December 03, 2013
Filed Under (EHR, Electronic Health Records, Electronic Medical Records, EMR, EMR Stimulus Package) by admin
In the realm of modern healthcare, data is king. And, in many cases, the electronic medical record has proven itself a valuable source to extract that data. Most recently, researchers are using the EMR in conjunction with genetic data to discover new disease associations, which may have huge implications for future medical treatments.
The first large-scale phenome-wide association, or PheWAS, study conducted by researchers at Vanderbilt University Medical Center and co-authors from the Electronic Medical Records and Genomics Network, was released today in Nature Biotechnology.
Traditionally, genetic studies begin with one disease and examine one or many genotypes. PheWAS, officials say, does the inverse by instead examining several diseases for a particular genetic variant or genotype.
“This study broadly shows that we can take decades of off-the-shelf electronic medical record data, link them to DNA and quickly validate known associations across hundreds of previous studies,” said lead author Josh Denny, MD, Vanderbilt associate professor of biomedical informatics and medicine, in a Nov. 25 press release. “And, at the same time, we can discover many new associations.”
The method, Denny added, does not select any particular disease. Rather, it searches simultaneously for more than 1,000 diseases that can bring an individual to the doctor. “By doing this, we were able to show some genes that are associated with several diseases or traits, while others are not,” he said.
Researchers collected genetic data on more than 13,000 individuals of European descent, exhibiting 1,358 diseases collectively. The team then ran PheWAS on 3,144 single-nucleotide polymorphisms, checking each SNP’s association with each of the 1,358 disease phenotypes.
Study authors reported 63 previously unknown SNP-disease associations, the strongest of which related to skin diseases.
“The key result is that the method works,” Denny said. “This is a robust test of PheWAS across all domains of disease, showing that you can see all types of phenotypes in the electronic medical record — cancers, diabetes, heart diseases, brain diseases.”
An online PheWAS catalog produced by the study may also assist researchers understand the influence of many common genetic variants on human conditions, officials said.
“If you think about the way genetic research has been done for the last 50 years or more, a lot of it was done through carefully planned clinical trials or observational cohorts,” Denny explained. “This certainly does not supplant those in any way but provides a cost efficient, systematic method to look at many different diseases over time in a way that you really can’t do easily with an observational cohort.”
Denny said PheWAS would be unworkable without the eMERGE Network –funded by the National Human Genome Research Institute — which has now expanded to nine sites with DNA samples from about 51,000 individuals linked to medical records.
November 21, 2013
The topics of usability of electronic medical records (EMRs)–and their ability to “effectively integrate” with clinical decision-making and work flow–will be on the agenda when the American Medical Association (AMA) House of Delegates meets next month in Chicago. The focus, contained in a trustees report, will be on how these issues have not been adequately addressed so far.
The trustees report addresses a 2009 resolution that called for the AMA to promote the development and universal adoption of a “standardized user interface” for all EMR systems, and to advocate for a federal mandate for interoperability of EMRs as part of its healthcare reform agenda.
However, at the current time, more attention needs to be paid to issues such as usability. The use of a standardized user interface at first glance appeared to be the way to go to lower that risk, but problems exist–in particular, the lack of evidence about what constitutes an “ideal user interface” in multiple healthcare environments.
“At this time, any attempts to standardize products would stifle product innovation,” the report said. In a highly competitive marketplace, EMR vendors will be “motivated by their customers” to build new user interface designs and improve their products to provide better solutions over time. “Just as medical practice has evolved, so will the [EMR] marketplace.”
The trustees are calling for the delegates to support continued research and physician education on EMR design–specifically concerning those features that “can improve the quality, safety, and efficiency of healthcare.”
November 06, 2013
The use of electronic medical records is on the rise, as more hospital systems are realizing the benefits of paperless patient information easily shared between physicians and healthcare facilities.
A recent study from MarketResearch.com on electronic medical records found the e-health market, which includes telehealthcare, e-prescribing and electronic medical records, is expected to experience 13 percent growth into the year 2015.
The anticipated growth is attributed to technological advancements that will make treatment and diagnosis of patients simpler and easier for healthcare providers. The new technology will help reduce the ever-increasing costs of healthcare in the United States and help drive market growth and innovation, due to federal policies supporting its development. In addition, the younger generations that will reach adulthood by 2015 are more technologically savvy and appreciate the use of IT healthcare solutions, and will further spur the advancements of e-health initiatives.
Indiana University Hospitals recently launched their new electronic document management system to help healthcare providers transition to billing, coding and electronic data exchange requirements. The hospitals are working to implement a full electronic medical records system, and adopted the technology to ensure the providers were comfortable with the new processes associated with the EMR system.
Healthcare Technology Online reported the document management system and document imaging capabilities the hospitals implemented enable providers to electronically record and index the electronic medical record in a single platform. The facilities are better able to optimize reimbursements, create an efficient workflow and reduce errors in coding with the new system.
The news source reported the data management system supports the federal standards on reimbursements for meaningful use, while enabling providers to securely access patient diagnostic test results, medication lists and previous procedures. As part of the federal government’s plan to get patients more actively involved in their healthcare, the system allows patients to decide what information can be shared between providers. Healthcare providers, on the other hand, can use the records to better improve the quality of patient care by avoiding redundant tests and reducing errors associated with paper-based medical records.
“Never before has government regulation played such a significant role in shaping healthcare,” said Kevan Torgerson, president of Enterprise Medical Imaging at McKesson Provider Technologies. “Our solutions will help (the hospitals) not only meet their compliance needs but also evolve their operations to achieve even better health outcomes.”
Through the data management system’s document imaging software, physicians, health information personnel and other hospital staff have access to patient data anytime from remote locations. The system is designed to shorten accounts receivable cycles, improve operational efficiencies and improve patient care and bottom line results, the source reported.
October 09, 2013
Filed Under (EHR, Electronic Health Records, Electronic Medical Records, EMR, EMR Stimulus Package) by admin
Residential care communities–such as assisted living facilities and personal care homes–are yet another segment of the healthcare industry that lags behind in electronic health record adoption, according to a recent issue brief published by the Centers for Disease Control and Prevention’s National Center for Health Statistics (NCHS).
A mere 17 percent of residential care communities (RCCs) used an EHR in 2010. The RCCs most likely to use such systems were larger, nonprofit chain-affiliated facilities that were co-located with another care setting and in a non-metropolitan statistical area.
The most common EHR functions used were medical provider information tracking, resident demographics, individual services plans and medication lists. Only 43 percent of RCCs using EHRs did so to aid in examining drug interactions, while 42 percent used EHRs to track orders for prescriptions.
The lack of EHR use could strike a blow against interoperability; of the RCCs that used EHRs, only 40 percent could support any data exchange with other providers. Only 23 percent had computerized support for exchanging electronic health information with pharmacies.
EHR adoption has been less popular among provider groups who are ineligible for the Meaningful Use incentive program, such as behavioral and long-term care providers. This dichotomy could prove to be problematic as the Meaningful Use program and other initiatives–such as accountable care organizations–require data sharing among a continuum of care.
The brief did not indicate how these adoption rates may have changed since 2010.
September 24, 2013
Integrated Systems Management Inc. ranked as Fastest Growing Healthcare IT solutions Provider Company by INC-5000
Filed Under (EHR, Electronic Health Records, Electronic Medical Records, EMR, EMR Stimulus Package) by admin
Tarrytown, NY, September 17, 2013 — ISM OmniMD – healthcare division of ISM is one of the leading Ambulatory EHR Vendor ranked for INC5000-2013 listings for fastest growing private companies under IT services category. Apart from EHR/EMR and Practice Management solutions, OmniMD has significant footprints in Revenue Cycle Management Services and Health Information Exchange solutions in United States. Being listed in INC5000 shows OmniMD’s sincere efforts for top notch service delivery to their clients through streamlined work processes.
According to Editor in chief of INC500, “Companies which are ranked in INC5000 list are fastest growing, innovative and dynamic. This achievement puts company in rarefied company. Companies are stepping into elite group of companies like Microsoft, Timberland, Vizio, Intuit, Jamba Juice, Oracle and Zappos.com”
ISM-OmniMD helps their clients to achieve their goals of better healthcare service quality at reduced cost with high precision level benchmarks developed by Federal Government. More than 12,000 providers across US have partnered up with OmniMD to maintain their health care service delivery precision standards.
Divan Dave- CEO of ISM Inc. said that “We are quite glad to achieve this ranking in INC5000 for the first time in 2013. This is not just ranking, it shows the commitment of our ISM family to our clients. Root base of INC5000 ranking is nothing but the synchronized energy of all employees of ISM to achieve client satisfaction at significant level. Our growth over the past few years is spectacular and employee strength has reached to 144 and we are exploring new opportunities in markets like Asia and Middle-East”.
Integrated Systems Management, Inc. (ISM) is a US-based software development and consulting firm in business for 24 years. OmniMD is flagship product of ISM. OmniMD has more than 12,000 physicians using our Electronic Medical Records, Practice Management, Medical Billing, Health Information Exchange (HIE) and Accountable Care Solutions. OmniMD EMR is ONC-ATCB 2011/2012 (Meaningful Use), Surescript White Coat of Quality and CCHIT® 2011 Certified with 5 Star Usability Rating.
INC magazine helps smaller and start up organizations to grow at a faster pace. INC magazine has been premier print publication for business founders and entrepreneurs for last 30 years.
In order to get qualified in INC500/5000 list, companies are required to be US based, privately held, should have significant achievement in past three year revenue growth and new job creation in past three years.
INC500/5000-2013 ranking list of Fastest-growing private companies in US is made available below.
Listing of ISM is in IT services category in NY state.
September 23, 2013
Hamden, Conn. – Sept. 5, 2013 – OmniMD, of Tarrytown, N.Y., has donated the use of its electronic health record technology valued at $7.6 million to Quinnipiac University, as part of a four-year agreement announced today.
Representatives of Quinnipiac’s Frank H. Netter MD School of Medicine, School of Nursing and School of Health Sciences are working with OmniMD to develop an electronic health record system that will be used by faculty and students in each of the three schools.
“Through this technology partnership with Quinnipiac, students will learn how to master medical technology and to use it to improve the quality of care while maintaining workflow,” said Jim Nelson, vice president of sales at OmniMD. “Graduates of the schools of medicine, nursing and health sciences will arrive in the job market, not only having had great training, but also with the electronic medical record skills that will improve the quality of care they’ll be able to deliver.”
Divan Dave, CEO and founder of OmniMD, said, “OmniMD has benefited from the need for software in the health care industry. This is our opportunity to give back to the next generation of providers. We are truly honored to be a part of Quinnipiac’s health education mission.”
Under the agreement, OmniMD will provide more than 3,600 software licenses to faculty and students over four years. Students will be able to use the software free of charge while they are enrolled at Quinnipiac. The electronic health records can be used as part of classroom training, testing, coursework, class assignments, mock clinics, labs, testing and scheduling.
“Wireless technology, medical software and electronic health records have transformed how health care is practiced, delivered and managed for optimal quality,” said Dr. Bruce Koeppen, founding dean of the School of Medicine and vice president for health affairs at Quinnipiac. “OmniMD’s generous gift will provide the schools of medicine, nursing and health sciences with a state-of-the-art electronic health record, which will greatly facilitate our efforts related to interprofessional education of the health care teams of the future.”
Quinnipiac’s emphasis is on interdisciplinary education, which calls for training medical, nursing and health sciences students to work together as part of a health care team.
“The analogy is a NASCAR pit crew,” Koeppen said. “Professionals with very specific knowledge and expertise come together as a team to make sure the car is performing at optimal levels. Research in health care suggests that the team approach results in better patient outcomes and improved patient safety.”
Jean Lange, founding dean of the School of Nursing, agreed. “Every member of the health care team has a valuable contribution to make. When nurses, physicians and other health providers work together with patients and families in a coordinated approach, patients have better outcomes. We are committed to teaching our students these skills as students, so that will translate to their work environments after graduation.”
Kimberly Hartmann, interim dean of the School of Health Sciences, said, “The OmniMD partnership allows for the School of Health Sciences’ students to have the opportunity to learn with, by and from each other, alongside nursing and medical students. A common electronic health and medical record, such as the OmniMD, allows students to work collaboratively as an interprofessional team to prepare them for the future of quality client-centered, team-based health care.”
To schedule a demonstration, email firstname.lastname@example.org or call 914-332-5590.
OmniMD is a national electronic health record software company with thousands of providers in more than 40 states and five countries. OmniMDs electronic health record software is cloud based and represents the state of the art in the medical software industry. The Tarrytown, N.Y.-based company has 120 programmers and 15 physicians on staff who work to make the product fit its users’ requirements.
For more information, please visit http://www.omnimd.com.
About Quinnipiac University
Quinnipiac is a private, coeducational, nonsectarian institution located 90 minutes north of New York City and two hours from Boston. The university enrolls 6,500 full-time undergraduate and 2,500 graduate students in 58 undergraduate and more than 20 graduate programs of study in its School of Business and Engineering, School of Communications, School of Education, School of Health Sciences, School of Law, Frank H. Netter MD School of Medicine, School of Nursing and College of Arts and Sciences. Quinnipiac consistently ranks among the top regional universities in the North in U.S. News & World Report’s America’s Best Colleges issue. The 2013 issue of U.S. News & World Report’s America’s Best Colleges named Quinnipiac as the top up-and-coming school with master’s programs in the Northern Region. Quinnipiac also is recognized in Princeton Review’s “The Best 377 Colleges.” The Chronicle of Higher Education has named Quinnipiac among the “Great Colleges to Work For.”
For more information, please visit www.quinnipiac.edu.
September 20, 2013
As patient engagement grows, a new survey indicates that a growing number of U.S. consumers (41 percent) would be willing to switch doctors to gain online access to their own electronic medical records. Doctors, though, are not as eager to make the change.
The survey, of more than 9,000 people in nine countries, shows that only about a third of U.S. consumers (36 percent) currently have full access to their EMR, but more than half (57 percent) have taken ownership of their record by self-tracking their personal health information, including their health history (37 percent), physical activity (34 percent) and health indicators (33 percent), such as blood pressure and weight.
“The rise of meaningful use mandates and a growing trend of self-care among consumers is shifting the role of an EMR from a mere clinical repository to a platform for shared decision-making among consumers and doctors,” said Kaveh Safavi, MD, managing director of Accenture’s North America health business. “Just as consumers can self-manage most other aspects of their lives, they expect to take greater ownership of their medical care, and they are willing to switch to doctors who share their values and are willing to provide access to consumer records.”
Roughly four out of five consumers (84 percent) surveyed believe they should have full access to their electronic medical record while only a third of physicians (36 percent) share this belief. In contrast, the majority of U.S. doctors (65 percent) say patients should only have limited access to their records and that is what most individuals (63 percent) say they currently have.
“When consumers are part of the record-keeping process, it can increase their understanding of conditions, improve motivation and serve as a clear differentiator for clinical care,” added Safavi.
Accenture conducted an online survey of 9,015 adults ages 18 and older to assess consumer perceptions of their medical providers’ electronic capabilities across nine countries: Australia, Brazil, Canada, England, France, Germany, Singapore, Spain and the United States. The survey, which included 1,000 U.S. consumers, was fielded by Harris Interactive in July 2013. Where relevant, the survey compares select findings from the Accenture Doctors Survey to compare the doctor and consumer responses.
August 22, 2013
A recent online consumer survey found that electronic medical records (EMRs) are an important factor in patient satisfaction with their doctors, as well as their choice of healthcare providers. The survey was conducted by Deerfield, Ill.-based Aeffect, Inc., a research and consulting firm, and 88 Brand Partners, a marketing firm in Chicago. The survey participants were between 25 and 55 years of age, had some type of health insurance, seen a physician in the last three years and have a regular doctor.
About 24 percent of Americans surveyed are currently using EMRs to check their test results, order prescription refills and make appointments. Another 52 percent say they are interested in using EMRs but currently are not accessing these systems, for a variety of reasons. Almost 50 percent of patients taking EMR access into consideration when choosing a healthcare provider.
Those patients who have used EMRs are significantly more satisfied with their doctors overall (78 percent versus 68 percent). They also express higher satisfaction across multiple specific dimensions of care, such as ease of access to information and clarity and thoroughness of communication, according to the EMR Patient Impact Study. Those who do use EMRs feel a stronger loyalty to their doctors, they also believe they receive better quality care (82 percent). EMR users believe they engage in clearer and more responsive communications with their physicians, and can gain access to information easier than non EMR users.
“The study findings clearly indicate a strong link between EMR users and their confidence in the quality of healthcare they receive,” Tamara O’Shaughnessy, Vice President, Aeffect, said in a prerpared statement. “There is solid evidence that the investment providers continue to make in EMR systems is likely to put adopters at a competitive advantage and yield dividends beyond the expected operational efficiencies—namely it will enhance patient loyalty and satisfaction,” she added.
Among those who regularly use EMRs are primary caregivers to adult family members. The study reveals that one in three caregivers have used an EMR, either on the web or via a mobile device, compared to 21 percent of non-caregivers. Caregivers are using EMRs to provide assistance with medical appointments, or making medical decisions for their loved one. According to the National Alliance for Caregiving and AARP, 29 percent of adults provide care to someone who is ill, disabled or aged.
Consumers who prefer their doctor to use an electronic chart cited numerous reasons including: access to medical records (40 percnet); accuracy/better record keeping (18 percent); and coordination of care and information sharing (e.g., in case of emergency) (17 percent).
EMR utilization is higher among consumers who are younger, live in the Western part of the United States, have higher levels of education, and provide care to an adult family member. An estimated 34 percent of residents of Western states report having tried an EMR.
Twenty-three percent of those surveyed have no idea what type of medical records their health care provider maintains.
Consumers do not believe that paper charts are more secure than EMRs (28% agree). However, nearly 40 percent believe that electronic medical records are more accurate than paper charts.
Those who have used an EMR are most likely to say they were influenced to try one by a recommendation from their physician (40 percent). Receiving a letter or other communication from their provider is also influential (25 percent).
The study revealed that despite the many EMR capabilities, the technology is not being fully utilized by EMR users—particularly tracking immunizations or screenings and completing paperwork prior to appointments. Reasons for lack of utilization of these services may be that patients are not aware of or do not know how to use these EMR tools, or that their provider’s EMR system does not offer them.
July 30, 2013
Increasing Needs of Clinical Systems Expands EMR Bringing Brazil to the Forefront in Latin America
Brazilian EMR penetration, considering every implementation level from basic, with just electronic prescriptions, to complex, with different clincial modules reaches 8% of total local healthcare institutions. There are few sole EMR vendors in the market. The local healthcare information technology (HC IT) market stage drives providers to offer EMR as a module pack within a hospital information system (HIS) solution. Research shows that an EMR module price represents 50-70% of the total HIS solution price, due to its higher customization requirements. This study focuses on the 11 companies with CFM/Sbis certification. However, total market revenue and market share include non-certified solutions.
Key Questions Answered
- Are there any regulations that encourage the adoption of EMR systems in Brazil? Is the government investing in EMR for public healthcare institutions?
- What is the size of the EMR market in Brazil? Is the market growing, how long will it continue to grow, and at what rate?
- Which are the key business segments in the market? What is the contribution from each segment? What will be the impact of external trends on each business segment?
- Who are the key participants in the EMR market, and what kind of market dynamics exist?
- What are the key challenges faced by participants in this market? What are the key market drivers and restraints? How is the market impacted by emerging trends in the external environment?
Key Topics Covered
1. Executive Summary
2. Market Overview
3. Total EMR Market
- External Challenges: Drivers and Restraints
- Forecasts and Trends
- Demand Analysis
- Market Share and Competitive Analysis
- Selected Company Profiles
4. The Last Word (Conclusions and Implications)
July 16, 2013
More and more hospitals and doctors’ offices are storing patient data using electronic medical records, which has allowed physical therapy management and patient care to become more streamlined, productive and profitable for the medical practice itself.
As the field of medicine continues to get competitive, having the ability to cut costs and improve efficiency are keys to the overall success of a medical practice.
Some of the benefits include:
Electronic medical records are revolutionizing medical treatment by putting critical decision support systems in the hands of skilled healthcare professionals, giving them the information they need to make timely decisions.
The future of healthcare will continually keep getting better with the intelligent application of electronic medical records technology, a patient-centered focus and a dedication of skilled medical professionals.