SEPTEMBER
Greenway exec tells government committee IT incentives needed
WASHINGTON —  Speaking Wednesday before a government panel on healthcare reform, Justin Barnes, vice president of marketing and government affairs for technology company Greenway Medical Technologies, called for incentives to encourage physicians to convert their records from paper to digital.

“Physicians and their practices are the backbone of the American healthcare system and since they are also small businesses, they are the backbone of our economy as well,” Barnes said. “The healthcare industry needs to stay focused on economic sustainability by providing fair, positive reimbursement incentives and accelerating depreciation of capital equipment purchases.”

Barnes delivered his remarks before the Health Care Reform Subcommittee of the House Republican Policy Committee, where he participated in a panel discussion with National Health Information Technology Coordinator David J. Brailer, MD; Barth Doroshuk, president and CEO of the Washington ENT Group; and Kepa Zubeldia, MD, president and chief technology officer of the Claredi Corp.

The Health Care Reform Subcommittee is charged with keeping Republican members of Congress up to date on critical healthcare issues. The panel is chaired by Rep. Phil Gingrey, Georgia, and the vice chairman is Rep. Charles Boustany of Louisiana. Both are physicians.

Barnes joins several industry leaders and organizations that recently have sounded the bell for creating incentives aimed at boosting the uptake of healthcare informationn technology by physicians, particularly those in small medical groups.

New studies released Wednesday showed that physician adoption of electronic medical records systems has been sluggish – with 14.1 percent of all medical group practices using an EHR.

In commenting on the results of the new studies, William Jessee, MD, president and CEO of the Medical Group Management Association, and Mark Leavitt, MD, chief medical officer of the Healthcare Information and Management Systems Society, called for incentives for physicians. Jessee suggested public-private incentives forged with health insurers who tend to benefit from savings derived from the use of IT.

“This is a crucial time to be discussing how information technology is shaping the healthcare industry and its policies, not just for the future, but starting this very day,” Barnes told the panel. “It is important for the government and the public to be aware of the fact that there is technology to assist physicians in obtaining patient information and storing patients’ health records available now, especially as a key component of Hurricane Katrina recovery efforts with the EHR industry supporting caregivers in the Gulf Coast in providing care and saving lives.”

Carollton, Ga.-based Greenway Medical Technologies develops and markets electronic medical record systems and practice management software. The company focuses primarily on small physician practices – 3-25 physicians – as its client base.

Zubeldia, the president and CTO of Claredi, a company that provides HIPAA EDI standard transaction testing and certification solutions, also talked about small physician practices.

"We need to make sure the playing field is level and there are no artificial barriers for the smaller players," Zubeldia said. "Most of the innovations in health information comes from small players." Interoperability and standards are key factors, he said, and he commended Brailer for keeping both in the public eye.

“The vast majority of healthcare in this country is delivered in medical offices with a smaller number of physicians,” Barnes said. “This environment will be the essential component in assuring adoption due to the communication these practices have with hospital systems, test laboratories and other medical practices.”
Source: Healthcare IT News  /  Author: Bernie Monegain, Managing Editor
 

Study estimates EMR savings at $42 billion annually
The
U.S. would save $41.8 billion annually, on average, over a 15-year rollout period if healthcare providers widely adopted a comprehensive and effective electronic medical records system, according to a Rand Corp. study in the September/October Health Affairs, an issue devoted to IT. An accompanying opinion piece by two Harvard Medical School professors challenged the study, saying it continued the "tradition of EMR hope and hype" with "a disturbing array of unproven assumptions, wishful thinking and special effects." Rand researchers estimated it would cost $6.5 billion annually over 15 years to reach 90% adoption of EMRs by U.S. hospitals, assuming 20% have already implemented EMRs, and $1.1 billion annually over the same period to achieve 90% adoption by physicians. Annual savings -- from improved efficiency and safety -- would climb to $77.4 billion by the 15th year, Rand said.
Read the abstract. --
by Joseph Conn

 

Medical groups' adoption of EMRs tied to group size
Some 19.5% of medical groups with more than 20 physicians have implemented EMRs, but the adoption rate falls with group size, according to a survey by the Medical Group Management Association. The rate was 18.9% among groups with 11 to 20 full-time physicians, 15.2% among groups with six to 10 physicians and 12.5% among smaller groups, the MGMA said in a report in the September/October Health Affairs. On average, groups estimated that purchasing and implementing an EMR cost $32,606 per physician, with an additional $1,500 per physician per month for maintenance. For small practices, the initial cost was $37,204 per physician. Some 12.7% of the more than 3,000 groups participating in the January-February survey said they were in the process of implementing an EMR and 14.2% planned to implement one next year.
Read the survey results. -- by
Andis Robeznieks

 

CMS seeks proposals for quality demonstration projects
The Centers for Medicare & Medicaid Services will seek proposals for the Medicare Health Care Quality Demonstration, a 5-year project to explore ways to improve patient care through realigned financial incentives that encourage information technology adoption.
Source: Healthcare IT News / Caroline Broder, Senior Editor
 
Government to help recover missing medical information
The federal government will attempt to reconstruct some of the missing or destroyed medical information from Hurricane Katrina evacuees by gathering data from several electronic sources, the nation's healthcare IT coordinator said Friday.
Source: Healthcare IT News / Caroline Broder, Senior Editor
 
HHS Secretary: Disaster highlights need for healthcare IT
The challenge of caring for survivors of Hurricane Katrina underscores the need for the United States to have better public health information systems in place and for medical information to be stored electronically, HHS Secretary Michael Leavitt said last week.
Source: Healthcare IT News / Caroline Broder, Senior Editor
 
IT deployed in hurricane relief efforts
Information technology is playing a role in the medical care for some of the Hurricane Katrina survivors. Companies such as Siemens Medical Solutions are transmitting medical images electronically, while federal agencies are using technology to monitor which hospitals have the capability to treat patients.
Source: Healthcare IT News / Caroline Broder, Senior Editor