Tag Archives: EMR EHR Software development

Majority of Healthcare Organizations disappointed by ICD-10 Delay

The recent decision on delay of the ICD-10 deadline, a large number of healthcare organizations being reported unhappy and very disappointed. Right after the news which ICD-10 will likely be delayed, many healthcare organizations seems to be unhappy. This is surprising to some, because lot of the previous polls found providers were not prepared for the transition. Not more than 10% providers were ready as per the MGMA report in February.

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An opinion poll conducted by the Deloitte Center for the Health Solutions, inquiring providers about the way they considered the latest ICD-10 delay. Only 11% stated that they are happy, 21% stated they are not concerned with the delay but the majority over 50% (58%) stated to be unhappy with the delay. Further it inquired about the right time for the implementation, 49% stated October 2015, 30% needed the 2014 date to be reinstated, and simply 6% stated they will prefer the date to get moved ahead of October 2015. According to the Healthcare Informatics, 59% of providers say that they assume a lack of momentum because of the delay and 58% believe that there will be a great impact on their resources and funding. Whereas, 14% said that the delay will provide them time to compensate on testing for the latest coding system. What exactly the providers are planning to do since ICD-10 isn’t due till 2015 the following year? 30% say that they will stick to their initial strategy and keep going with their testing schedule. According to 26%, the delay will provide a chance to stop and allow them to reevaluate their plans. While 20% will make use of the extra time to slow down and choose their time while moving towards the implementation.

In the meantime, the Coalition for ICD-10 has sent a letter to HHS encouraging the department to reconsider the decision about the October 2015 deadline. Lynne Thomas Gordon, CEO at AHIMA and a Coalition member said in a statement that, as the transition to ICD-10 continues to be unavoidable, it is extremely challenging for organizations to make appropriate preparations and investments with no knowledge of the execution date and the announcement for the new implementation date would give the industry the understanding required to prepare within the mos economical, wise and also strategically.

A senior Vice President and CIO of children’s Medical Center Dallas, Pamela Arora stated that the delays of ICD-10 are concerning. She also said, ultimately both the delays might cost over $1 million to the hospital. With the use of this money, for an instance, they could manage to buy approximately 170 physiological monitoring devices and could have provided more tools into the hands of their physicians, she stated. Further, she said a majority of these kinds purchases will now be postpone if the funds are restricted. Overrun of 2 years of cost and missed deadlines will be called an effective project within the private industry concerned with profits, she added. Ralph Johnson, CIO at Franklin Community Health Network based in Maine and President at New England HIMSS, stated that he is certainly disappointed with the delay on the whole and also disappointed particularly the way it had been passed from the House and Senate. Further he said, nobody could glow light regarding the delay during the debates and was buried in the large legislation.

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What Impedes Ubiquitous Adoption of Health IT?

Many reports have highlighted how a clinic can avail several benefits by adopting personal health record (PHR) systems. The electronic health records (EHRs) will provide a secure and private environment to patients to access, update and share their health information. At the same time, the systems will further make it easier for physicians to instantly access information about a patient’s health and medical history. Thus, they can provide more manage a patient’s record more efficiently, while reducing the chances of medical orders. However, there are several barriers that affect the ubiquitous adoption of health IT in a negative way.

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7 Barriers that Affect the Ubiquitous Adoption of Health IT Systems

1) Required Training: A physician can avail many benefits by adopting health IT systems. But he needs to put some amount of time and effort to become familiar with the system, and implement it properly. At the same time, the physician must train his colleagues and staff about the features and capabilities of the system. But many physicians lack time to become familiar with an EHR system and avail all its features.

2) Initial Investment: Each clinic has to invest some amount of funds to create and support its own IT structure. However, it also has option to avail the health IT services from external vendors. The initial cost will include the expensed related to purchase, coordination, monitoring, upgrading and governance. The small and medium sized clinics often do not have adequate IT budgets. So the cost of IT health system adoption also impacts its ubiquitous adoption.

3) Level of Compute Skills Needed: Many physicians even find it difficult to use PHR systems in real time. Many system providers also develop complex systems to complement the varying needs of individual clinics. So along with the physician, his colleagues also need to possess the computer and typing skills required to listen to a patient’s complains, assess its medical relevancy, and type the details at a time. Also, the staff must be familiar with the EHR application interface to simultaneously perform several activities.

4) Cluttered and Restricted Workspaces: A clinic also requires adequate space and infrastructure to accommodate the computers. As the staff has to type the information while listening to the patient, it becomes essential to place the computer in private rooms. Further, the clinic has to decide the most appropriate location to place the server and other system. On the whole, the cluttered workspace and insufficient physical space can also affect the health IT adoption rate.

5) Complexity of the System: Each physician wants to pick an EHR system that complements its needs over a longer period of time. That is why; often physicians opt for complex systems that provide multiple screens and navigation options. The complex features, however, require physicians to learn the system completely to take notes while listening to a patient’s complains. But a number of surveys have highlighted that the physicians find it a daunting challenge to operate the HER system without disrupting the clinical encounter. Many physicians even stop using the system to optimize the clinical encounter.

6) Technical Support: Each clinic requires technical support to create and maintain an IT infrastructure. So it expects the vendor to provide constant support the initial days, and afterward. The support staff also needs to be helpful and knowledgeable enough to provide the required support without causing any delay. However, many physicians feel that the support staffs deployed by the vendors are not available 24 hours a day. The lack of technical support during holidays and off-hours also affects the health IT adoption rate.

7) Problem with Health IT Vendors: The lack of adequate training and technical support for external vendors also contribute towards ubiquitous adoption of health IT. Many physicians hesitate to adopt EHR systems due to the quality of EHR system vendors. As the products are relatively new in the marketplace, physicians often feel that they will incur losses by choosing systems provided by unreliable companies. The unreliable vendors will not further provide the service and support required to avail the benefits of EHR system in the longer run. So the vendors must take several initiatives to win the trust of clients, and encourage them to invest in health IT solutions.

The health IT system providers must address these issues to encourage more and more clinics to adopt health IT systems. At the same time, they must build web-based PHR systems to overcome the factors that divide health IT adoption.

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