Matthew Bowen. Northeastern University

Size: px
Start display at page:

Download "Matthew Bowen. Northeastern University"

Transcription

1 Running head: OVERCOMING BARRIERS TO ELECTRONIC RECORD KEEPING Overcoming Barriers to Electronic Record Keeping Matthew Bowen Northeastern University

2 Abstract In light of rapidly increasing costs through out the medical field, methods of making the industry more efficient are a major concern in the present day. Electronic medical and health records are one method that has the opportunity to make the industry more efficient, improve the quality of care, and reduce costs in the long run. Electronic record keeping systems have the ability to transform the medical industry and provide benefits at the clinical, organizational, and societal levels. Physicians are able to be more successful in their treatment of patients, communication across the field is greatly increased, and research can be more easily conducted by utilizing a bank of stored data. Though the initial cost of implementing a system is high, practices have the opportunity to experience significant returns in the future from reduced costs by using the systems properly. Other concerns such as decreased patient privacy are solved through strict regulations limiting access to information and imposing consequences on individuals who inappropriately access information. When implemented, these technologies provide many benefits to the medical field and as more institutions adopt these systems, the opportunities to experience the benefits associated continue to increase. 2

3 Introduction Over the past decade, many major industries have been revolutionized by technology, especially information technology. The health care industry has seen major changes as a result of the heavy use of technology in daily operations. Technology use in the health care industry is increasingly relevant to today s society as health care providers and other professionals in the field continually seek methods to make delivery of care more efficient. Electronic health and medical records are dramatically changing the way the health care industry is managed. The use of electronic medical or health records has grown rapidly in the past decade, from use in 48% of office- based practices in 2009 to 72% in 2012 (Hsiao, Hing, 2012). Electronic record keeping is allowing health care professionals across the country and around the world to better coordinate care and conduct their practices more efficiently; ensuring patients receive the best care. Electronic medical records were first conceptualized at the University of Vermont in 1969, centered on the idea that if patient information was recorded electronically instead of on paper, patient records would be more easily accessible, thus enhancing care (Satvat, 2011). As the idea spread to other institutions, a collaborative effort began that sought to develop a system that would allow efficient and reliable data storage. The use of electronic record keeping spread rapidly through out the 1970s and 1980s as more and more health care professionals saw virtue in its goals. Despite the early surge of interest however, the spread slowed to a crawl soon after because of various barriers to adopting the technology. Although benefits from using the technology are obvious, the cost of adopting such 3

4 technologies and controversial issues such as patient privacy concerns deter many professionals from implementing electronic systems. However, in recent years with health care costs growing exponentially, health care professionals have been forced to seek out ways to provide more efficient care. Electronic record keeping systems are giving physicians and medical professionals a way to provide quality care to patients in a more coordinated way, which allows the possibility of more efficient health care, causing the recent dramatic growth in the use of these technologies. Advantages to Electronic Systems Electronic record keeping systems are providing increasingly efficient means of communicating patient information across practices to bring about better quality care. According to Menachemi and Collum (2011), Potential benefits of electronic health records are often examined by considering three basic categories: clinical, organizational, and societal outcomes. Clinical advantages are those that bring about better patient care through means of less medical errors, for example. Organizational are those that increase financial or operational outcomes, allowing a practice to run more efficiently. Societal advantages are those that allow better research or health of the general public as a result of using these systems. These advantages as a whole contribute to a much more coordinated and successful health care system. Arguably the best way of measuring a health care system s success is by examining patient health. One of the most frequent medical errors today contributing to hospitalization is patient disability as a result of drug interactions or drug allergies not caught by providers. Since 2011, electronic health and medical 4

5 records have allowed practitioners to check over 40 million drug interactions that otherwise may have caused patient disability (Jamoom, Beatty, Bercovitz, Woodwell, Palso, Rechtsteiner, 2011). In the United States alone, medication errors are estimated to affect 1.5 million patients per year, with 400,000 adverse effects that are completely preventable (Agrawal, 2009). Using electronic systems, physicians are able to check drug interactions and patient allergies quickly and easily before prescribing medications, contributing to a significant decrease in medical errors. Electronic records give physicians the opportunity to share data and information quickly with other professionals who may be more knowledgeable about a disease or condition, allowing the delivery of better- specialized care. The clinical outcomes of using electronic record keeping in the health care field are incredibly advantageous to patients and contribute to much more successful patient results than would otherwise be possible. Although advantages as a result of clinical outcomes may be the most visible, organizational outcomes also vastly improve the health care industry when electronic records are utilized. Electronic records provide a platform for better communication between patient and physician and also between professionals across the industry. Electronic systems allow physicians to send patients their information electronically, much quicker and more efficient than sending information through the mail. Technologies also enable physicians to be constantly connected to their patients, as they are able to bring patient information home from the office with them on a laptop or similar device. Communication between physicians is also extremely important in ensuring quality health care outcomes. In 5

6 the past three years, physicians have been able to share 4.3 million care summaries with each other as a means to collaborate and better assist patients using electronic records (Hsiao, Hing, 2012). Collaboration such as this wouldn t be possible without electronic systems and thus these systems are contributing to much better care across the field. While clinical and operational outcomes dramatically improve the delivery of health care, societal benefits also come as a result of electronic record systems. As more and more providers continue to implement electronic systems in their practice, available clinical data grows. Public health researchers are able to utilize this data to solve medical problems, monitor disease outbreaks, and increase and improve the monitoring of biological threats. Having a large, common source of aggregate data allows researchers to conduct similar tests and verify results obtained by other researchers, contributing to advancements in the medical field that could take years longer if not for the data obtained through electronic systems. In this way, electronic records are helping to improve the health of entire populations by creating methods of more efficient research and collaboration. Barriers to Implementation Though clinical, operational, and societal advantages to implementing electronic systems are undeniable, it is easy to see potential disadvantages in becoming too dependent on these technologies. Many of these disadvantages stem from difficulties with implementing electronic systems. Often cited as the most difficult barrier to overcome is the financial burden of implementing an electronic system in an office. These technologies come at a significant cost and often practices 6

7 see a period of decreased productivity after implementation, further increasing costs. Another barrier that must be overcome is that of patient and public opinion on implementing these technologies. Many patients fear the lack of privacy and security surrounding their private information when these technologies are utilized. These disadvantages result in many practices choosing not to use electronic health systems, although once overcome and fully implemented, the advantageous outcomes are able to offset the disadvantages. The financial burden associated with switching to an electronic record keeping system is significant. Implementation costs alone are difficult to overcome which include purchasing the systems and hardware and converting paper information to electronic records. Associated costs are also a barrier, including ongoing required maintenance, employee training, and a period of decreased productivity following implementation as a result of needing to train employees. According to Menachemi and Collum (2011), In the outpatient setting, early researchers estimated an average initial cost of $50,000 $70,000 per physician for a three- physician office with a maintenance cost of $8,412 per year. Especially for a small private practice, these costs are difficult to overcome. However, as these technologies become more commonplace, costs are driven down, making it more affordable for physicians. In addition, once implemented, electronic systems have the opportunity to reduce costs for a practice while providing better quality care to patients. For example, handling prescriptions electronically as a result of installing electronic systems is known to reduce costs as well as improve care by ensuring that accurate prescriptions are sent to a pharmacy and allowing a physician to 7

8 better track their patients prescriptions (Gaylin, Moidudden, Mohamoud, Lundeen, Kelly, 2011). Electronic systems also have the ability to reduce excessive testing, better locate records, manage appointments, and allow physicians to better understand patient conditions, all allowing a practice to reduce costs. Though the initial costs of implementing such a system are high, the long run benefits are significant and can help to reduce costs while providing better quality care at the same time. Though costs are a significant barrier for physicians to the implementation of electronic health records, they also must work through concerns of their patients associated with privacy. As more information is exchanged electronically, patients become more wary of their private information being so readily accessible to so many people. Gostin (1997) states, advocates of the right to privacy view computerization as a substantial threat. As vastly greater amounts of information are collected and transmitted to an ever- increasing number of users in remote locations, the ability of consumers to control the dissemination of personal information is sharply reduced. As privacy becomes a larger issue however, policymakers continue to take steps to ensure patient safety. Legislation continues to attempt to make it both harder for individuals to inappropriately access data and also imposes strict consequences on those who try to access the information. New systems implemented have security measures designed to protect personal data including identifiers to restrict entry into a database, information organized by security level, and audits of everyone who 8

9 uses the databases (Gostin, 1997). Many hospitals and practices have implemented strict penalties for employees who abuse the systems and inappropriately access information. Though privacy is a significant issue, the measures being taken are helping to ensure patient data is secure so medical care can be conducted as efficiently as possible without risking the security and safety of patients. More Expensive or More Efficient? Though the direct and associated costs of electronic record systems are steep and the concerns surrounding them are valid, implementing a system allows medical professionals to provide their best care using the most efficient methods. Electronic medical and health records place all the information a physician needs to know at their fingertips, allowing a physician more time to focus on what truly matters: keeping their patients healthy. Many argue that implementing such systems only adds excessive costs to an already strained system. However, with the proven efficiencies resulting from making the transition to electronic record keeping, the system as a whole is able to benefit in ways not possible without them. As more private practices and hospitals transition to electronic health or medical records, more patients will be able to benefit from the collaboration possible. With greater implementation, physicians will be in better contact with each other and will be more able to share data to solve cases and treat their patients more successfully. As these systems become commonplace in the medical workplace, the costs will become more controlled and issues such as privacy concerns will be managed as policymakers are already working to do. Electronic systems may initially create significant costs and worries that are a significant barrier to overcome but in the 9

10 long run create opportunities for the medical field to function in a way not possible with the traditional paper filing system. Conclusion In the path to implementing electronic record systems in medical practices stand barriers that seem very difficult to overcome, resulting in many professionals choosing not to make the transition. On the other side of these barriers however, is much more efficient patient care that opens the door for professional collaboration, more successful treatment, less patient disability, reduced costs, and more. Concerns about patient security are already being taken care of with strict regulations and systems that have built in security measures. Universal implementation of electronic health and medical records will do a significant part in transforming the medical system to a more organized and better- operated industry. Adoption of these tools must be considered as a way to further focus on quality improvement and cost reduction. In the long run, adopting an electronic system will provide significant returns to a practice and to patients. 10

11 Reflective Note: At this point in time I believe I will include this paper in my final portfolio. It illustrates an attempt to bring together the research and findings of other individuals to craft an argument and persuade the reader that electronic medical and health records are beneficial to the health care industry. This paper also shows a method of creating an argument by discussing both sides of the issue, focusing on some points and downplaying others, which is a successful and useful method. This paper displays persuasive rhetoric and illustrates research abilities that I feel will fit well into my portfolio. 11

12 Sources Agrawal, A., (2009, June). Medication errors: prevention using information technology systems. Retrieved from Gaylin, D., Moiduddin, A., Mohamoud, S., Lundeen, K., Kelly, J. (2011, June). Public Attitudes about Health Information Technology, and Its Relationship to Health Care Quality, Costs, and Privacy. Retrieved from Gostin, L. (1997, October). Health care information and the protection of personal privacy: Ethical and legal considerations. Retrieved from b706- faf84bcb38fc%40sessionmgr111&vid=1&hid=101&bdata=jnnpdgu9zwhvc 3QtbGl2ZSZzY29wZT1zaXRl#db=aph&AN= Hsiao, C., Hing, E. (2012, December). Use and Characteristics of Electronic Health Record Systems Among Office- based Physician Practices: United States, Retrieved from Jamoom, E., Beatty, P., Bercovitz, A., Woodwell, D., Palso, K., Rechtsteiner, E. (2012, July). Physician Adoption of Electronic Health Record Systems: United States, Retrieved from Menachemi, N., Collum, T. (2011, May). Benefits and drawbacks of electronic health record systems. Retrieved from Satvat, A. (2011). Electronic Medical Records: An Inquiry into Promoting Their Adoption within the American Health System. Retrieved from content/uploads/2013/01/2010_2011 Satvat Amir Electronic_Medical_ recods_an_inquity_into_promoting_their_adoption_within_the_american_heal th_system Secured_PDF.pdf 12

Converting Piles of Paper Into One Integrated Electronic System

Converting Piles of Paper Into One Integrated Electronic System Converting Piles of Paper Into One Integrated Electronic System Understanding the Difference: Electronic Medical Records vs. Electronic Health Records v EMR: The electronic record of health-related information

More information

A Provider s Perspective on Electronic Health Record Systems Adoption in Small Practices

A Provider s Perspective on Electronic Health Record Systems Adoption in Small Practices A Provider s Perspective on Electronic Health Record Systems Adoption in Small Practices Research-in-Progress Chi Zhang Southern Polytechnic State University chizhang@spsu.edu ABSTRACT This research-in-progress

More information

Adoption of Information Technology in Healthcare: Benefits & Constraints

Adoption of Information Technology in Healthcare: Benefits & Constraints Adoption of Information Technology in Healthcare: Benefits & Constraints A WiredFox Technologies White Paper 2 Adoption of Information Technology in Healthcare: Benefits & Constraints By Jeff Yelton 3

More information

REFERENCE 5. White Paper Health Insurance Portability and Accountability Act: Security Standards; Implications for the Healthcare Industry

REFERENCE 5. White Paper Health Insurance Portability and Accountability Act: Security Standards; Implications for the Healthcare Industry REFERENCE 5 White Paper Health Insurance Portability and Accountability Act: Security Standards; Implications for the Healthcare Industry Shannah Koss, Program Manager, IBM Government and Healthcare This

More information

Electronic Medical Record/Electronic Health Record Systems of Office-based Physicians: United States, 2009 and Preliminary 2010 State Estimates

Electronic Medical Record/Electronic Health Record Systems of Office-based Physicians: United States, 2009 and Preliminary 2010 State Estimates December 2010 Electronic Medical Record/Electronic Health Record Systems of Office-based Physicians: United States, 2009 and Preliminary 2010 State Estimates by Chun-Ju Hsiao, Ph.D.; Esther Hing, M.P.H.;

More information

Second Annual Florida 2008 Electronic Prescribing Report

Second Annual Florida 2008 Electronic Prescribing Report Second Annual Florida 2008 Electronic Prescribing Report FLORIDA CENTER FOR HEALTH INFORMATION AND POLICY ANALYSIS AGENCY FOR HEALTH CARE ADMINISTRATION JANUARY 2009 Better Health Care for All Floridians

More information

New Frontiers Old Cowboys: A Consumer Perspective on ehealth Initiatives

New Frontiers Old Cowboys: A Consumer Perspective on ehealth Initiatives New Frontiers Old Cowboys: A Consumer Perspective on ehealth Initiatives Nicola Ballenden The move to an efficient, patient-focused health system as outlined by John Dwyer and the Australian Health Reform

More information

2008 Wisconsin Ambulatory Health Information Technology Survey

2008 Wisconsin Ambulatory Health Information Technology Survey 2008 Wisconsin Ambulatory Health Information Technology Survey March 31, 2009 State of Wisconsin Governor s ehealth Care Quality and Patient Safety Board Department of Health Services P-00831 (03/09) -

More information

Physician Adoption of Electronic Health Record Systems: United States, 2011

Physician Adoption of Electronic Health Record Systems: United States, 2011 This report was revised on January, 203, after a problem was found with the weighting of the 20 survey data. NCHS Data Brief No. 98 July 202 Physician Adoption of Electronic Health Record Systems: United

More information

Board votes to establish standards for physicians who use telemedicine

Board votes to establish standards for physicians who use telemedicine STATE OF IOWA TERRY BRANSTAD, GOVERNOR KIM REYNOLDS, LT. GOVERNOR IOW A BO ARD OF MEDICINE MARK BOW DEN, E XECUTIVE DIRECTO R FOR IMMEDIATE RELEASE: October 10, 2014 CONTACT: Mark Bowden, ( 515) 242-3268

More information

Running head: HEALTHCARE... ELECTRONIC PRESCRIBING 1

Running head: HEALTHCARE... ELECTRONIC PRESCRIBING 1 Running head: HEALTHCARE... ELECTRONIC PRESCRIBING 1 Healthcare Technology Trend Paper: Electronic Prescribing Carissa Bergman San Francisco State University March 1, 2014 Running head: HEALTHCARE... ELECTRONIC

More information

Electronic prescribing and dispensing of drugs

Electronic prescribing and dispensing of drugs Electronic prescribing and dispensing of drugs will bring significant benefits to patients, medical professionals and to the health system as a whole. These benefits will not only have a bearing on quality

More information

White Paper #6. Privacy and Security

White Paper #6. Privacy and Security The Complexity of America s Health Care Industry White Paper #6 Privacy and Security www.nextwavehealthadvisors.com 2015 Next Wave Health Advisors and Lynn Harold Vogel, Ph.D. The Complexity of America

More information

Report on Electronic Prescribing in Medicaid and the Children s Health Insurance Program (CHIP)

Report on Electronic Prescribing in Medicaid and the Children s Health Insurance Program (CHIP) Report on Electronic Prescribing in Medicaid and the Children s Health Insurance Program (CHIP) As Required By S.B. 59, 83 rd Legislature, Regular Session, 2013 Health and Human Services Commission March

More information

Article from: Health Section News. April 2003 Issue No. 45

Article from: Health Section News. April 2003 Issue No. 45 Article from: Health Section News April 2003 Issue No. 45 Issue No.45 April 2003 Health Section News For Professional Recognition of the Health Actuary Genetic Testing, Medical Progress and the Health

More information

ELECTRONIC MEDICAL RECORDS. Selecting and Utilizing an Electronic Medical Records Solution. A WHITE PAPER by CureMD.

ELECTRONIC MEDICAL RECORDS. Selecting and Utilizing an Electronic Medical Records Solution. A WHITE PAPER by CureMD. ELECTRONIC MEDICAL RECORDS Selecting and Utilizing an Electronic Medical Records Solution A WHITE PAPER by CureMD CureMD Healthcare 55 Broad Street New York, NY 10004 Overview United States of America

More information

Eric Jamoom and Chun-Ju Hsiao National Center for Health Statistics

Eric Jamoom and Chun-Ju Hsiao National Center for Health Statistics What does Meaningful Use mean to office-based physicians? Eric Jamoom and Chun-Ju Hsiao National Center for Health Statistics AcademyHealth Annual Research Meeting June 24, 2013 National Center for Health

More information

For a Healthier America: Reducing Prescription Drug Misuse and Abuse

For a Healthier America: Reducing Prescription Drug Misuse and Abuse For a Healthier America: Reducing Prescription Drug Misuse and Abuse The misuse and abuse of prescription medicines is a growing public health problem. In addition to the tragic toll on families and communities,

More information

Stark and Anti-kickback Regulations: Proposed Changes for E-prescribing and Electronic Health Records

Stark and Anti-kickback Regulations: Proposed Changes for E-prescribing and Electronic Health Records Regulatory Advisory This Regulatory Advisory, a special service to America s hospitals, contains guidance about physician self-referral and anti-kickback regulations. Stark and Anti-kickback Regulations:

More information

Table of Contents. Page 1

Table of Contents. Page 1 Table of Contents Executive Summary... 2 1 CPSA Interests and Roles in ehealth... 4 1.1 CPSA Endorsement of ehealth... 4 1.2 CPSA Vision for ehealth... 5 1.3 Dependencies... 5 2 ehealth Policies and Trends...

More information

How Real-Time Data Integration is Changing the Face of Healthcare IT

How Real-Time Data Integration is Changing the Face of Healthcare IT How Real-Time Data Integration is Changing the Face of Healthcare IT INTRODUCTION The twin goals of the Affordable Care Act reducing costs and improving quality have triggered sweeping changes to the way

More information

Empowering Global Medical Information Teams with Software Solutions

Empowering Global Medical Information Teams with Software Solutions www.arisglobal.com A White Paper Presented By ArisGlobal Empowering Global Medical Information Teams with Software Solutions by Ome Ogbru, PharmD, Medical Information, SME Empowering Global Medical Information

More information

EHRs and Information Availability: Are You At Risk?

EHRs and Information Availability: Are You At Risk? May 2006 Issue EHRs and Information Availability: Are You At Risk? The EHR initiative is changing the face of disaster and the nature of prevention planning. By Jim Grogan On April 27, 2004, the age of

More information

Transforming Healthcare in Emerging Markets with EMR adoption

Transforming Healthcare in Emerging Markets with EMR adoption Transforming Healthcare in Emerging Markets with EMR adoption Author Ann Geo Thekkel User Experience. Accenture, India Ann.geothekkel@accenture.com Abstract Compromising 24 countries, 35 percent of the

More information

Chapter 15 The Electronic Medical Record

Chapter 15 The Electronic Medical Record Chapter 15 The Electronic Medical Record 8 th edition 1 Lesson 15.1 Introduction to the Electronic Medical Record Define, spell, and pronounce the terms listed in the vocabulary. Discuss the presidential

More information

Slide 1 Welcome to Installation and Maintenance of Health IT Systems, Elements of a Typical EHR system.

Slide 1 Welcome to Installation and Maintenance of Health IT Systems, Elements of a Typical EHR system. Installation and Maintenance of Health IT Systems: Elements of a Typical EHR system Lecture 3 Audio Transcript Slide 1 Welcome to Installation and Maintenance of Health IT Systems, Elements of a Typical

More information

Sunrise Report Licensing of Alcohol and Drug Addiction Counselors August 2012

Sunrise Report Licensing of Alcohol and Drug Addiction Counselors August 2012 Sunrise Report Licensing of Alcohol and Drug Addiction Counselors August 2012 Background The West Virginia Association of Alcoholism and Drug Abuse Counselors, Inc. (WVAADC) and the West Virginia Certification

More information

XXXXXXXFUNDAMENTALS An Essential Guide for Health System Executive Management

XXXXXXXFUNDAMENTALS An Essential Guide for Health System Executive Management 340B XXXXXXXFUNDAMENTALS An Essential Guide for Health System Executive Management 800.473.3516 www.wellpartner.com Table of Contents 340B Fundamentals for Health System Executive Management...1 What

More information

Clinical Solutions. 2 Hour CEU

Clinical Solutions. 2 Hour CEU 1 2 Hour CEU 2 Course Objectives The purpose of this program is to provide nurses with information about the Health Insurance Portability and Accountability Act (HIPAA), especially as it relates to protected

More information

SNHPI Safety Net Hospitals for Pharmaceutical Access

SNHPI Safety Net Hospitals for Pharmaceutical Access SNHPI Safety Net Hospitals for Pharmaceutical Access Why the 340B Program Will Continue to be Important and Necessary after Health Care Reform is Fully Implemented Since 1992, the 340B drug discount program

More information

Name: Date: Compare the functions of the two major providers of managed care.

Name: Date: Compare the functions of the two major providers of managed care. Name: Date: Unit 1 Outline -Week 2 Unit 1 Overview U.S. Health Care and Categories of Health Services This lesson introduces students to the U.S. healthcare system. This unit begins by discussing historical

More information

EGUIDE BRIDGING THE GAP BETWEEN HEALTHCARE & HIPAA COMPLIANT CLOUD TECHNOLOGY

EGUIDE BRIDGING THE GAP BETWEEN HEALTHCARE & HIPAA COMPLIANT CLOUD TECHNOLOGY Bridging The Gap Between Healthcare & Hipaa Compliant Cloud Technology and outsource computing resources to external entities, would provide substantial relief to healthcare service providers. Data stored

More information

HIPAA COMPLIANCE PLAN. For. CHARLES RETINA INSTITUTE (Practice Name)

HIPAA COMPLIANCE PLAN. For. CHARLES RETINA INSTITUTE (Practice Name) HIPAA COMPLIANCE PLAN For CHARLES RETINA INSTITUTE (Practice Name) Date of Adoption 1/02/2003 Review/Update 10/25/2012 Review/Update 4/01/2014 I. COMPLIANCE PLAN A. Introduction This HIPAA Compliance Plan

More information

Discount Healthcare Programs: A Consumer s Guide to Choosing the Best Program

Discount Healthcare Programs: A Consumer s Guide to Choosing the Best Program Discount Healthcare Programs: A Consumer s Guide to Choosing the Best Program About the Consumer Health Alliance The Consumer Health Alliance (CHA) is the national trade association of the discount healthcare

More information

New rule sets standards of practice for physicians who use telemedicine

New rule sets standards of practice for physicians who use telemedicine STATE OF IOWA TERRY BRANSTAD, GOVERNOR KIM REYNOLDS, LT. GOVERNOR IOW A BO ARD OF MEDICINE MARK BOW DEN, E XECUTIVE DIRECTO R FOR IMMEDIATE RELEASE: June 3, 2015 CONTACT: Mark Bowden, (515) 242-3268 or

More information

VERMONT2007. Vermont Prescription Monitoring Program. Report to the Legislature on Act 205 January 15, 2008

VERMONT2007. Vermont Prescription Monitoring Program. Report to the Legislature on Act 205 January 15, 2008 VERMONT2007 Vermont Prescription Monitoring Program Report to the Legislature on Act 205 January 15, 2008 108 Cherry Street, PO Box 70 Burlington, VT 05402 1.802.863.7341 healthvermont.gov Vermont Prescription

More information

NOTICE OF PRIVACY PRACTICES

NOTICE OF PRIVACY PRACTICES THE PHYSICIAN PRACTICE, P.A. NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW

More information

Series 1 PRESCRIPTION DRUG ADVERTISING EXPENSE REPORTING

Series 1 PRESCRIPTION DRUG ADVERTISING EXPENSE REPORTING West Virginia Title 210 LEGISLATIVE RULE GOVERNOR S OFFICE OF HEALTH ENHANCEMENT AND LIFESTYLE PLANNING (GOHELP) Series 1 PRESCRIPTION DRUG ADVERTISING EXPENSE REPORTING 210-1-1. General. 1.1. Scope. --

More information

Integration of Pharmacists Clinical Services in the Patient-Centered Primary Care Medical Home. March 2009

Integration of Pharmacists Clinical Services in the Patient-Centered Primary Care Medical Home. March 2009 Integration of Pharmacists Clinical Services in the Patient-Centered Primary Care Medical Home March 2009 Introduction: The potential promise and value of the patient-centered primary care medical home

More information

Revised pregnancy termination laws. proposed for Tasmania

Revised pregnancy termination laws. proposed for Tasmania Submission to the Tasmanian Department of Health and Human Services on the Revised pregnancy termination laws proposed for Tasmania Draft Reproductive Health (Access to Terminations) Bill April 2013 Introduction

More information

What are the best practices for managing mental/behavioral health records and psycotherapy notes?

What are the best practices for managing mental/behavioral health records and psycotherapy notes? What are the best practices for managing mental/behavioral health records and psycotherapy notes? When approaching the sensitive subject of behavioral/mental healthcare it is important to determine which

More information

The Digital Economy: Promise and Peril in the Age of Networked Intelligence By Don Tapscott Reviewed by Rupali Babu

The Digital Economy: Promise and Peril in the Age of Networked Intelligence By Don Tapscott Reviewed by Rupali Babu The Digital Economy: Promise and Peril in the Age of Networked Intelligence By Don Tapscott Reviewed by Rupali Babu Don Tapscott describes the Age of Network Intelligence as an all encompassing and revolutionizing

More information

A Better Approach to Target Date Strategies

A Better Approach to Target Date Strategies February 2011 A Better Approach to Target Date Strategies Executive Summary In 2007, Folio Investing undertook an analysis of Target Date Funds to determine how these investments might be improved. As

More information

How Do Key Stakeholders View Transparency?

How Do Key Stakeholders View Transparency? How Do Key Stakeholders View Transparency? Given the clear need for transparency, and the gaps towards achieving the level needed to create full accountability to drive lower costs and improved quality

More information

Patience In Patient Recruitment

Patience In Patient Recruitment Patience In Patient Recruitment Examining Current Challenges with Humans in Phase I Clinical Trials Bryan McIntyre, Senior Vice President - Inclinix, Inc. Richard Anthony Ph D, CEO Catalyst Pharma, Inc.

More information

Are Electronic Medical Records Worth the Costs of Implementation?

Are Electronic Medical Records Worth the Costs of Implementation? Research Are Electronic Medical Records Worth the Costs of Implementation? TARA O'NEILL AUGUST 6, 2015 Executive Summary Electronic medical records (EMRs), as a cornerstone of a more intelligent, adaptive,

More information

Testimony of Julia Adler-Milstein, Ph.D.

Testimony of Julia Adler-Milstein, Ph.D. Testimony of Julia Adler-Milstein, Ph.D. Assistant Professor of Information, School of Information Assistant Professor of Health Management and Policy, School of Public Health University of Michigan U.S.

More information

Look at what innovation can do

Look at what innovation can do Clinic Information System Practice Management Tool Look at what innovation can do Despite all the innovative solutions we have put into CIS, the most amazing result might just be what you can get out of

More information

P4 Medicine: Personalized, Predictive, Preventive, Participatory A Change of View that Changes Everything

P4 Medicine: Personalized, Predictive, Preventive, Participatory A Change of View that Changes Everything P4 Medicine: Personalized, Predictive, Preventive, Participatory A Change of View that Changes Everything Leroy E. Hood Institute for Systems Biology David J. Galas Battelle Memorial Institute Version

More information

Prescription Drugs as a Starting Point for Medicare Reform Testimony before the Senate Budget Committee

Prescription Drugs as a Starting Point for Medicare Reform Testimony before the Senate Budget Committee Prescription Drugs as a Starting Point for Medicare Reform Testimony before the Senate Budget Committee Marilyn Moon The nonpartisan Urban Institute publishes studies, reports, and books on timely topics

More information

How Health Reform Will Help Children with Mental Health Needs

How Health Reform Will Help Children with Mental Health Needs How Health Reform Will Help Children with Mental Health Needs The new health care reform law, called the Affordable Care Act (or ACA), will give children who have mental health needs better access to the

More information

Health Systems Management Courses

Health Systems Management Courses Health Systems Management Courses *HSM 200. US Healthcare Organization and Delivery. Credit 3 hours. This course is an overview of how health care is organized, delivered and financed in the United States.

More information

Health Care Homes Certification Assessment Tool- With Examples

Health Care Homes Certification Assessment Tool- With Examples Guidelines: Health Care Homes Certification Assessment Form Structure: This is the self-assessment form that HCH applicants should use to determine if they meet the requirements for HCH certification.

More information

Illinois Electronic Health Records Taskforce Overview

Illinois Electronic Health Records Taskforce Overview Illinois Electronic Health Records Taskforce Overview March 6, 2006 Jonathan Dopkeen, PhD Assistant Director IDPH The EHR Taskforce: PA 94-646 Create a plan for the development and utilization of electronic

More information

HIPAA Security. 1 Security 101 for Covered Entities. Security Topics

HIPAA Security. 1 Security 101 for Covered Entities. Security Topics HIPAA SERIES Topics 1. 101 for Covered Entities 2. Standards - Administrative Safeguards 3. Standards - Physical Safeguards 4. Standards - Technical Safeguards 5. Standards - Organizational, Policies &

More information

6 COMMON MISTAKES IN WELLNESS PROGRAMS

6 COMMON MISTAKES IN WELLNESS PROGRAMS 6 COMMON MISTAKES IN WELLNESS PROGRAMS It s no secret that the overall health of our nation is declining. Some employers are doing their part to help reverse the trends by taking the health of their employees

More information

Get to Know the Facts about Electronic. Health Information. It s Secure, Private and Accessible.

Get to Know the Facts about Electronic. Health Information. It s Secure, Private and Accessible. Get to Know the Facts about Electronic Health Information It s Secure, Private and Accessible. Electronic Health Information: It s Secure, Private and Accessible Seems most information you need these days

More information

Journal of Business & Economics Research July 2008 Volume 6, Number 7

Journal of Business & Economics Research July 2008 Volume 6, Number 7 Accounting And Economic Implications Of Healthcare Information Technology Paul J. Carruth, Southeastern Louisiana University Ann K. Carruth, Southeastern Louisiana University ABSTRACT There is a growing

More information

GENERAL OVERVIEW OF STANDARDS FOR PRIVACY OF INDIVIDUALLY IDENTIFIABLE HEALTH INFORMATION [45 CFR Part 160 and Subparts A and E of Part 164]

GENERAL OVERVIEW OF STANDARDS FOR PRIVACY OF INDIVIDUALLY IDENTIFIABLE HEALTH INFORMATION [45 CFR Part 160 and Subparts A and E of Part 164] GENERAL OVERVIEW OF STANDARDS FOR PRIVACY OF INDIVIDUALLY IDENTIFIABLE HEALTH INFORMATION [45 CFR Part 160 and Subparts A and E of Part 164] OCR HIPAA Privacy The following overview provides answers to

More information

Date Completed: 3-2-04 RATIONALE. -- Require a provider, facility, or medical records company to waive fees for a medically indigent individual.

Date Completed: 3-2-04 RATIONALE. -- Require a provider, facility, or medical records company to waive fees for a medically indigent individual. MEDICAL RECORDS ACCESS ACT H.B. 4706 (S-2) & 4755: FIRST ANALYSIS House Bill 4706 (Substitute S-2 as reported) House Bill 4755 (as reported without amendment) Sponsor: Representative Barb Vander Veen House

More information

PUBLIC HEALTH LAW AND ETHICS

PUBLIC HEALTH LAW AND ETHICS PUBLIC HEALTH LAW AND ETHICS LAWJ-364-05 Fall Term, 2002 Tuesdays 5:45-8:50 PM Room 160 Georgetown University Law Center Professor Lawrence O. Gostin Syllabus COURSE OBJECTIVES Ensuring the health and

More information

Medicare Fraud, Waste, and Abuse Training for Healthcare Professionals 2010-2011

Medicare Fraud, Waste, and Abuse Training for Healthcare Professionals 2010-2011 Medicare Fraud, Waste, and Abuse Training for Healthcare Professionals 2010-2011 Y0067_H2816_H6169_WEB_UAMC IA 11/22/2010 Last Updated: 11/22/2010 Medicare Requirements The Centers for Medicare and Medicaid

More information

Re: HIPAA/HITECH Final Rule Clarification and Guidance Sought on Refill Reminder Programs

Re: HIPAA/HITECH Final Rule Clarification and Guidance Sought on Refill Reminder Programs June 5, 2013 Ms. Susan McAndrew Deputy Director for Health Information Privacy Office for Civil Rights Department of Health and Human Services 200 Independence Ave., SW 56E 5 th Floor Washington, D.C.

More information

Health Information Technology

Health Information Technology Analyzing the Impact of President Obama s Stimulus Plan March, 2009 Executive Summary Health Information Technology (HIT) is not just about convenience and savings it is also about saving lives and reducing

More information

3 EHR Solutions 1. BSURE The Ideal Drug Benefit Coordination Service

3 EHR Solutions 1. BSURE The Ideal Drug Benefit Coordination Service 3 EHR Solutions 1. BSURE The Ideal Drug Benefit Coordination Service Every EHR should provide their prescribers with the ability to consider drug treatments based on the patient s ability to pay. This

More information

PRIVACY NOTICE. In certain situations, we may also disclose patient information to another provider or health plan for their health care operations.

PRIVACY NOTICE. In certain situations, we may also disclose patient information to another provider or health plan for their health care operations. 1 PRIVACY NOTICE THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. This Privacy Notice is being

More information

RE/MAX Philippines is expanding fast and to keep up with our rapid growth, we re looking to build on our biggest strength: our people.

RE/MAX Philippines is expanding fast and to keep up with our rapid growth, we re looking to build on our biggest strength: our people. RE/MAX Philippines is expanding fast and to keep up with our rapid growth, we re looking to build on our biggest strength: our people. RE/MAX is more than just a global real estate company that is publicly

More information

HEALTH INFORMATION TECHNOLOGY AND HIPAA: CAN WE SATISFY SECURITY AND PRIVACY STANDARDS IN THE DIGITAL AGE? 2007 Robert Malone I.

HEALTH INFORMATION TECHNOLOGY AND HIPAA: CAN WE SATISFY SECURITY AND PRIVACY STANDARDS IN THE DIGITAL AGE? 2007 Robert Malone I. Abstract: Robert Bond Malone is currently pursuing a J.D. at The University of Oklahoma College of Law as part of the Class of 2007. Below, Mr. Malone expands upon his previous publication, Health Information

More information

(Effective as of December 15, 2009) CONTENTS

(Effective as of December 15, 2009) CONTENTS INTERNATIONAL STANDARD ON QUALITY CONTROL 1 QUALITY CONTROL FOR FIRMS THAT PERFORM AUDITS AND REVIEWS OF FINANCIAL STATEMENTS, AND OTHER ASSURANCE AND RELATED SERVICES ENGAGEMENTS (Effective as of December

More information

AUSTRALIA S NEW PRIVACY LAWS - WHAT LAWYERS NEED TO KNOW ABOUT THEIR OWN PRACTICES

AUSTRALIA S NEW PRIVACY LAWS - WHAT LAWYERS NEED TO KNOW ABOUT THEIR OWN PRACTICES AUSTRALIA S NEW PRIVACY LAWS - WHAT LAWYERS NEED TO KNOW ABOUT THEIR OWN PRACTICES http://www.lawcouncil.asn.au The Privacy Commissioner has welcomed the Law Council s initiative in producing this overview.

More information

How to Write a SE Code Argument

How to Write a SE Code Argument How to Write a SE Code Argument CSC 300: Professional Responsibilities Dr. Clark Turner 1 Overview This handout is intended to provide explicit instructions for creating an ethical argument using the Software

More information

Shared Electronic Health Records

Shared Electronic Health Records Shared Electronic Health Records Implementation in the New Zealand Health Care System 6/16/2014 Student ID: 2923662 Table of Contents Introduction... 21 Method... 31 Electronic Health Records... 31 Development

More information

Survey Methods for a New Mail Survey of Office-Based Physicians 1

Survey Methods for a New Mail Survey of Office-Based Physicians 1 Survey Methods for a New Mail Survey of Office-Based Physicians 1 Iris Shimizu and Chun-Ju Hsiao National Center for Health Statistics, 3311 Toledo Road, Hyattsville, MD 20782 Abstract The National Ambulatory

More information

HIPAA Orientation. Health Insurance Portability and Accountability Act

HIPAA Orientation. Health Insurance Portability and Accountability Act HIPAA Orientation Health Insurance Portability and Accountability Act HIPAA Federal legislation enacted in 1996 to improve the efficiency and effectiveness of electronic information transfers used in the

More information

Process Intelligence: An Exciting New Frontier for Business Intelligence

Process Intelligence: An Exciting New Frontier for Business Intelligence February/2014 Process Intelligence: An Exciting New Frontier for Business Intelligence Claudia Imhoff, Ph.D. Sponsored by Altosoft, A Kofax Company Table of Contents Introduction... 1 Use Cases... 2 Business

More information

Arthritis Foundation Position Statement on Biosimilar Substitution

Arthritis Foundation Position Statement on Biosimilar Substitution Arthritis Foundation Position Statement on Biosimilar Substitution The Affordable Care Act creates a regulatory pathway for the approval of a new generation of biologic medications called biosimilars.

More information

BEYOND IDENTITY PROOFING: How EHRs Can Become More Than Just Vendors

BEYOND IDENTITY PROOFING: How EHRs Can Become More Than Just Vendors BEYOND IDENTITY PROOFING: How EHRs Can Become More Than Just Vendors INTRODUCTION The implementation of electronic prescribing, or e-prescribing, is one of the most the groundbreaking changes in healthcare.

More information

Features and Benefits

Features and Benefits 2005 Prolink International Co., Inc. v. 1.2 November 2005 Table of Contents Objective... 3 Company Background... 3 Benefits... 4 Improved Patient Care... 4 Substantial Cost Savings... 4 Improved and Enhanced

More information

Inpatient EHR. Solution Snapshot. The right choice for your patients, your practitioners, and your bottom line SOLUTIONS DESIGNED TO FIT

Inpatient EHR. Solution Snapshot. The right choice for your patients, your practitioners, and your bottom line SOLUTIONS DESIGNED TO FIT Inpatient EHR The right choice for your patients, your practitioners, and your bottom line SOLUTIONS DESIGNED TO FIT Our customers do more than save lives. They re helping their communities to thrive.

More information

Attribute 1: COMMUNICATION

Attribute 1: COMMUNICATION The positive are intended for use as a guide only and are not exhaustive. Not ALL will be applicable to ALL roles within a grade and in some cases may be appropriate to a Attribute 1: COMMUNICATION Level

More information

hospitals within a hospital system for other payment purposes and could easily do so for this program as well.

hospitals within a hospital system for other payment purposes and could easily do so for this program as well. Statement by Phyllis Teater on Health Information Technology and the Electronic Health Records Incentive Program submitted to the Committee on Ways and Means United States House of Representatives July

More information

Pursuant to the authority vested in the Commissioner of Health by Article 33 of the

Pursuant to the authority vested in the Commissioner of Health by Article 33 of the Electronic Prescriptions and Records for Hypodermic Needles and Hypodermic Syringes Effective date: 10/9/13 Pursuant to the authority vested in the Commissioner of Health by Article 33 of the Public Health

More information

Job Description. Administrative Clerk

Job Description. Administrative Clerk Job Description 5/30/2005 Page 1 PURPOSE OF THE POSITION (The main reason for the position, in what context and what is the overall end result) The is responsible for providing administrative and clerical

More information

ehealth Competencies for Undergraduate Medical Education

ehealth Competencies for Undergraduate Medical Education ehealth Competencies for Undergraduate Medical Education Created by The Association of Faculties of Medicine of Canada in Partnership with Canada Health Infoway, May 2014 Contents Contents Acknowledgements...

More information

Medweb Telemedicine 667 Folsom Street, San Francisco, CA 94107 Phone: 415.541.9980 Fax: 415.541.9984 www.medweb.com

Medweb Telemedicine 667 Folsom Street, San Francisco, CA 94107 Phone: 415.541.9980 Fax: 415.541.9984 www.medweb.com Medweb Telemedicine 667 Folsom Street, San Francisco, CA 94107 Phone: 415.541.9980 Fax: 415.541.9984 www.medweb.com Meaningful Use On July 16 2009, the ONC Policy Committee unanimously approved a revised

More information

Data Protection Good Practice Note

Data Protection Good Practice Note Data Protection Good Practice Note This explanatory document explains what charities and voluntary organisations need to do to comply with the Data Protection Act 1988 as amended by the Data Protection

More information

Drug Diversion in Healthcare

Drug Diversion in Healthcare Drug Diversion in Healthcare By Barry Abramowitz Drug abuse in America continues to grow. In 2012, approximately 23.9 million Americans used illicit drugs. Of these, 6.8 million used prescription drugs

More information

PRIORITY HEALTH CONCERN LACK OF ACCESS TO PRIMARY & PREVENTATIVE HEALTH CARE

PRIORITY HEALTH CONCERN LACK OF ACCESS TO PRIMARY & PREVENTATIVE HEALTH CARE LACK OF ACCESS TO PRIMARY & Knox County Community Health Improvement Plan A Product of the Knox County Healthy Communities Project 2005-2006 Ideally, all Knox County residents should enjoy access to quality,

More information

Parallel Session 2 Five Pillars to succes A framework for approaching market research in Emerging Markets

Parallel Session 2 Five Pillars to succes A framework for approaching market research in Emerging Markets Parallel Session 2 Five Pillars to succes A framework for approaching market research in Emerging Markets Steve Kretschmer, Ipsos, Turkey and Beyza Ozel, Novartis, Turkey 5 Pillars to Success: A Framework

More information

KNOWLEDGE EXCHANGE SEMINAR SERIES

KNOWLEDGE EXCHANGE SEMINAR SERIES KNOWLEDGE EXCHANGE SEMINAR SERIES Institutional stigma and the delivery of methadone maintenance: A comparison of clients' experiences from North/South Ireland Karen McElrath & Julie Harris Queen s University

More information

Policy Summary: Policy Statement:

Policy Summary: Policy Statement: FITNESS FOR DUTY POLICY - EXAMPLE #1 Reason for The COMPANY is committed to promoting a safe and healthy environment for its Policy: employees, students, patients and visitors. Such an environment is possible

More information

SEMINOLE COUNTY MEDICAL SOCIETY MEETING. May 6, 2014 HOT LEGAL TOPICS THE HEALTH LAW FIRM. Lance O. Leider, J.D. Catherine T. Hollis, J.D.

SEMINOLE COUNTY MEDICAL SOCIETY MEETING. May 6, 2014 HOT LEGAL TOPICS THE HEALTH LAW FIRM. Lance O. Leider, J.D. Catherine T. Hollis, J.D. SEMINOLE COUNTY MEDICAL SOCIETY MEETING May 6, 2014 HOT LEGAL TOPICS BY THE HEALTH LAW FIRM Lance O. Leider, J.D. Catherine T. Hollis, J.D. Lenis L. Archer, J.D., M.P.H. 1. Senate Passes One-Year SGR Patch

More information

Consumer Engagement with Health Information Technology Summary of NeHC Survey Results

Consumer Engagement with Health Information Technology Summary of NeHC Survey Results Consumer Engagement with Health Information Technology Summary of NeHC Survey Results Background In June 2012, National ehealth Collaborative (NeHC) distributed a survey on consumer engagement with health

More information

Zip It! Feds, State Strengthen Privacy Protection. Practice Management Feature July 2012. Tex Med. 2012;108(7):33-37.

Zip It! Feds, State Strengthen Privacy Protection. Practice Management Feature July 2012. Tex Med. 2012;108(7):33-37. Zip It! Feds, State Strengthen Privacy Protection Practice Management Feature July 2012 Tex Med. 2012;108(7):33-37. By Crystal Conde Associate Editor When it comes to enforcing HIPAA data security and

More information

Consumer Debt Among Older Adults in Rural Oklahoma

Consumer Debt Among Older Adults in Rural Oklahoma Consumer Debt Among Older Adults in Rural Oklahoma Eileen St. Pierre, Ph.D., CFA, CFP Personal Finance Specialist Department of Human Development & Family Science College of Human Environmental Sciences

More information

Allianz Corporate Assistance. Medical Assistance Medical Solutions

Allianz Corporate Assistance. Medical Assistance Medical Solutions Allianz Corporate Assistance Medical Assistance Medical Solutions 1 Despite an uncertain environment, volatile financial markets and challenging regulatory frameworks a promise is a promise. 2 Contents

More information

ACOs ECONOMIC CREDENTIALING BUNDLING OF PAYMENTS

ACOs ECONOMIC CREDENTIALING BUNDLING OF PAYMENTS ACOs ECONOMIC CREDENTIALING BUNDLING OF PAYMENTS There are a number of medical economic issues Headache Medicine Physicians should be familiar with as we enter a new era of healthcare reform. Although

More information

BEFORE THE APPEALS DIVISION DEPARTMENT OF REVENUE STATE OF WASHINGTON.... ) Registration No... ) Doc. No.../Audit No... ) Docket No...

BEFORE THE APPEALS DIVISION DEPARTMENT OF REVENUE STATE OF WASHINGTON.... ) Registration No... ) Doc. No.../Audit No... ) Docket No... Det. No. 05-0325, 27 WTD 99 (July 24, 2008) 99 Cite as Det. No. 05-0325, 27 WTD 99 (2008) BEFORE THE APPEALS DIVISION DEPARTMENT OF REVENUE STATE OF WASHINGTON In the Matter of the Petition For Correction

More information