tag:blogger.com,1999:blog-4384692836709903146.post5976592738571189492..comments2024-03-27T09:55:23.143-07:00Comments on Dispatch from the Digital Health Frontier: Achieving Meaningful UseJohn Halamkahttp://www.blogger.com/profile/04550236129132159307noreply@blogger.comBlogger13125tag:blogger.com,1999:blog-4384692836709903146.post-42114129612293483482010-01-20T09:21:37.017-08:002010-01-20T09:21:37.017-08:00Thanks for sharing your awesome work. I'm stu...Thanks for sharing your awesome work. I'm stuggling with the following question from many of my physicians:<br /><br />"From a meaningful use perspective, do the CPOE objectives mandate that the physician is indeed the one placing the orders into the system or can medical staff (e.g. their nurses) be used to perform the order in the EHR on the physician's behalf"... <br /><br />I can, from a clinical perspective, argue the merits of having a physician perform these tasks - however, I struggle with the 'legal' response as it applies to meaningful use. How would you respond to these questions in both an ambulatory and inpatient perspective? Thanks<br /><br />DPdugdathughttps://www.blogger.com/profile/09227950034294622980noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-2250481108023343712010-01-12T19:19:50.924-08:002010-01-12T19:19:50.924-08:00Dr. Halamka
I enjoy your blog and want to thank yo...Dr. Halamka<br />I enjoy your blog and want to thank you for shedding more light on this very complex topic. I do have a question regarding documentation of problem lists. I am being told that we do not need to maintain a problem list in a (Community) Hospital setting and that requirement can be met through use of coding data (ICD-9 codes) generated when a patient chart is coded post discharge and that information posted to our EMR. I have always thought that this needed to be maintained by the Attending physician in a hospital setting and updated prior to discharge. However, I am not a physician and the intent of the requirement is not clearly spelled out in the regulations. Would you please share your thoughts on that subject. If a problem list should be maintained by a physician, what is the recommended process, frequency and ownership (between attending and consultants).<br />Thanks<br />VineetaAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-30722037042261919812010-01-11T10:23:05.458-08:002010-01-11T10:23:05.458-08:00Dr. Halamka,
What a gem I found while researching ...Dr. Halamka,<br />What a gem I found while researching (and interpretting) the lastest on Meaningful Use. Thank you for sharing your comments and plan. Very insightful and very helpful information.<br /><br />Regards,<br />Jen Vaught<br />Solutions Development Analyst<br />Ascension Health.Jen Vaughthttps://www.blogger.com/profile/06849800022549096319noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-4689262925878342292010-01-11T08:44:04.484-08:002010-01-11T08:44:04.484-08:00Dear Dr. Halmaka,
I have enjoyed following your bl...Dear Dr. Halmaka,<br />I have enjoyed following your blog since I was referred to it several weeks ago. However my question to you at this time does not pertain to your postings but rather to opportunities available in the EMR field for physician consultants.<br /><br />I am a pediatric emergency physician who has spent most of my career in academic medicine. I am very intrigued by the potential EMR's can produce in health care reform. I am ready to make a career shift and was told by a relative who implements EMR's that EMR companies are frequently in search of physician consultants to assist them with algorithms for software development and for software implementation.<br />I have not had success finding the right persons to contact in the EMR companies about being a resource for these companies. I would like to request your support, assistance and/or advice in this matter.<br />Again, I apologize for using your blog space for this note but I am writing to you as one physician to another, and because you obviously are very knowledgeable about the field.<br /><br />Thank you in advance for any help you can offer.<br /><br />Best regards,<br /><br />Margaret Dolan MD FAAPMargarethttps://www.blogger.com/profile/09930854367332242693noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-37614431722835440742010-01-10T03:54:31.159-08:002010-01-10T03:54:31.159-08:00Dr. Halamka,
Wonderful post. As president of a ...Dr. Halamka, <br /><br />Wonderful post. As president of a RHIO/HIE in SW Florida, I wonder if we can perform on behalf of and/or assist doc's and hospitals achieve meaningful use through my organization. will be looking for future posts on this.<br /><br />Lou Galterio, Pres, SunCoast RHIOUnknownhttps://www.blogger.com/profile/17053870025788577764noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-45210307535760961872010-01-08T19:46:36.724-08:002010-01-08T19:46:36.724-08:00Dr. Halamka,
If only the real thing could be sum...Dr. Halamka, <br /><br />If only the real thing could be summarized so concisely! Thank you again for your monumental efforts - and all the best in 2010.<br /><br />Annamarieannamariehttps://www.blogger.com/profile/14223458932956339235noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-41355507115118460212010-01-07T08:47:15.448-08:002010-01-07T08:47:15.448-08:00Excellent summarization and highlights of the sign...Excellent summarization and highlights of the significant requirements. This will be a helpful quick reference.Adil Siddiquihttps://www.blogger.com/profile/02953319201937635816noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-37034822725271211902010-01-07T07:52:20.229-08:002010-01-07T07:52:20.229-08:00John,
Thank you for sharing your well thought out...John,<br /><br />Thank you for sharing your well thought out and hard work. I know this will make my job as IT Director easier in the months and years to come.<br /><br />Sincerely,<br /><br />SusanUnknownhttps://www.blogger.com/profile/03141007736958962960noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-7137794676660784412010-01-07T07:26:24.921-08:002010-01-07T07:26:24.921-08:00Dr. Halamka,
Thank you so much for your dedication...Dr. Halamka,<br />Thank you so much for your dedication to helping the providers sort through the quagmire of ARRA and HIT. Working as a CIO in a Community Hospital that has always valued Health IT, I use all available resources to sort through and make sure we stay on top of the regulations. I can say without a doubt reading your blog has been a great help!<br />Thanks Again,<br />Mary Jo Nimmo, RN<br />MIS DirectorUnknownhttps://www.blogger.com/profile/00628006442864717551noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-58611203207758708392010-01-06T09:06:38.740-08:002010-01-06T09:06:38.740-08:00Bruce,
Excellent question. The project I am devel...Bruce, <br />Excellent question. The project I am developing is custom-made for my client and we are developing to his standards, not the meaningful use guidelines. He is more concerned with productivity than compliance(at this point). The project is also very specific to his chemotherapy treatment clinic. As such, things like drug store prescriptions are much more rare than chemotherapy prescriptions administered in the office. Is a prescription only considered 'e-prescribed' if it goes through an external vendor and to a drug store? Just another question for thought.<br /><br />-NickNick Orlowski - Ankhos Oncology EMRhttp://www.ankhos.wordpress.comnoreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-65947484377643068322010-01-04T04:49:20.110-08:002010-01-04T04:49:20.110-08:00Good Morning Dr Halamka,
Thank you for your effor...Good Morning Dr Halamka,<br /><br />Thank you for your efforts in maintaining this highly informative publication. I have a question for you and/or your readers.<br /><br />Is anyone aware of how PARTIAL COMPLIANCE with the required "meaningful use" relate to Stimulus funds payments? For example if we satisfy 24 out of 25 , does that consitute eligibility (or prorated eligibility) for stimulus payments. <br /><br />If so is there a weighting system that determines which criteria are more important than others to acheive and the impact on eligibility for stimulus payments.<br /><br />I would also appreciate any references to where regulatory guidance for this can be found.<br /><br />Thank You.<br /><br />Bruce Kusens<br />InterMedHx, Inc.Bruce Kusenshttp://www.intermedhx.comnoreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-81767811969419719372010-01-03T18:55:12.057-08:002010-01-03T18:55:12.057-08:00Thank you so much for sharing this John! This is t...Thank you so much for sharing this John! This is the best summary and plan of attack I have seen thus far and will be very helpful to organizations that are grappling with how to approach achieving meaningful use.<br /><b>Welcome to 2010 :-)</b>Ahierhttps://www.blogger.com/profile/13398190978662246852noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-63041086810728904822010-01-03T13:57:47.132-08:002010-01-03T13:57:47.132-08:00Dear Dr. Halamka,
I'm currently participating...Dear Dr. Halamka,<br /><br />I'm currently participating as a consumer on HITSP's Consumers Preferences Tiger Team and Harmonization Subcommittees. I would like to express my appreciation for all your work and contributions toward "achieving meaningful use". The importance to consumers of your summary on how the Interim Final Rule and Notice of Proposed Rulemaking should be used together can't be overestimated. <br /><br />Thank you! <br /><br />Sincerely,<br />Fred Buhr, MSSWe-Older Americanhttps://www.blogger.com/profile/02094737800828202693noreply@blogger.com