Saturday, March 31, 2012

2012 Report from CMS re Electronic Health Records

These are incredible figures! I think it shows how an economic stimulus program can help well-intentioned physicians move in the right direction. The positive ripple effect to the well being of the community of patients will continue to be felt and has been documented by many groups including the NYC DOH PCIP. sv

CMS has released February 2012 data that highlights program-to-date (since January 2011) participation and payment totals under the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs. The February report documents continued growth in registrations and payments, including:
More than 211,500 eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs) have registered for the Medicare and/or Medicaid EHR Incentive Programs since January 2011

More than 20,000 registered for the Medicare and/or Medicaid EHR Incentive Programs in the month of February

More than 62,000 EPs, eligible hospitals, and CAHs have been paid for successfully participating in the Medicare and/or Medicaid EHR Incentive Programs
More than $3.8 billion has been paid in Medicare and Medicaid EHR Incentive Program payments to EPs, eligible hospitals, and CAHs across the country

More than $738 million was paid in the month of February

Visit the Data and Reports page on the EHR website to review more of more data on continued acceleration in registration and payment data.

Friday, March 30, 2012

Happy Doctor's Day

The first Doctors Day observance was March 30, 1933 in Winder, Georgia. Eudora Brown Almond, wife of Dr. Charles B. Almond, decided to set aside a day to honor physicians. This first observance included the mailing greeting cards and placing flowers on graves of deceased doctors. The red carnation is commonly used as the symbolic flower for National Doctors Day.

On March 30, 1958, a Resolution Commemorating Doctors Day was adopted by the United States House of Representatives. In 1990, legislation was introduced in the House and Senate to establish a national Doctors Day. Following overwhelming approval by the United States Senate and the House of Representatives, on October 30, 1990, President George Bush signed S.J. RES. #366 (which became Public Law 101-473) designating March 30, 1991 as "National Doctors Day."

Doctors Day marks the date that Crawford W. Long, M.D., of Jefferson, GA, administered the first ether anesthetic for surgery on March 30, 1842. On that day, Dr. Long administered ether anesthesia to a patient and then operated to remove a tumor from the man’s neck. Later, the patient would swear that he felt nothing during the surgery and wasn’t aware the surgery was over until he awoke

Tuesday, March 27, 2012

2012 HIMSS New York State Conference

Meaningful Use: Next Steps

Friday, April 27, 2012

Lighthouse International

111 East 59th Street

Midtown Manhattan
(Between Lexington & Park Avenues)

Spend a day with the leading New York experts as they discuss how to continue your approach towards meaningful use.

The conference is to be followed by a Cocktail Reception.

Early Registration (prior to April 17th) is:

$125 for HIMSS membership
$200 for non-HIMSS members
$30 for students

Late Registration (after April 17th) is an additional $25.

If you are not a HIMSS member - we recommend joining now!

Join before registering for this conference - and save $75!

Click here for HIMSS membership information.

Event registration link

Monday, March 26, 2012

HIMSS Virtual Career Fair

Save the Date for the HIMSS Virtual Career Fair...and find your ideal health IT job!
By matching skilled candidates with employers, HIMSS is helping ensure organizations find people—just like you—to advance patient care. By simply going online, job seekers can post a profiles and resumes, browse available positions and even chat, text or email prospective employers.

Recruiters and employers will be searching nationwide to fill positions from the executive level to mid-career and entry level in many sectors across the health IT industry.

Take the next step in your career! By attending the Virtual Career Fair you will:

•Browse and apply for healthcare IT jobs on the Job Board that can be sorted by employer, job title, location and salary.
•Create your online profile and post multiple resumes.
•Connect with employer representatives via text, video chat and e-mail to answer your questions about the company and its open positions. Employers have instant access to your resume so you can engage in immediate dialogue.
•Attend accredited professional development education sessions via dynamic, live webinars
•Network with fellow job seekers and prospective employers in the Lounge.
•Collect professional development materials from HIMSS Career Services in the Resource Center.

Save the date and polish up your resume for May 16th—when the HIMSS Virtual Career Fair come right to you!
Register for CMS’ National Provider Call on the EHR Incentive Programs

CMS is holding a National Provider Call on Thursday, March 29, from 3:00 – 4:30 pm ET for eligible professionals (EPs) to discuss program basics for the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs. The call will help EPs learn if they are eligible for the programs.

As of February 29, 2012, more than $3.8 billion in Medicare and Medicaid EHR incentive payments have been made; and more than 211,000 EPs, eligible hospitals, and critical access hospitals are actively registered. Remember, this is the last year that EPs can participate in the Medicare EHR Incentive Program and still receive the maximum incentive payment.

The call will focus on EP participation in the EHR Incentive Programs. More information on eligibility requirements can be found on the Eligibility page of the CMS EHR website.

The call will cover general program topics, including:

Are you eligible?
How much are the incentives and how are they calculated?
How do you get started?
What are major milestones regarding participation and payment?
How do you report on meaningful use?
Where can you find helpful resources?
A question and answer session

Registration Information:
In order to receive call-in information, you must register for the call. Registration will close at 12pm on the day of the call or when available space has been filled; no exceptions will be made, so please register early.

The presentation for this call will be posted at least one day beforehand. In addition, the presentation will be emailed to all registrants on the day of the call.

Want more information about the EHR Incentive Programs?
Make sure to visit the EHR Incentive Programs website for the latest news and updates on the EHR Incentive Programs.

Wednesday, March 21, 2012

PDR PharmEHR Summit 12 update 8


Ed Fotch MD

Bringing REMS and Adherence to Life with EHRs

Risk Evaluation and Mitigation Strategies

Why do untethered PHRs failed? lack of physician connecton

PatientConnect Initialtive

Need to physician and patient friendly system

If you attended, please share your comments here. SV

PDR Network
PDR PharmEHR Summit 12 update 7


EHRs and FDA Goals: Safety and Adherence

Keynote speaker: Janet Woodcock, MD, Director for Drug Evaluation and Research, FDA

Speaker Comments

No consistent way to track if patients are taking their meds.
30% lapse in taking medications after one year.
What are the outcomes?
Effectiveness (real world) vs efficacy (artifical environment)
Patients often do not which meds they are taking or the reasons for use
FDA: No consistent way to track the diagnoses associated the with the medicaion
Epidemic of opiod abuse

Uncertainity leads to lawsuits, medicaton recalls, less favorable outcomes

Essential factors needed;
Integration of relevant drug information into work flow
Ability to access additional information is one click away
Integraton of REMs (risk elimination and medication)
Up to date medication lists for patients and prescribers
Patient education information to use the medication safely and effectively: FDA mandated single page leaflet
Abilithy to link pharmacies and providers with patients in the center: PCMH; including hosptilal discharge medications
AKA Medication Reconciliation
Abillity of provider report adverses event easily
Standarize terms to faciliate secondary use of data

Safey surveillance
Currently using min-sentinal system from Harvard Pilgrim :over 125 million patients
Based on claims
Uses common data model: no central repository, distributed model
Standardized queries are then sent out, turn around within two days


2 million lives
methods research
observational research still needs work

800,000 adverse events reported per year
500,000 serious and unexpected
no system in place for thorough analysis

Paperless medication labeling is a goal

Drug safety communicatons are standardized but often without specifics

All of the above require integration with EHRs

Hope to integrate research capability into EHRs
Research needs to be part of clinical practice
Most cancer patients are not given the option to participate in research

Working with ONC

Only 50% of practices have EHRs
Some EHRs are just electronic paper charts
Care is not consistently patient centered
Patient annotation of medication of experience is not yet available

A quick reponse for diseminating adverse events information
Better understanding and communication with patients regarding adherence
Better understaning of off-label use
Faster migration of medications to OTC
Better EHR adoption
Better EHR documentation of the medication use process

If you attended, please share your comments here. SV
PDR PharmEHR Summit 12 update 6


Reps and EHRs: Synergies Now and into the future

Moderator: Rich Altus, President
Gregg Viscuso, Senior Executive Sales Professional, Glaxosmithkline
AJ Higgins MD

Key note speaker: Deidre Connelly, President, North America Pharmaceuticals, Glaxosmithkline, comments

Only 50% receive treatment based on evidence based guidelines
By 2014, 65% of physicians will be in group practices
Moving from multiple reps to a single person representing a portfolio of products
Change in rep reimbursement: service is weighed greater than sales

Still sees a role of rep in addition to information delivered via EHRs: cancer, respiratory disease

If you attended, please share your comments here. SV

PDR Network
PDR PharmEHR Summit 12 update 5


EHR Patient Connectivity

Ed Fotch MD, Moderator
Jodi Daniel JD, MPH, Director, ONC
Stephen Malik

Stephen Malik, President and General Manager of Intuit Health

DIspels myth of which demographics are using online access
Patients are using almost all the features: appts, medication refills, etc
Reviewed criteria for using a portal: trustworhthy, convenient, intuitive, supported
Reviewed busines outcomes
Reviewed practice benefits
Future trends: consolidation, mobility, MU 2

Jodi Daniel JD, MPH, Director, ONC

Notes the tide is shifting: from provider to consumer centered care
AMA code of ethics 1847 compared to today: passive vs active

Consumer engadgement improves health improvemen: patiens greatest untapped resource, leads to better care
Reviewed how HIT supports this
Showed how patients are using technology: moving story about ePatient Dave: cancer survivor
20% of patients are using mobile technology to manage health
80% use the Internet
66% of consumers would consider switching to a provider that offers online access to records

What is ONC doing? Promoting and supporting: access, action, attitude
Launch of consumer eHealth program
Access: promoting Blue Button and Direct Project, RECs,
Acton: PHRs etc
Attitudes: consumer video challenge, telling their own stories

Future goals: looking at social media, gaming

Role of providers in consumer engagement

If you attended, please share your comments here. SV

PDR Network
PDR PharmEHR Summit 12 update 4


Adverse Event Reporting, Panel Discussion

Dr Steven Merahn, CMO, PDR Moderator comments

The real safety of drugs is made known after it has been distributed to a large population
Reviewed resons for underreporting by clinicians
Imbeding RxEvent reporting within the EHR and the physican workflow

Evan Grossman, AthenaHealth
Brian O'Neil, Office Allie
Chuck Frederick, Rph, eMDs

Evan Grossman, AthenaHealth

Reviewed patient safety issues: prevention, incident response, feedback, industry relations
Reviewed softrware adverse event severity ratings; 1a to 3c

Brian O'Neil, Office Allie

Offers EHR, PMS, EDI solutions: EHR $30 per month
Messaging improved HEDIS results: goal is to go to MCOs to increase physician reimbursement
Offers integration with home monitoring device
Offers reimbursed evisits with some health plans

Chuck Frederick, Rph, eMDs

Integrated EHR/PMS, physician owned and operated
Reviewed internal EHR patient ssfety monitoring
Feels that beter use of EHRs will reduce severe adverse events by better identifying populations at greater risk
Will be working with RxEvent Reporting

Great suggestion: have adverse drug event reporting count towards Meaningful Use 2

If you attended, please share your comments here. SV

PDR Network
PDR PharmEHR Summit 12 update 3


George Soares of Cerner

Explored the ability of EHRs to faciliate more clinicians to partidipate in clinical trials.
Discussed post-marketing safety reporting

PDR Network
PDR PharmEHR Summit 12 update 2


Dan Pucci, of Allscript is making some great points:

Deming's Law: invest a little more up front to reduce costs at the backend
Open Systems: permitting third party apps to "plugin" ,ie glucometer results
Evidence-Based Recommendations at the point of care: generated on by the EHR review of the next day's patients

PDR Network
PDR PharmEHR Summit 12 update 1

Great speakers yesterday, more to come today including Janet Woodcock, MD Director, Center for Drug Evaluation and Research FDA.
Currently listiening to Aidan Farrell discussing secondary uses of data collected from EHRs ie. Pharma/Bio research.
Bio/Pharma sponsorship opportunities: script info, patient ed, ecoupons, provider surveys, diagnosis support tools (eg care management programs), adherence programs

Dr Ed Fotch, CEO, PDR Network moderator

Wednesday, March 14, 2012

AMA offers guide to new payment models

As ACOs become more of a reality for many of us, it is important to learn about the variety of reimbursement models that are available. SV

The toolkit includes an explanation of pay-for-performance programs, shared savings and risk adjustment.

The tool kit is a collection of articles titled "Evaluating and Negotiating Emerging Payment Options," which is free to all physicians online

Tuesday, March 13, 2012

FDA Goals: EHRs and Drug Safety Video

This video succinctly reviews the value of EHRs in promoting the FDA goals. SV

Brief (3 Minute) video comments by Dr. Janet Woodcock, Director of FDA CDER at recent HIMSS meeting: FDA Goals: EHRs and Drug Safety

Video Link
CMS Stage 2 MU Webinar Slide Deck

These slides do an excellent job of explaining where we have been and will be going. SV

The Centers for Medicare & Medicaid Services (CMS) held a Webinar providing an in-depth review of the meaningful use Stage 2 proposed rule. The presentation gives a comprehensive review of the proposed changes from Stage 1 to Stage 2, reviews the high-level goals of the Incentive Program, discusses the incentive payments and payment adjustments, and also reviews the appeals process. Finally, a detailed walk-through of the registration and attestation processes are provided.

CMS MU Slides

Saturday, March 03, 2012

Smartphones owned by almost 50% of American Adults

The Point of Care will soon be the whole world! sv

According to a study by PEW Research:

46% of American adults now own a smartphone of some kind, up from 35% in May 2011; Smartphone owners now outnumber users of more basic phones