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The Challenge of Multiple EHRs

September 8, 2010 - When Adrienne Edens became chief information officer at St. Luke's Health System, a four-hospital organization based in Boise, Idaho, one of her first tasks was the creation of a business intelligence strategy. "We had none," she recalls. "We had a decision support system with patient accounting that produced reactive, retrospective reports." Not only that, the very nature of the organization was changing, as St. Luke's began acquiring physician practices. "It was a whole new business area, and we had very little information about it."

AHA: File Claims Against UnitedHealth Now

September 8, 2010 - The American Medical Association is reminding members that it has set up a Web site to help thousands of physicians file claims against insurer UnitedHealth Group, which in January settled an AMA-filed lawsuit for $350 million.

Feds Ponder Protection of Psychotherapy Notes

September 8, 2010 - The Substance Abuse and Mental Health Services Administration will hold a public meeting in Chicago on Oct. 7 as federal officials continue to study whether HIPAA privacy protections for mental health information should be strengthened by broadening the definition of "psychotherapy notes" to include test data.

Survey Gives Baseline Look at Extension Centers

September 8, 2010 - The federal government in February and April awarded HITECH grants for the creation of 60 regional extension centers to assist providers in adopting electronic health records. By early summer, 14 RECs reported they had signed contracts to provide services to primary care providers.

Joint Commission to Accredit Medical Homes

September 8, 2010 - The Joint Commission in 2011 will offer a "Primary Care Home" option to ambulatory organizations for accreditation of their medical home programs.

AHRQ Expands Spanish Patient Guides

September 8, 2010 - The Agency for Healthcare Research and Quality is making available Spanish versions of eight free guides that patients can use when talking with their clinicians.

Tiny Hospital Automates Practices

September 7, 2010 - Mayo Regional Hospital, a critical access hospital in Dover-Foxcroft, Maine, will implement electronic health records and integrated practice management software in its eight owned physician practices.

Tenn. Blues to Detail Breach Lessons

September 7, 2010 - In early October 2009, 57 hard drives belonging to BlueCross and BlueShield of Tennessee were stolen. By mid-March 2010, the insurer had identified nearly 522,000 members whose data may have been compromised and offered them a variety of free credit and identity protection services depending on the risk level.

Carestream Targets Smaller Hospitals

September 7, 2010 - Medical diagnostic imaging vendor Carestream Health has acquired Quantum Medical Imaging, which sells complementary applications, for an undisclosed price.

Emdeon Buy Focuses on Finding Coverage

September 7, 2010 - Emdeon Inc., a vendor of revenue cycle management software and claims clearinghouse services, will acquire Chamberlin Edmonds & Associates, which provides specialized insurance eligibility and enrollment services to hospitals, for $260 million.

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Blogs

Are Contextual Errors Really A Mystery?

What's All This Then?: Clinicians have to deal with a high volume of patients who are hell-bent, intentionally or not, on flummoxing them every step of the way. So it seems a bit cruel to send in “mystery” patients who are getting paid to trip them up.

Best Kept Secrets in HIT (Part I)

The HIS Pro: Most people in the HIT business know about Healthquest, McKesson’s aging mainframe product line, which as roots back to Medipac (COBOL/VSAM) in the halcyon ’70s. And many know about their aging Star and Series products, both born in the minicomputer revolution of the ’80s, and growing a little long in the tooth today. But how many people know that McKesson now has a fully modern replacement for all three of these aging products?

Financial Waters Deep and Murky

Random Access: Observations on Health I.T.: I enter any reporting assignment that hits on health care finance with a certain amount of trepidation.

Seven Stories To Help Start ICD-10 Work

A Cup o' Joe: This isn't a naked pitch to access and read two fine recent stories and three blog essays on ICD-10 implementation by Health Data Management reporter Gary Baldwin and blogger Rajiv Sabharwal, with links down below.

New Debate: ObamaCare’s Comparative Effectiveness Research

Health Care for One and All: Recognizing the urgency to fix the escalation of care costs, health care reform may soon define “right care” in part by how much that care costs and to what extent it guarantees patients' best interests. Yes, I am talking about the advent of comparative effectiveness research in wake of U.S. health care reform. Hopefully with this, every American will enjoy a pragmatic shift in their care services, more centered toward “personalized” medicine.

Is Meaningful Use a Distraction?

An Eye on HIT: Lately, most of the news and commentary about Electronic Health Records (EHR) has focused on Meaningful Use (MU) instead of dealing with more the more substantial issues that always arise whenever a business makes a major investment in new software. Things like, will this application help the business or be disruptive, and will the vendor still be around in 5-10 years?

Intel and the Land of Oz

FROM THE HUMAN SIDE: After looking at it on my reading list for over ten years, I finally got around to reading Only the Paranoid Survive, by Andrew S. Grove, the former Chairman and CEO of Intel. As I expected, I wondered why I hadn't picked it up sooner.

Feature Story

ICD: Intensive Cash-flow Disruption?

When it comes to describing ICD-10's impact on the revenue cycle, Rich Silveria paints with a broad brush. "The impact will be pervasive."

Racing for Incentives

Electronic health records veterans give tips for shaving time off implementations that are known to be protracted.

The Story of University of Utah Hospitals & Clinics Data Breach

The University of Utah Hospitals & Clinics is learning the hard way about losing control of patient records.

Executive Session

Home Truths

THOMAS SIMMER The medical home is widely regarded as the future of primary care.

What Meaningful Use Means Now

The industry asked for a more realistic meaningful use rule and got it. But realistic doesn't mean easy.

Case Studies

Making Real-time Improvements

Florida practice shrinks billing gap after installing kiosk-based system.

Catch and Release

An EHR sets the stage for a hospital to capture some revenue from release of information.

Re-imagining Health Care

GE Healthcare's splashy ad campaign and pocket ultrasound signal an effort to move to ahead of the pack.