101 Tips to Make Your EMR and EHR More Useful – EHR Tips 1-5

101 Tips to Make Your EMR and EHR More Useful – EHR Tips 1-5

Written by: John (from http://www.emrandehr.com/)

Time for the next entry covering Shawn Riley’s list of 101 Tips to Make your EMR and EHR More Useful. I can’t believe that this is the last post in the series. I think it’s been a good series chalk full of good tips for those looking at implementing an EHR in their office. I’d love to hear what people thought and if they’d like me to do more series like this one. Now for the final 5 EMR tips.

5. Automatic trending helps all over the place – A picture is worth a thousand words and this is never more true than when we’re talking about trending. Make sure your EHR software can quickly take a set of results and/or data points and graph them over time.

4. Keep training over and over – Are you ever done learning software? The answer for those using an EMR is no. Part of this has to do with the vast volume of options that are available in EMR software. However, the training doesn’t necessarily have to come from formal training sessions. Much of the training can also come by facilitating interaction and discussion about how your users use the software. By talking to each other, they can often learn from their peers better ways to use the software.

3. Infrastructure is key to performance – I love when people say “My EMR is Slow” cause it’s such a general statement that could have so many possible meanings. Regardless of the cause of slowness, the EMR is going to get the blame. For those wanting to dig in to the EMR slowness issue, you can read my pretty comprehensive post about causes of EMR slowness. I think you’ll also enjoy some of the responses to that EMR slowness post.

Infrastructure really matters when someone is using an EMR all day every day. There’s no better way to kill someone’s desire to use an EMR than to have it be slow (regardless of who’s responsible).

2. Quit pulling charts as soon as possible – I think this tip should be done with some caution. In certain specialties the past chart history matters much more than in others. Although, it’s worth carefully considering how often you really look through the past paper chart in a visit. You might be surprised how rare it is that you really need the past paper chart. If that’s the case, consider only pulling the chart when it’s needed. If you only find yourself looking through the past paper chart for 2 or 3 key items, then just have someone get those 2 or 3 items put into the EMR ahead of time. Then, it will save you having to switch back and forth. Plus, then it’s there for the next time the patient visits.

1. Crap process + Technology = Fast Crap – Perfect way to end 101 EMR and EHR Tips! I like to describe technology as the great magnifier. The challenge is that it will magnify both the good and bad elements of your processes. Fix the process before you apply the technology.

If you want to see my analysis of the other 101 EMR and EHR tips, you can find them all at the following link: 101 EMR and EHR tips analysis.

Study identifies top five wireless challenges

From HealthcareITNews.com
May 20, 2009 | Molly Merrill, Associate Editor

CHICAGO – A new study identifies the top five challenges senior IT executives face when implementing wireless applications and devices in the healthcare setting.

HIMSS Analytics used two focus groups for the March study, ranging from large (1,000+-bed) urban health systems to small (100-bed) rural organizations.

According to the HIMSS Analytics Database, approximately one-third of U.S. hospitals use wireless technology.

"In theory, secure mobile access to medical records and imaging, prescriptions and even general administrative databases should allow doctors, nurses and medics to treat more patients faster, more accurately and with greater flexibility – from any location in a large hospital, during home visits or at the scene of an ambulance response," said Jennifer Horowitz, senior director of research for HIMSS Analytics. "However, often the anticipated productivity gains are hampered by a series of fairly common issues related to wireless networks. This report examines some of those key issues and identifies some approaches healthcare agencies are utilizing to address them."

Continue reading the complete article.

Information Security Management Systems (ISMS) Best Practices Flow Chart

New flow chart for healthcare IT security available in PDF format. http://www.cygnusinc.net/support.html

A special thanks to Christopher Paidhrin of ACS Healthcare Solutions for the special permission to post the document.

HIMSS Publishes Its Definitions of 'Meaningful Use'

CHICAGO (April 27, 2009) - On Monday, April 27, HIMSS published its definitions of ‘meaningful use of certified EHR technologies,’ as outlined in the American Recovery and Reinvestment Act of 2009 (ARRA). HIMSS sent a cover letter, plus two definitions: 1) meaningful users of certified EHR technologies and 2) meaningful use for hospitals, to the National Coordinator of Health IT and the Acting CMS Commissioner, within the Department of Health and Human Services (HHS).

ARRA calls for multiple years of Medicare incentive payments to hospitals and physicians who meet the requirements of “meaningful use of certified EHR technology” (an electronic health record). To be eligible for the incentive payments, hospitals and physicians must use the technology in a meaningful manner; to exchange electronic health information to improve the quality of care; and, submit clinical quality measures – and other measures – as selected by the Secretary of HHS. Further, hospitals and physicians must meet the definition within a specified time frame, which as described in ARRA, must be made increasingly stringent over time by the Secretary.

Read the full article HERE>