Archive for June, 2010

How to Get the Most Out of a Medical Conference

Posted on June 28th, 2010 in general | No Comments »

Attending a medical conference or convention has always been part of Continuing Medical Education. However, in these tough economic times, you may be faced with cutting back on the number of conventions you go to. Your income may be down, incentives by the sponsors of the conventions are fewer and fewer, and your practice may suffer for the time you are away at a medical conference. Now more than ever it is important to understand how to make the most out of any medical conference you choose to attend.

Despite the enticing brochure or email alert that you just received – the question you need to ask yourself is “why should I go” to any given medical conference. To answer that question you need to do cost- benefit analysis as you would with any other major purchase decision for your practice. Length, topic, and location are the key factors. How far away is the conference? What will it cost to get there and stay there? How long will you need to attend? And, ultimately what will you gain from the subject matter? A local seminar with an attendance fee of $45.00 that lasts an hour on a new protocol specific to your practice may be a no-brainer to attend, your specialty’s annual week-long meeting on the other side of the country – not so much.

In the past when times were different, many practitioners looked upon medical conferences as not only a chance to obtain needed CME credits, but to catch up with old friends and colleagues and enjoy an interesting tourist location. While such social opportunities are certainly still part of the major conventions, today the decision to attend or not attend is far more often driven by the content of the meeting, then the allure of sandy beaches.

Know Your Objectives

If you have made the decision to attend a given conference, according to professional event planners the best way to get the most out of your time there is to plan ahead. Know what you want to achieve at that meeting before you sign up for your badge at the registration table. Prioritize to maximize your time. Understand why it is that you wish to attend, whether that is for specific CME, practice management solutions, or personal development – and plan to attend lectures and seek out vendors and presenters that match your goals – before you arrive. The agendas of almost any medical conference are usually available online long before the convention begins – some are even downloadable “Aps” to your smartphone or PDA.

The medical conference is still a great way for medical professionals to share ideas, communicate best practice solutions, and generally enhance the practice of medicine. However, as with just about everything else in your practice today – you need to streamline your approach to attendance – to get the most bang for the buck.

Understanding Electronic Health Records

Posted on June 8th, 2010 in general | No Comments »

In the front and center debate about Healthcare Reform, both Electronic Health Records, (EHRs) and Healthcare Information Technology (HIT) have seemed to take a bit of a back seat. However, now that the dust has settled on the Reform Bill, practicing physicians need to be reminded that more than a year ago, before the passage of Healthcare Reform as part of the original stimulus bill, President Obama created incentives and set asides for implementation of EHR and other HIT solutions. If you have not thought seriously about Electronic Medical Records, now is the time to start.

First some definitions. If you have at all looked into an EHR solution then undoubtedly you have come across several different terms. EHR, EMR and PHR – it can all start to seem so much like alphabet soup. As already stated, EHR stands of Electronic Health Record. The earlier accepted term was EMR for Electronic Medical Record – and now there is another solution commonly referred to as a Personal Health Record or PHR. There are technical, albeit subtle differences between the three.

If you do not understand the differences, you are not alone – the terms are often misused interchangeably even by those who sell the products!

Particularly between EHR and EMR, there may seem to be little or no difference, but there are clearly defined technical distinctions, and you need to be aware of these because the incentives in the Health IT portion (also known as the HITECH ACT) of the Stimulus Bill, are based on what defines an EHR.

In 2003 Health Level 7, part of the American Standards Institute was given the responsibility by the Institute of Medicine to come up with a precise definition of an EHR. HL7 based its definition on functionality. It defined an EHR as an integrated system that had to have over 100 specific capabilities and levels of function. The point of HL7’s definition was the idea of integration and that an EHR was a system that accomplished all of the specified tasks. HL7 made it clear that all of those operations did not need to be provided to the hospital, facility or medical office by a single vendor.

So in other words, you could get the software that runs your patient information services such as appointment reminders and lab result notifications from one vendor, and your e-prescribing software from another, as long as they all work together in a single functional system. This is the main distinction between an EHR and an EMR. In fact, according to HL7’s definition, an EMR can be part of the entire EHR solution.

These subtle distinctions may seem trivial, but they all become important as certifying bodies search for what will define “meaningful use” that will guarantee that a given EHR solution will qualify for the incentives in the HITECH Act. This idea of Electronic Health Records as an integrated system was backed-up by the Healthcare Information and Management Systems Society (HIMSS). Furthermore, the Certification Commission for Health Information Technology (CCHIT), the non-profit organization that has been given the contract by the federal government to certify EHRs, currently uses the original HL7 critera as the core for issuing its certifications.

With incentives that are becoming available, and with every medical practice being forced to streamline, cut expenses, and do more with less – over the next few years, the decision to implement an EHR solution will likely be one of the most critical to any practice.