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This Explains It All
Thursday, April 19, 2018


Smaller practices struggle to use advanced EHR features, Black Book finds
Thursday, April 19, 2018

  • Nearly 90% of practices with six or fewer practitioners aren't using advanced EHR features such as electronic messaging, clinical decision support, interoperability, data sharing and patient engagement, according to a recent Black Book survey of about 19,000 EHR users.
  • The majority of larger practices use advanced features frequently, and 30% of practices with 11 or more clinicians said they expect to replace their current EHR system by 2021.
  • Although larger practices are better positioned to implement new IT tools, 93% of all practices with functioning EHR systems are using basic features that are directly tied to customer satisfaction.   ...

Insiders pose biggest threat to health information security, report finds
Thursday, April 19, 2018


Mobile device use tied to higher patient experience scores, survey finds
Thursday, April 19, 2018

  • Mobile devices are becoming ubiquitous in hospitals and having a positive impact on patient care, a new JAMF survey finds.
  • The software company, which works mostly with Apple products, surveyed 600 global healthcare IT leaders on their use of smartphones, tablets and other mobile devices. Nine in 10 said their organizations have implemented or plan to implement a mobile device initiative.
  • Nearly all (96%) reported an increase in patient experience scores when mobile devices were deployed, with a third of those claiming major improvement.

FDA targets medical device safety in new plan
Thursday, April 19, 2018

  • FDA Commissioner Scott Gottlieb on Tuesday released an agenda aimed at enhancing medical device safety and innovation in the U.S.
  • The five-pronged Medical Device Safety Action Plan is built around a total product life cycle approach that calls for integrating the Center for Devices and Radiological Health’s (CDRH) premarket and postmarket offices across functions.
  • The plan comes as first-in-kind products are reaching the market. Last year, the FDA approved the first automated insulin delivery device for type 1 diabetes and a blood test to evaluate traumatic brain injury.   ...

Bare-Bones Health Policies Are Cheaper Than ACA Plans—and Riskier Too
Thursday, April 19, 2018

Sales are growing for a type of bare-bones health policy that offers a cheaper alternative to traditional insurance but leaves buyers risking big bills if they have major medical needs.
Known as fixed indemnity plans, the products offer limited help, typically paying set amounts toward the cost of doctor visits, hospital days or other services..
They generally carry restrictions on people with pre-existing conditions, and they aren’t considered true health insurance under the Affordable Care Act. But insurance agents say individuals are increasingly purchasing the plans as a substitute for ACA coverage, which has become far more costly for many people who don’t get federal subsidies.
“Without question, people are using that as a good alternative when they can’t afford anything else,” said Dave Keller, an executive at Independence Holding Co., known as IHC Group, which says sales of its indemnity products last year were roughly 10 times the year before.
Other insurers and insurance agents, including eHealth Inc., American Insurance Agencies Direct LLC and, a unit of Health Insurance Innovations Inc., also say they have seen recent indemnity sales grow. Many of the products are sold only to those who can attest to being healthy. Daily Health Policy Report&utm_source=hs_email&utm_medium=email&utm_content=62226035&_hsenc=p2ANqtz-8EapjynRpHjKMJJNkXxaadJ4Io9SS5g4THAlrMlVhtcqTvioDaaP8zwSBn3CHIZ_zOZgfRxWVG9vRp_ksm29e1X_DTcg&_hsmi=62226035

Where Compassion and Technology Meet: Children’s Mercy
Friday, April 06, 2018

Children’s Mercy, a 367-bed hospital in Missouri, is leading medical professionals to reach more patients with telemedicine. Dr. Laura Fitzmaurice, Chief Medical Information Officer, stresses that the telemedicine program is about putting the patient at the center. “What’s the easiest way for the patient to get their medical care, advice or education? With our telemedicine program, we go where the patient wants to be.” Read this case study to learn more about Children's Mercy's implementation and how it has improved patient satisfaction.

Healthcare Needs a New Architecture for Patient Identity Interoperability
Friday, April 06, 2018

Read this whitepaper to learn about how poor patient matching approaches are harming our healthcare system - both today and in the future:

  • The ability to access patient information is integral to care coordination across the full continuum of care
  • Resolving patient identities across disparate systems is critical to accessing information
  • Existing patient matching approaches cannot resolve identities consistently or well enough to support healthcare's emerging needs
A new approach, "referential matching," is proving to hold the answers vexing the US healthcare industry on patient matching.

The differences between EMR and EHR have largely eroded but speak to the maturation of health IT use among providers.
Friday, April 06, 2018

The terms electronic medical record (EMR) and electronic health record (EHR) have become widely synonymous, but they did not start that way and some still argue that a distinction between is necessary to restate.
Healthcare organizations and providers have a greater tendency to still use EMR when discussing the health IT system in use by clinicians in the treatment of patients, but many have gravitated toward saying EHR when describing this technology. And there is ample evidence to suggest that the shift is the byproduct of a nationwide effort to promote health data exchange and interoperability.
While EHR is common parlance nowadays, that was not always the case. With EMR usage waning for a large portion of the healthcare industry, an understanding of the EMR/EHR difference demonstrates how far the industry has come — and the progress still needed to be made.


Ironically, the federal agency with the responsible for promoting the adoption of certified EHR technology (CEHRT) over the past seven years has very little say on the subject of EMR versus EHR.
CMS provides this tidbit of insight on the subject relative to the EHR Incentive Programs:

How much is too much? What does the US actually spend on health care administration?
Friday, April 06, 2018

The United States spends much more on health care each year than wealthy equals around the globe. That’s not just true for spending on direct patient care, but also for spending on health care administration. Many scholars recognize the cost containment potential in curbing administrative costs. Determining just how much the US spends on health care administration and in what ways are critical first steps.
How much of US health care spending is on administration?
Health care administration includes all activities related to coordinating health and medical services, such as scheduling, billing, and claims processing. Administrative costs’ contribution to overall health care spending is large and growing.
System-level estimates for health care administrative costs are limited and often dated. One highly cited estimate suggests that administrative costs accounted for about 30% of total health care expenditures in 1999. In 2006-2007, administrative costs outpaced growth in other health care categories, such as professional services, and matched growth rates in typically costly categories, such as prescription drug spending.
Though we may not be able to pin down a current estimate of total administrative costs, we do know it’s substantial and continues to increase. Other research focuses on administrative costs in three, large subcategories: billing and insurance-related (BIR) costs, hospital administration, and physician practice administration. 2018-04-05 Healthcare Dive [issue:14760]&utm_term=Healthcare Dive

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