EMR/EHR

Electronic medical records (EMR) are a digital version of a patient’s chart that store their personal information, medical history and links to prior exams, texts and reports. The goal of these systems is to enable immediate access to the patient's data electronically, rather than needing to request paper file folders that might be stored in fragment files at numerous locations where a patient is seen or treated. EMRs (also called electronic health records, or EHR) improve clinician and health system efficiency by making all this data immediately available. This helps reduce repeat tests, repeat prescriptions and repeat imaging exams because reports, imaging or other patient data is not not immediately available. 

NIH-Funded Study Shows Improved EHR Usability and 2.5 X Efficiency with Dictation and Structured Data Extraction vs. Conventional Keyboard and Mouse Entry

ZyDoc, a New York-based medical informatics company, reported results from its Phase I SBIR research study sponsored by the National Institutes of Health, with additional funding by NYSTAR, regarding alternative EHR data entry with dictation. James M. Maisel, M.D., Chairman of ZyDoc served as the Principal Investigator for the project, entitled “Applying NLP to Free Text as an EHR Data Capture Method to Improve EHR Usability.” The approved scientific study awarded to ZyDoc was performed with Columbia University physicians and compared the documentation quality, efficiency, and user satisfaction of conventional data entry in their Allscripts EHR to an alternative method allowing physicians to dictate representative admitting documents for three specialties. The alternative method (“NLP entry”) generated transcribed documents from dictations that were processed using natural language processing (NLP) to extract standard structured ICD-9, ICD-10, SNOMED®, RxNorm and LOINC® terms that are the basis of the next generation of EHR systems being implemented in October 2014.

Thumbnail

Onward with Stage 3

Once again, Meaningful Use is the big news this week. This time, the news is that the federal Health IT Policy Committee voted to approve the Meaningful Use Work Group’s Stage 3 recommendations.

Thumbnail

HITPC advances Stage 3 recommendations

Meaningful Use has been top of mind for most in healthcare with Stage 2 requirements presenting numerous hurdles for eligible hospitals and professionals.

Thumbnail

HITPC: ONC Workforce Development Program led to employment gains

The Office of the National Coordinator for Health IT’s (ONC’s) Workforce Development Program trained thousands of students and helped bolster their employment prospects, according an evaluation of the program presented at the Health IT Policy Committee meeting on March 11.

HIT Policy Committee approves Stage 3 recs after debate

After much debate during the March 11 Health IT Policy Committee meeting, members of the federal advisory committee voted to approve the Meaningful Use Work Group’s Stage 3 recommendations.

CMS issues tips, guidance for MU hardship exceptions

The Centers for Medicare & Medicaid Services has issued guidance regarding the recently announced hardship exceptions they will consider for those eligible professionals and hospitals struggling to meet Meaningful Use Stage 2.

Large Hospitals praise upgraded EHR system analytics and intelligent interoperability, but lose favor in vendor cost run-ups and disruptions, Black Book reports

Black Book Market Research, well known globally for accurate, impartial customer satisfaction surveys in the managed services and software industries, conducted a sweeping five month user poll to determine the highest ranked inpatient electronic health and medical record vendors for 2014. As part of a major research focus on the current replacement market, Black Book announced those vendors with the highest scores in recent client experience in the areas of certification-required EHR functionalities, administrative & documentation functionalities, clinical workflow functionalities, add-on modules, accountable care data requirements, and connectivity capabilities.

Army implementing ‘major’ upgrade to EMR system

The Army is upgrading its EMR system so wounded soldiers on the battlefield will have detailed permanent accounts of the scenario and treatment received. The new version of the Medical Communications for Combat Casualty Care (MC4 system) is being fielded through April, according to an announcement.

Around the web

Compensation for heart specialists continues to climb. What does this say about cardiology as a whole? Could private equity's rising influence bring about change? We spoke to MedAxiom CEO Jerry Blackwell, MD, MBA, a veteran cardiologist himself, to learn more.

The American College of Cardiology has shared its perspective on new CMS payment policies, highlighting revenue concerns while providing key details for cardiologists and other cardiology professionals. 

As debate simmers over how best to regulate AI, experts continue to offer guidance on where to start, how to proceed and what to emphasize. A new resource models its recommendations on what its authors call the “SETO Loop.”