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Help Us Help Atlanta

by Gwen.Cantarera 2. February 2010 15:00

We will donate $1 for every new follower, fan, commenter, and visitor from now until March 3rd 2010. If you have no idea why --- read this.

Don’t forget to leave a comment on this post and if you would like to donate on your own please do so here: ACFB.

Thank you,

The VCS Team


State of Healthcare Reform

by Gwen.Cantarera 27. January 2010 12:04

Will tonight’s State of the Union recharge the fight to reform healthcare?

“Congressional leaders are taking healthcare legislation off the fast track as rank-and-file Democrats, wary of unhappy midterm election voters, look to President Barack Obama for guidance in his State of the Union address.

House and Senate leaders said Tuesday they need time to determine the best way forward on healthcare in the wake of last week's special election loss in Massachusetts, which cost Democrats their filibuster-proof Senate majority”…read more on ModernHealthcare.com.

Will lawmakers come together to finally finish the job?

 


General | healthcare reform

Another Slice of Meaningful Use

by Gwen.Cantarera 20. January 2010 09:57

By: Mary Ann Ciccone

As part of ARRA, Medicare and Medicaid will provide reimbursement incentives to physicians and hospitals who become “meaningful users” of EMR. This effort will begin in 2011 and end by 2015 at which time all providers will be expected to utilize EMR. Changes will be implemented in stages and include data sharing, compliance with HIPPA and state laws, evidence based order sets, the engagement of patients and families, and care coordination. The final draft recommendations that will define meaningful use were published by the ONC for Health IT in December 2009. Eligible facilities and providers can incorporate these guidelines into projects currently in progress to meet the requirements.  

The result of following the meaningful use guidelines for all stages will be improved and more efficient patient care through the use of disease prevention and reduction of medication errors, greater communication between providers, efficiency in meeting reporting mandates and claims submissions, and lower healthcare costs.

 The recommendations for Stage 1 are listed below.

Criteria

Provider

Hospital

Use CPOE for all order types

x

x

Implement drug-drug, drug-allergy, drug-formulary checks

x

x

Maintain problem list of current and active diagnoses based on ICD-9-CM or SNOMED CT

x

x

Generate and transmit permissible prescriptions electronically

x

n/a

Maintain active medication and medication allergy lists

x

x

Record demographics

x

x

Record and chart changes in vital signs

x

x

Record smoking status for patients 13 years old or older

x

x

Include lab test results into EHR

x

x

Generate lists of patients by specific conditions to use for quality improvement and report quality measures to CMS or the states

x

x

Send reminders to patients per patient preference for preventive/follow-up care

x

n/a

Implement 5 clinical decision support rules

x

x

Check insurance eligibility  electronically from public and private payers and submit claims electronically

x

x

Provide patients with electronic copies of the following (per request):

-       Discharge instructions and procedures

-       Timely access to their health information

n/a

 

x

x

 

n/a

Provide clinical summaries for patients for each office visit

x

n/a

Ability to exchange key clinical information among providers of care and patient authorized entities electronically.  Provide summary care record for each transition of care and referral

x

x

Perform medication reconciliation at relevant encounters and each transition of care

x

x

Ability to submit electronic data to immunization registries

x

x

Provide electronic submission of reportable lab results to public health agencies

n/a

x

Provide electronic syndromic surveillance data to public health agencies

x

x

Protect electronic health information created or maintained by the certified EHR technology

x

x

 

 

 

Source: HHS website for meaningful use.

 

 


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ARRA | CPOE | EHR | HITECH | Incentive Money | Meaningful Use

Common Ground is the Key to Health Reform

by Gwen.Cantarera 14. January 2010 10:48

It is time for the House and the Senate to reconcile the healthcare bill, but finding common ground on major sticking points may prove tricky.

Among the differences is cost and how to pay for reform. The Senate’s plan is projected to cover 94 percent of Americans with an estimated cost of $871 billion over the next ten years while the House’s plan guarantees converge for 96 percent of Americans at a rate that exceeds $1 trillion over the next ten years according to the Congressional Budget Office.

To pay for these plans CNN details the House and Senate’s plans: “The House plan pays for health care reform with a 5.4 percent surtax on incomes for those making more than $500,000 a year, as well as families earning more than $1 million. It also includes a 2.5 percent tax on medical devices sold in the United States. The Senate plan increases the Medicare payroll tax on individuals earning more than $200,000 and couples earning more than $250,000 from the current 1.45 percent to 2.35 percent. The Senate bill also imposes a new tax on insurers that provide so-called Cadillac health plans valued at more than $8,500 for individuals and $23,000 for families.”

As a mini – conversation starter: check out this article about “Cadillac Care” from FORTUNE.

How would you finance healthcare reform?


healthcare reform

Have you heard? They Published the Meaningful Use Definition

by Gwen.Cantarera 5. January 2010 14:01

Just in case you haven’t been able to find it one of the other dozens of sites publishing the link here is the HITECH: Initial Set of Standards, Implementation Specifications, and Certification Criteria for EHR Technology and here’s how you get paid (warning 556 pages).

Mr. HISTalk summarized the finer or most relevant points here. And over at HealthcareITNews.com “Stakeholders have mixed reviews on proposed requirements” while Government HealthIT profiles groups that aren’t happy with the definition.  

We all knew it’d be a mixed bag right? What do you think of the proposal? Have you (are you) going to read it or will you just look for an effective summary? Let us know what your thoughts and questions are in the comment section.


ARRA | CPOE | EHR | General | healthcare reform | HITECH | Incentive Money | Meaningful Use

Rocking Christmas Eve

by Gwen.Cantarera 22. December 2009 10:37

Healthcare Reform in … five, four, three, two, one.

We are counting down to a Christmas Eve vote on the healthcare bill that’s in front of Senate right now. Familiarize yourself with the details with an article from the Wall Street Journal that looks at specific changes some democrats included, new taxes that will be implemented, and other included provisions.

If you are more of a visual learner and are interested in the three (most likely) alternatives to our current healthcare system check out "Healthcare Napkins" for insight into the core issues of the complex debate.

How knowledgeable are you on the proposed bill? Share your insights in the comment section.  


healthcare reform

The Grass is Always Greener...

by Gwen.Cantarera 15. December 2009 17:11

Throughout the healthcare debate I’ve heard a lot about the French healthcare system and the British system and occasionally someone will throw Germany in there too. In September one of my good friends visited from England and we had the chance to chat about her personal experiences with healthcare back home. Helen wasn’t all that satisfied with the British system, in fact, she wasn’t happy with it at all. Obviously, no system can be perfect, but it did get me thinking...beyond broad generalizations how do other countries handle healthcare?

France’s La Couverture Maladie Universelle                                                  

Described in detail Medical News Today has a basic run down of how the French healthcare system works. Dr. Yann Meunier reviews medical training in France and how it differs from the United States on KevinMD.com. And finally, an interesting comparison here.  

Britain’s National Health Service

Time get’s a few opinionated digs in, in this article, but if you can read through it with a discretionary eye it is a good overview of the NHS. Here are two quick opinion pieces that summarize some pros and cons on CBS.  And here’s one more article that goes into further detail about NHS from a site hosted in Europe.

And to bring it all full circle (well almost) here’s an article out of the UK about the German healthcare system. 

If you had to pick a country to live in based solely on healthcare, where would you go? (Not limited to the countries mentioned in this post.)


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CIOs and Meaningful Use

by Gwen.Cantarera 8. December 2009 17:52

They’ve got their list and they’re checking it twice…meaningful use is still on everyone’s mind. CHIME just completed a survey of 176 of their member CIOs on their “ability to implement the standards recommended by the HIT Standards Committee in time to meet currently established deadlines.” Most of the CIOs admitted that they are concerned. In the words of David Muntz, Senior VP and CIO at Baylor Health Care System in Dallas: “Early attempts at standardization were not rousing successes. It’s hard to believe that we will be able to adapt to new standards in time to qualify for the rewards from the stimulus. I’m hopeful we’ll be there before the penalties are levied.” (from CHIME summary).

Over at HealthcareITnews.com the CIOs from Sharp HealthCare, Brigham & Women’s, and Shriners Hospitals for Children discuss what meaningful use means to them and their hospitals: CIOs Discuss Meaningful Use.

 Those three sound like they are ready and waiting for their incentives.

How prepared are you?


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ARRA | CIOs | HITECH | Meaningful Use

What Women Think about Healthcare Reform…Part 3

by Gwen.Cantarera 18. November 2009 09:17

Several healthcare interactions this week have led me to question how healthcare views their patients.

My brother-in-law tore his rotator cuff. He and my sister went to the hospital for pre-surgical testing a few days before the surgery. They arrived early in order to fill out the numerous forms which required the same information over and over again:  name, date of birth, his history, what he was having done, etc.  They were assigned a room after an hour in the waiting room. After another half an hour a nurse said she would be right in.  Another half an hour later, the nurse came in, said she didn’t have time to read the paperwork, they would operate on the right shoulder and began listing other items.  Stop right there!!  No, it is his left shoulder.  From the nurse: “Were my sister and her husband sure?” Why are patients expected to provide information that doesn’t get read or verified?

I had an unexpected referral to the endodontist from my dentist.  Despite my dentist office calling and giving them all my information, when I arrived two days later there were six forms for me to fill out (thought there was an EHR in place).  All six asked for my name, address, date of birth, and today’s date.  While they asked general yes/no questions, there was no place for me to inform them of a specific health need.  Good thing I knew to tell them. If you went to any other store, bank, or other establishment wouldn’t you expect them to print out the forms with your known information on it?  As the customer, would you expect to do the work?   Are we using our electronic health records to the benefit of our patients or our caregivers?Ann Marie Tyrell, Principal Consultant

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There's a saying: “under capitalism man exploits man, under socialism the reverse is true.” I am skeptical that a government-run insurance option can operate as efficiently as private insurers and I'm thinking this is going to cost me. However, I'm trying to stay optimistic. Maybe a government-run insurance option can stir-up the competition and make healthcare more accessible and affordable to more people- I guess it's worth a shot! - Jen Verdiani, Sales & Marketing Associate

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What do I think about healthcare? I think the US’ narcissistic view of healthcare (that ours is the best system in the world) needs to change. Sweden, for example, has great healthcare, but they pay higher taxes for it. If we actually saw the benefits of our taxes, I think people would have a more agreeable outlook about paying them. With healthcare coverage, whether private or public, there is inequality in what insurance or Medicare pays for in terms of women’s health vs. men’s health.  If you want to ban abortion coverage (Who in their right mind wants an abortion anyhow? It’s a desperate last resort), then I say, ban Viagra! Why should a woman have to spend multiple co-pays for repeated mammograms if the physician asks for a second or third reading or a follow-up ultra-sound?  Yes, co-pays are appropriate for the first visit but the follow-ups are part of the diagnostic order. Many women fail to do the follow-ups because they can’t afford the multiple co-pays and subsequently the total costs rise based upon the outcome. Spend money up front for wellness rather than deny it after the fact. Few politicians who make these decisions really understand the domino effect of their actions. Millions of dollars are wasted on Medicare fraud that could be put to good use on preventative care. Place the watchdogs where they need to be; read the research that is available. Place the dollars saved in preventative care, especially in the areas of education on diet and exercise to prevent diabetes rather than spending the dollars on all the post effects of diabetes.-Anna Lee Lapinski, Resource Manager

 


healthcare reform

What Women Think about Healthcare Reform…Part 2

by Gwen.Cantarera 13. November 2009 10:55

This is the second installment of What our VCS women think of healthcare reform.

Being in the Healthcare industry for over 25 years, I would say the time has come and is almost past the point of no return for reform.  I am concerned that if we don’t take some immediate steps, the cost of Healthcare will continue to skyrocket to the point where our children will not be able to afford even the employee portion of most plans, let alone the deductibles and co-pays.  If the government can’t come up with an acceptable bipartisan plan to sign in the next 60 days, then it is time to turn our attention to items we can change in 2010 like medical malpractice, incenting more graduates to enter medical school by assisting in their tuition in order to provide the additional primary care docs that are soon to be so desperately needed, and mandate or incent some personal health changes. Seriously, the time is now.Cyndi Cahill, Senior Vice President

______________________________________________________________

Tort reform is not only necessary, it is imperative.  Litigation has gotten out of control and payments are astronomical.  Physicians and nurses are served with unfair lawsuits which in turn drive up insurance and in return healthcare costs. 

I've heard lots of talk about socialized medicine.  We already have that in the form of Medicare and Medicaid.  How are those plans working?  Are the healthcare needs being met through those venues?  Are they cost effective?  The answers to these questions should help point the way in any healthcare legislation. – Sue Rollins, Senior Consultant

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I am happy to hear the high level of discourse among politicians regarding healthcare reform. I just wish it were civil, factual and accurate. I think there are thousands of thoughtful, bright minds in healthcare and the government who are working on implementable ideas that will move the system ahead. I think everyone agrees we cannot remain stagnant and continue down the same path. Big ideas and big change require thoughtful, careful, and intelligent consideration and debate. Can anyone say that is the type of public discussion going on? We all deserve better.Robin Shine, Senior Vice President

 


healthcare reform

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Key


ARRA - American Recovery and Reinvestemtn Act
CCHIT - Certification Commission for HIT
CMS - Centers for Medicare and Medicaid
HHS - Health and Human Services
HITECH - Healtcare Information Technology portion of ARRA
ONC - Office of the National Coordinaotr for Health Information Technology
PHR - Personal Health Record

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The opinions expressed herein are my own personal opinions and do not represent my employer's view in anyway.

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