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Jeff Kan Comparing the interim and final meaningful use rule

Another resource that might be helpful when analyzing the final EHR meaningful use rule is this chart that compares the interim objectives and measures versus the final language.
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Added by Jeff Kan on July 22, 2010 at 10:00am — No Comments

Robert S. Miller, MD Bookmarked PDF's of the Meaningful Use & Standards Rules

How sweet is this? See John Halamka's blog for bookmarked versions of the 864 page Meaningful Use Regulations and the 228 page Certification Standards Rule. Unless of course you would rather read 1000… Continue

Added by Robert S. Miller, MD on July 19, 2010 at 10:16pm — No Comments

Peter Paul Yu It's heating up this summer for HIT

In the last 48 hours, CMS released the final rules governing the first stage of MU and CCHIT launched its oncology workgroup. Things are heating up this July.

The ARRA regulations for the incentive program for implementation of meaningful use of HIT were released as 3 documents. The one of greatest interest to oncologists is the Final Rule providing guidance to providers on what they neeed to do to qualfy for the incentive dollars ($44,000 over 5 years per eligible provider par

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Added by Peter Paul Yu on July 15, 2010 at 9:58pm — No Comments

Robert S. Miller, MD Meaningful Use (MU) Regs and Final Certification Standards published today

Big day in the health IT world today – CMS announced the final regulations for “meaningful use” of EHR’s, to allow providers and hospitals to receive Federal incentive dollars for adopting technology under the HITECH Act. ONC (Office of the National Coordinator for Health IT) also released the “Initial Set of Standards, Implementation Specifications,

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Added by Robert S. Miller, MD on July 13, 2010 at 5:58pm — No Comments

Jeff Kan Volunteers named for CCHIT Oncology workgroup

Yesterday, CCHIT named their volunteer members for the Oncology workgroup. The 15 members include the following:

- CO-CHAIR: Pawan Goyal, MD, CMO, Hewlett Packard Federal Healthcare
- CO-CHAIR: Peter Yu, MD, Director of Medical Research, Palo Alto Medical Foundation

- Bruce Curran, Associate Chief Medical Physicist, Rho… Continue

Added by Jeff Kan on June 18, 2010 at 12:30pm — 1 Comment

Robert S. Miller, MD AHRQ report on EHR Usability

The Agency for Healthcare Research and Quality (AHRQ), part of the US. Department of Health and Human Services (HHS), recently published an interesting report entitled Electronic H

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Added by Robert S. Miller, MD on June 1, 2010 at 7:26pm — No Comments

Robert S. Miller, MD ASCO Annual Meeting 6/6/10: Meet the Professor session on social media in oncology



I am leading a Meet the Professor session at the ASCO Annual Meeting in Chicago next week. The title of my talk is Electronic/Digital Resources in Oncology: Value vs. Distraction. It is Sunday, June 6, Room E451b, 11:30 am – 12:45 pm (ticket required).


In my prepared presentation, which will last about 30 minutes, I am primarily going to be covering Web 2.0 and social media in oncolog

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Added by Robert S. Miller, MD on May 31, 2010 at 12:30am — 1 Comment

Robert S. Miller, MD First study actually showing a decrease in mortality with hospital implementation of a CPOE system

An important paper was published online this week in the journal Pediatrics demonstrating for the first time that there was a decrease in hospital-wide mortality after the implementation of a commercial computerized physician order entry (CPOE) system. The research took place at Stanford at the Lucile Packard Children's Hospital. The investigators compared mortality before and after the implementation of an EHR from Cerner. Note that the adult hospital at Stanford uses Epic. The auth

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Added by Robert S. Miller, MD on May 5, 2010 at 3:04pm — No Comments

Jeff Kan More hospital-based physicians now qualified for Medicare and Medicaid EHR incentives

Last week, on April 15th, President Obama signed HR 4851 into law, which modified the Medicare and Medicaid incentive programs for meaningful users of EHRs. Originally, many hospital-based physicians were disqualified, as physicians who provided "substantially all" of their Medicare-covered services in a hospital were not eligible for incentives.

However, HR 4851 restated the eligibility criteria. Physicians who offer servic… Continue

Added by Jeff Kan on April 23, 2010 at 4:34pm — No Comments

Sean Khozin, MD, MPH NCI will offer electronic health record for providers

The National Cancer Institute plans to release a lightweight electronic health record designed to capture data specific to a cancer patient’s office visit.

The standards-based software has core EHR features for sharing information about patient diagnosis, treatment and outcomes. The EHR is based on early implementation of the Patient Outcomes Data Service, an open source “ultra-light record” derived from standards of NCI’s Cancer Biomedical Informatics Grid (caBIG).

The recor… Continue

Added by Sean Khozin, MD, MPH on April 20, 2010 at 2:15pm — 2 Comments

Douglas Blayney, M.D. My visit to an iKnowMed Practice

John Cox invited me to his Texas Oncology Practice at the Methodist Charlton Cancer Center in Dallas, to talk about multidisciplinary breast cancer clinics. After lunch, which was attended by most of the practice’s oncologists, John showed me his iKnowmed EHR. The iKnowmed product has changed since we first used it in October, 2000 at Wils

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Added by Douglas Blayney, M.D. on April 17, 2010 at 10:00am — No Comments

Ashish Raichur open-source EMR, open-source EHR & Practice Management Software

There are open source EMR / EHR and Practice management systems that are industry standard, and encompass a wide range of features including Scheduling, EMR, Real-time Lab Results, Electronic Lab Ordering, and a lot more. These EMR systems support all the necessary functions to run a medical clinic large and small : Patient registration, Scheduling, Billing, Complete electronic charting, Prescription with drug-drug interaction, Chronic disease management, Disease Registry, laboratory results,

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Added by Ashish Raichur on April 15, 2010 at 2:26am — No Comments

Douglas Blayney, M.D. Clinicians need to take back ownership of the medical record, and a cautionary word on privacy from a psychiatrist

An article by Schiff and Bates, writing in the March 25th New England Journal of Medicine, here caught my attention. They make some suggestions to answer the question, "Can electronic clinical documentation help prevent diagnostic errors?" They start with the premise that "electronic prescribing appears to reduce the rate of medication errors, but the other benefits of electronic records are less clear," and

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Added by Douglas Blayney, M.D. on March 24, 2010 at 5:30pm — 2 Comments

Jeff Kan ASCO Comments on Meaningful Use and Certification

Yesterday, ASCO submitted formal comments on CMS' proposed meaningful use criteria for EHR incentive programs. ASCO was also able to submit formal comments on ONC's interim final rule specif… Continue

Added by Jeff Kan on March 16, 2010 at 3:11pm — No Comments

Jeff Kan Summary of EHR-Related Events - 3/12/2010

Its been a busy last few weeks in the HIT arena, with policy statements flying left and right from a variety of organizations. Some of the highlights include:

  • The House and Senate are circulating "Dear Colleague" letters to send to CMS to note that hospitals will have a hard time of meeting the proposed rule on meaningful use. Both letters are asking CMS to provide a more flexible set of timelines and conditions. You can see both the House a
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Added by Jeff Kan on March 12, 2010 at 2:52pm — No Comments

Jeff Kan CCHIT Expanding Certification Programs to Include Oncology

As of March 1st, CCHIT has announced that they will be expanding their certification program to both oncology and women's health. ASCO, of course, is very excited that they are looking at oncology. You can read the formal statement here.
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Added by Jeff Kan on March 2, 2010 at 12:52pm — No Comments

Douglas Blayney, M.D. Field trip to see the EPIC EHR in action at Palo Alto Medical Foundation

I arranged to spend last Thursday afternoon with Peter Yu, at his El Camino Real office of the Palo Alto Medical Foundation (PAMF). PAMF has largely implemented EPIC as their EHR, and as Peter and I had an ASCO-related conference call scheduled, I was going to take the call with him and observe his EHR in action. The call was canceled, but he had three patients whom he had set up to see.


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Added by Douglas Blayney, M.D. on March 2, 2010 at 11:30am — 3 Comments

Jeff Kan ASCO Update: Meaningful Use Summary

If interested, ASCO has released its own summary of CMS' meaningful use interim rule. We're also preparing our official comments in response to the interim rule, and will release that soon.
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Added by Jeff Kan on February 26, 2010 at 10:20am — No Comments

David M. Urbanski, M.D. WiR 02.23.10

Well, I got my new Motion C5 freshly delivered from Taiwan, and it rocks! The solid state drive makes booting less tedious, and programs pop up quicker. A Intel Core 2 Duo processor and maximun RAM helps, too. Gone are the days when I go with low end tech; it's either time or money, and I'd rather spend the money than waste my time. Any desktop computer I build will have a solid state drive, though I may look at using a server at home instead. The screen on the new Motion C5 is quite a bit brigh… Continue

Added by David M. Urbanski, M.D. on February 23, 2010 at 10:12am — No Comments

Robert S. Miller, MD Keynote address AMIA Annual Symposium November 2009

I finally got around to watching this video, and I think you will enjoy it. It is from the keynote address entitled "Health IT: Hope, Hype, and How to Avoid the Road to Hell" by Dr. Mark Smith, CEO of the California Healthcare Foundation, at the American Medical Informatics Association Annual Symposium in San Francisco in 2009. Dr. Smith does a high-level but thoroughly entertaining and witty overview of the possibilities… Continue

Added by Robert S. Miller, MD on February 17, 2010 at 2:07pm — No Comments

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