EHR Attestations Revisited

About a year ago, I posted¬†a visualization of EMR/EHR attestation numbers from data provided by CMS and the ONC. Almost 16 months later, the attestation landscape hasn’t changed very much. From a geographical perspective, highly populated states continue to have the highest overall percentage attesting organizations (EPs and hospitals). However, keep in mind that these numbers are not adjusted for population size or number of total practices/hospitals per state. The maps below simply portray the yearly proportions of attestations coming from each state (so for each year, we would expect 100% total when adding up all states).

Trends in State Attestation (interactive)

Overall (2011-June 2013), California-based EPs and hospitals have sent in the most number of attestations at 6.83% of the entire set, followed by Florida and Texas at 5.59% and 5.55%. Of the continental states, Alaska, Wyoming and Vermont rank lowest at 0.07%, 0.11% and 0.17% respectively. A notable mention goes to Utah that saw a significant increase in successful attestations, going from 1.36% of total 2012 attestations to 7.77% of total 2013 attestations. Continue reading…

How the ACA Affects Your Public Health Career

Is it a penalty or is it a tax? Or is it both? We’ve all heard that question being asked at least once. And if you watch TV for more than 2 hours a day, you’ve probably heard it multiple times. If you’re a patient (and if you haven’t been, you will eventually), this law comes with certain benefits and rights that I covered here (and also covered extensively by the media). If you’re a clinician, the law opens up new opportunities to form Accountable Care Organizations (ACOs) that reward doctors when their patients are healthy. However, little has been discussed about the ACAs impact on the public health realm (with no surprise since we only invest $251/person in public health dollars compared to $8,086/person in health care dollars link). So what’s at stake for us public health practitioners? 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…

The Art of EHR Implementation

While each EHR is different in terms of workflow, training, and usage, there are certain steps one can take in order to ensure a successful and smooth transition from paper charts to digital. From my experience working in HealthIT, here are 7 steps I recommend taking when selecting AND implementing an EHR into your practice. This is also the part where I disclose that I do work for an EHR vendor (Mitochon Systems). Continue reading…

Why MU alone won’t get us there…

For those of you that are familiar with the Electronic Health Record (EHR) world, you know about ARRA, HITECH and Meaningful Use. If so, you know that Meaningful Use is meant to give practitioners incentives to switch their charting to digital. And while Meaningful Use at it’s core has a very humanistic and futuristic spirit, it’s implementation via monetary incentives alone removes from some of it’s core purpose: increasing positive patient outcomes and decreasing cost. While Meaningful Use (MU) is and should be a clear principal player in the move toward modernizing health care, this concept alone is not enough to get us there. Here’s why:

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