Today’s historic ruling by the US Supreme Court upholding the vast majority of President Obama’s Affordable Care Act is good news for healthcare IT proponents who support the many key elements of the law already making a positive impact on healthcare. While the media have focused their coverage of the law on the individual mandate and other political hot potatoes, they have largely ignored the many programs under the law that have nothing to do with insurance coverage but rather provide innovative new approaches to reimbursement.  For example, the Center for Medicare and Medicaid Innovation (CMMI), which was created by the Affordable Care Act, has launched several programs that have substantial promise in relation to delivery system reform. All Americans – all of us patients — can be thankful that these initiatives will now keep moving forward.  The good news, too, […]

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Next-Generation Voice Recognition for EHRs

Samuel L. Jackson makes it look so easy. iPhone™ in hand, the actor manages all his activities just by talking to “Siri” in a popular TV commercial. Fortunately, with recent advances in voice recognition technology, physicians and other medical providers can look like superstars, too. Physicians are natural storytellers. Sometimes it’s easier to update a patient’s documentation by simply speaking to describe what’s happened. Voice recognition technology can capture spoken words and turn them into accurate text that can be easily reviewed and approved. Using voice recognition technology saves time. Providers can quickly document patient care and outcomes while easily navigating between screens in the EHR. Plus, it saves money because there are no transcription fees. Perhaps most importantly, physicians are able to build better patient relationships because, for example, they can record the story of how Joe Smith hurt […]

How can healthcare organizations that were built on volume adapt to the arrival of a value-based reimbursement system?  To help answer that question, we’re continuing our four-part series of posts based on a new white paper by Allscripts Chief Medical Officers Doug Gentile, MD and Toby Samo, MD exploring the unique perspectives of pioneering Accountable Care Organizations. In this fourth and final part of the series, Drs. Gentile and Samo explore how ACO’s manage their relationship with patients, and conclude with some parting advice from the pioneers.  To read the white paper in its entirety, go to www.allscripts.com/ACOwhitepaper.    Patients   Key Takeaways:   Invest in the sickest Ensure social media informs physicians first Patient Mobility Improves Customer Service  For many, the Achilles’ heel of the ACO concept is consumer involvement. Healthcare is the only industry in which the consumer has an indirect […]

Just in case you missed Sunday’s New York Times article, “Hospitals Aren’t Waiting for Verdict on Health Care Law,” be sure to read how 701-bed Maimonides Medical Center in New York City is preparing for the Supreme Court’s verdict on President Obama’s health reform law.  As the Times put it, “like hospitals across the country, Maimonides is not waiting for the verdict. Win, lose or draw in court, administrators said, the policies driving the federal health care law are already embedded in big cuts and new payment formulas that hospitals ignore at their peril. And even if the law is repealed after the next election, the economic pressure to care differently for more people at lower cost is irreversible.” Buried within the Times article is a revealing set of facts.  Maimonides (which uses Allscripts Sunrise Clinical Manager EHR, the Allscripts ED […]

How can healthcare organizations that were built on volume adapt to the arrival of a value-based reimbursement system?  To help answer that question, we’re continuing our four-part series on a new white paper by Allscripts Chief Medical Officers Doug Gentile, MD and Toby Samo, MD exploring the unique perspectives of pioneering Accountable Care Organizations. In this third part of the series, Drs. Gentile and Samo explore how ACO’s manage their relationship with payers. To read the white paper in its entirety, go to www.allscripts.com/ACOwhitepaper. Payers Key Takeaways: Negotiate uniform quality measures Get money every quarter Share outcomes with employers Medicare may be the 800 pound gorilla in healthcare but its sheer size kept it from moving as quickly on ACOs as commercial payers. In fact, according to Parie Garg, Ph.D., a consultant with Oliver Wyman’s healthcare practice, it was commercial payers who […]