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Article: Thinking about Open Source

Article: Thinking about Open Source 150 150 Tony McCormick

http://fedscoop.com/thinking-about-an-open-source-electronic-health-record/

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Twitter @tonymi2

Twitter @tonymi2 150 150 Tony McCormick

Yes, Tony has a twitter account now.  I’ll even take help desk requests that way :-)  tweet me @tonymi2

See ya online!

-Tony

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MI2 Collaboration with Astronaut Vista

MI2 Collaboration with Astronaut Vista 150 150 Tony McCormick

We have actively been working with several Hospitals and Dr Ignacio Valdez around deploying Astronaut Vista ( http://astronautvista.com/ ) and using OpenEMR as provider EHR for data exchange…  more to follow as things develop.  –Tony

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Testamonial regarding Linux/OSX …

Testamonial regarding Linux/OSX … 150 150 Tony McCormick

Posted on the OpenEMR Sourceforge forum… https://sourceforge.net/projects/openemr/forums/forum/202506/topic/406388

“There is no way I will ever allow anything Windows in our office again.  We drank that Kool Aid for far too long. Since getting rid of Windows, I no longer have to spend my time fixing things. I am like the Maytag repairman for IT support in our office now.  We run Linux/OSX and things just work.”   -Mike

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Tony and Sam to speak at POSSCON

Tony and Sam to speak at POSSCON 150 150 Tony McCormick

Dr Sam Bowen and Tony McCormick of Medical Information Integration, have been asked to speak at POSSCON in South Carolina on OpenEMR and the OEMR 501(c)(3) foundation that supports this world wide EHR open source project.  We hope you can attend as well.

See: http://www.posscon.org/ for details

Tony

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Linked IPAs Annual Conference

Linked IPAs Annual Conference 150 150 Tony McCormick

MI-Squared will be presenting at the following conference titled “Linking Health Care and Technology”.

MRSB-LTD, will conduct Linked IPA’s 1st Annual Conference this coming February 12, 2011. Don’t miss this very important event where it could save you $50,000 in computer and software expenses in the next few years, help to build your practice, and substantially increase your income.  Click here for registration and event details.

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OpenAffairs.tv – GOSCON Videos

OpenAffairs.tv – GOSCON Videos 150 150 Tony McCormick

MI-Squared has been working with OpenAffairs.tv and is a primary sponsor of their efforts to promote Open Source in all kinds of areas, including government and health care.

These are all videos of the Gov’t Open Source Convention
(GOSCON).   There are a couple that are specific to health care like this
interview with Dave Riley…

http://www.openaffairs.tv/topics/goscon-2010/ – Scroll down to: “Dave Riley on the landscape of the CONNECT initiative”

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OpenEMR Support Logo

OpenEMR Support Logo 150 150 Tony McCormick

JCW TEST

JCW TEST 150 150 Tony McCormick

Final Rules Announced To Support ‘Meaningful Use’ of Electronic Health Records

Final Rules Announced To Support ‘Meaningful Use’ of Electronic Health Records 150 150 Tony McCormick

FOR IMMEDIATE RELEASE
Tuesday, July 13, 2010
Contact: HHS Press Office
(202) 690-6343
Secretary Sebelius Announces Final Rules To Support ‘Meaningful Use’ of Electronic Health Records
WASHINGTON – U.S. Department of Health and Human Services Secretary Kathleen Sebelius today announced final rules to help improve Americans’ health, increase safety and reduce health care costs through expanded use of electronic health records (EHR).
“For years, health policy leaders on both sides of the aisle have urged adoption of electronic health records throughout our health care system to improve quality of care and ultimately lower costs,” Secretary Sebelius said. “Today, with the leadership of the President and the Congress, we are making that goal a reality.”
Under the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009, eligible health care professionals and hospitals can qualify for Medicare and Medicaid incentive payments when they adopt certified EHR technology and use it to achieve specified objectives. One of the two regulations announced today defines the “meaningful use” objectives that providers must meet to qualify for the bonus payments, and the other regulation identifies the technical capabilities required for certified EHR technology.
Announcement of today’s regulations marks the completion of multiple steps laying the groundwork for the incentive payments program. With “meaningful use” definitions in place, EHR system vendors can ensure that their systems deliver the required capabilities, providers can be assured that the system they acquire will support achievement of “meaningful use” objectives, and a concentrated five-year national initiative to adopt and use electronic records in health care can begin.
“This is a turning point for electronic health records in America, and for improved quality and effectiveness in health care,” said David Blumenthal, M.D., National Coordinator for Health Information Technology. “In delivering on the goals that Congress called for, we have sought to provide the leadership and coordination that are essential for a large, technology-based enterprise. At the same time, we have sought and received extensive input from the health care community, and we have drawn on their experience and wisdom to produce objectives that are both ambitious and achievable.”
Two companion final rules were announced today. One regulation, issued by the Centers for Medicare & Medicaid Services (CMS), defines the minimum requirements that providers must meet through their use of certified EHR technology in order to qualify for the payments. The other rule, issued by the Office of the National Coordinator for Health Information Technology (ONC), identifies the standards and certification criteria for the certification of EHR technology, so eligible professionals and hospitals may be assured that the systems they adopt are capable of performing the required functions.
As much as $27 billion may be expended in incentive payments over ten years. Eligible professionals may receive as much as $44,000 under Medicare and $63,750 under Medicaid, and hospitals may receive millions of dollars for implementation and meaningful use of certified EHRs under both Medicare and Medicaid.
The CMS rule announced today makes final a proposed rule issued on Jan, 13, 2010. The final rule includes modifications that address stakeholder concerns while retaining the intent and structure of the incentive programs. In particular, while the proposed rule called on eligible professionals to meet 25 requirements (23 for hospitals) in their use of EHRs, the final rules divides the requirements into a “core” group of requirements that must be met, plus an additional “menu” of procedures from which providers may choose. This “two track” approach ensures that the most basic elements of meaningful EHR use will be met by all providers qualifying for incentive payments, while at the same time allowing latitude in other areas to reflect providers’ needs and their individual path to full EHR use.
“CMS received more than 2,000 comments on our proposed rule,” said Marilyn Tavenner, Principal Deputy Administrator of CMS. “Many comments were from those who will be most immediately affected by EHR technology – health care providers and patients. We carefully considered every comment and the final meaningful use rules incorporate changes that are designed to make the requirements achievable while meeting the goals of the HITECH Act.”
Requirements for meaningful use incentive payments will be implemented over a multi-year period, phasing in additional requirements that will raise the bar for performance on IT and quality objectives in later years. The final CMS rule specifies initial criteria that eligible professionals (EPs) and eligible hospitals, including critical access hospitals (CAHs), must meet. The rule also includes the formula for the calculation of the incentive payment amounts; a schedule for payment adjustments under Medicare for covered professional services and inpatient hospital services provided by EPs, eligible hospitals and CAHs that fail to demonstrate meaningful use of certified EHR technology by 2015; and other program participation requirements.
Key changes in the final CMS rule include:
* Greater flexibility with respect to eligible professionals and hospitals in meeting and reporting certain objectives for demonstrating meaningful use. The final rule divides the objectives into a “core” group of required objectives and a “menu set” of procedures from which providers may choose any five to defer in 2011-2012. This gives providers latitude to pick their own path toward full EHR implementation and meaningful use.
* An objective of providing condition-specific patient education resources for both EPs and eligible hospitals and the objective of recording advance directives for eligible hospitals, in line with recommendations from the Health Information Technology Policy Committee.
* A definition of a hospital-based EP as one who performs substantially all of his or her services in an inpatient hospital setting or emergency room only, which conforms to the Continuing Extension Act of 2010
* CAHs within the definition of acute care hospital for the purpose of incentive program eligibility under Medicaid.
CMS’ and ONC’s final rules complement two other recently issued HHS rules. On June 24, 2010, ONC published a final rule establishing a temporary certification program for health information technology. And on July 8, 2010 the Office for Civil Rights announced a proposed rule that would strengthen and expand privacy, security, and enforcement protections under the Health Insurance Portability and Accountability Act of 1996.
As part of this process, HHS is establishing a nationwide network of Regional Extension Centers to assist providers in adopting and using in a meaningful way certified EHR technology.
“Health care is finally making the technology advances that other sectors of our economy began to undertake years ago,” Dr. Blumenthal said. “These changes will be challenging for clinicians and hospitals, but the time has come to act. Adoption and meaningful use of EHRs will help providers deliver better and more effective care, and the benefits for patients and providers alike will grow rapidly over time.”
A CMS/ONC fact sheet on the rules is available at http://www.cms.gov/EHRIncentivePrograms/
Technical fact sheets on CMS’s final rule are available at http://www.cms.gov/EHRIncentivePrograms/
A technical fact sheet on ONC’s standards and certification criteria final rule is available at http://healthit.hhs.gov/standardsandcertification.
http://www.hhs.gov/news/press/2010pres/07/20100713a.html

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