Comments on: To Senator Grassely on EHR problems http://www.fredtrotter.com/2010/01/08/to-senator-grassely-on-ehr-problems/ Hacktivist, coding for social change Wed, 25 Jan 2012 14:14:05 +0000 hourly 1 http://wordpress.org/?v=3.0.4 By: Vishal http://www.fredtrotter.com/2010/01/08/to-senator-grassely-on-ehr-problems/comment-page-1/#comment-6482 Vishal Tue, 20 Jul 2010 16:57:13 +0000 http://www.fredtrotter.com/?p=419#comment-6482 Nice post. Seem true on most accounts but I also think that today medical practitioners are looking to avail of this federal incentive by trying to comply with the definition of meaningful use but at the same time EHR providers are looking at their own set of profits. This misunderstanding is mostly I believe as a result of wrong interpretation of the federal guidelines. The EHR providers need to look at these guidelines from the prospective of the practitioners who deal with different specialties. Each specialty EHR has its own set of challenges or requirements which I believe is overlooked by in most EHR vendors in a effort to merely follows federal guidelines. This is resulting in low usability to the practitioners, thus less ROI, finally redundancy of the EHR solution in place. I think ROI is very important factor that should be duly considered when look achieve a meaning use out of a EHR solution. Though one may get vendors providing meaning use at a lower cost, their ROI / savings through the use of their EHR might be pretty low when compared to costlier initial investment. Found a pretty useful a href=http://www.waitingroomsolutions.com/wrs/emr-ehr-roi-calculator rel=nofollowROI tool /a that is pretty customizable and easy to use. It also accounts for the different specialty EHRs too. Some of the other useful resources on this topic: a href=http://www.waitingroomsolutions.com/wrs/regional-extension-centers-arra-rec#Regional_Extension_Centers_ARRA rel=nofollowRECs putting EHRs to meaningful use/a a href=http://www.waitingroomsolutions.com/wrs/arra-stimulus-money-44k-arra-emr-stimulus-bill-arra-ehr-stimulus-incentives#Certification_Criteria_EHR rel=nofollowCertification criteria for EHR/a Also the introduction of REC’s through the a href=http://www.waitingroomsolutions.com/wrs/regional-extension-centers-arra-rec#REGIONAL_EXTENSION_CENTER_-_HEALTH_IT rel=nofollowHITECH act./a is a great way to avail of quality EHR solutions at competitive prices. The stiff competition among not only these REC’s but also among EHR vendors ( to become a preferred vendor of a given REC) will result in lot of positives to medical practioners. Looking the funding provided to the REC’s, the a href=http://www.waitingroomsolutions.com/wrs/regional-extension-centers-arra-rec#REGIONAL_EXTENSION_CENTER_FUNDING rel=nofollowstaggered grant allocation system/a also promises to be an unbiased way of allocating funds. It will also help in the concept of REC’s helping out each with their own unique business models. It can be one of the possible answers to the a href=http://www.emrandehr.com/2010/05/04/rec-transparency-in-ehr-selection-process/comment-page-1/#comment-1164 rel=nofollow’safe vendor challenge’/a as discussed by many critics. Nice post. Seem true on most accounts but I also think that today medical practitioners are looking to avail of this federal incentive by trying to comply with the definition of meaningful use but at the same time EHR providers are looking at their own set of profits.
This misunderstanding is mostly I believe as a result of wrong interpretation of the federal guidelines. The EHR providers need to look at these guidelines from the prospective of the practitioners who deal with different specialties.
Each specialty EHR has its own set of challenges or requirements which I believe is overlooked by in most EHR vendors in a effort to merely follows federal guidelines. This is resulting in low usability to the practitioners, thus less ROI, finally redundancy of the EHR solution in place.
I think ROI is very important factor that should be duly considered when look achieve a meaning use out of a EHR solution. Though one may get vendors providing meaning use at a lower cost, their ROI / savings through the use of their EHR might be pretty low when compared to costlier initial investment. Found a pretty useful a href=http://www.waitingroomsolutions.com/wrs/emr-ehr-roi-calculator rel=nofollowROI tool /a that is pretty customizable and easy to use. It also accounts for the different specialty EHRs too.

Some of the other useful resources on this topic:
a href=http://www.waitingroomsolutions.com/wrs/regional-extension-centers-arra-rec#Regional_Extension_Centers_ARRA rel=nofollowRECs putting EHRs to meaningful use/a
a href=http://www.waitingroomsolutions.com/wrs/arra-stimulus-money-44k-arra-emr-stimulus-bill-arra-ehr-stimulus-incentives#Certification_Criteria_EHR rel=nofollowCertification criteria for EHR/a

Also the introduction of REC’s through the a href=http://www.waitingroomsolutions.com/wrs/regional-extension-centers-arra-rec#REGIONAL_EXTENSION_CENTER_-_HEALTH_IT rel=nofollowHITECH act./a is a great way to avail of quality EHR solutions at competitive prices. The stiff competition among not only these REC’s but also among EHR vendors ( to become a preferred vendor of a given REC) will result in lot of positives to medical practioners.
Looking the funding provided to the REC’s, the a href=http://www.waitingroomsolutions.com/wrs/regional-extension-centers-arra-rec#REGIONAL_EXTENSION_CENTER_FUNDING rel=nofollowstaggered grant allocation system/a also promises to be an unbiased way of allocating funds. It will also help in the concept of REC’s helping out each with their own unique business models. It can be one of the possible answers to the
a href=http://www.emrandehr.com/2010/05/04/rec-transparency-in-ehr-selection-process/comment-page-1/#comment-1164 rel=nofollow’safe vendor challenge’/a as discussed by many critics.

]]> By: Bob Paddock http://www.fredtrotter.com/2010/01/08/to-senator-grassely-on-ehr-problems/comment-page-1/#comment-5838 Bob Paddock Sun, 10 Jan 2010 00:59:54 +0000 http://www.fredtrotter.com/?p=419#comment-5838 "interchanged kilograms and pounds, resulting in incorrect medication dosages." When I was in school getting my degree, I had a Physics teacher that gave all of his lectures in the Metric System. The book covered nothing but the Metric System. All of the tests he gave where in the *English* system! Conversions where never mentioned, *anyplace*, not the book, not the class, not the homework. Everyone failed the first test. This kind of #)$*#$* in schools, is the kind of thing that makes me believe in Home Schooling, and left a bad taste for "higher education" from ivory towers. The one good thing to come out of that (?), is everyone in class learned to paying attention to the 'Units'. In the English System the unit of Weight is the Pound. The unit of Mass is the Slug. In the Metric System the unit of Weight is the Newton. The unit of Mass is the (Kilo)Gram. So why does this box of organic cereal, first thing at hand with label, say "10 Oz (284g)"? All of these dual unit labels are comparing weight vs mass... “interchanged kilograms and pounds, resulting in incorrect medication dosages.”

When I was in school getting my degree, I had a Physics teacher that gave all of his lectures in the Metric System. The book covered nothing but the Metric System. All of the tests he gave where in the *English* system!

Conversions where never mentioned, *anyplace*, not the book, not the class, not the homework. Everyone failed the first test. This kind of #)$*#$* in schools, is the kind of thing that makes me believe in Home Schooling, and left a bad taste for “higher education” from ivory towers.

The one good thing to come out of that (?), is everyone in class learned to paying attention to the ‘Units’.

In the English System the unit of Weight is the Pound. The unit of Mass is the Slug. In the Metric System the unit of Weight is the Newton. The unit of Mass is the (Kilo)Gram.

So why does this box of organic cereal, first thing at hand with label, say “10 Oz (284g)”? All of these dual unit labels are comparing weight vs mass…

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