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Category Archives: EHR/EMR

As the adage goes, you can’t manage what you don’t measure. So how can we manage the healthcare information technology industry if we don’t measure its progress?

Since the state of HIT is constantly evolving, it’s critical for health professionals to share their opinions on the applications and systems on the market. You, the readers of this blog, are highly interested – or even invested – in health IT. Make your thoughts on the industry’s technology heard!

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Honestly, Meaningful Use updates are often confusing and can frustrate those seeking more information. 

So we’ve made it easier for you. In light of the HHS’s proposed Stage 2 Meaningful Use criteria, CareCloud gives you an inside look at what you really need to know about Meaningful Use Stage 2 criteria, beyond the simplistic overviews you’ve found across the Internet. Check out our exclusive SlideShare presentation above, or visit the link directly! Enjoy!

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Seven in the morning. Instinctively, you bang on your alarm clock, fumbling for the snooze button. You may turn on a lamp or turn off your ceiling fan, pop a breakfast Hot Pocket in the microwave and maybe switch on your Apple TV and mirror your iTunes on it for morning mood music. While that makes you sound tech-savvy already, imagine the benefits of programming these functions to perform on their own.

It goes beyond an extra 15 minutes of sleep. Modern homes in industrialized nations are wired for a number of automated functions, most of them requiring few instructions and minimal electricity. With the rise of domotics, a fully automated home of Jetsons lore is becoming increasingly realistic and affordable.

Like homes, EHRs contain a number of different corridors and various routes you can take to reach similar solutions and/or destinations. Still, despite how easily EHR systems accommodate to a variety of work styles, there exists a large amount of physician resentment. Does automating EHR tasks help assuage their pessimism?

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Rene Magritte Philosophy of EHR

Rene Magritte’s The Treachery of Images is a painting of a pipe that highlights its own nature, or the fact that it’s a representation of a pipe and not an actual pipe. This kind of meta-reflection inspired some backlash, to which Magritte would respond with “Could you stuff my pipe?”

Magritte’s pipe positions perception as the distance between reality and ourselves, as well as the double edged sword of scaled representations, i.e., maps and other scaled models of topography and other structures. French philosopher Jean Baudrillard takes this one step further, insisting abstraction has moved beyond that of 1:1 mirror representations.

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As electronic health records grow in popularity, the microcosmic networks they form in every medical practice and hospital become increasingly membranous. Since this framework constantly evolves per the degree of user involvement, there is no rigidity to these networks’ structure, and some thinkers would argue this is both a gift and a curse.

Professor Trish Greenhalgh spearheaded a meta-narrative take on various interpretations of EHRs to make sense of conflicting research on these systems. The most compelling is perhaps the Actor-Network Theory (ANT), which we’ve profiled below.

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According to philosopher Monroe Beardsley, aesthetic soundness depends on function within a particular context. This entails a marriage of form and function that spills over into anything from interior design to documentary filmmaking.

Information technology has become a major focus of the applied aesthetics school of thought. In the video above, CareCloud’s Director of Product Development Michael Gold analyzes the conflict between user and system arising from poor EHR design.

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philosophy-ehr-patient-control-privacy-debate

We’ve heard it from government agencies and marketers alike – EHRs will usher in a sort of health IT utopia that will eliminate lost records, mistaken identities, extra work and inefficient billing.

The current commercial EHR landscape, however, often reflects Thomas More’s satirical utopia more so than Plato’s Republic. Many vendors push faulty products written in MUMPS, subject to technical glitches, implementation errors and often devastating system crashes.

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CareCloud Charts EHR

CareCloud is pleased to announce that its web-based EHR has earned a very quick return on investment for multiple doctors on the CareCloud network. Word came in today that the first round of physicians to deploy the CareCloud Charts EHR have received their Meaningful Use incentives.

A two-doctor practice in Homestead, Florida earned $21,500 per physician from Medicaid, and did so in rapid fashion. The practice administrators attested online on Tuesday the 10th and were paid out today – a turn-around time of less than one calendar week.

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Health IT Systems are Largely Non-Interoperable

“Software vendors are just not playing well in the sandbox together.”

That point was recently posited by SearchHealthIT writer Don Fluckinger in a post that asked a very timely question on the state of the healthcare information technology industry: “Are HIT Vendors Selfish?

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Meaningful Use Timeline

 

Meaningful Use attestation is confusing. Rules are in constant flux, there are different ‘lists’ of requirements to choose from and then there’s the vague language CMS uses.

What are you to do? It’s tough enough to learn the differences between CCHIT and Drummond Group for certification, or whether to decide on a cloud-based or client-server EHR. We’ve created this concise Meaningful Use timeline to make these issues a little easier to understand.

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