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Electronic Health Records: Time to Get Onboard

Marianne McGee | 07/08/10
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Most of the nation's largest hospitals have already deployed electronic health record systems, but less than 20% of the 700,000 practicing doctors are using them. There's a lot at stake if these doctors don't deploy these systems.

Digitized records provide a timely, cost-effective way to share patient information. If physicians aren't using them in their private practices, they lose those benefits, as do the hospitals they work with. Continued use of paper records puts patients at risk for medical mistakes, ill-informed treatment decisions and unnecessary tests because hospitals and doctors don't have easy access to information about recent tests, health histories and other important data.

There are looming financial implications as well. Last year's stimulus legislation provides more than $20 billion in incentives to doctor practices, hospitals and other healthcare organizations that show they're making "meaningful use" of EHRs; meaningful use is likely to require that healthcare providers be able to electronically exchange patient data. At risk are incentive payments of as much as $64,000 for a physician practice and millions of dollars for hospitals, depending on their size. Penalties for non-compliance start in 2015, when physicians and hospitals that treat Medicare patients will see a reduction in fee reimbursements if they aren't complying with meaningful use requirements.

With so much at stake, most large hospitals aren't leaving it to chance that doctors will adopt EHRs. Partners HealthCare, which operates several Boston hospitals, has taken the atypical approach of mandating that its physicians use EHRs. Huntington Memorial Hospital is helping its doctors go digital by giving them a free e-prescription system. Beth Israel Deaconess Medical Center and Inova Health System are offering their physicians subsidized EHR systems.

These four healthcare organizations are taking different approaches, but their goals are the same: to help the independent practices with which they work make the complicated and expensive transition to EHRs.

Table of Contents

    3    Author's Bio
    4    Executive Summary
    5    Time to Get Clinicians Using E-Health Records
    5    Looming Financial Impact
    5    7 Ways to Get Doctors Onboard
    7    Challenges Ahead
    7    EHR Costs for a Three-Physician Practice
    8    Personal Health Records: A Temporary Fix
    9    Tips from an EHR Veteran
    10    Who's Helping?
    11    Partners HealthCare Twists Some Arms
    12    Huntington Memorial's E-Prescription On Ramp
    15    Beth Israel Deaconess Plays Host
    15    Inova's Market Basket Approach
    16    Time for E-Healthcare Is Now

About the Author

Salary Survey 2010: Healthcare

Marianne Kolbasuk McGee has been reporting and writing about IT for more than 20 years. She joined InformationWeek in 1992 and covers a variety of issues, including IT management, careers, skill and salary trends and H-1B visas. McGee also closely follows health care IT issues, including the federal government’s stimulus spending programs for expanding the adoption of electronic medical records systems. McGee holds a B.A. in communication arts from Long Island University’s C.W. Post campus. She can be reached at mmcgee@techweb.com.

E - H e a l t h R e c o r d P u s hComment by sbudack984 Dec-30,2011 11:39:41 AMI read the document and failed to find the incorporation of nurses. Although mostly end-users, they are critical to the success of the implementation.Reply

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