- Recent survey data from Computer World magazine about company’s usage of MFPs:
o most companies fail to utilize the advanced functionality of the hardware
o 91% have activated scan to email
o 86% have set auto-duplex as default
o 39% use N-up function (putting 4 pages of info on one sheet of paper)
o Most do not user secure print feature, even though they are printing confidential documents
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- Many EHR systems (including Epic) supposedly are based on an old programming language developed in the 1960s called MUMPS, which stands for “Massachusetts General Hospital Utility Multi-Programming System”
o MUMPS was developed by Neil Pappalardo and colleagues in Dr. Octo Barnett's animal lab at Massachusetts General Hospital (MGH) in Boston during 1966 and 1967. The original MUMPS system was, like Unix a few years later, built on a spare DEC PDP-7 computer.
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- Four out of five community hospitals believe they can achieve meaningful use by 2013 with their current electronic medical record systems, meaning one-fifth of community hospitals plan to switch their EMRs within the next couple of years, according to a KLAS news release.
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- InfoTrends said a recent survey on scanning usage reveals:
o 52.4% are scanning more
o 43% staying same
o 4.6% scanning less
o 45% using content management systems more
o 44% are now managing scans with software systems
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- The National Association for Printing Leadership (NAPL) reported that results of a recent survey reveals that nearly 70% of printshop owners feel that their sales will grow in 2011.
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- Texas Instruments announced it will spend $6.5 billion to buy rival chip maker National Semiconductor.
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- The U.S. Department of Health & Human Services, which is in charge of pushing healthcare providers to get EHR systems, announced it has appointed Dr. Farzad Mostashari as the new National Coordinator for Health Information Technology. He previously worked for New York City’s Department of Health.
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- Recent data from survey on ambulatory-care (non-hospital) physicians conducted by Medical Group Management Association (MGMA) on usage of EHRs:
o 72% are satisfied with their EHRs
o 61% claims their EHRs have increased productivity and boosted practice revenue
o 52% claim to be using EHRs
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- Recent research from IDC on what decision makers feel about sales people:
o 24% believe that sales reps are NOT prepared for appointment/meeting/presentation
o 30% believe they are somewhat prepared
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- Xerox announced that it purchased United Business Solutions, a Ricoh dealer in Addison, Illinois. (Ricoh will cancel this dealership, so Xerox will rush to convert them to Xerox product) Former owners were Reed Byhring and Fred Martin. Purchase price not announced.
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- According to Infonetics, revenue for managed security services will grow by 62% over the next 5 years to $17 billion worldwide.
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- Recent survey results from Information Week magazine regarding what IT is doing to keep devices on their network secure:
o 68% educate their users about security
o 62% put written policies in place, but no technology in place to enforce
o 50% technology in place to enforce
o 48% rely on employee common sense
o 37% require encryption
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- Adam Greene was named at Senior Health IT & Privacy Advisor in the Office of Civil Rights, which is part of the Department of Health & Human Services, and is enforcing HIPAA legislation on the healthcare industry. In a speech he reminded healthcare administrators:
o Business associates and subcontractors can be held directly liable for HIPAA breaches
o In accounts of disclosures of patient information (PHIs), treatment info, payment info and healthcare operation info must be tracked and disclosed
o New restrictions will be put on use of patient data for marketing and sale of protected health info (PHIs)
o Minimum HIPAA breach penalty raised to $50,000, maximum still at $1.5 million
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- Hewlett-Packard is suing a former executive for allegedly stealing trade secrets before he took a job with HP rival Oracle.
o Filed Wednesday in Santa Clara County Superior Court, the lawsuit alleged that Adrian Jones, a former HP senior vice president in Asia, stole proprietary information before he resigned in February and moved to
o An internal investigation at the time of his resignation uncovered that Jones failed to disclose a "close personal relationship" with a subordinate, gave that subordinate a 97% salary bump and expensed thousands of dollars spent visiting that person with no relevant business purpose, HP said.
Before he left, Jones copied "hundreds of files and thousands of e-mails" related to HP's business strategies, future plans, employee data and customer data, the suit said.
o HP seeks an injunction from the court to prevent Jones from using the sensitive information to put the company at an "unfair competitive disadvantage."
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- The media is still publishing reports of copier hard drive security threats.
o The Kilgore News Herald newspaper of Texas ran an article that said; “employee and customer data could easily be downloaded (from copier) by criminals”
o Senator Bob Smith of Middlesex, NJ stated to the press; “It’s frightening to think about all the information that is potentially at risk unless we require (copier) hard drives to be erased…”
o Ondrej Krehel, Chief Security Officer at ID Theft 911 stated; “I don’t think vendors have been doing a good job of pushing the security capabilities available on their devices”
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- HIPAA breach: MidState Medical Center In Meriden, Connecticut reported that an employee took info on 93,500 patients home on a personal hard drive. The employee was fired, but the drive has not been found.
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- According to the Health Information Management Systems Society, here is list of most common EHR installs in the hospital/acute care market in the U.S.:
o Meditech 1,212 installs
o Cerner 606
o McKesson 573
o Epic 413 (but fastest growing)
o Siemens 397
o CPSI 392
o Healthcare Management Systems 347
o Healthland 223
o Allscripts/eClipsys 185
o 273 hospitals claim to have developed their own
-=Greetings from Sandy Hook=-
Showing posts with label HIMSS. Show all posts
Showing posts with label HIMSS. Show all posts
Thursday, April 14, 2011
Thursday, February 24, 2011
Weekend Document Imaging Notes 2/20/2011
- In the recent budget submitted by President Obama, it includes adding 1,054 agents to the Internal Revenue Service (IRS) to enforce new healthcare regulations. (this is first part of original plan to add 11,000 agents to IRS)
- HIPAA Data Breach Update:
o Charleston Area Medical Center of West Virginia announced that it inadvertently exposed personal protected patient information on its website. The breach impacted 3,655 patients and exposed them to potential identity theft, as the info included their social security numbers. Patient data on the website had been accessed more than 90 times, with some of the site’s hits formcing from Indian and Germany.
o St. Francis Health System of Tulsa, Oklahoma announced that its HIPAA breach impacted 84,000 patients, after a computer was stolen from one of its outpatient facilities.
- More HIPAA oversight? Senator Stuart Smalley (aka Al Franken of Saturday Night Live fame) of Minnesota was named the ranking member of a new U.S. Senate committee on Privacy, Technology and the Law. His duties will include; “oversight of laws and policies governing the collection, protection, use and dissemination of commercial information…”
- In new statistics released by RedSpin Inc., and IT security audit firm regarding HIPAA breaches:
o Private health information of more than 6 million people has been compromised since 8/2009
o Breaches occurred in all but 7 states in the U.S.
o Average breach affected about 27,000 people
o Average of 82 days passed between discovery of breach, and when it was reported to federal government (law requires notification within 60 days)
o 6 out 10 breaches were intentional and malicious
- Imprivata released EHR survey results of hospital executives:
o 75% claim meaningful use (investing in EHR systems that qualify for federal stimulus dollars) is the top budget priority in 2011
o 54% cite physician adoption of EHR to be greatest challenge to meeting meaningful use rules
o 48% believe that password management issues will slow physician adoption of EHR systems
o 87% say that the time it takes for an EHR system to access a patient record affects physician satisfaction
o 73% say that EHR access time impacts patient care
o 50% report that at least 26% of physicians are accessing EHR remotely
o 65% have deployed personal devices for physicians, or have plans to deploy by end of 2012
o 49% have virtual desktop infrastructure or have plans to implement by 2012
- Canon now shipping a new option that allows it to sell one of its color copiers as an output device for MRI reports, radiology reports and CT scans:
o Option is called the Canon imagePRESS Server T1 V2 Controller
o Works with Canon imagePRESS C1+ color copier (single drum 14ppm unit) that is already equipped a Canon CYPHER PS Print Server
o The T1 V2 processes DICOM (digital imaging and communication in medicine) data, which is used in radiology systems (instead of traditional PCL or PS)
- Does healthcare vertical really buy biometric units? Genesis Healthcare of Zanesville, Ohio announced it is investing in biometric finger vein readers from Lumidigm. Reasons:
o Coupled with BIO-key software, it integrates into most EHR software, including Epic, Allscripts and others.
o Helps compliancy with new HIPAA regulations
o “Because skin dryness is so prevalent in the healthcare industry, due in part to constant hand washing, traditional fingerprint sensors can produce up to a 20% failure rate” according to Bill Spence, VP of Lumidigm
- Sutter Health gives out more details on its Epic EHR implementation:
o Chain of 26 hospitals in California
o Originally had systems from IBM (MedSeriesIV) and Siemens, awarded a contract to Epic in 2007 for $500 million
o After originally putting the brakes on the project, it announced it would spend an additional $400 million to complete Epic EHR project by 2015.
- University Hospitals of Ohio announced it awarded its EHR project to Allscripts, for its Sunrise Enterprise Acute Care EHR version 5.5, in all 7 of its hospitals.
- Siemens Healthcare announced it won more Soarian EHR contracts:
o Baptist St. Anthony’s Health System of Amarillo, Texas
o Peconic Bay Medical Center of Riverhead, New York
o Children’s Hospital of New Orleans, LA
o MaineGeneral Health of Maine
- McKesson, an EHR vendor, announced it won a contract from Parrish Medical Center of Titusville, FL.
- eClinicalWorks announced it won an EHR contract from Riverside HealthCare of Chicago, Illinois.
- ImageSoft, a dealer in Michigan, announced it has won document management contracts (with Hyland OnBase software) from Duke University and Henry Ford Hospital.
- According to a survey on EHRs conducted by the University of Chicago, 78% of Americans favor the use of electronic medical records systems. Other data:
o 59% believe it will reduce costs
o 72% support sharing of data between providers
o 80% favor electronic prescriptions
o 79% believe that access to their personal health records (PHR) on-line would keep them better informed
o 48% are concerned about privacy of records
o 64% believe that the benefits outweigh privacy concerns
o 44% are not willing to pay more to get benefits of electronic records
o 57% do not believe that use of electronic records would impact their choice of physician
- Record Nations, a national network of document scanning service provider, published results of survey:
o Rate of medical record scanning grew 22% in 2010
o Scanning requests to get space back grew 11%
o Requests to scan from businesses that were closing was up 8%
o Requests to scan due to “green” concerns up 4%
- Survey conducted by Oce’ reveals the following about document management systems:
o 30% were only managing paper records
o 81% said it improves process of filing and retrieval
o 47% able to use in business process workflows
o 40% said collaboration was easier
o 77% use to improve processes and operational efficiencies
o 72% use to reduce paper and save storage space
o 50% use to comply with regulations
o 21% use to increase competitive edge
- Palisades Medical Center of New Jersey, which had chosen Siemens Soarian as its EHR, announced that it chose DB Technology’s RASi software as its document management system.
-=Greetings from Sandy Hook=-
- HIPAA Data Breach Update:
o Charleston Area Medical Center of West Virginia announced that it inadvertently exposed personal protected patient information on its website. The breach impacted 3,655 patients and exposed them to potential identity theft, as the info included their social security numbers. Patient data on the website had been accessed more than 90 times, with some of the site’s hits formcing from Indian and Germany.
o St. Francis Health System of Tulsa, Oklahoma announced that its HIPAA breach impacted 84,000 patients, after a computer was stolen from one of its outpatient facilities.
- More HIPAA oversight? Senator Stuart Smalley (aka Al Franken of Saturday Night Live fame) of Minnesota was named the ranking member of a new U.S. Senate committee on Privacy, Technology and the Law. His duties will include; “oversight of laws and policies governing the collection, protection, use and dissemination of commercial information…”
- In new statistics released by RedSpin Inc., and IT security audit firm regarding HIPAA breaches:
o Private health information of more than 6 million people has been compromised since 8/2009
o Breaches occurred in all but 7 states in the U.S.
o Average breach affected about 27,000 people
o Average of 82 days passed between discovery of breach, and when it was reported to federal government (law requires notification within 60 days)
o 6 out 10 breaches were intentional and malicious
- Imprivata released EHR survey results of hospital executives:
o 75% claim meaningful use (investing in EHR systems that qualify for federal stimulus dollars) is the top budget priority in 2011
o 54% cite physician adoption of EHR to be greatest challenge to meeting meaningful use rules
o 48% believe that password management issues will slow physician adoption of EHR systems
o 87% say that the time it takes for an EHR system to access a patient record affects physician satisfaction
o 73% say that EHR access time impacts patient care
o 50% report that at least 26% of physicians are accessing EHR remotely
o 65% have deployed personal devices for physicians, or have plans to deploy by end of 2012
o 49% have virtual desktop infrastructure or have plans to implement by 2012
- Canon now shipping a new option that allows it to sell one of its color copiers as an output device for MRI reports, radiology reports and CT scans:
o Option is called the Canon imagePRESS Server T1 V2 Controller
o Works with Canon imagePRESS C1+ color copier (single drum 14ppm unit) that is already equipped a Canon CYPHER PS Print Server
o The T1 V2 processes DICOM (digital imaging and communication in medicine) data, which is used in radiology systems (instead of traditional PCL or PS)
- Does healthcare vertical really buy biometric units? Genesis Healthcare of Zanesville, Ohio announced it is investing in biometric finger vein readers from Lumidigm. Reasons:
o Coupled with BIO-key software, it integrates into most EHR software, including Epic, Allscripts and others.
o Helps compliancy with new HIPAA regulations
o “Because skin dryness is so prevalent in the healthcare industry, due in part to constant hand washing, traditional fingerprint sensors can produce up to a 20% failure rate” according to Bill Spence, VP of Lumidigm
- Sutter Health gives out more details on its Epic EHR implementation:
o Chain of 26 hospitals in California
o Originally had systems from IBM (MedSeriesIV) and Siemens, awarded a contract to Epic in 2007 for $500 million
o After originally putting the brakes on the project, it announced it would spend an additional $400 million to complete Epic EHR project by 2015.
- University Hospitals of Ohio announced it awarded its EHR project to Allscripts, for its Sunrise Enterprise Acute Care EHR version 5.5, in all 7 of its hospitals.
- Siemens Healthcare announced it won more Soarian EHR contracts:
o Baptist St. Anthony’s Health System of Amarillo, Texas
o Peconic Bay Medical Center of Riverhead, New York
o Children’s Hospital of New Orleans, LA
o MaineGeneral Health of Maine
- McKesson, an EHR vendor, announced it won a contract from Parrish Medical Center of Titusville, FL.
- eClinicalWorks announced it won an EHR contract from Riverside HealthCare of Chicago, Illinois.
- ImageSoft, a dealer in Michigan, announced it has won document management contracts (with Hyland OnBase software) from Duke University and Henry Ford Hospital.
- According to a survey on EHRs conducted by the University of Chicago, 78% of Americans favor the use of electronic medical records systems. Other data:
o 59% believe it will reduce costs
o 72% support sharing of data between providers
o 80% favor electronic prescriptions
o 79% believe that access to their personal health records (PHR) on-line would keep them better informed
o 48% are concerned about privacy of records
o 64% believe that the benefits outweigh privacy concerns
o 44% are not willing to pay more to get benefits of electronic records
o 57% do not believe that use of electronic records would impact their choice of physician
- Record Nations, a national network of document scanning service provider, published results of survey:
o Rate of medical record scanning grew 22% in 2010
o Scanning requests to get space back grew 11%
o Requests to scan from businesses that were closing was up 8%
o Requests to scan due to “green” concerns up 4%
- Survey conducted by Oce’ reveals the following about document management systems:
o 30% were only managing paper records
o 81% said it improves process of filing and retrieval
o 47% able to use in business process workflows
o 40% said collaboration was easier
o 77% use to improve processes and operational efficiencies
o 72% use to reduce paper and save storage space
o 50% use to comply with regulations
o 21% use to increase competitive edge
- Palisades Medical Center of New Jersey, which had chosen Siemens Soarian as its EHR, announced that it chose DB Technology’s RASi software as its document management system.
-=Greetings from Sandy Hook=-
Monday, November 22, 2010
This Week in Document Imaging 11/21/10
- Survey shows hospitals with EHR systems are ready to meet some components of the “Meaningful Use” rules set forth by federal government to access HITECH stimulus dollars:
o Conducted by HIMSS (health information management systems society)
o 22% have capability to achieve 10 or more of the required core measures in Stage 1 of meaningful use
o 34% can achieve between 5 and 9 of the core measures
o 40.47% can achieve 5 or more of the menu items
o 9.61% can achieve 12 core measures
- Most common benefits of installing an EHR(electronic health records system) according to New England Journal of Medicine:
o No more filing, pulling, re-filing or creating paper charts
o No lost charts
o Less time filing
o Universal chart access
o Easier compliance with chart requests
o Improve external communication
o Fewer call backs from pharmacies
o Higher quality documentation
o Spend less time charting
o More efficient chart signing
o Built-in health maintenance protocols and reminders
o Improved medication management
o Improved customer service
o Free up valuable office space
o Eliminate transcription costs (average physician spends $12K to $25K/year)
o Eliminate chart creation costs (average of $5 per chart for supplies and labor)
o No more paying staff to pull and refile charts (average of $0.40 per transaction)
o No more cost to find lost charts (average of $2500 per year)
o Eliminate paper faxes for prescription renewals (average of $36K/year for supplies and labor)
o Reduce undercoding, where physicians are not getting paid for everything they do (average of $25K/year)
- Study by Medical Economics magazine shows that annual cost for an average physician practice to manage paper charts is: (instead of using EHR)
o $12K/year for transcriptions
o $2400/year for paper chart supplies
o $41.6K/year in labor to pull and refile charts
o $2.5K/year in labor to find misplaced charts
o $36K/year for inbound faxes
o $21.875K/year for outbound faxes
o $25K/year for money lost in downcoding (not claiming enough)
o TOTAL = $141,375/year
- According to the Kansas City Business Journal, due to wildlife environmental concerns, EHR vendor Cerner is reconsidering the location of its future 600,000 square foot office in Wyandotte County.
- Cerner wins contract from DeLand Hospital of Florida and North York General Hospital of Toronto.
- Cerner announced it will sponsor the USA Bid Committee to help bring the FIFA World Cup soccer championship to the U.S. in 2022.
- McAfee and Cisco have released their detailed cybersecurity reports for the third quarter:
o 60,000 new pieces of malware were identified per day, quadruple the 2007 rate
o In third quarter, McAfree identified 14 million unique pieces of malware, up 1 million
o The Zeus botnet malware let business to lose $70 million to Ukranian organized crime
o The Cutwail botnet malware used denial of service attacks against 300 websites
o 60% of Google search terms delivered customers to malicious sites in first 100 results
o 10% of malware was encountered via search engines
o 7% of malware was referred by Google
o 7% of all encounters targeted Java
o 1% targeted Adobe Acrobat Reader
o Pharmaceutical vertical was the most targeted
- Survey of large healthcare organizations conducted by Ponemon Institute reveals the following about data security:
o 85% feel they comply with HIPAA
o 72% enforce policies with includes termination of employees who pose threat
o 71% provide training to users
o 66% have business associate agreements
o 65% ensure minimal system downtime
o 53% perform timely system updates with patches
o 47% secure patient data in motion
o 47% know where patient info if physically located
o 45% conduct independent audits
o 39% prevent cyber attacks
o 32% identify major data breaches
o 31% prevent major data breaches
o 30% determine root cause of data breach
o 29% protect patient info used by business associates
o 23% limit access to data storage devices
o 10% protect patient info used by outsourcers, including cloud computing vendors
- According to the Department of Health and Human Services (DHHS), the most common cause of data breaches impacting more than 500 people is the theft of laptop computers.
o Of the 189 data breaches recorded this year that involved more than 500 people, 52% were result of theft
o 20% were from unauthorized access
o 18% were from loss
o 24% involved laptop computer
o 22% involved paper records
o 16% involved desktop computers
o 14% involved portable devices like smartphones
- Holy Cross Hospital if Florida had to notify 40,000 of its patients that a former employee may have stolen their personal information and sold info to a third party. 4 of the 5 people involved have been arrested, including the former hospital emergency room worker. The info was used to illegally obtain credit cards, effectively stealing their identities.
- McKesson Corp, an EHR vendor, announced it is cutting its lobbying spending by 61%, from $110,000 in third quarter, versus $281,000 a year ago. It lobbied Congress, DHHS, CNS and FDA.
- McKesson announced it won an EHR contract from HealthPoint of Tampa, FL with its Practice Partner product that will cover 110 physicians.
- Greenway Corp. & Sage Corp. announced that their EHR products were endorsed by PA REACH East and PA REACH West, the Pennsylvania regional extension centers (RECs)
- Most companies do not erase sensitive data from hard drives according to study conducted by Kroll Ontrack:
o Only 49% stated that their businesses deployed a data eraser method
o Among that group, 75% do not delete data securely
o Average business suffers at least one data breach per year
o Data breaches cost U.S. companies an average of $6.75 million
o Only 19% deploy data eraser software
o 6Z% use a degausser to erase media
o 33% do not know how to ensure data has been erased
o 22% say they reboot the drive to see if data is still there
o 60% of all old business computers are fully intact with proprietary business data in the second hand computer marketplace
o 40% say their companies gave away their used hard drive to another individual
o 22% don’t know what happened to their old computers
o 16% rely on a product or service report to confirm all of their data had been wiped
- The Department of Veterans Affairs (VA) reported its data breaches in October of 2010:
o Notified 2,574 veterans that there personal info may be compromised
o Two stolen desktop computers
o Lost 22 Blackberry devices
o 79 internal unencrypted email incidents
o 79 mishandling incidents (i.e. mixing up prescriptions)
o 10 mis-mailed medications
- AvMed Health Plans had a class action lawsuit filed against the company by the law firm of Edelson McGuire:
o Two unencrypted laptop computers were stolen on 12/11/2009 in Gainesville, FL, with possibly 1.22 million customers having their personal information compromised.
o Info stolen included Social Security numbers
- According to Dan Vesset, analyst at IDC, the Healthcare business intelligence market was $600 million in 2009, and will grow faster than any other vertical market in the next 5 years. Growth driven by:
o Increased focus on financial performance management
o Labor productivity
o Cost control
o Analysis of billing
o Analysis of payments
o Bed occupancy rates
o Patient treatment
- St. Joseph Health System, with locations in western U.S., announced it chose Microsoft’s Amalga Unified Intelligence System for data storage. It will load data from its Allscripts, GE and Meditech EHR systems.
- Allscripts, maker of EHR systems, announced that it will allow outside developers to write programs. So far, 200 software developers have expressed an interest with 45 already signing on.
- Allscripts has partnered with the Illinois Technology Association to support and promote the ITA Fall Challenge, to identify students who are future technology leaders. Partnership led by Celia Harper-Guerra, Senior VP of Talent Acquisition and Development for Allscripts.
- Allscripts announced it won an EHR contract from SA Health, the public health system of Australia that covers 80 hospitals. Also have install at West Penn Allegheny Health System.
- The Ohio Health Information Partnership, a regional extension center serving parts of the state, announced it selected 5 preferred HER vendor:
o Allscripts
o eClinicalWorks
o eMDs
o NextGen
o Sage
- Geisinger Health System of Pennsylvania was featured recently in Bloombery Businessweek as having spent $35 million to install Epic EHR, and then spent another 4@ million to get the system to work with its pharmacy database.
- Epic won EHR contract from Wake Forest University Baptist Medical Center.
- Dell reported that its sales to healthcare vertical are responsible for its recent financial performance. The company reported that its profits more than doubled, and its revenue was up 19%. Examples of contracts won:
o Methodist Hospital in Houston, TX
o Western Maryland Health Systems in Cumberland, ND
o Songjiang Hospital in Shanghai, China
- Dr. Robert Wheatley of Florissant, MO reported that his laptop computer was stolen from a locked vehicle which contained information on 1,400 patients.
- Vangent of Arlington, VA won a $3.3 million EHR contract from Indian Health Services for locations in:
o Aberdeen
o Albuquerque
o Bemidji
o Billings
o California
o Nashville
o Navajo
o Oklahoma City
o Phoenix
o Portland
o Tucson
- Athenahealth announced its EHR product was selected as preferred choice by Tri-State Regional Extension Center (REC) which covers Ohio, Kentucky & Indiana.
- Meditech wins EHR contract from Memorial Hospital of Illinois. The company also has system in place at Chandler Regional Medical Center of Arizona.
- NextGen won contract to provide its EHR to physicians of Baptist Health Care of Florida and Alabama.
- C3 Partners LLC announced it is offering a on-line software package to assist physicians make sure they are meeting Meaningful Use requirements for fed stimulus funding. www.hitechanswers.net
- According to Office for Civil Rights, over 5 million people have been affected by healthcare data breaches since September, 2009.
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Tuesday, November 9, 2010
This Week in Document Imaging 117/10
- According to the Department of Health & Human Services, more than 5 million Americans have been affected by HIPAA data breaches since, 9/2009.
- According to The Ponemon Institute, hospitals spent $6 billion annually because of patient data breaches, and Federal regulations (i.e. HIPAA) have not improved the safety of patient records. Research showed:
o hospitals are not protecting patient data
o hospitals admit to being vulnerable to data breaches
o breaches are occurring frequently and often go unreported
o only a small percentage of healthcare organizations rely on security technology
- ScImage Inc. of Los Altos, CA announced that it has developed software to integrate EMR software systems with Konica Minolta ImagePilot digital radiography systems, using HL7 communications and web-viewing technologies.
- Former employee, Cam Giang, pled guilty to stealing personal information (name, date of birth and Social Security numbers) from 218 coworkers while at University of California San Francisco Medical Center. Mr. Giang was sentenced to 12 months and one day in prison.
- A skin printer? The Wake Forest Institute for Regenerative Medicine and the Armed Forces Institute for Regenerative Medicine announced they have developed an inkjet printer that deposits skin cells directly onto a wound to help it heal faster.
- Results of survey conducted by CompTIA:
o 34% of healthcare providers report using EHR system
o 16% report using a partial EHR system
o 29% are evaluating their options
o 20% have not yet started research
- More reason why healthcare firms should use biometric finger vein reader options:
o 100 times more accurate than finger print scans
o Nearly impossible to hack
o Scanner converts subcutaneous vein pattern into thousands of zeroes and ones
o All data encrypted and hidden behind firewall
o Encrypted to AES 128 bit
o You can not leave your vein pattern at a crime scene
o Prevents medical records overlays and merging
o Prevents identity theft
o Prevents lack of ID for unconscious patients
- Allscripts announced it won an EHR system contracts from:
o United Hospital Systems of Kenosha, Wisconsin.
o Our Lady of Lourdes Hospital of New York
o Martin Memorial Health Systems of Florida
- Allscripts CEO, Glenn Tullman stated that the federal government will spend as much as $27.4 billion between 2011 and 2021 to encourage health professionals to install EHR systems.
- Epic wins more EHR contracts:
o $56 million from New Hanover Regional Medical Center (which is receiving $13.7 million in federal incentive money)
o $450 million system at the 28 hospital Sisters of Mercy Health System in Arkansas
o Fairview Northland Medical Center in Minnesota
o Fairview Lakes Medical Center in Minnesota
o Pen Bay Healthcare of Maine
- According to survey conducted by KLAS, the most popular EHR providers for community hospitals:
o For small hospitals of 1 to 150 beds = Meditech
o 151 to 300 beds is Cerner
o 300+ beds is Epic
- Meditech reported that its last quarter’s revenues were up 23%.
- Meditech announced it has certified Canon & Kyocera MFPs as printers for its system.
- Sage Intergy wins contract for 90 radiation therapy centers in 16 states for 21st Century Oncology, headquartered in Florida.
- NextGen announced:
o wins EHR system contract from ACT Health Management Services of North Carolina with 400 locations and 70 clinicians
o wins HER system contract from Methodist Hospital of Texas (5 hospitals and 289 physicians)
o reported that its revenue was up 14% to $81.5 million during last quarter.
- Athenahealth wins a EHR system contract from Holy Cross Hospital of New Mexico.
- EHR federal government timeline:
o Fall of 2010 = certified EHR technology available and listed on ONC website
o January, 2011 = Registration for EHR incentives begin
o January, 2011 = State Medicaid providers may launch the programs
o April, 2011 = Attestation for EHR incentive programs begins
o May, 2011 = incentive payments begin
o November 30th, 2011 = last day for hospitals to register and attest to receive incentive payment for FY2011
o February 29, 2012 = last day for physicians to register and attest to receive incentive payments for CY2011
o 2014 = Last year to initiate participation in program
o 2015 = Medicare payments are reduced for those that have not installed EHR system and shown meaningful use
o 2016 = last year to receive incentive payments and last year to initiate participation
o 2021 = last year to receive incentive payment
- Microsoft reported that only 150 hospitals worldwide are connected to its HealthVault personal health platform.
- McKesson, provider of EHR systems, announced it is buying US Oncology for $2.16 billion. US Oncology of The Woodlands, Texas, makes EHR systems for 1,300 community-based oncologists.
- Cerner wins contract for EHR system at Regional Medical Center in South Carolina. Also has install at Eastern Maine Medical Center.
- After originally not being selected, Missouri healthcare officials are giving Cerner a second change after the Kansas City based company failed to make a two-state list of preferred EHR vendors.
- eClinicalWorks announced it won an EHR systems contract from the San Francisco Department of Public Health, for its 800 doctors.
- A survey of hospital medical records departments conducted by CapSite found:
o 3M Health Information Systems has 30% marketshare
o Meditech has 22% marketshare
o 41% plan to invest in new applications during next 24 months
- The 2010 HIMSS (health information management systems society) Security Solutions Survey found:
o 50% spent 3% or less of their IT budgets on security
o 14% of hospitals have yet to conduct a risk analysis
o 33% of clinics have yet to conduct a risk analysis
o 31% have encrypted data on laptop computers
o 16% have not encrypted any laptop computers
o 69% have plan in place to respond to a data breach
o 33% of hospitals have fulltime chief security officer
o 8% of clinics have fulltime chief security officer
o 38% have designated a staffer to handle security responsibiities
- Surescripts Inc., which operates a nationwide e-prescribing network, announced that it will now support and enable the electronic exchange of all types of clinical information.
- Indiana Attorney General Greg Zoeller has sued health insurer WellPoint Inc. for $300,000, alleging the firm took too long to notify Indiana residents affected by a HIPAA data breach, affecting 32,000 people. The breach was related to a website that inadvertently exposed personal financial info and SS#’s.
- FormFast Software announced it won contract for electronic forms software from Capital Region Medical Center of Jefferson City, MO.
- Scientists from the University of Oxford have shown that they can improve a person’ math abilities for up to 6 months by applying an electrical current to the human brain.
- A document management survey conducted by Version One revealed:
o 86% of senior IT professionals are still reliant on paper records
o 51% stated that they are “very reliant” on paper based records
o 1% stated that they “hardly ever” rely on paper
o 13% stated that they are “occasionally reliant” on paper
o 32% would switch to document management system (DMS) to improve customer service
o 20% said that assurance that electronic documents are legally admissible would be key driver for eliminating paper
o 48% want to be assured that DMS would provide enough security
- WorkflowOne announced it won a document management solutions contract from the Albert Einstein Healthcare Network in Dayton, Ohio.
- Survey results from Medical Group Management Association (MGMA):
o Hospitals with EHR systems reported $49,916 greater total medical revenue after operating cost per physician than practices using paper
o After 5 years of use, practices reported an operating margin 10.1% greater than practices in their first year of EHR
-=Greetings from Sandy Hook=-
- According to The Ponemon Institute, hospitals spent $6 billion annually because of patient data breaches, and Federal regulations (i.e. HIPAA) have not improved the safety of patient records. Research showed:
o hospitals are not protecting patient data
o hospitals admit to being vulnerable to data breaches
o breaches are occurring frequently and often go unreported
o only a small percentage of healthcare organizations rely on security technology
- ScImage Inc. of Los Altos, CA announced that it has developed software to integrate EMR software systems with Konica Minolta ImagePilot digital radiography systems, using HL7 communications and web-viewing technologies.
- Former employee, Cam Giang, pled guilty to stealing personal information (name, date of birth and Social Security numbers) from 218 coworkers while at University of California San Francisco Medical Center. Mr. Giang was sentenced to 12 months and one day in prison.
- A skin printer? The Wake Forest Institute for Regenerative Medicine and the Armed Forces Institute for Regenerative Medicine announced they have developed an inkjet printer that deposits skin cells directly onto a wound to help it heal faster.
- Results of survey conducted by CompTIA:
o 34% of healthcare providers report using EHR system
o 16% report using a partial EHR system
o 29% are evaluating their options
o 20% have not yet started research
- More reason why healthcare firms should use biometric finger vein reader options:
o 100 times more accurate than finger print scans
o Nearly impossible to hack
o Scanner converts subcutaneous vein pattern into thousands of zeroes and ones
o All data encrypted and hidden behind firewall
o Encrypted to AES 128 bit
o You can not leave your vein pattern at a crime scene
o Prevents medical records overlays and merging
o Prevents identity theft
o Prevents lack of ID for unconscious patients
- Allscripts announced it won an EHR system contracts from:
o United Hospital Systems of Kenosha, Wisconsin.
o Our Lady of Lourdes Hospital of New York
o Martin Memorial Health Systems of Florida
- Allscripts CEO, Glenn Tullman stated that the federal government will spend as much as $27.4 billion between 2011 and 2021 to encourage health professionals to install EHR systems.
- Epic wins more EHR contracts:
o $56 million from New Hanover Regional Medical Center (which is receiving $13.7 million in federal incentive money)
o $450 million system at the 28 hospital Sisters of Mercy Health System in Arkansas
o Fairview Northland Medical Center in Minnesota
o Fairview Lakes Medical Center in Minnesota
o Pen Bay Healthcare of Maine
- According to survey conducted by KLAS, the most popular EHR providers for community hospitals:
o For small hospitals of 1 to 150 beds = Meditech
o 151 to 300 beds is Cerner
o 300+ beds is Epic
- Meditech reported that its last quarter’s revenues were up 23%.
- Meditech announced it has certified Canon & Kyocera MFPs as printers for its system.
- Sage Intergy wins contract for 90 radiation therapy centers in 16 states for 21st Century Oncology, headquartered in Florida.
- NextGen announced:
o wins EHR system contract from ACT Health Management Services of North Carolina with 400 locations and 70 clinicians
o wins HER system contract from Methodist Hospital of Texas (5 hospitals and 289 physicians)
o reported that its revenue was up 14% to $81.5 million during last quarter.
- Athenahealth wins a EHR system contract from Holy Cross Hospital of New Mexico.
- EHR federal government timeline:
o Fall of 2010 = certified EHR technology available and listed on ONC website
o January, 2011 = Registration for EHR incentives begin
o January, 2011 = State Medicaid providers may launch the programs
o April, 2011 = Attestation for EHR incentive programs begins
o May, 2011 = incentive payments begin
o November 30th, 2011 = last day for hospitals to register and attest to receive incentive payment for FY2011
o February 29, 2012 = last day for physicians to register and attest to receive incentive payments for CY2011
o 2014 = Last year to initiate participation in program
o 2015 = Medicare payments are reduced for those that have not installed EHR system and shown meaningful use
o 2016 = last year to receive incentive payments and last year to initiate participation
o 2021 = last year to receive incentive payment
- Microsoft reported that only 150 hospitals worldwide are connected to its HealthVault personal health platform.
- McKesson, provider of EHR systems, announced it is buying US Oncology for $2.16 billion. US Oncology of The Woodlands, Texas, makes EHR systems for 1,300 community-based oncologists.
- Cerner wins contract for EHR system at Regional Medical Center in South Carolina. Also has install at Eastern Maine Medical Center.
- After originally not being selected, Missouri healthcare officials are giving Cerner a second change after the Kansas City based company failed to make a two-state list of preferred EHR vendors.
- eClinicalWorks announced it won an EHR systems contract from the San Francisco Department of Public Health, for its 800 doctors.
- A survey of hospital medical records departments conducted by CapSite found:
o 3M Health Information Systems has 30% marketshare
o Meditech has 22% marketshare
o 41% plan to invest in new applications during next 24 months
- The 2010 HIMSS (health information management systems society) Security Solutions Survey found:
o 50% spent 3% or less of their IT budgets on security
o 14% of hospitals have yet to conduct a risk analysis
o 33% of clinics have yet to conduct a risk analysis
o 31% have encrypted data on laptop computers
o 16% have not encrypted any laptop computers
o 69% have plan in place to respond to a data breach
o 33% of hospitals have fulltime chief security officer
o 8% of clinics have fulltime chief security officer
o 38% have designated a staffer to handle security responsibiities
- Surescripts Inc., which operates a nationwide e-prescribing network, announced that it will now support and enable the electronic exchange of all types of clinical information.
- Indiana Attorney General Greg Zoeller has sued health insurer WellPoint Inc. for $300,000, alleging the firm took too long to notify Indiana residents affected by a HIPAA data breach, affecting 32,000 people. The breach was related to a website that inadvertently exposed personal financial info and SS#’s.
- FormFast Software announced it won contract for electronic forms software from Capital Region Medical Center of Jefferson City, MO.
- Scientists from the University of Oxford have shown that they can improve a person’ math abilities for up to 6 months by applying an electrical current to the human brain.
- A document management survey conducted by Version One revealed:
o 86% of senior IT professionals are still reliant on paper records
o 51% stated that they are “very reliant” on paper based records
o 1% stated that they “hardly ever” rely on paper
o 13% stated that they are “occasionally reliant” on paper
o 32% would switch to document management system (DMS) to improve customer service
o 20% said that assurance that electronic documents are legally admissible would be key driver for eliminating paper
o 48% want to be assured that DMS would provide enough security
- WorkflowOne announced it won a document management solutions contract from the Albert Einstein Healthcare Network in Dayton, Ohio.
- Survey results from Medical Group Management Association (MGMA):
o Hospitals with EHR systems reported $49,916 greater total medical revenue after operating cost per physician than practices using paper
o After 5 years of use, practices reported an operating margin 10.1% greater than practices in their first year of EHR
-=Greetings from Sandy Hook=-
Saturday, February 27, 2010
Weekend Document Imaging Notes 2/26/10
- According to Modern Healthcare magazine, here are the most popular Electronic Health Records (EHR) software systems for acute care facilities:
- Meditech of Westwood, MA, has 26.6% of market
- McKesson of Alpharetta, GA has 14.1% of market
- Cerner of Kansas City, MO has 12.6% of market
- Siemens of Malvern, PA (HQ in Germany) has 9.5% of market
- CPSI of Mobile, AL has 7.9% of market
- Epic Systems of Verona (Madison), WI has 6% of market
- Eclipsys of Boca Raton, FL has 5.5% of market
- Healthcare Management Systems of Nashville, TN has 5.3% of market
- Healthland of Glenwood, MN has 3.8% of market
- 8% of hospitals surveyed have developed their own proprietary systems
- At the upcoming Healthcare Information & Management Systems Society (HIMSS) show on 2/1-4/2010 in Atlanta, GA, the following companies will have trade show booths:
- AthenaHealth, who offers physician billing, practice management and EHR
- Liberty Solutions Inc., a dealer for Cerner, Allscripts, Siemens, Epic, Eclipsys, Meditech & McKesson
- Ambir Technology, maker of card scanners
- Axolotl, maker of Elysium Exchange solutions
- Computer Discount Warehouse (CDW) Healthcare division
- ClearWave Inc., authentication kiosk manufacturer
- Emdeon, payment cycle solutions provider
- InterSystems, maker of Cache’ database software and DeepSee business intelligence software
- NextGen Healthcare, provider of EHR
- Sage Inc., provider of EHR
- SSI Group, provider of claims processing solutions
- Sunquest Information Systems, provider of diagnostic information technology solutions
- Wellsoft, provider of EDIS patient tracking and clinical documentation solutions
- According to HIMSS, about 23% of all data security breaches of healthcare institutions are caused by an employee.
- Joy Pritts, a lawyer from Georgetown University, was named the Chief Privacy Officer for the Health & Human Services (HHS) Office of the National Coordinator for Health Information Technology, as part of the American Recovery & Reinvestment Act (ARRA). Under the new law/stimulus bill, she will advise on the data security of healthcare agencies using Electronic Health Records (EHR) systems.
- When implementing Electronic Health Records (EHR) systems, requirements that must be addressed include:
- Capturing admission forms, ID and insurance cards
- Scanning patient records
- Transmitting lab instructions
- Filing insurance claim forms (CMS-1500 & UB-04)
- Processing EOB forms
- Processing supplier invoices
- Meeting FDA and other regulatory obligations
- Complying with record retention policies and privacy regulations (HIPAA laws)
- Allowing doctors and administrators simultaneous access to patient clinical records while controlling varying levels of security
- Incorporating Xrays, EKGs, MRIs, test results and supplemental documents with patient records
- Providing access to patient records from remote locations to prescribe treatment
- According to Khaled El Emam, a professor at University of Ottawa, up to 15% of healthcare insurance claims in the U.S. are fraudulent. In New York, alone up there is up to $4 billion in Medicare/Medicaid fraud.
- In the ARRA act, the current rules for healthcare providers to get stimulus funds, includes three requirements as part of the “meaningful use” rules, labeled as “core measures”:
- requirement to record whether a patient uses tobacco
- requirement to record blood pressure
- requirement to record the percentage of elderly patients who receive either one or two prescription drugs deemed to be of “high risk” to the elderly
- Customer confused to difference between EMR (electronic medical records) and EHR (electronic health records)?
- EMR is an umbrella, includes EHR, and encompasses electronically born records as well as paper records
- EHR is roughly 60-75% of patient information, born electronically
- The Justice Department has requested a $2 million budget increase so it can hire 12 attorneys for electronic discovery support.
- Data from recent survey of businesses that use third party managed IT services (MSP) conducted by Ziff Davis:
- Ability of MSPs to exceed customer expectations
- Mean Time Between Failure = 25%
- Systems Uptime = 25%
- Overall Quality = 20%
- Contribution to Meeting Company Business Goals = 16%
- PC Maintenance Expenses = 14%
- Most Common MSP Task Performed:
- AntiVirus = 91%
- Data Backup = 89%
- Help Desk = 72%
- MS Windows patches = 71%
- Remote Admin = 71%
- Systems Monitoring = 68%
- PC Audits = 38%
- PC Discovery = 21%
- Number one reason why MSP fails to sign up a client is when MSP sales rep calls on IT Mgr. instead of CFO, as the IT Mgr. views the MSP as a threat to their job
- THINKstrategies research published results of survey regarding usage of MSPs (managed IT service provider):
- 30% of companies with revenues of $50 million or less are using MSPs
- 55% of companies with revenues over $50 million are using MSPs
- 52% of SMBs (small to medium sized businesses) are NOT considering using MSPs
- Lenovo, which is headquartered in China, and purchased the personal computer division of IBM, announced that it will launch a managed IT services division in 2010.
-=Cheers from Sandy Hook=-
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