TI, EUA
Razão tem o e-pá! Estes americas só agora andam às voltas com o arranque do SAM. Apenas 17% dos médicos (800.000) utilizam registos clínicos electrónicos na sua actividade diária.
1. EHR, EMR, PHR and PM
Electronic Medical Record - An electronic record of health-related information on an individual that can be created, gathered, managed, and consulted by authorized clinicians and staff within one health care organization.
Electronic Health Record - An electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be created, managed, and consulted by authorized clinicians and staff, across more than one health care organization.
Personal Health Record - An electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be drawn from multiple sources while being managed, shared, and controlled by the individual.
Practice Management - An application used to manage the physician business operations including scheduling, registration, and billing ...
2. How large is the unserved market for HIT?
There are 800,000 clinicians in the US. 17% have EHRs today. This leaves 664,000 who need EHRs. Over the next 5 years the early to mid-adopters will work hard to gain the full stimulus incentive amounts available in 2011-2012. Late adopters will gain the reduced stimulus available in 2013-2014. Resistors will begin receiving penalties in 2015.
3. Will clinicians be able to migrate easily from one EHR to another?
Interoperability in 2009 includes e-Prescribing, laboratories and clinical summaries needed for continuity of care. It does not include every field in the EHR. Conversion for one to EHR to another requires a combination of automated and manual data transfer. For the next few years, replacing one EHR product with another will still be a data conversion challenge.
4. What does “meaningful use” really mean? Do you think physicians currently feel compelled to wait for clearer language from the government on the interoperability standards before investing?
"Meaningful use" is demonstrating to the satisfaction of the Secretary that the professional is using a certified EHR in a meaningful manner, which includes the use of e-prescribing, electronic HIE, and submission of information on clinical quality measures. Additional clarity on interoperability will be complete by the end of 2009. I do not believe clinicians should wait for all the details before investing. They should begin EHR implementation now.
5. What other details about meaningful use are listed in the bill?
-The Secretary may develop more stringent measures of meaningful use over time.
-For eligible professionals that are not meaningful users of EHRs, Medicare reimbursements will be cut 1% in 2015, 2% in 2016, and 3% in 2017.
-If less than 75% of professionals are meaningful users in 2018, Secretary can cut reimbursements another 1 percentage point, to maximum of 5%.
-Exceptions to the reimbursement reductions may be made on a case-by-case basis for hardships.
-The CMS Website will list eligible professionals who are meaningful EHR users.
John D. Halamka, MD, MS, is Chief Information Officer of the CareGroup Health System, Chief Information Officer and Dean for Technology at Harvard Medical School
Electronic Medical Record - An electronic record of health-related information on an individual that can be created, gathered, managed, and consulted by authorized clinicians and staff within one health care organization.
Electronic Health Record - An electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be created, managed, and consulted by authorized clinicians and staff, across more than one health care organization.
Personal Health Record - An electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be drawn from multiple sources while being managed, shared, and controlled by the individual.
Practice Management - An application used to manage the physician business operations including scheduling, registration, and billing ...
2. How large is the unserved market for HIT?
There are 800,000 clinicians in the US. 17% have EHRs today. This leaves 664,000 who need EHRs. Over the next 5 years the early to mid-adopters will work hard to gain the full stimulus incentive amounts available in 2011-2012. Late adopters will gain the reduced stimulus available in 2013-2014. Resistors will begin receiving penalties in 2015.
3. Will clinicians be able to migrate easily from one EHR to another?
Interoperability in 2009 includes e-Prescribing, laboratories and clinical summaries needed for continuity of care. It does not include every field in the EHR. Conversion for one to EHR to another requires a combination of automated and manual data transfer. For the next few years, replacing one EHR product with another will still be a data conversion challenge.
4. What does “meaningful use” really mean? Do you think physicians currently feel compelled to wait for clearer language from the government on the interoperability standards before investing?
"Meaningful use" is demonstrating to the satisfaction of the Secretary that the professional is using a certified EHR in a meaningful manner, which includes the use of e-prescribing, electronic HIE, and submission of information on clinical quality measures. Additional clarity on interoperability will be complete by the end of 2009. I do not believe clinicians should wait for all the details before investing. They should begin EHR implementation now.
5. What other details about meaningful use are listed in the bill?
-The Secretary may develop more stringent measures of meaningful use over time.
-For eligible professionals that are not meaningful users of EHRs, Medicare reimbursements will be cut 1% in 2015, 2% in 2016, and 3% in 2017.
-If less than 75% of professionals are meaningful users in 2018, Secretary can cut reimbursements another 1 percentage point, to maximum of 5%.
-Exceptions to the reimbursement reductions may be made on a case-by-case basis for hardships.
-The CMS Website will list eligible professionals who are meaningful EHR users.
John D. Halamka, MD, MS, is Chief Information Officer of the CareGroup Health System, Chief Information Officer and Dean for Technology at Harvard Medical School
Etiquetas: USA health
2 Comments:
Podem andar no início mas têm alguns sistemas de informação que fariam inveja a qualquer sistema europeu:
Ver: http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1815
Mas... talvez não interesse ter um sistema de informação que pense na prevenção nem na diminuição do erro assim como na aplicação de guidelines pois não?
"If experts are recommending reminder/ recall systems and individual studies are demonstrating their effectiveness, why aren’t these systems used more frequently in primary care settings?" (Szilagyi et al, 2000)
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