PHRs: If You Build It, They Will Come

The termination of Google Health has stirred up the PHR/PHP community, making Personal Health Record companies around the world question the viability of a product that not even the tech-magnate Google was able to validate. Some experts and tech-savvy writers blamed the lack of social interaction, a lack in provider interest and, lets face it, a lack in consumer interest. Additionally, Google Health took an over-simplified approach to health records. All you could do is store data digitally, without the ability to analyze and interpret. So, in a market where the concept hasn’t specifically been widely validated, does it make sense to take a risk and build PHR/PHP systems with the assumption that users will eventually flock to the service? I choose yes, and below I try to explain why PHR vendors will in an ever-changing market.  Continue reading…

Top 5 Worst Hospitals

In the United States, no widespread development of hospitals occured before the 1880s. Almshouses, the precursor to hospitals, existed in almost all cities of moderate size, however, these institutions mainly provided food and shelter to the destitute. Pesthouses were used to quarantine people that had contracted contagious diseases. When the “dreaded hospital” finally developed, mortality rates among hospital patients stood around 74% in the 1870s. It was no personal choice to check into a hospital. And while hospital outcomes have definitely turned for the best, there are still those hospitals that one might want to avoid.

In a dataset published by CMS, eight different types of hospital acquired outcomes are measured and reported by local hospitals receiving Medicare funding. From that dataset, below are the 5 worst hospitals in each of the eight categories. Getting sick? You may want to check out your local hospital ratings before making a decision. Continue reading…

Meaningful Use: CMS Attestations Visualized

In February of this year, the Department of Health and Human Services released a new dataset with information on CMS Meaningful Use Attestation. While most of the data is from 2011, the data available from 2012 can give some great insight as to what we might expect this year from CMS, EHR vendors and EPs alike. Below are some interesting trends taken from the 2011-2012 data.

Trends in State Attestation (interactive)
Continue reading…

Measuring Your Success: EHR Implementation

After looking at some Google Analytics, I’ve noticed that a lot of people come to my site after searching for EHR advice, solutions and instructions. For those of you just joining in, this post builds up on two earlier posts: “The Art of EHR Implementation” and “The 10 Commandments of EHR Implementation.

After covering things related to preparing for and implementing an EHR into your practice, it’s always important to measure whether or not your implementation was a success. It’s also important that your implementation steps are measurable! This means that those “small, achievable goals” need to also be measurable goals. Note that I’m not saying that ALL GOALS need to be measurable (that would be impossible), however, when relevant, make sure you develop a way to measure your success (or failure). Continue reading…

The Ten Commandments of EHR Implementation

The other day, I wrote an article giving 7 steps to follow when searching for and implementing an EHR into your practice. Today, I return with The Ten Commandments of EHR Implementation. These commandments should be taken as commitments that you are making to your practice, your staff, and yourself. Keep these in the back of your head as you go through the process of putting your EHR to work! Continue reading…