed.
Some questions to ask related to Meaningful use and your Pediatric Practice: Are we entering all medications in the system and sending medications via electronic prescriptions? Do we list the problems for each visit and maintain the patient problem list? Are we maintaining our Medication list and Allergy List? Does our standard protocol for demographics include recording smoking status of patients >13 years of age? Do we record vitals on each visit? Can we connect to the immunization registry? Are we connected to the lab companies that we send the majority of our labs?
This is not meant to be an a complete list of questions but a list to stimulate thinking around meaningful use. There are many resources, websites and references to obtain detailed information. Good luck on meeting Phase I Meaningful Use!
October 12, 2011 in Healthcare Protocols and other Tech by andrew | Comments Off on A quick comparison of the 5010 Eligibility changes
There’s been much hype around the change to 5010 from the current 4010. The 270 eligibility files are affected by this move. A quick look of the changes with examples can be found on another bloggers site found here.
A good excell spreadsheet with some comparisons can be found here.
October 12, 2011 in Healthcare Protocols and other Tech by andrew | Comments Off on High Level Interoperability
Alot of people see healthcare technology as being a magical land where information is shared seamlessly between applications. In some cases this is true. Where standards exist and are adhered to, exchange can be very beneficial to both patients and physicians. Until all the physical connections are available however, seamless interoperability is still fiction.
Take a look at a post by a Microsoft employee explaining how Microsoft’s Health Vault can play a role in interoperability.
Programming Healthcare Silos
The Transcript is below
Programming Healthcare Silos – Presentation Transcript
- Vaibhav Bhandarivaibhavb@microsoft.com(Microsoft, Health Solutions Group)
Programming Healthcare Silos
Challenges of Health IT
Standards exist but..
Open Solutions Exist
Opportunities in Health IT
- Silos of Health Information
- Silos in the Enterprise – “On the Floor”
Electronic Medical Record
Nursing Workflow/ Documentation
- Silos in the Enterprise – “Behind the Scenes”
Business Decision Support
Medical Records Coding
- Meaningful Use
ICD-9 to ICD-10 Translation
Master Patient Index
- Meet Jim
- Jim’s ER visit..
HL7 Lab Order
OBX|1|CE|88304|1|T57000^GALLBLADDER^SNM OBX|2|TX|88304&MDT|1|MICROSCOPIC EXAM SHOWS HISTOLOGICALLY NORMAL GALLBLADDER TISSUE
- Creating & Processing Lab Order
HAPI HL7 Parsing Library
- X12 Message for Eligibility Request
- X12 Response for Eligibility Request
- Jim’s Ready to Go Home
- CCR For Jim’s Visit
- CCD or C32
- HealthVault Interaction
- Direct To Clinical
- Data In Jim’s Account
@ HealthVault address
Easy integration through SMTP S-MIME
- HealthVault Medical Imaging
- Applications can upload large files to a users’ HealthVault record
- HealthVault Client & Mobile Applications
- Leaving the Clinical Silo
While in enterprise your application need to comply with HIPAA 5010
When Jim log’s in to HealthVault then the data is flowing in to consumer domain
- HealthVault Open Source Resources
Open Source SDKs
Java : CodePlex
Ruby : RubyForge
Python : Google Code
Reference License .NET SDK
- Connected Health Platform Open Source Resources
Microsoft Health Common User Interface (MSCUI)
- Microsoft Public License (MS-PL): http://mscui.codeplex.com/license
- Main site: http://www.mscui.net
- Toolkit: http://mscui.codeplex.com
IHE Cross-Enterprise Document Sharing XDS.b
- Microsoft Public License (MS-PL): http://ihe.codeplex.com/license
- Main site: http://www.microsoft.com/HealthICT
- Toolkit: http://ihe.codeplex.com
Clinical Documentation Solution Accelerator (CDSA)
- Reference License for CDSA Toolkit: http://code.msdn.microsoft.com/cdsa/Project/License.aspx
- Main site: http://www.mscui.net/CDSA.htm
- Toolkit: http://code.msdn.microsoft.com/cdsa
Lots of opportunity to bridge the silos and empower the patient with open technologies and platforms!
Be Well. Be Protected.