Burnout Returns to Center Stage
A recentMayo Clinic Proceedings guesteditorial, by Yale University physician Kristine Olson, asks the question--to some of us it ' s far from a rhetorical one--whether burnout among her fellow physicians is in fact " A Leading Indicator of Health System Performance? "Seems to me that her gist is: yes, it surely must be just such an indicator. If she ' s right, then our system ' s performance is in a heap of trouble.What is burnout? Our fearless editor, Dr. Poses, has addressed it repeatedly, including a few months agohere in these pages. But burnout is actually hard to delineate and hard to quantify. People quitting? ...
Source: Health Care Renewal - January 30, 2018 Category: Health Management Source Type: blogs
Medical Economics: Highly experienced physicians lost to medicine over bad health IT
The title of the article is actually "Physicians leaving profession over EHRs" , but that title omits the real impact of the phenomenon: seasoned physicians, along with their medical expertise, judgment and experience, are lost to the pool of people entrusted to provide care thanks to poorly designed and badly implemented IT:http://cci.drexel.edu/faculty/ssilverstein/cases/Bad Health IT is IT that is ill-suited to purpose, hard to use, unreliable, loses data or provides incorrect data, is difficult and/or prohibitively expensive to customize to the needs of different medical specialists and subspecialists, causes cognitive...
Source: Health Care Renewal - January 28, 2018 Category: Health Management Tags: bad health IT data trafficking Ddulite Medical Economics Munzoor Shaikh physicians leaving medicine Ramin Javahery MD Tom Davis MD FAAFP Source Type: blogs
Why Clinicians Need a 2015 Certified EHR
The following is a guest blog post by Lisa Eramo, a regular contributor to Kareo’s Go Practice Blog.
What does “2015 Certified EHR” mean to practicing clinicians? The once-flooded EHR market is now whittling down to those vendors equipped to respond to regulatory and industry changes. The Office of the National Coordinator (ONC) for Health Information Technology listed more than 4,000 EHRs with 2014 certification criteria, according to the most recent data from healthIT.gov. And to date, only about 200 EHRs have passed the rigorous 2015 certification criteria.
However, beyond the fact that 2015 is indeed the most re...
Source: EMR and HIPAA - January 11, 2018 Category: Information Technology Authors: Guest Blogger Tags: Certified EHR Electronic Health Record Electronic Medical Record EMR HealthCare IT MACRA Meaningful Use 2015 Certified EHR 2015 EHR Certification Kareo Lisa Eramo ONC Source Type: blogs
Key Articles in Health IT from 2017 (Part 2 of 2)
The first part of this article set a general context for health IT in 2017 and started through the year with a review of interesting articles and studies. We’ll finish the review here.
A thoughtful article suggests a positive approach toward health care quality. The author stresses the value of organic change, although using data for accountability has value too.
An article extolling digital payments actually said more about the out-of-control complexity of the US reimbursement system. It may or not be coincidental that her article appeared one day after the CommonWell Health Alliance announced an API whose main purp...
Source: EMR and HIPAA - January 4, 2018 Category: Information Technology Authors: Andy Oram Tags: 3D Printing ACO Apple Connected Health Digital Health Gadgets Genomics Google Healthcare AI Healthcare Analytics Healthcare API Healthcare Devices Healthcare IT Security Healthcare Reimbursement HIE Meaningful Use Medical D Source Type: blogs
Key Articles in Health IT from 2017 (Part 1 of 2)
This article provides a retrospective of 2017 in Health It–but a retrospective from an unusual perspective. I will highlight interesting articles I’ve read from the year as pointers to trends we should follow up on in the upcoming years.
Indubitably, 2017 is a unique year due to political events that threw the field of health care into wild uncertainty and speculation, exemplified most recently by the attempts to censor the use of precise and accurate language at the Centers for Disease Control (an act of political interference that could not be disguised even by those who tried to explain it away). Threats to ...
Source: EMR and HIPAA - January 2, 2018 Category: Information Technology Authors: Andy Oram Tags: Clinical Decision Support Connected Health Digital Health Healthcare Communication Healthcare Devices Healthcare Interoperability Healthcare Reform Meaningful Use Medical Devices Value Based Reimbursement FHIR Meaningful Use Certific Source Type: blogs
EHR Physician Use by Time of Day
As we continue our holiday week of sharing interesting healthcare IT and EHR images, today’s image comes from the NEJM Catalyst. This image charts the Percent of total EHR work time against the hour of the day. Plus, it also splits it out into weekday work and weekend work.
The thing I hate about this chart is that it doesn’t show when doctors use to spend time doing paper charts. I still wonder how similar those charts would be. I’m just not sure we have that data anywhere.
Related Posts
Using Technology to Fight EHR Burnout – #HITsm Chat Topic
Meaningful Use Hardship Exceptions Reopened...
Source: EMR and HIPAA - December 27, 2017 Category: Information Technology Authors: John Lynn Tags: EHR Electronic Health Record Electronic Medical Record EMR Healthcare EHR Burnout EHR Use Physician Burnout Source Type: blogs
6 Unique Anesthesiology Needs Where Traditional EHRs Fall Short
The following is a guest blog post by Douglas Keene, MD Chief Medical Officer and Founder, Recordation Perioperative Information Management.
Anesthesiology has traditionally been thought of as a specialty profession limited to the operating room (OR). Over the past few years however, a revolution has been underway as the industry pushes to provide higher quality care at lower costs, motivating anesthesiologists to expand their typical role. Private anesthesiology groups are becoming more involved in the overall operations of the OR to improve the quality of care delivered inside and outside the operating room as well as ke...
Source: EMR and HIPAA - December 21, 2017 Category: Information Technology Authors: Guest Blogger Tags: EHR Electronic Health Record Electronic Medical Record EMR HealthCare IT Anesthesia EHR Douglas Keene Perioperative EHR Recordation Source Type: blogs
Dr. Nuance versus Crusaders of the Lost Art
By, SAURABH JHA MD
The two writers who got inside my head were polar opposites. Christopher Hitchens was an atheist, who mocked religion incessantly, and spared few sacred cows – he went after both Mother Teresa and Bill Clinton, though for patently opposite reasons. G.K. Chesterton, the sardonic, plump Englishman, went after heretics. Hitchens destroyed orthodoxy. Chesterton mocked radicals. Hitchens once quipped that “what can be asserted without evidence can be dismissed without evidence.” Chesterton quipped that the rebel, the infinite skeptic, was in fact a decerebrate orthodox. If both were on Twitter th...
Source: The Health Care Blog - December 20, 2017 Category: Consumer Health News Authors: at RogueRad Tags: Uncategorized Source Type: blogs
Dr. Nuance versus the Crusaders of the Lost Art
By SAURABH JHA, MD
The two writers who got inside my head were polar opposites. Christopher Hitchens was an atheist, who mocked religion incessantly, and spared few sacred cows – he went after both Mother Teresa and Bill Clinton, though for patently opposite reasons. G.K. Chesterton, the sardonic, plump Englishman, went after heretics. Hitchens destroyed orthodoxy. Chesterton mocked radicals. Hitchens once quipped that “what can be asserted without evidence can be dismissed without evidence.” Chesterton quipped that the rebel, the infinite skeptic, was in fact a decerebrate orthodox. If both were on Twitter they’d...
Source: The Health Care Blog - December 20, 2017 Category: Consumer Health News Authors: at RogueRad Tags: Uncategorized Source Type: blogs
Fixing MACRA Should Mean Fixing the APM Pathway
Conclusion
One way to understand MACRA is as a program exhibiting the related problems of regulatory capture and rent seeking behavior, problems certainly not unknown to Medicare. By eliminating 40 percent of eligible clinicians from participating in MIPS, CMS forbids them from competing for an annual FFS update that increases to nine percent beginning in 2021. CMS has also captured the remaining MIPS participants because their update will be meaningless when weighed against the rent or financial burden associated with participation. When you factor in how MIPS is scored, neither the program, nor its participants, w...
Source: The Health Care Blog - December 18, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs
Doctors should start watching more science fiction. Here ’s why.
I often say that electronic health records (EHRs) is like Skynet in the Terminator. I expect to turn around from my screen someday, and Arnold will lift me by my throat saying, “You haff not been doing yuh meaningful use.”
We practice in a time when EHR confounds us by freezing, crashing and chaining us continuously to our work, as we spend evenings and weekends on documentation. For reimbursement purposes, we are instructed to include more and more useless details. As we pay more attention to the “iPatient” than to the real patient, we have confused the map for the territory. Is there a Dr. John Connor out there w...
Source: Kevin, M.D. - Medical Weblog - December 12, 2017 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/seiji-yamada" rel="tag" > Seiji Yamada, MD, MPH < /a > Tags: Tech Health IT Hospital-Based Medicine Practice Management Primary Care Source Type: blogs
Healthcare Costs Video
In all the crazy discussions that are happening about healthcare, it’s always frustrating to me that so few of them talk about healthcare costs. Politicians are talking a lot about healthcare insurance and coverage. Those in healthcare IT talk about meaningful use, MACRA, and over regulation. No doubt there are challenges associated with insurance coverage and with health IT regulation. However, none of them will move the needle on how much healthcare is costing this nation.
Sometimes it takes a little bit of humor to illustrate the point and that’s what this video from Adam Ruins Everything does with healthcar...
Source: EMR and HIPAA - December 1, 2017 Category: Information Technology Authors: John Lynn Tags: Healthcare HealthCare IT Healthcare Costs Source Type: blogs
Another Dispatch from a Broken Healthcare System
I ' m working on a series of " Dispatches from a Broken Healthcare System " based on my personal experience as a care navigator. I ' ve already written about a frustratingcare management experienceToday ' s blog is a guest post from Amy Stiner, a healthcare expert and single mom from the Pacific Northwest. She reflects below on what should be a simple task - transferring records between institutions in the age of Meaningful Use." My name is Amy Stiner and my healthcare consulting career has taken my 6-year old son, my mother, and me progressively across the country. Over the course of Grant ’s sweet...
Source: Life as a Healthcare CIO - November 30, 2017 Category: Information Technology Source Type: blogs
Could MIPS Data Be Used Against Physicians?
One of the major changes thanks to MACRA and its associated Quality Payment Program (QPP) is the creation of MIPS, of the Merit-based Incentive Payment System. Much has been made about this new way physicians will be evaluated under Medicare. However, we have not seen the take of MIPS scores being used in other domains, such as medical malpractice lawsuits, until we came across this consulting firm’s hypothetical. Could MIPS data be used against physicians?
Hypothetical Malpractice Case
As described on MyMipsScores’ blog:
“[H]ere is another collateral effect of the MIPS score. This one is for our friends in the l...
Source: Policy and Medicine - November 20, 2017 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs
