For every technology, there's a downside—and for EHRs, one of the buzzed-about downsides was the supposed ease of upcoding: the practice of selecting the most remunerative code for a particular procedure. But a new study in Health Affairs—published by Julia Adler-Milstein of the University of Michigan and Dr. Ashish K. Jha, an internist with the Veterans Affairs Department and professor with the Harvard School of Public Health—casts doubt on that preconception.
When is the last time you had an experience as a consumer worse than trying to schedule an appointment at your doctor's office? You can only secure an appointment by phone. During business hours. And generally have to endure a convoluted IVR system and a long "call hold" times before speaking with anyone. Then after another 5-10 minutes, you will be lucky to find a mutually agreeable time.
Developing effective payer-provider partnerships is a strategic priority for many health systems. With the ACA healthcare reform rolling out, the healthcare industry is being challenged in ways far beyond the changes directly outlined in the healthcare reform bill. Fee for service will be replaced for payments based on the quality and level of service provided.
Hospitals & Health Networks has just released this year’s list of ‘most wired’ hospitals, which takes into account hospitals that use information technology to achieve optimum performance. According to Healthcare IT News, the survey found:
The recent National Committee on Vital and Health Statistics (NCVHS) testimony by key industry stakeholders demonstrated again how much we are all in agreement on critical points: we need an ICD-10 implementation date that’s certain (not a “maybe next year”), adequate end-to-end testing must happen soon for successful implementation, costs for some smaller practices and organizations may be insurmountable, resources are being lost or diverted, many physicians are disengaging, and credibility of many in a position of authority has gone right out the window.
I recently saw an older document from an EHR vendor that outlined some reasons why a doctor should take part in meaningful use stage 2. They suggested that meaningful use stage 2 would save our healthcare system money, save doctors’ and hospitals’ time and save lives. All of these are noble goals worthy of consideration. If meaningful use could achieve this triple aim, then I think every doctor and healthcare organization would happily hop on this new triple aim.