Avoiding Appeals Post EHR Attestation

EHRImplementing EHR in the right way requires intensive planning. The strategy you come up with should accommodate all facets of the project, ranging through vendor selection and post transition activities. Exactly, who is accountable for what, should be clear from the start. Proper delegation must be done, and persons assigned with the achievement of performance milestones. Meaningful Use is has objectives you must meet in order to be eligible for incentives. Know about these requirements, and how easily you can meet them. The main areas, which the providers will be judged in, will be standing eligibility, and Meaningful Use of EMR systems in their practice.

There may be cases where a provider is not awarded incentives despite attestation. This can only happen if they were misinformed on how the program works. You can go online and seek this information to be well versed in the details of Meaningful Use. The best by far is the attestation page on the CMS EHR Incentive Program website.

Sometimes an eligible provider may lose incentive payment because they did not meet all the stipulated objectives for Meaningful Use. This results from a lack of internal coordination, both in implementing and employing the necessary tracking and measuring techniques. EPs can avoid this by laying out a comprehensive routine they should work along, and which should conform to the EHR application process. Data stored and collated through Meaningful Use should be consistently used to feed back to concerned clinicians.

CMS has a Meaningful Use Attestation Calculator which can be used for monitor your practice’s successful move towards, and achievement of, requisite goals. The provider would be required to take the EHR data they have collected, and input that into this tool.

Many EMRs also come with a similar inputting functionality, so that the practice can report their transition progress, as and when it occurs. This activity can be scheduled daily, weekly, or monthly, for different health record platforms. It goes without saying that the schedule preference of any practice should ideally be in keeping with its established routines.Health Record Systems

There is always the option to outsource a practice’s implementation activities to an outside party. A consultant can be hired, for instance, to help with vendor selection for health record systems. They could also be made to guide the practice in the transition to Meaningful Use.

What Is EMR Software And What Are The Benefits Of Customizing It

Customization Of EMR SoftwareIf you are wondering what is EMR software, first know that Electronic Medical Record (EMR) is actually the medical and standard clinical information gathered in the healthcare provider’s office. An electronic medical record is an electronic, computerized, and digital version of the paper chart having all of a patient’s information. Now to answer what is EMR software, it is a software application, which enables recording such data.

Though EMR software are pretty common in health care institution, sometimes, it is not specialized enough to cater to the needs of the institution. For instance, when the institution is new or there are many professionals with different styles of working, things can go difficult when they are accustomed to a certain way of handling things. This is where customization of EMR software is useful.

Customizing the system actually makes it very easy to adopt the new plan of action. So, if we ask what is EMR software customization, it means modifying the settings and options to something that you would prefer, or the way you usually work.

The learning curve is not steep when the software works the way you want. This means the time spent on learning what is EMR software and how to implement it in your day-to-day tasks is much reduced. There is a seamless transition to a new record keeping method.

A customized EMR is way more useful than paper records. Here are some of the best uses of it.

  • It helps data to be tracked over time, and analyzed as and when needed.
  • Users can identify various aspects of patients such as time of visit, diagnosis done, healthcare services provided, etc.
  • EMR software helps in monitoring how patients measure up to specific parameters such as blood pressure readings.
  • It helps to enhance the quality of care provided overall.
  • Record keeping is made easy as the software is customized to users comfort level.What Is EMR Software

The great thing here is that the EMR software changes with you. As you learn new and efficient ways to do things, even your EMR software grows with you. For that purpose, it is best to opt for EMR software, which allows multiple customizations. This way, it becomes easy to change the configuration. During the learning process, doctors and software users will know what works and what does not, and so, the software can be configured accordingly.

New Hampshire Healthcare Organization ‘GHN’ To Use Athenahealth’s EHR

Web Based EHRA report indicates Granite Healthcare Network (GHN), has decided to choose Athenahealth’s web based EHR solution for their hospitals. GHN intends to implement Athenahealth’s web based EHR. In the first phase of implementing the Electronic health record system, the GHN would be focusing on improving the coordination of the system across GHN network. GHN has one of the fastest growing networks for handling the risk-based payment arrangements. Sources close to GHN reveal that the network currently has about 80,000 active members. The other priority is to improve the care quality.

About GHN

GHN (Granite Healthcare Network) is a partnership formed by five independent healthcare providers (charitable hospitals) in New Hampshire. The partners include Southern New Hampshire Health system, New Hampshire Catholic Medical Centre, Concord Hospital, Wentworth-Douglass Hospital and LRGHealthcare. A spokesperson from the GHN said that it intends to transform the healthcare delivery system of New Hampshire. Its first priority as it has been said earlier is to ensure that all the patients in the state get access to cost effective and quality healthcare services. The network intends to achieve this by implementing EHR.

GHN claims to have a better scope of services. Since the forming of the GHN, the partner institutions have been committed to sharing their health data among themselves. All the partners use the same web based EHR solutions. This has played a significant role in ensuring data sharing. As all the institutions use same kind of health recording systems, there is higher interoperability. However, GHN says that it does not force hospitals to use same EHR solution as it is not practical.

Hospitals should choose health record systems that are more interoperable rather choosing one that suits specific hospital uses. GHN encourages providers of electronic health record systems to ensure better interoperability. In the opinion of GHN’s executive director Rachel Rowe, “By partnering with Athenahealth, GHN is one step closer to its vision to be the premier value-based provider in New Hampshire, we can effectively manage our populations and influence patient activity to meet clinical quality goals, decrease hospital readmissions, and boost revenue and better health outcomes.”EHR Solutions

It is hoped that other healthcare organizations would also work towards bettering their Electronic health record systems, especially the web based EHR solutions that are gaining momentum these days. GHN’s Rowe said that she wished all health organization had followed the footsteps of GHN in implementing health recording systems and thereby improving the patient care.

Electronic Health Records Evolution

Web Based EHRComputers and advanced electronic technology have made a host of modern convenience to this generation.

Keeping records on a PC is significantly simpler than going through hard copies of information inside a filing cabinet. Like any other sector, maintaining health records have made a transition into an electronic format over the years.

Time Frame

One of the most important goals of keeping Electronic Health Record is to implement the technology in almost all of the hospitals and doctor’s offices. However, a little over forty percent of the hospitals in United States still do not make use of the Electronic Medical Record systems due to the cost involved.


Plans to make use of the Electronic Health Record keeping technology began in the early 80s. However, throughout the decade, the majority of doctor’s offices and hospitals opted for paper record keeping. It was in the 90s, when Electronic Health Record systems were put in place in about fourteen percent of the healthcare units.

Web Based Electronic Health Records

Web based EHR, or commonly called as cloud-based EHR system, offers secure access to the data collected by a healthcare facility from any part of the globe. This enables collaborative sharing of documents between physicians and patients. The web based EHR allows for efficient e-prescribing. This way, the patient will be able to connect to over 70,000 pharmacies to submit electronic prescriptions and get approval for refill requests with ease.


Early EHR technology may have been on the simple side, but Electronic Health Record systems have advanced much in the past couple of years. Some of the EHR systems are now completely online and others are accessible across networks and make use of image-based interactivity. Another benefit of the cloud based Electronic Health Records is that the patient will be able to schedule appointments online and interact with the health care team by sending messages securely.Cloud Based EHR

It is clear that web based EHR is the future of medical data recording systems. We all know that cloud computing is the future of information storage. So, switching to web based EHR systems will offer greater flexibility and ease of access in the future for sure. In addition, it will make the data more secure, and reduce the chances of mundane errors that happen while compiling medical records manually.

EHRs Used In Study To Determine The Nurses’ Impact On Patient Outcomes

Electronic Health RecordsA recent demonstration using a web based EHR system and human resources data showed that individual nurses can quantifiably affect patient outcomes in healthcare. A related report was published online in Health Services Research.

The measurement of nursing practice affecting patient outcomes was heretofore measure collectively by hospitals and healthcare facilities. An alternative measurement was by calculating the ratios of nurses to patients. However, University of Michigan Associate Professor Olga Yakusheva has published a study, which attempts to determine whether the care provided by all nurses was equal in value, empiricized the web based EHR data, to the individual level.

The findings showed that nurses holding a Bachelor’s degree or higher, and with expertise in the job, garnered higher Nurse Value-Added (NVA). NVA is the aspect which leads to the lowering of patient stay duration and healthcare costs. Data from 1203 staff nurses was analyzed and assessed alongside data from 7318 adult medical-surgical patients, all of whom were discharged in the period between July 2011 and December 2011. The information was drawn from the electronic health records at an 854-bed teaching hospital.

The web based EHR statistics were measured against the Rothman Index, a summary of 26 clinical parameters, some of which are nurse assessments, vital signs, heart rhythms, and lab tests. The top 20% of nurses, in terms of performance, had 10 points higher on the Rothman Index than the bottom 20%. This indicates that a higher performer can get greater NVA, benefiting patient outcomes. Considering that most patients are observed by more than one nurse when admitted, patients receiving care on two units and provided care from two nurses on each, would have four observations done under such a study.

Under the web based EHR data, nurse attributes were found to have caused 7% of the differences in NVA. Bachelor degree holders had 0.55-point higher NVAs, while only a negligible difference was found between nurses with associate and diploma- level qualifications. The report authors have added that bachelor’s degree or higher being a characteristic of higher NVA, subsequent health system strategies need to orientWeb Based EHR themselves towards maintaining accordingly prepared nursing staff. These findings are also probable to affect nurses’ pay in the future.

In conclusion, the authors opined that, “The ability to measure individual nurse relative value-added opens the possibility for development of performance metrics, performance-based rankings, and merit-based salary schemes to improve patient outcomes and reduce costs.”

Choosing The Right Web Based EHR Vendor

Health RecordsElectronic health records or EHRs are fast becoming an inevitable part of medical institutes. These provide a convenient way to store and maintain patient records. They come under the Health Information Technology, which is slowly changing the methods of delivering, sharing and tracking the healthcare services with the healthcare providers. The advantage of using web based EHR is that it will allow its users to consolidate the records into a simple format. By this, the records can be easily ported. Web based EHR also allows access to new physicians to previous records of a patient and thereby offer the patient better treatment. In addition to these advantages, by using Electronic Health Record, the patient data can be accessed by the physician from any location in the world.

There are many electronic health record vendors in the market and they have developed various forms of solutions for the healthcare industry. Now, before you choose a web based EHR, there are certain things, which you should understand.

Regulations for EHR

The Department of Health and Human Services has a division called The National Health Information Network (NHIN), which sets up regulations and standards for electronic health vendors. Before you choose an EHR, make sure that the company follows the standards set by the NHIN.

The Right Vendor

When you choose the health record vendor, make sure that you go for the best in the industry. According to the American Academy of Family Physicians, it is advisable to select a vendor, who has enough experience in the field. It is also important that the program you choose is compatible with the healthcare management systems with which you are working now. This will help in the easy transfer of records.

Rating of the Vendor

Different organizations do research and survey on EHR vendors. You may choose an EHR vendor based on these ratings. For instance, the Healthcare Information and Management Systems Society is one such organization, which has compiled such a list. The organization has rated the vendors based on the products and services they offer. You can also find a Healthcare Providers similar list from AAFP. If you are a member of AAFP, you will be able to avail special discounts for the software products.

While choosing a web based EHR, make sure that you follow the above guidelines so that you could choose the best one for your healthcare facility.

New Web Based EMR Solution With Better Features Released

Web Based EMROne of the reputed EMR (Electronic Medical Recording) providers has come up with an online business intelligence solution that facilitates the accessibility of performance metrics from any computing device at any time. The solution has become popular within a very short time and is reportedly replacing all the existing web based EMR solutions.

A report published by a popular online medical journal indicates that the newly introduced web based EMR has a very attractive design and offers better performance. It is said that the intuitive design integrated with the tool has been finalized after extensive researches. The design can be better tailored with the unique styles followed by the organizations. There are better customization options as well.

Other remarkable features of the tool include accurate financial performance indicators, population management indicators and organizational trends statistics. On top of these, the tool is said to have the capability to sync huge amount of cross-departmental data. However, the data ought to have been obtained from its own platform, since data gathered from other sources may not be compatible with this.

The new web based EMR solution has been approved by many experts in the healthcare industry. Mark Solomon, an EMR expert, has opined that the major concerns of EMR users in multiple segments in the healthcare industry such as LTPAC, PAC and users in the cross-departments are not just about the reliability of the solution they are using but the ease of accessibility of the data. He pointed out that few web based EMR solutions offered users with quick access to the data. He added that healthcare organizations needed to verify their EMR solution before choosing and the primary thing they focus should be how easily the tool allowed them to access the data.

According to some leading EMR solution providers, more and more users are recognizing the value and reliability of the data gathered with the help of EMR solutions. They observe that this is a good and progressive change. This will enable the health providers to processWeb Based Medical Recording the gathered data more systematically. And the core idea of any EMR solution is to enable the health care organization that adopts the tool to process the gathered data easily.

The reliability and demand for web based medical recording solutions have increased steadily in recent times. Nevertheless, only a half of the healthcare organizations have moved from traditional medical recording solutions to web based ones.

Considerable Increase In Mobile EHR Users

EHR helpWith the recent surveys, it is evident that when it comes to Electronic Health Record systems, mobility and satisfaction matters a lot. This is as per one of the findings of one of the web based EHR consultancy software Advice, along with one of the market research companies. Nearly 600 people were asked to rate their level of satisfaction with the mobile EHR systems. Apart from satisfaction, they were also asked to rate the challenges they faced along with the benefits of the system. The survey says that 76 percent of the total users used EHR software on their desktops or laptops, while there were about 26 percent of them using it on a mobile device or tablet. Out of the ones using mobile devices to use EHR systems, more than half, that is about 58 percent of them, were satisfied with mobile usage.

This might be due to the ease of use offered by mobile devices. This is evident since 61 percent of the mobile users said that it was not a big deal to work on the system. They did not face major challenges right from the very first time they got the chance to use the web based EHR system in their mobile devices. While a large number of mobile users rated the system to be ‘not challenging’, over 58 percent of the non-mobile users rated their system to be ‘challenging’.

When it comes to productivity, there were about 58 percent of the non-mobile users who rated their system as a challenge and said that it took time for them to accustom to the system. Meanwhile, 73 percent of the mobile users said that it did not pose a challenge to their productivity. They could work on the systems with ease.

In the survey, the second most challenging task that people rated was slow productivity. Another challenge that people faced was the difficulty in integrating the web based EHR system with the existing one. Most of the doctors also reported the difficulty in importing the existing records and customizing their current systems.Electronic Health Records

On the other hand, the respondents in the survey said that the ability to access data and information easily was one of the key points of the web based EHR system, including the robustness and the legibility of the records. Among the other features, drug interaction alert is most talked about the most. Looking into the overall picture, we can deduce that 35 percent are very satisfied, 40 percent are satisfied and only 10 percent are very unsatisfied.