Electronic medical records
|
|
- Agatha Antonia Garrett
- 8 years ago
- Views:
Transcription
1 Electronic medical records Country: France Partner Institute: Institut de Recherche et Documentation en Economie de la Santé (IRDES), Paris Survey no: (8)2006 Author(s): Chantal Cases, Philippe Le Fur Health Policy Issues: New Technology Current Process Stages Idea Pilot Policy Paper Legislation Implementation Evaluation Change 1. Abstract As part of its latest reform package, the current government aims to introduce electronic medical records for patients. The objective is to improve the co-ordination and quality of care and to better use health care resources. But the implementation seems to be more challenging than expected. 2. Purpose of health policy or idea Better co-ordination of care One of the major objectives of the Health Insurance Reform Act passed in August 2004 is to rationalise health care consumption through a better co-ordination of care (see "sickness fund reform, survey no (5) 2005). In particular, to keep the same level of reimbursement as before, the patients have to choose a "preferred doctor" (médecin traitant) and to accept to be referred by him/her for any specialist care. In parallel, the reform requires the introduction of electronic personal medical records (dossier médical personnel, DMP) in order to keep track of all patient contacts with the health care system. The DMP will include medical data both from health professionals and hospitals and will be accessible through the internet. The electronic files will be hosted by selected internet providers approved by the government. Patients control medical records The patients will have entire control over their personal medical records. They will be able to add/change some personal information and decide who is authorised to have access to their medical record. Moreover, patients will have the right to withhold some medical information from certain health professionals if they wish. For example, a patient could decide to hide that s/he has cancer from his/her dentist, so when the dentist enters into his/her medical file this information would not appear on the record without him realising that there is some hidden information. There will be two keys to access to electronic medical records: a new electronic health insurance card (VITALE 2), which should be implemented between 2006 and 2010, and an e-card for health professionals to use jointly. Since 1998, a personal e-card - the card VITALE - has been introduced in France for all insured persons over 16 years. Currently the card Vitale contains only identity information for the insured person, and eventually for his/her children under 16, and is used to facilitate the reimbursement of care by reducing paper work. Health professionals and pharmacists use this card to transmit medical bills directly to the health insurance funds. At the moment about - 1 -
2 85% of the general practitioners and almost all of the pharmacies use the card Vitale for transmitting electronic reimbursement forms. The new card, Vitale 2, is designed to contain medical information (e.g. diagnoses, medication prescribed, allergies, etc.). The content of medical information to be shared will be defined by a decree after the French data protection watchdog, the Commission nationale informatique et libertés (CNIL) has agreed on it. The data will be stocked in a 32KB chip (4KB for VITALE 1), and the card will contain a photo of the insured person in order to avoid frauds. The data security will be improved as it could be used for electronic signature. Main objectives The main goals of this policy are: to ensure a better coordination and continuity of care ; to improve care quality and safety by preventing inappropriate care; to simplify information sharing between patients and health professionals while respecting the rules of medical confidentiality; to spend less money and to better allocate resources by avoiding unnecessary examinations or procedures. Type of incentives As the philosophy of the health insurance reform is to rely on financial incentives and consumer choice, the use of medical electronic records will be optional, but better reimbursement will be ensured if the patient accepts using the medical record. The level of co-payment for those who refuse to use medical records is not defined yet. Health professionals on the other hand will have to use electronic records in order to keep their agreement with the statutory health insurance fund. Groups affected Patients, health care providers (ambulatory doctors, hospitals, laboratories, etc), health insurers 3. Characteristics of this policy Degree of Innovation traditional innovative Degree of Controversy consensual highly controversial Structural or Systemic Impact marginal fundamental Public Visibility very low very high Transferability strongly system-dependent system-neutral 4. Political and economic background Increasingly, it is recognised in France that the lack of co-ordination between health care providers generates both quality problems (e.g. physicians ignoring the prescriptions of each other, lack of follow up after hospitalisation, - 2 -
3 insufficient guidance for patients with chronic diseases) and that it is a cause of inefficiency (e.g. duplication of procedures, patients shopping around for doctors ). The idea of creating health records for better care coordination is not a novelty. For children under 16 years old a "health record book" (carnet de santé) has been used for more than 40 years. In 1996, the "Juppé edict" made the health book mandatory for the adult population as well. So in 1996 more than 40 million insured persons received a health record book to be presented in every consultation. The physicians were asked to write down in it medical information about consultations, tests carried out, hospitalization, vaccination, etc. But no sanction was planned in the edict in case of non respect, neither for the patient nor for the physician. This measure remained ineffective: the use of health books never became a common practice. The patients were rather resistant to the idea of showing their health books when they consulted physicians and the physicians (as they were not consulted at all before the implementation) were considering this exercise as useless. In the late 90s, the idea of an electronic medical record appeared with the intention of developing an e-card which contains medical information. But its implementation was regularly postponed. 5. Purpose and process analysis Idea Pilot Policy Paper Legislation Implementation Evaluation Change Origins of health policy idea In August 2004 the Health Insurance Reform Act formally decided the creation of electronic health records (articles 3 to 5). The Act on Patients' Rights and Quality of Care (2002) previously defined the rights of patients to access to their medical records and the conditions of use of medical electronic data. A decree in 2006 defined the conditions for an approval of Internet providers to host the data. Three more decrees have to be published before 2007: to define the electronic health record contents and the access rights for health professionals; to specify the confidentiality rules for hospitals and health professionals; to define the codes identifying the patients in the electronic record. A public consortium (groupement d'intérêt public) was set up in 2005 to carry out contracting and implementation of the personal electronic medical records (DMP). Between 2005 and 2006, the consortium had three successive general managers, which indicates the political difficulties encountered to advance the project. The consortium is also responsible for the initial pilot phase, which started in June 2006 after more than a year delay. The experiment involves 17 sites and five software companies. The goal is to create electronic records for 30, 000 voluntary patients with the help of 1,500 health professionals and 100 hospitals. By the end of September 2006, about 13,700 records have been created. But the question of how these records will be identified is not resolved yet. The first (and simplest) proposition is to use the existing social security numbers or another national ID number for identifying medical records. But the patient associations and the general public opinion are very sensitive to the possibility of linking medical data with administrative information. The second proposition is to create a new specific "health number" which cannot be linked to the social security number (estimated cost between 10 to 30 per patient). While the CNIL, French data protection watchdog, seems to be more favourable of the second option, it postponed the decision on this issue several times. The full implementation of electronic medical records is announced for July 2007, whereas many observers have doubts about the likelihood of this time schedule. The Health Ministry estimates the total cost of the operation at 1 billion euros from 2006 to
4 Initiators of idea/main actors Government Approach of idea The approach of the idea is described as: new: Stakeholder positions In the early days of the Health Insurance Reform Act, a large majority of the physicians' and patients' representatives appeared in favour of the idea of creating personal electronic medical records. Nevertheless, they are increasingly aware of the many expected difficulties about data security and defining patients' and physicians' responsibility in its management. Not surprisingly, the positions of the patient and physician associations vary. In particular, the recent decision of allowing patients to mask some information about their health from some professionals who provide care for them, without indicating that some information is hidden, is a problem for physicians. They claim that to provide an appropriate treatment they need to have access to the whole medical history of a patient or at least to be warned that some information is missing in the file. Furthermore there are problems as to the organization of the data transfer from health professionals towards the electronic personal records. Physicians fear that entering information for the personal medical records will be too time consuming. At the same time, no financial measure had been proposed for helping them with their computer and software investments. That is why some physicians have threatened to boycott the pilot phase. More generally it appears that the physician associations see the DMP as a means to put pressure on the government in the approaching annual tariff negotiation between physicians the sickness fund. Opinions also differ as to the feasibility of introducing electronic records in such a short time span. Indeed, the initial provisional cost was largely underestimated, and the initial time schedule rapidly appeared unrealistic for such an ambitious and complex project: the first pilot trials, planned for the first half of 2005, began only in mid 2006, that is hardly one year before the announced date for the generalisation. Despite all the difficulties, mid 2007 is kept as the target by the health department, but it is already clear that the electronic medical records will only be available for a limited number of volunteers by then. Actors and positions Description of actors and their positions Government Ministry of health very supportive strongly opposed Health insurance fund very supportive strongly opposed Physican associations very supportive strongly opposed Patient associations very supportive strongly opposed Influences in policy making and legislation See above Legislative outcome Actors and influence Description of actors and their influence Government - 4 -
5 Ministry of health very strong none Health insurance fund very strong none Physican associations very strong none Patient associations very strong none Positions and Influences at a glance 6. Expected outcome The expected advantages of the electronic personal medical record are the following: for the patient: the electronic personal medical records intend to reinforce co-ordination of care and therapeutic security. It could help the patient to be more active in his/her own treatment and simplify his treatment while respecting medical confidentiality; for health professionals: currently medical information concerning a patient is spread over various places. The electronic personal medical records would allow health professionals to access simply and "in real time" information from other professionals. In order to protect patient interests, the personal medical records will not be accessible by the company doctors (médecin du travail) nor by the private insurance organizations ( mutuelles)
6 for the government: electronic medical records are also seen as a tool for reducing health expenditures. According to the Health Ministry, 15% of all medical examinations are redundant which generate about 1.5 billion excess costs; and around inpatient stays a year would be the result of inappropriate drug prescriptions. The electronic medical records are also seen as a lever to enforce the development of computerization in ambulatory care, as well as in hospitals. But, the data security and management (who should have how much right and responsibility in managing data) will be clearly the key issues to be resolved for ensuring the success of electronic medical records. Quality of Health Care Services marginal fundamental Level of Equity system less equitable system more equitable Cost Efficiency very low very high 7. References Sources of Information Author/s and/or contributors to this survey Chantal Cases, Philippe Le Fur Suggested citation for this online article Chantal Cases, Philippe Le Fur. "Electronic medical records". Health Policy Monitor, October Available at -
Mandatory deductible in basic health insurance
Mandatory deductible in basic health insurance Country: Netherlands Partner Institute: University of Maastricht, Department of Health Organization, Policy and Economics (BEOZ) Survey no: (11)2008 Author(s):
More informationPerformance Payment for Family Physicians
Performance Payment for Family Physicians Country: Estonia Partner Institute: PRAXIS Center for Policy Studies, Tallinn Survey no: (6)2005 Author(s): Ain Aaviksoo Health Policy Issues: Remuneration / Payment
More informationRisk equalizing schemes - the next chapter
Risk equalizing schemes - the next chapter Country: Slovenia Partner Institute: Institute of Public Health of the Republic of Slovenia, Ljubljana Survey no: (7)2006 Author(s): Tit Albreht Health Policy
More informationElectronic prescriptions and patient records
Electronic prescriptions and patient records Country: Finland Partner Institute: National Institute for Health and Welfare (THL), Helsinki Survey no: (9)2007 Author(s): Lauri Vuorenkoski, STAKES Health
More informationGeneric substitution of prescription drugs
Generic substitution of prescription drugs Country: Finland Partner Institute: National Institute for Health and Welfare (THL), Helsinki Survey no: (2)2003 Author(s): Ilmo Keskimäki and Lauri Vuorenkoski
More informationUpdate on the Integrated Hospital-Community EMR
Update on the Integrated Hospital-Community EMR Country: Israel Partner Institute: The Myers-JDC-Brookdale Institute, Jerusalem Survey no: (12) 2008 Author(s): Nirel, Nurit and Revital Gross Health Policy
More informationPrivate Health Insurance: more products
Private Health Insurance: more products Country: Australia Partner Institute: Centre for Health, Economics Research and Evaluation (CHERE), University of Technology, Sydney Survey no: (8)2006 Author(s):
More informationMunicipal co-payment for health care services
Municipal co-payment for health care services Country: Denmark Partner Institute: University of Southern Denmark, Odense Survey no: (10)2007 Author(s): Ankjær-Jensen, Anni and Terkel Christiansen Health
More informationHospital-community electronic medical record
Hospital-community electronic medical record Country: Israel Partner Institute: The Myers-JDC-Brookdale Institute, Jerusalem Survey no: (6)2005 Author(s): Nirel Nurit, Rosen Bruce, Gross Revital Myers-JDC-Brookdale
More informationUniversal Dental Health Scheme
Universal Dental Health Scheme Country: Australia Partner Institute: Centre for Health, Economics Research and Evaluation (CHERE), University of Technology, Sydney Survey no: (13) 2009 Author(s): Gallego,
More informationNew guidelines on aesthetic treatment
New guidelines on aesthetic treatment Country: Singapore Partner Institute: Department of Epidemiology and Public Health, National University of Singapore Survey no: (12) 2008 Author(s): Lim Meng Kin Health
More informationA Model for Mental Health Integration
A Model for Mental Health Integration Country: USA Partner Institute: Department of Behavioral Science and Health Education, Rollins School of Public Health, Emory University Survey no: (14) 2009 Author(s):
More informationRecycling Unused Cancer Drugs
Recycling Unused Cancer Drugs Country: USA Partner Institute: Department of Behavioral Science and Health Education, Rollins School of Public Health, Emory University Survey no: (13) 2009 Author(s): Elena
More information2. The stable patient case - in case when the circumstances of their health condition are neither sudden nor urgent (causing emergency).
Criteria to choose patients from waiting lists Country: Poland Partner Institute: Institute of Public Health, Jagiellonian University Medical College, Krakow Survey no: (6)2005 Author(s): Iwona Kowalska
More informationIndependent treatment centers in the Netherlands
Independent treatment centers in the Netherlands Country: Netherlands Partner Institute: University of Maastricht, Department of Health Organization, Policy and Economics (BEOZ) Survey no: (11)2008 Author(s):
More informationImplementing work accident and illness insurance
Implementing work accident and illness insurance Country: Estonia Partner Institute: PRAXIS Center for Policy Studies, Tallinn Survey no: (10)2007 Author(s): Agris Koppel, Ain Aaviksoo Health Policy Issues:
More informationAccountable Care Organizations and Health Reform
Accountable Care Organizations and Health Reform Country: USA Partner Institute: Johns Hopkins Bloomberg School of Public Health, Department of Health Policy and Management Survey no: (16)2010 Author(s):
More informationHealth & the economic crisis: the Australian case
Health & the economic crisis: the Australian case Country: Australia Partner Institute: Centre for Health, Economics Research and Evaluation (CHERE), University of Technology, Sydney Survey no: (14) 2009
More informationBenchmarking hospital productivity
Benchmarking hospital productivity Country: Finland Partner Institute: National Institute for Health and Welfare (THL), Helsinki Survey no: (7)2006 Author(s): Miika Linna Health Policy Issues: System Organisation/
More informationPre-existing condition coverage post-health reform
Pre-existing condition coverage post-health reform Country: USA Partner Institute: Johns Hopkins Bloomberg School of Public Health, Department of Health Policy and Management Survey no: (16)2010 Author(s):
More informationHow To Improve Health Care In California
The Expert Patient Programme in Catalonia Country: Spain Partner Institute: University of Barcelona Survey no: (16)2010 Author(s): María González Ortega Health Policy Issues: System Organisation/ Integration
More informationSmoking cessation in Leumit Health Fund
Smoking cessation in Leumit Health Fund Country: Israel Partner Institute: The Myers-JDC-Brookdale Institute, Jerusalem Survey no: (13) 2009 Author(s): Kitai E., Vardy D., Margalit A., Brami J., Matz E.,
More informationNew health insurance system
New health insurance system Country: Netherlands Partner Institute: Institute of Health Policy & Management, Erasmus University Rotterdam Survey no: (4)2004 Author(s): Jos Holland and André den Exter,
More informationPreventive health-care system in France : Organisation, financement
Preventive health-care system in France : Organisation, financement Dr Martine Le Quellec-Nathan Sous-directrice Direction générale de la Santé Ministère de la santé et de la protection sociale VHPB Veyrier
More informationPublic insurance for dental care for chidren
Public insurance for dental care for chidren Country: Israel Partner Institute: The Myers-JDC-Brookdale Institute, Jerusalem Survey no: (16)2010 Author(s): Nir Kaidar, Tuvia Horev and Bruce Rosen Health
More informationAccess to dental care in Australia
Access to dental care in Australia Country: Australia Partner Institute: Centre for Health, Economics Research and Evaluation (CHERE), University of Technology, Sydney Survey no: (5)2005 Author(s): Marion
More informationThe Denia Project: Concession for integrated HC
The Denia Project: Concession for integrated HC Country: Spain Partner Institute: Centre de Recerca en Economia i Salut (CRES), Universitat Pompeu Fabra, Barcelona Survey no: (6)2005 Author(s): Dr. Fidel
More informationThe State Of Electronic Health Records: A Strategic Plan For Ails You
Implementing Electronic Health Records: An Update Country: USA Partner Institute: Johns Hopkins Bloomberg School of Public Health, Department of Health Policy and Management Survey no: (10)2007 Author(s):
More informationHealth financing reform idea: health fund
Health financing reform idea: health fund Country: Germany Partner Institute: Bertelsmann Stiftung, Gütersloh Survey no: (7)2006 Author(s): Melanie Zimmermann, reviewers: Reinhard Busse, Sophia Schlette
More informationHow To Sell Medibank Private
Sale of Medibank Private Country: Australia Partner Institute: Centre for Health, Economics Research and Evaluation (CHERE), University of Technology, Sydney Survey no: (8)2006 Author(s): Marion Haas Health
More informationActivities In accordance with the applicable rules of law, particularly competition
SNITEM SNITEM profile SNITEM the leading trade organisation, was set up in 1987 It draws together more than 315 companies SNITEM estimated that its scope (medical device and Healthcare ICT markets) corresponded
More informationHealth reform - one year after implementation
Health reform one year after implementation Country: Netherlands Survey no: (9)2007 Reported by: University of Maastricht, Department of Health Organization, Policy and Economics (BEOZ) Health Policy Issues:
More informationIdea Pilot Policy Paper Legislation Implementation Evaluation Change
Medical Indemnity Country: Australia Partner Institute: Centre for Health, Economics Research and Evaluation (CHERE), University of Technology, Sydney Survey no: (1)2003 Author(s): Marion Haas Health Policy
More informationmember of from diagnosis to cure Eucomed Six Key Principles for the Efficient and Sustainable Funding & Reimbursement of Medical Devices
Eucomed Six Key Principles for the Efficient and Sustainable Funding & Reimbursement of Medical Devices Contents Executive Summary 2 Introduction 3 1. Transparency 4 2. Predictability & Consistency 5 3.
More informationRestricting supplemental insurance services
Restricting supplemental insurance services Country: Israel Partner Institute: The Myers-JDC-Brookdale Institute, Jerusalem Survey no: (10)2007 Author(s): Gross, Revital and Shuli Brammli-Greenberg Health
More informationHealth insurance terms and conditions No. VA 13/1
APPROVED Seesam Insurance AS Latvian branch 15 th January, 2013 Order No. 2013/4-pa Health insurance terms and conditions No. VA 13/1 Seesam Insurance AS Latvian branch (hereinafter the insurer) shall
More informationMore changes to private health insurance Australia
More changes to private health insurance Australia Country: Australia Partner Institute: Centre for Health, Economics Research and Evaluation (CHERE), University of Technology, Sydney Survey no: (12) 2008
More informationSubmission to the Health Information Authority (HIA) on Minimum Benefits Regulations in the Irish Private Health Insurance Market
Submission to the Health Information Authority (HIA) on Minimum Benefits Regulations in the Irish Private Health Insurance Market September 2010 IMO Submission to the Health Information Authority (HIA)
More informationMajor reductions in taxes on alcohol beverages
Major reductions in taxes on alcohol beverages Country: Finland Partner Institute: National Institute for Health and Welfare (THL), Helsinki Survey no: (5)2005 Author(s): Christoffer Tigerstedt, DPolSci,
More informationElectronic 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 informationFRANCE PHARMACEUTICAL PRICING AND REIMBURSEMENT. Corinne Blachier AFSSAPS. Panos Kanavos LSE Health
FRANCE PHARMACEUTICAL PRICING AND REIMBURSEMENT 1. Overview of the health care system Corinne Blachier AFSSAPS Panos Kanavos LSE Health The French population is almost universally covered (99% of the population)
More informationMeaningful Use in 2015 and Beyond Changes for Stage 2
Meaningful Use in 2015 and Beyond Changes for Stage 2 Jennifer Boaz Transformation Support Specialist Proprietary 1 Definitions AIU = Adopt, Implement or Upgrade EP = Eligible Professional API = Application
More informationGeneral terms of insurance. January 2010 edition. Insurance carrier: Compact Grundversicherungen AG
Compact One Mandatory basic health insurance (with compulsory initial consultation by phone) pursuant to the Swiss Federal Health Insurance Act (KVG/LAMal) General terms of insurance January 2010 edition
More informationIntroduction of a Standard Drug Formulary in Hospital Authority
Introduction of a Standard Drug Formulary in Hospital Authority PURPOSE This paper seeks Members views on the introduction of a Standard Hospital Authority Drug Formulary ( ) ( Standard Drug Formulary
More informationComité Economique des Produits de Santé
Comité Economique des Produits de Santé Summary of the activity report for 1999 CEPS 8 avenue de Ségur 75350 Paris SP 07 Activity Report for 1999 1 In accordance with Article D.162-2-5 of the Social Security
More informationFrench pharmaceutical system Focus on pricing and reimbursement
Couverture French pharmaceutical system Focus on pricing and reimbursement DDGOS date Sophie DELCROIX-LOPES CNAMTS Conflict of interest disclosure 2 The author declares that she has no competing interests.
More informationAPPENDIX A: OBJECTIVES AND MEASURES FOR 2015 THROUGH 2017 (MODIFIED STAGE 2) EP Objectives and Measures
APPENDIX A: OBJECTIVES AND MEASURES FOR 2015 THROUGH (MODIFIED STAGE 2) Objectives for Measures for Providers in EP Objectives and Measures Objective 1: Protect Patient Health Information Objective 2:
More informationElectronic prescribing
ALL-PARTY PHARMACY GROUP Chair: Dr Howard Stoate MP Vice Chairs: Dr Jenny Tonge MP & Rt Hon Lord Newton of Braintree OBE Treasurer: David Heath CBE MP Secretary: Mark Todd MP Electronic prescribing A report
More informationNOTE: Following information applies only to students older than 28 years in age
French Health Insurance & Social Security in France (2012) Information on the French medical insurance system, the CMU and top-up insurance (or mutuel) and the purpose of a carte vitale: how, where and
More informationA Belgian cooperation platform www.coopami.org. Thomas Rousseau NIHDI - COOPAMI. Thomas Rousseau
A Belgian cooperation platform www.coopami.org Thomas Rousseau NIHDI - COOPAMI Thomas Rousseau NIHDI 14-01-2013 - COOPAMI 2 Contributif Social security What i m going to talk about Presentation: only on
More informationHealth Care in Estonia. Kadri Eisenschmidt Health Care and Communications Department Estonian Health Insurance Fund 01.02.2016
Health Care in Estonia Kadri Eisenschmidt Health Care and Communications Department Estonian Health Insurance Fund 01.02.2016 Health insurance in Estonia Estonian health insurance is a social insurance
More informationMeaningful Use. Medicare and Medicaid EHR Incentive Programs
Meaningful Use Medicare and Medicaid Table of Contents What is Meaningful Use?... 1 Table 1: Patient Benefits... 2 What is an EP?... 4 How are Registration and Attestation Being Handled?... 5 What are
More informationDEPARTMENT OF HEALTH AND HUMAN SERVICES. Medicare Program; Changes to the Electronic Prescribing (erx) Incentive Program
DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 42 CFR Part 414 [CMS-3248-F] RIN 0938-AR00 Medicare Program; Changes to the Electronic Prescribing (erx) Incentive Program
More informationAustrian Health Fund born
Austrian Health Fund born Country: Austria Partner Institute: Institute for Advanced Studies (IHS), Vienna Survey no: (14) 2009 Author(s): Maria M. Hofmarcher Health Policy Issues: Political Context, Funding
More informationMedicaid EHR Incentive Program
Medicaid EHR Incentive Program Modified Stage 2: through 2017 November 10, Kim Davis-Allen, Outreach Coordinator Kim.davis@ahca.myflorida.com November 10, 1 Key Concepts for Modified Stage 2 Restructured
More informationIntroduction of a national health insurance scheme
International Social Security Association Meeting of Directors of Social Security Organizations in the English-speaking Caribbean Tortola, British Virgin Islands, 4-6 July 2005 Introduction of a national
More informationSearch for Compliance Documentation Requirements Part 1: Consent Forms and Treatment Plans. Melissa S. Hooks Director of Program Integrity
Search for Compliance Documentation Requirements Part 1: Consent Forms and Treatment Plans Melissa S. Hooks Director of Program Integrity Overview of Presentation Background of Compliance Importance of
More informationMeaningful Use Stage 2 Certification: A Guide for EHR Product Managers
Meaningful Use Stage 2 Certification: A Guide for EHR Product Managers Terminology Management is a foundational element to satisfying the Meaningful Use Stage 2 criteria and due to its complexity, and
More informationTHE FRENCH SYSTEM/SOCIAL SECURITY «SECURITE SOCIALE»
MEDICINE IN FRANCE THE FRENCH SYSTEM/SOCIAL SECURITY «SECURITE SOCIALE» Run by the Ministry of Health In charge of : Familly allowances («allocations familiales») Pensions («retraite») Sickness («assurance
More informationPrescription For Pennsylvania
Prescription for Pennsylvania A set of integrated practical strategies for Improving the health care of all Pennsylvanians, Making the health care system more efficient, and Containing costs. PA Family
More informationCord blood donation is a painless and free gesture, helping others and saving lives.
Cord blood donation is a painless and free gesture, helping others and saving lives. Cord blood, a bond for life. GRANDE CAUSE NATIONALE 2009 Donation for scientific research If your donation does not
More informationThe Healthy Michigan Plan Handbook
The Healthy Michigan Plan Handbook Introduction The Healthy Michigan Plan is a health care program through the Michigan Department of Community Health (MDCH). Eligibility for this program will be determined
More informationMona Osman MD, MPH, MBA
Mona Osman MD, MPH, MBA Objectives To define an Electronic Medical Record (EMR) To demonstrate the benefits of EMR To introduce the Lebanese Society of Family Medicine- EMR Reality Check The healthcare
More informationHL7 and Meaningful Use
HL7 and Meaningful Use Grant M. Wood HL7 Ambassador HIMSS14 2012 Health Level Seven International. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International.
More informationBackground Briefing. Hungary s Healthcare System
Background Briefing Hungary s Healthcare System By Shannon C. Ferguson and Ben Irvine (2003) In the aftermath of communist rule, Hungary transformed its healthcare system from centralised Semashko state
More informationEHR Incentive Programs for Eligible Professionals: What You Need to Know for 2015 Tipsheet
EHR Incentive Programs for Eligible Professionals: What You Need to Know for 2015 Tipsheet CMS recently published a final rule that specifies criteria that eligible professionals (EPs), eligible hospitals,
More informationThe Healthy Michigan Plan Handbook
The Healthy Michigan Plan Handbook Introduction The Healthy Michigan Plan is a health care program through the Michigan Department of Community Health (MDCH). The Healthy Michigan Plan provides health
More informationQuestions and Answers About Prop. 46 A costly threat to people s personal privacy Californians can t afford.
Questions and Answers About Prop. 46 A costly threat to people s personal privacy Californians can t afford. What will Prop. 46 do? Prop 46 does three things: Quadruples the limit on medical malpractice
More informationMedicaid EHR Incentive Program Dentists as Eligible Professionals. Kim Davis-Allen, Outreach Coordinator Kim.davis@ahca.myflorida.
Medicaid EHR Incentive Program Dentists as Eligible Professionals Kim Davis-Allen, Outreach Coordinator Kim.davis@ahca.myflorida.com Considerations Must begin participation by Program Year 2016 Not required
More informationProgram of All-Inclusive Care for the Elderly
Program of AllInclusive Care for the Elderly Country: USA Partner Institute: Johns Hopkins Bloomberg School of Public Health, Department of Health Policy and Management Survey no: (13) 2009 Author(s):
More informationOPTIMIZING THE USE OF YOUR ELECTRONIC HEALTH RECORD. A collaborative training offered by Highmark and the Pittsburgh Regional Health Initiative
OPTIMIZING THE USE OF YOUR ELECTRONIC HEALTH RECORD A collaborative training offered by Highmark and the Pittsburgh Regional Health Initiative Introductions Disclosures Successful completion of training
More informationHow To Write An Eprescription In Dubai
Page 1 of 6 patient medical records and eligibility available at the moment of prescribing and dispensing the medication. Serving the insured population in Dubai What is an e-prescription? It is the computer-based
More informationArthritis 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 informationBarton Deakin: Commission of Audit Report Health. 7 May 2014
Barton Deakin: Commission of Audit Report Health 7 May 2014 The Report delivered to the Government by the National Commission of Audit contained several recommendations to reform the Australian health
More informationCosts of Maternal Health Care Serv ices in Masaka District, Uganda. Executive Summary. Special Initiatives Report 16
Costs of Maternal Health Care Serv ices in Masaka District, Uganda Special Initiatives Report 16 Cambridge, MA Lexington, MA Hadley, MA Bethesda, MD Washington, DC Chicago, IL Cairo, Egypt Johannesburg,
More informationHealth Resources Division Rule Changes (Effective 7/1/14)
Health Resources Division Rule Changes (Effective 7/1/14) Health Resources Division Mega Rule: ARM 37.85.105 The department is amending ARM 37.85.105 to reflect a 2% increase in Medicaid fees to providers.
More informationCreation of an IT-based health care platform
Creation of an IT-based health care platform Country: Switzerland Partner Institute: Università della Svizzera Italiana, Lugano Survey no: (6)2005 Author(s): Marzio Della Santa, Ignazio Cassis, Lorenza
More informationPresented by. Terri Gonzalez Director of Practice Improvement North Carolina Medical Society
Presented by Terri Gonzalez Director of Practice Improvement North Carolina Medical Society Meaningful Use is using certified EHR technology to: Improve quality, safety, efficiency, and reduce errors Engage
More informationSOUTH-WEST EUROPE 21
21 SOUTH-WEST EUROPE SOUTH-WEST EUROPE Croatia, Cyprus, Greece, Italy, Malta, Portugal, Slovenia, Spain Access to medicines and medical devices in Mediterranean EU Member States As members of the EU, all
More informationCanada Health Infoway
Canada Health Infoway EHR s in the Canadian Context June 7, 2005 Mike Sheridan, COO Canada Health Infoway Healthcare Renewal In Canada National Healthcare Priorities A 10-year Plan to Strengthen Healthcare
More informationHealthcare Information Technology (HIT)
Healthcare Information Technology (HIT) Why State Governments Must Help Create a National Health Information Network Ian C. Bonnet Deloitte Consulting LLP October, 2005 State Leadership in developing a
More informationEHR Incentive Programs: 2015 through 2017 (Modified Stage 2) Overview
EHR Incentive Programs: 2015 through 2017 (Modified Stage 2) Overview CMS recently released a final rule that specifies criteria that eligible professionals (EPs), eligible hospitals, and critical access
More informationDr. Peters has declared no conflicts of interest related to the content of his presentation.
Dr. Peters has declared no conflicts of interest related to the content of his presentation. Steve G. Peters MD NAMDRC 2013 No financial conflicts No off-label usages If specific vendors are named, will
More informationHealth Human Resources & Foreign Medical Graduates
Health Human Resources & Foreign Medical Graduates Country: Canada Partner Institute: Centre for Health Economics and Policy Analysis, McMaster University, Hamilton Survey no: (15) 2010 Author(s): Michel
More informationColorado Prescription Drug Monitoring Program. Department of Regulatory Agencies Division of Professions and Occupations State Board of Pharmacy
Colorado Prescription Drug Monitoring Program Department of Regulatory Agencies Division of Professions and Occupations State Board of Pharmacy DORA is dedicated to preserving the integrity of the marketplace
More informationAccess to affordable essential medicines 1
35 Access to affordable essential medicines 1 Target 8e In cooperation with pharmaceutical companies, provide access to affordable essential drugs in developing countries. Target 8e of the Millennium Development
More informationModified Stage 2 Meaningful Use Measures 2015-2017
Modified Stage 2 Meaningful Use s 2015-2017 Objective 1: Protect Electronic Health Information NONE Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1)
More informationMeaningful Use Objectives
Meaningful Use Objectives The purpose of the electronic health records (EHR) incentive program is not so much the adoption of health information technology (HIT), but rather how HIT can further the goals
More informationFaculty Group Practice Patient Demographic Form
Name (Last, First, MI) Faculty Group Practice Patient Demographic Form Today s Date Patient Information Street Address City State Zip Home Phone Work Phone Cell Phone ( ) Preferred ( ) Preferred ( ) Preferred
More informationPharmaCare is BC s public drug insurance program that assists BC residents in paying for eligible prescription drugs and designated medical supplies.
PHARMANET AND PHARMACARE DATA DICTIONARY Date Range: September 1, 1995 to present date, data is provided by calendar year Data Source: BC Ministry of Health Description The PharmaNet system is an online,
More informationSecond 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 informationElectronic Health Records: What it Means for Today s Radiologist By: Anne Reynolds
Electronic Health Records: What it Means for Today s Radiologist By: Anne Reynolds Introduction Program Overview In February of 2009, President Obama signed the American Recovery and Reinvestment Act of
More informationMedicare 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 informationROLE OF NATIONAL AGENCIES, SENDING / HOSTING ORGANIZATIONS WITHIN THE INSURANCE CONTRACT YOUNG VOLUNTEERS
ROLE OF NATIONAL AGENCIES, SENDING / HOSTING ORGANIZATIONS WITHIN THE INSURANCE CONTRACT YOUNG VOLUNTEERS 1 ROLE OF NATIONAL AGENCIES Provide the passwords (starting with prj ) sent for publication on
More informationStrengthening Community Health Centers. Provides funds to build new and expand existing community health centers. Effective Fiscal Year 2011.
Implementation Timeline Reflecting the Affordable Care Act 2010 Access to Insurance for Uninsured Americans with a Pre-Existing Condition. Provides uninsured Americans with pre-existing conditions access
More informationRegulatory Impact Statement: Overview of required information
Regulatory Impact Statement: Overview of required information Regulatory Impact Statement Amending references to health practitioners in five pieces of legislation Agency Disclosure Statement This Regulatory
More informationHealth Insurance Reform at a Glance Implementation Timeline
Health Insurance Reform at a Glance Implementation Timeline 2010 Access to Insurance for Uninsured Americans with a Pre-Existing Condition. Provides uninsured Americans with pre-existing conditions access
More information