Physicians Eager but Unprepared to Meet Meaningful Use Requirements

Most physicians were eligible for federal incentives in 2011, but few had EHR systems that met Meaningful-use criteria.

Meaningful use (MU), in a health information technology (HIT) context, defines the use of electronic health records (EHR) and related technology within a healthcare organization. Achieving meaningful use also helps determine whether an organization will receive payments from the federal government under either the Medicare EHR Incentive Program or the Medicaid EHR Incentive Program.

Although roughly half of physicians in a recent survey said they planned to apply to the Meaningful Use incentive program in 2011, few would have qualified for payments because their electronic health record systems would not have met enough of the Stage 1 core requirements, according to a study published this week in Health Affairs.

Of nearly 4,000 physicians responding to the survey, conducted by the Centers for Disease Control and Prevention’s National Center for Health Statistics, 51 percent said they intended to apply for the incentive payments. Only 11 percent, however, had an EHR system installed that would have met 10 out of 15 requirements for the Stage 1′s core objectives.

Such statistics should serve as a guide to current and future efforts by regional extension centers (RECs) designated to aid physicians in their push toward meeting Meaningful Use, according to the study’s authors. Physicians working with RECs toward Meaningful Use attestation have encountered multiple obstacles, according to analysis from earlier in the year by the ONC’s Health IT Policy Committee.

“The 2011 survey results portray widespread gaps in readiness,” the authors wrote. “Even in Wisconsin, the state with the highest percentage ready [to hit 10 of 15 core requirements], only 32 percent of all physicians reported this degree of readiness.”

Despite the results of the Health Affairs study, the number of eligible hospitals and professionals registered to participate in the EHR Incentive Programs continues to climb, according to recent statistics released by the Centers for Medicare & Medicaid Services. Additionally, according to CMS’s statistics, $4.5 billion in incentive payments have been made to eligible providers as of this past March.

View Health Affairs Abstract for more information – click here.
Original article content courtesy of FierceHealthIT.
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Health Organizations Increasingly Hiring Chief Nursing Information Officers CNIOs

Chief Nursing Information Officer (CNIO) is a fairly new title, but it is growing in popularity and more and more organizations are recruiting for the position, according to Linda Hodges, vice president and leader of information technology search practice at executive search firm Witt/Kieffer.

An increasing number of nurses are setting their sites specifically on attaining a CNIO position, Hodges told Healthcare IT News in an exclusive interview.

“This is something that has become a passion for many people who went into nursing but also love IT,” she said. “They can see how this role can impact care, especially with the evolving new role of accountable care organizations.”

“Nurses can see the need for an executive nurse focused on nursing needs and nursing practice, so that when health IT solutions are crafted for an organization, they will work for the nurses,” Hodges said.

If the CNIO title follows the course of the CMIO title, it might take some time to become accepted. According to Hodges, the title of chief medical information officer was ten years in the making. It wasn’t readily accepted at first.

Currently, academic institutions and large integrated health systems are the main organizations hiring such a position. A CNIO at a large system can expect to make from $200,000 to $250,000 in base pay annually, she said.

Nurses pursuing this position need a master’s degree in nursing informatics and in some cases a Phd, Hodges said. There are a number of good schools offering highly regarded programs, including the University of Maryland, Vanderbilt and Duke.

“The education programs that exist in nursing informatics need to evolve,” she said. “There is a lot of interest right now, and they are beginning to see traction in terms of more people.”

Hodges will be co-presenting a session titled “The Emerging Role of the Chief Nursing Information Officer: What is the Current State” at the Nursing Informatics Symposium at HIMSS12 on Feb. 20 in Las Vegas.

 

Article origination by Diana Manos at HealthcareIT News

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Veterans Affairs & Defense Departments Developing Patient Data-Sharing System

Electronic health record vendors Epic Systems and Cerner may face competition from a joint patient information-sharing network being developed by the Defense and Veterans Affairs departments, analysts said.

Prompted by President Obama’s push for medical facilities to adopt electronic records, hospitals may pay companies to modify the open-source code likely to power the government-developed system, rather than buying commercial systems, said Ed Meagher, former Veterans Affairs deputy chief information officer.

The contractors that have worked on the Pentagon’s current electronic health record system may lose the most revenue as it’s phased out in favor of a system being jointly developed with the Veterans Affairs Department.

Veterans Affairs plans to modernize its records system using open-source software, making it likely that the VA-Defense system also will use it, said Meagher, now vice president of health-care strategy for Computer Sciences Corp. in Falls Church. Open-source software is publicly available and can be shared with other organizations at no charge.

The government agencies “are going to spend north of $4 billion turning these two systems into one new system,” said Meagher, whose company may win business modifying the government’s open-source code for other hospital systems. “And when they’re done, anybody in the world will be able to use it.’’

The Obama administration has begun distributing as much as $31.3 billion in incentive payments to encourage hospitals and doctors to adopt electronic health record systems. The federal government plans to reduce Medicare reimbursements to physicians who fail to make the transition by 2015.

‘Whole enchilada’

Companies that primarily sell “all-or-nothing” electronic health records that provide “the whole enchilada,” such as closely held Epic Systems of Verona, Wis., may suffer, said Gene Mannheimer, an analyst with Auriga USA.

“Smaller niche vendors that are good at certain aspects of electronic health records, like providing lab or pharmacy applications, could benefit,” Mannheimer said.
[Read more...]

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Study Examines High-Speed Internet Use, Rx Abuse

Is there a link between the expansion of high-speed Internet connectivity and rising rates of prescription-drug abuse?

Possibly, according to a study, “Growing Internet Use May Help Explain The Rise In Prescription-Drug Abuse in the United States” published online in the policy journal Health Affairs. (link to study below)

“Our findings provide a first glimpse that growing Internet use may partially explain why U.S. prescription-drug abuse rates have risen dramatically while other substance-abuse rates have not,” the authors noted in a news release. “Based on our findings, recent efforts by the (U.S.) Food and Drug Administration to shut down illegitimate pharmacies not only seem warranted but may also lead to substantial reductions in prescription-drug abuse.”

The report is based on comparisons of U.S. Federal Communications Commission data on several states’ rates of Internet penetration from 2000 to 2007 and U.S. Substance Abuse and Mental Health Services Administration data on admissions to substance-abuse programs.

During the study period, researchers determined that admissions for alcohol, cocaine and heroin abuse had minimal or negative growth, whereas in those states with higher Internet growth “experienced comparable increases in admission to substance-abuse treatment facilities,” according to the release.

“Our work raises the possibility that the observed growth in U.S. prescription-drug abuse may partially stem from wider Internet availability through online pharmacies that sell prescription drugs illegally,” according to the authors.

Summary From:  Modern Healthcare

Study Abstract:

The rising availability through the Internet of commonly abused prescription drugs has raised public health concerns. We examined whether the growth of US prescription drug abuse may be explained by the parallel growth in high-speed Internet use. We find that for every 10 percent increase in high-speed Internet use at the state level, associated treatment facility admissions for prescription drug abuse rose by 1 percent. Admissions for abuse of alcohol, cocaine, and heroin, which are not readily purchased online, had minimal or negative growth during the same period. The results suggest that better surveillance of online prescription drug sales is warranted, and aggressive efforts to curb illegitimate online pharmacies may be necessary.

Link to study: Growing Internet Use May Help Explain The Rise In Prescription Drug Abuse In The United States

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Doctors Voice Concerns About CMS’ Physician Compare Site

Physicians are finding a number of biographical data errors on CMS’ Physician Compare website and are questioning whether patients can trust the accuracy of the site, American Medical News reports.

Background

In December 2010, CMS launched the Physician Compare site to provide consumers with data such as a physician’s name, address and Medicare participation status.

In 2013, CMS plans to publish physicians’ quality performance data, based on the prior reporting year. CMS Administrator Donald Berwick said the quality information on physicians will be similar to how Medicare provides data on hospitals and nursing homes.

Error Details

Physicians say common errors found on the site include:

  • Name misspellings
  • Incorrect Medicare participation status
  • Inconsistent results derived from location-based searches; and
  • Listings of doctors who have retired or died.

Data on the Physician Compare site are derived from the Medicare Provider Enrollment, Chain and Ownership System, so information missing or incorrect on the PECOS file could transfer to the Physician Compare site, according to American Medical News.

AnnMargaret McCraw — CEO of Midlands Orthopaedics in South Carolina — said physicians not appearing correctly on the site are at a disadvantage because potential patients might not be able to find them.

Other physicians are concerned that if CMS cannot provide accurate biographical data, expanding the site with quality performance data might not provide patients with trustworthy information (Fiegl, American Medical News, 5/9).

For original article and to read more visit ihealthbeat.org

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Office for Civil Rights Seeks Additional Funding for Data Breach Policing

HHS’ Office for Civil Rights is requesting a $5.6 million increase for its fiscal year 2012 budget so it can follow HIPAA enforcement and compliance requirements, HealthLeaders Media reports (Nicastro, HealthLeaders Media, 3/17).

If approved, the office’s budget would increase from $41,099,000 in FY 2011 to $46,717,000 in FY 2012 (McKinney, Modern Healthcare, 3/17).

Funding Details

OCR, which enforces HIPAA privacy and security rules, would use about $2.2 million to hire “regional privacy officers” who would offer HIPAA guidance and education to business associates, covered entities and individuals.

About $1.3 million of the funding would help OCR investigate data breach reports. In FY 2010, the office received approximately 9,400 complaints associated with HIPAA privacy and security rules (HealthLeaders Media, 3/17).

According to OCR, the office needs more resources to be able to investigate data breaches that affect 500 or fewer individuals (Modern Healthcare, 3/17).

View Dept. of HHS Justification of Estimates for Appropriations Committees Document

iHealthBeat.org …

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HHS imposes a $4.3 million civil money penalty for violations of the HIPAA Privacy Rule

Action marks first civil money penalty issued by HHS for HIPAA Privacy Rule violations

The U.S. Department of Health and Human Services’ (HHS) Office for Civil Rights (OCR) has issued a Notice of Final Determination finding that Cignet Health of Prince George’s County, Md., (Cignet) violated the Privacy Rule of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). HHS has imposed a civil money penalty (CMP) of $4.3 million for the violations, representing the first CMP issued by the Department for a covered entity’s violations of the HIPAA Privacy Rule.

The CMP is based on the violation categories and increased penalty amounts authorized by Section 13410(d) of the Health Information Technology for Economic and Clinical Health (HITECH) Act.

“Ensuring that Americans’ health information privacy is protected is vital to our health care system and a priority of this Administration. The U.S. Department of Health and Human Services is serious about enforcing individual rights guaranteed by the HIPAA Privacy Rule,” said HHS Secretary Kathleen Sebelius.

In a Notice of Proposed Determination issued Oct. 20, 2010, OCR found that Cignet violated 41 patients’ rights by denying them access to their medical records when requested between September 2008 and October 2009. These patients individually filed complaints with OCR, initiating investigations of each complaint. The HIPAA Privacy Rule requires that a covered entity provide a patient with a copy of their medical records within 30 (and no later than 60) days of the patient’s request. The CMP for these violations is $1.3 million.

[Read more...]

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Consumer Coalition Urges ONC To Hold Firm on Stage 2 Criteria

A coalition of 25 consumer groups and unions sent a letter to the Office of the National Coordinator for Health IT urging officials to remain steadfast on proposed requirements for Stage 2 of the meaningful use incentive program, Health Data Management reports.

Under the 2009 federal economic stimulus package, health care providers who demonstrate meaningful use of electronic health records can qualify for Medicare and Medicaid incentive payments (Goedert, Health Data Management, 2/28).

The letter states, “Robust advancement of meaningful use criteria is essential both to ensure a return on investment for taxpayers who are funding the incentives and to lay a firm foundation for meeting the broad goals of health care reform” (CMIO, 2/28).

Organizations that signed the letter include:

  • AARP;
  • Consumers Union;
  • Families USA;
  • National Partnership for Women & Families; and
  • Service Employees International Union.

Key Recommendations

The coalition said that ONC should resist pressure from health care providers to scale back requirements (Health Data Management, 2/28).

The consumer groups and unions expressed support for several issues, including:

  • Transitioning all “optional” criteria in Stage 1 to “required” criteria in Stage 2;
  • Advancing key criteria that have an impact on quality and safety, such as electronic prescribing and medication reconciliation;
  • Improving collection of advance directives (CMIO, 2/28); and
  • Providing patients with online access to their health data, as well as secure messaging capabilities.

The groups also urged federal officials to increase health information exchange requirements in Stage 2.

The letter states, “If Stage 2 meaningful use is meant to focus on [health information exchange], then providers receiving incentive money should be well-beyond simply testing their ability to exchange information; they should be doing it on a regular basis, at least for a subset of their population” (Health Data Management, 2/28).

It adds, “Two-way exchange of information is critical to harnessing the full potential of health IT to deliver the kind of care patients want” (CMIO, 2/28).

Article Source from iHealthbeat.org

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HHS To Allot $750M for Disease Prevention, IT Infrastructure

On Wednesday, HHS announced that it will make $750 million in federal funds available for disease prevention efforts, including data collection initiatives and IT infrastructure projects at local health departments, HealthLeaders Media reports (Clark, HealthLeaders Media, 2/10).

The money, which is in addition to $500 million that HHS allocated last year, will come from the Prevention and Public Health Fund created by the federal health reform law.

Specific projects include $137 million to bolster public health infrastructure by helping state and local health departments invest in new technology and staff training, and $133 million to collect and present data on the effects of the health reform law (Zigmond, Modern Healthcare, 2/9).

In addition:

  • $298 million will go for community prevention, local health and wellness promotion, improving nutrition, reducing tobacco use and increasing physical activity; and
  • $182 million will be put toward improving access to preventive care.

HHS Secretary Kathleen Sebelius said, “This investment is going to build on the prevention work already under way to help make sure that we are working effectively across the federal government, as well as with private groups and state and local governments to help Americans live longer, healthier lives” (HealthLeaders Media, 2/10).

US Dept of Health and Human Services - News Release

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iPad used to check mobility (MAT) in Seniors

WINSTON-SALEM, NC – Mobility is a “vital” sign that should be regularly checked in adults over the age of sixty, and according to two health and exercise science professors at Wake Forest University, the iPad is just the tool for the job.

Mobility is closely linked to overall health and quality of life, but healthcare professionals have not had an easy and effective way to assess it.

That’s why professors Tony Marsh and Jack Rejeski with the help of colleagues in the computer science department (Yue-Ling Wong) and Wake Forest University Baptist Medical Center (Eddie Ip), developed the Mobility Assessment Tool (MAT).

MAT, which was created for the iPad and PC, assesses mobility in older adults using video animation rather than written questions. The whole process takes about four minutes to complete. The score provides information that helps older adults better understand their current mobility and can provide a yardstick to monitor changes in how well they get around.

Using an iPad or PC, older adults watch short videos of animated figures performing everyday tasks such as climbing stairs or walking while carrying a bag of groceries. The videos help senior citizens picture themselves doing these tasks. They then use the touch screen to indicate what they can and cannot do.

“In pilot testing, we found that the animation technology allowed older adults to project themselves into the tasks,” Marsh says. “This removed potential biases that would have occurred if actual people had been filmed doing the tasks.”

Marsh and Rejeski say the MAT is a quick, simple and cost-effective way to accurately measure mobility and may help practitioners plan appropriate interventions to remediate limitations. They envision the elderly getting “activity prescriptions” to improve their physical function based on the results of the Mobility Assessment Test.

The MAT could also be administered in the waiting room before a patient talks to the physician, the professors say.

“This is a tool that could be used quickly in a physician’s office or out in the field,” says Rejeski, who has found the MAT to be useful in his research on older adults and mobility.

Using animation instead of actors makes the tool more adaptable and less expensive. Its touch screen technology also dramatically decreases the time of test taking. The benefits of the technology allows for greater flexibility in altering the form, speed and environmental parameters of mobility-related tasks, opening up a wide range of possibilities for future research questions, said Marsh and Rejeski.

The MAT will be used by researchers involved in the LIFE study, a major multi-year project funded by the National Institutes of Health that is designed to determine the effects of physical activity and successful aging interventions on major mobility disability. Recently Marsh and Rejeski have also been asked to collaborate in a cross-cultural study of mobility in older adults with researchers from Canada, Brazil and Columbia that will use the MAT.

by Molly Merrill, Associate Editor – HealthIT News

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