Successful data exchange continues to be a vital aspect of current healthcare reform and care delivery models, including accountable care organizations and the patient-centered medical home model, according to a report from the eHealth Initiative.
While the United States has made strides in moving its physicians to electronic health records, it still lags well behind other countries in moving to health IT, according to a study by The Commonwealth Fund.
The Baltimore Rescue Mission’s free clinic recently adopted a standardized electronic health record to collect and store information for homeless and uninsured patients. Developed by medical students at Johns Hopkins University and the University of Maryland using open-source software and customizations, the EHR system is modeled on the electronic medical records typically found in hospitals. The Baltimore Rescue Mission’s EHR monitors the same type of information that would be recorded in a typical hospital patient encounter—including patient’s prescribed medications, previous exam findings and diagnosis, family and medical history, and patient allergies.
Large-scale and national EHR vendors are not the only ones succeeding in selling EHR systems thanks to the federal government’s “meaningful use” EHR Incentive Program. Smaller, local vendors are now right alongside major vendors in the number of hospital clients they have helped attest to the Medicare portion of the meaningful use program. And while large healthcare organizations were some of the first to attest to meaningful use, smaller healthcare organizations are gaining ground in the incentive program, according to an article in Modern Healthcare.
A new white paper from AHIMA’s thought leadership series offers guidance on examining coding compliance policy and testing it against upcoming challenges in clinical documentation and associated coding. “Defining the Core Clinical Documentation Set for Coding Compliance,” authored by Bonnie Cassidy, MPA, RHIA, FHIMSS, FAHIMA, lays out strategies for organizations to take the next steps in that process. “Whether your medical record is paper-based, electronic, or hybrid, a high-integrity coding compliance policy should be written and updated at least once per year as part of an information governance framework,” Cassidy says.