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Showing posts with label Electronic Health records. Show all posts
Showing posts with label Electronic Health records. Show all posts

Friday, May 24, 2013

Doctors and hospitals’ use of health IT more than doubles since 2012


More than half of America’s doctors have adopted electronic health records
HHS Secretary Kathleen Sebelius today announced that more than half of all doctors and other eligible providers have received Medicare or Medicaid incentive payments for adopting or meaningfully using electronic health records (EHRs).
HHS has met and exceeded its goal for 50 percent of doctor offices and 80 percent of eligible hospitals to have EHRs by the end of 2013.
Adoption of Electronic Health Records by Physicians and Other Providers - Click for larger graphSince the Obama administration started encouraging providers to adopt EHRs, usage has increased dramatically. According to the Centers for Disease Control and Prevention survey in 2012, the percent of physicians using an advanced EHR system was just 17 percent in 2008. Today, more than 50 percent of eligible professionals (mostly physicians) have demonstrated meaningful use and received an incentive payment. For hospitals, just nine percent had adopted EHRs in 2008, but today, more than 80 percent have demonstrated meaningful use of EHRs.
“We have reached a tipping point in adoption of electronic health records,” said Secretary Sebelius. “More than half of eligible professionals and 80 percent of eligible hospitals have adopted these systems, which are critical to modernizing our health care system. Health IT helps providers better coordinate care, which can improve patients’ health and save money at the same time.”
Adoption of Electronic Health Records by Eligible Hospitals - Click for larger graphThe Obama administration has encouraged the adoption of health IT starting with the passage of the Recovery Act in 2009 because it is an integral element of health care quality and efficiency improvements. Doctors, hospitals, and other eligible providers that adopt and meaningfully use certified electronic health records receive incentive payments through the Medicare and Medicaid EHR Incentive Programs. Part of the Recovery Act, these programs began in 2011 and are administered by the Centers for Medicare & Medicaid Services and the Office of the National Coordinator of Health Information Technology.
Adoption of EHRs is also critical to the broader health care improvement efforts that have started as a result of the Affordable Care Act. These efforts – improving care coordination, reducing duplicative tests and procedures, and rewarding hospitals for keeping patients healthier – all made possible by widespread use of EHRs. Health IT systems give doctors, hospitals, and other providers the ability to better coordinate care and reduce errors and readmissions that can cost more money and leave patients less healthy. In turn, efforts to improve care coordination and efficiency create further incentive for providers to adopt health IT.
As of the end of April 2013:
  • More than 291,000 eligible professionals and over 3,800 eligible hospitals have received incentive payments from the Medicare and Medicaid EHR Incentive Programs.
  • Approximately 80 percent of all eligible hospitals and critical access hospitals in the U.S. have received an incentive payment for adopting, implementing, upgrading, or meaningfully using an EHR.
  • More than half of physicians and other eligible professionals in the U.S. have received an incentive payment for adopting, implementing, upgrading, or meaningfully using an EHR.
For more information about the Administration’s efforts to promote implementation, adoption and meaningful use of EHRs and health IT systems, please visit: http://www.cms.gov/EHRIncentivePrograms and http://www.healthit.gov.
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Monday, December 24, 2012

Electronic Health Records: Occupational Information and Demographics

Report: IOM
With the widespread adoption of electronic health records (EHRs), the Institute of Medicine has concluded that incorporating patients’ occupational information into EHRs could lead to more informed clinical diagnosis and treatment plans as well as more effective policies, interventions, and prevention strategies to improve the overall health of the working population. However, this potential will only be realized if providers have an incentive to collect and record information on patient occupation and industry.

"Demographics are statistical characteristics of a population. These types of data are used widely in public opinion polling andmarketing. Commonly examined demographics include genderageethnicity, knowledge of languagesdisabilities, mobility, home ownership, employment status, and even location. Demographic trends describe the historical changes in demographics in a population over time (for example, the average age of a population may increase or decrease over time). Both distributions and trends of values within a demographic variable are of interest. Demographics are very essential about the population of a region and the culture of the people there."

Between now and January 14, you have the opportunity to express your support for including occupation and industry codes in the federal rules defining "meaningful use" of EHRs. If you choose to do so, please consider telling the Office of the National Coordinator for Health IT (ONC) that you favor the addition of occupation and industry codes and the retention of demographics as incentivized objectives in the definition of meaningful use.

These changes will not only address the meaningful use goal of improving quality, safety, and reducing health disparities but also serve to improve the goal of improving population and public health by securing the data needed to improve the ongoing, systematic collection, analysis, and interpretation of occupational injury and illness.

Links for submitting your comments and additional background information are included below.

COMMENT

Request for Comment Regarding the Stage 3 Definition of Meaningful Use
http://www.healthit.gov/buzz-blog/meaningful-use/set-stage-meaningful-stage-3/

Stage 3 Definition: Objectives, Recommendations, and Questions/Comments (see Page 6)
http://www.healthit.gov/sites/default/files/hitpc_stage3_rfc_final.pdf

Comment Submission
http://www.regulations.gov/#!docketDetail;D=HHS-OS-2012-0007

BACKGROUND

Included as part of the American Reinvestment & Recovery Act (ARRA), the "Health Information Technology for Economic and Clinical Health" (HITECH) Act promotes the meaningful use of interoperable electronic health records (EHRs) throughout the United States health care delivery system as a critical national goal. This effort is led by the Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health IT (ONC).

CMS grants an incentive payment to Eligible Professionals (EPs) or Eligible Hospitals (EHs) who can demonstrate that they have engaged in efforts to adopt, implement or upgrade certified EHR technology. In order to encourage widespread EHR adoption, promote innovation, and avoid imposing excessive burden on healthcare providers, meaningful use has been introduced in stages. Rule making defining meaningful use for stages 1 and 2 has already been finalized. On 11/26/2012, ONC published a notice in the Federal Register requesting comments on the draft recommendations for meaningful use stage 3. The comment period will close on 01/14/2013.

The Health Information Technology (HIT) Policy Committee has proposed adding occupation and industry codes and eliminated demographics as incentivized objectives. The addition of occupation and industry codes is welcome, but these data will have little value for computing health statistics if demographics are missing. Occupation and industry codes should be added and demographics should be retained.

IOM: Incorporating Occupational Information in Electronic Health Records: Letter Report http://www.iom.edu/Reports/2011/Incorporating-Occupational-Information-in-Electronic-Health-Records-Letter-Report.aspx

CDC: Introduction to Meaningful Use
http://www.cdc.gov/ehrmeaningfuluse/introduction.html

Health Affairs: 'Meaningful Use' Of Electronic Health Records
http://www.healthaffairs.org/healthpolicybriefs/brief.php?brief_id=24

NEJM: The "Meaningful Use" Regulation for Electronic Health Records
http://www.nejm.org/doi/full/10.1056/NEJMp1006114

Wikipedia: Meaningful Use
http://en.wikipedia.org/wiki/Electronic_health_record#Meaningful_use

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Oct 04, 2011
The use of electronic health records (EHRs) has increased rapidly since the passage of the 2009 Health Information Technology for Economic and Clinical Health (HITECH) Act. Incorporating patients' occupational information ...
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Thursday, July 5, 2012

NIOSH Seeks Occupational History for Inclusion in Electronic Health records

NIOSH logo
NIOSH logo (Photo credit: Wikipedia)
The National Institute for Occupational Safety and Health (NIOSH) of the Centers for Disease Control and Prevention (CDC), Department of Health and Human Services (HHS) requests public comments to inform its approach in recommending the inclusion of work information in the electronic health record (EHR). NIOSH requests input on these issues (including answers to the three questions listed below).
The instructions for submitting comments can be found at www.regulations.gov. Written comments submitted to the Docket will be used to inform NIOSH with its planning and activities in response to the 2011 letter report “Incorporating Occupational Information in Electronic Health Records” written by the Institute of Medicine (IOM) Committee on Occupation and Electronic Health Records.

Input from primary care providers, occupational and public health specialists, EHR vendors and others with interest in the topic is sought on the questions listed below pertaining to the collection and use of work information in the clinical setting. NIOSH is interested in input both from those who are currently using EHRs as well as those who are not.

(1) For providers of primary health care: When do the clinicians in your practice setting currently ask patients about their work?Show citation box

Specifically, what information on patients' work is collected?Show citation box

If you currently use an EHR:Show citation box

Where in the health record (either paper or electronic) is patient work information stored and/or viewed? For example, is the work information entered in the `social history' section of an EMR? Where would you prefer patient work information to be stored and/or viewed in the EHR?Show citation box

Does your EHR maintain a history of the information so that you can identify how long and when a patient was in a given occupation?Show citation box

If you currently do not use an EHR, where do you record this information in the paper record? Is it available to the care provider during the patient encounter? Is there a history of the patient's work information available to the care provider?Show citation box

In your clinical practice, who (which personnel) besides the clinicians collect patients' work information (e.g., registration personnel or nursing assistants)?Show citation box

Have those personnel been trained specifically in how to collect information about patient's work i.e., how to gain an accurate job title etc.?Show citation box

Do you collect work information from teenagers?Show citation box

Do you collect work information from retirees?Show citation box

Are questions about work routine question or triggered based on specific complaints?Show citation box

How is work information used to inform patient care?Show citation box

Please provide an example/description of the usefulness of patient work information in providing care to a patient.Show citation box

Please provide any additional comments you have about collection or use of patient work information in the clinical setting.Show citation box

(2) For providers of occupational (specialty) health care: At your clinical facility, how is the patient's work information collected?Show citation box

Specifically, what information on patients' work is collected?Show citation box

Is the work information entered in the administrative record used for billing purposes?Show citation box

Is patient work information collected on paper or in an EHR? Is it available to the care provider during the patient encounter?Show citation box

Is there a history of the patient's work information available to the care provider?Show citation box

If you use a standardized form to collection information about patients' work, please briefly describe its main elements.Show citation box

In your clinical practice, who (which personnel) besides the clinicians collect (e.g., registration personnel or nursing assistants)?Show citation box

Have those personnel been trained specifically in how to collect information about patient's work i.e., how to gain an accurate job title, etc.?Show citation box

Where in the health record (either paper or electronic) is the information stored? For example, is the work information entered in the `social history' section?Show citation box

What are the most important ways that clinicians can use to inform clinical care of patients?Show citation box

Please provide an example of the usefulness of work information in providing care to a patient.Show citation box

Do you have any other comments about collection or use of patient work information in the clinical setting?Show citation box

(3) For developers and vendors of EHR/software: Does your base/basic EHR product contain pre-ordained fields for Industry, Occupation, Employer or other information about patients' work? If not, have you been asked to provide these fields?Show citation box

Regardless of whether they are in the base system or added on request, how are the values in the fields for Industry, Occupation, or other work information formatted (e.g., narrative text, drop-down menus, other)?Show citation box

Are these values coded and if so, what coding schema are used (e.g., NAICS, SOC, Census codes, user defined)?Show citation box

To the best of your knowledge, how are the data captured in these fields used by end users of your EHR/product?Show citation box

Please share challenges you anticipate in managing a history of employer, industry and occupation (current and usual) for multiple employment situations as both text and coded fields in your system, if your system does not already perform these functions?Show citation box

Could your system access and retrieve information from another web-based system via web services (such as an automated coding system for coding industry and occupation)?Show citation box

Your comments are appreciated. They will be used to improve NIOSH's electronic health records efforts.