ICD-9
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Calling for Semantic Interoperability Standards That Enable Clinical Data Discovery
There are many promising initiatives underway that seek to combine rich clinical data from electronic health record systems running in provider sites across the county into large patient cohorts and then combine that data with genetic sequences created from samples provided by each patient in the cohort. The sponsors of these initiatives span industry, private foundations and the federal government. While the ambitious goals are commendable and the potential for discovery is worthy of the effort, there are data quality and semantic interoperability requirements that must be met prior to the combining of the clinical data...
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Data Exchange Rises in Importance for Urgent Care Providers
As the healthcare industry transitions to value-based care, urgent care companies and health systems are forging formal business partnerships and then facilitating those relationships through the exchange of electronic patient data. The partnerships have advantages for both parties. Health systems want to add urgent care to their patient care continuum, while urgent care companies want to be included in local provider networks...
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Intersection of ICD-10 And Meaningful Use: Clinical Documentation Improvement
As hospitals, health systems and payers navigate the new risk-bearing landscape, synergies exist when clinical documentation improvement strategies are expanded to address both meaningful use (MU) SNOMED CT requirements and ICD-10. While the magnitude of the ICD-10 transition itself and the ongoing rumors of additional delays may tempt some organizations to pause in their pursuit of readiness, the bottom line is that advantages to clinical documentation can be realized even before the transition by using SNOMED CT within electronic health records...
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Open mHealth Popular Standard (Part 2)
Normally, one wants to break information down into chunks as small as possible. Bydoing this, you allow data holders to minimize the amount of data they need to send data users, and data users are free to scrutinize individual items or combine them any way they want. But some values in health need to be chunked together. When someone requests blood pressure, both the systolic and diastolic measures should be sent. The time zone should go with the time. On the other hand, mHealth doesn’t need combinations of information that are common in medical settings. For instance, a dose may be interesting to know, but you don’t need the prescribing doctor, when the prescription was written, etc. On the other hand, some app developers have asked the prescription to include the number of refills remaining, so the app can issue reminders.
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Q&A: Why The U.S. Actually Needs Those Crazy ICD-10 Codes
For a bit of perspective on medical coding: ICD-9 was developed in the 1970’s — in the 70’s people could smoke in the hospital. Fast forward to 2012 and the raft of ICD-10 jokes began [...]. But lost amid the comedy, particularly on the national level, has been anyone publicly challenging those punchlines and explaining exactly why the U.S. as a nation really needs the new code sets. Read More »
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Study: EHR-Related Safety Issues Linger Long After Implementation
Patient safety issues stemming from electronic health record systems continue long after implementation, according to a new study published in the Journal of the American Medical Informatics Association, Modern Healthcare reports...
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Survey: Less Than 10% Of Physician Practices Ready For ICD-10
Less than 10 percent of practices responding to a survey issued by the Medical Group Management Association are ready for the transition to ICD-10 [...]. While the number is up from 4.7 percent who indicated readiness last summer, it adds to a growing chorus of providers and payers who indicate they aren't ready to switch from using ICD-9 coding. Read More »
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Telehealth Conference Spotlights Innovation, Disruptive Technology
When all is said and done, the advancement of telehealth and mobile health in the United States will be accomplished through the percolation of innovation. Read More »
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The Ebola Patient Was Sent Home Because Of Bad Software
...Thomas Eric Duncan has been in isolation for Ebola at Dallas' Texas Health Presbyterian Hospital since September 28—but that wasn't his first trip to that hospital. After developing a fever and abdominal pain on the 24th, Duncan sought care at the hospital on the 25th, but he was sent home...
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The ICD 10 Extension: For whatever reasons, Congress did the right thing!
Did you hear the one about the CMS administrator who was asked what it would take to delay the 2014 ICD-10 implementation deadline? An act of Congress, he smugly replied, according to unverified reports. Good thing he didn’t say an act of God. So, now that CMS has been overruled by Congress, who wins and who loses? Who’s happy and who’s not?
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The Way To Doctors' Hearts Is Through Their EMR
...EPIC is perhaps the most popular of the present EMRs in the States. There have also been many complaints about EPICs design...
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Why Is Medical IT So Bad?
A 57-year-old doctor I know is retiring to teach at a local junior college. He is respected, enjoys practicing medicine and is beloved by his patients; therefore, I was surprised. While he is frustrated by the complexity of health insurance, tired by the long hours and angered by defensive medicine, the final straw is that he can not stand the world of the EMR...
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“Hard To See Value” In ICD-10 For Physicians, Analytics
[...] Experts have tried to clean up [the image of ICD-10] by praising the added specificity and granularity of the data that will result from the more than 140,000 codes, but it’s a hard sell to providers already drowning in EHR adoption, meaningful use, the ACA, and quality improvement reforms. Is ICD-10 worth it? Read More »
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