Digital Dictation

With 25×5 initiative, AMIA sets sights on tackling clinical documentation burden

By Mike Miliard for Healthcare IT News The American Medical Informatics Association this week announced next steps for AMIA 25×5, its multi-stakeholder effort to alleviate documentation burden for U.S. clinicians. WHY IT MATTERS Funded by the National Library of Medicine, the 25×5 Symposium to Reduce Documentation Burden on U.S. Clinicians by 75% by 2025 was…

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Cyberattack on Medical Software Shows Industry Vulnerability

By John Lauerman and Jeran Wittenstein, with assistance by Joshua Fineman and Saritha Rai for Bloomberg Technology Many doctors still can’t use a transcription service made by Nuance Communications Inc. three weeks after the company was hit by a powerful, debilitating computer attack. Hospital systems including Beth Israel Deaconess in Boston and the University of Pittsburgh Medical Center…

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CDI in the Outpatient Setting: Finding the ‘Hidden Gems’ of Opportunity for Improvement

By Kay Merriweather, RHIA, CCS, CCS-P, COC, CHDA, CDIP; Leslie Slater, RHIA, CCDS, CIC, CRC; and Michele Bohley, RHIA, CCS for AHIMA “If it’s not documented, it wasn’t done.” This is one of the first axioms health information management (HIM) professionals learn. HIM professionals have witnessed the evolution of quality documentation, with patient education becoming…

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Ransomware Cyber Attacks: How to Prepare & Respond

By Christine Bucci for BRITTON GALLAGHER Hackers are wielding their power across Europe by unleashing a rash of ransomware cyber attacks on companies, with the most severe hitting the Ukraine. Ransomware is a type of malware that holds your computer and data files hostage until the ransom pays the demanded amount. In the most recent European…

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Unfinished Business

By Susan Chapman for For The Record Findings from The Joint Commission show many surveyed hospitals house incomplete medical records. When so many aspects of health care revolve around quality documentation, it would be good to know that providers are accomplished medical record custodians. Depending on your perspective, the news on that front isn’t half…

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Words Matter: Best Practices for Dictating in an EMR Setting

By Selena Chavis for For The Record Vol. 28 No. 4 P. 14 As HIT matures, dictation and transcription models continue to evolve. It’s a situation being closely monitored by health care organizations concerned about the fallout from potential productivity losses and physician outcry over clunky EMR documentation workflows. To combat these fears, many facilities are…

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Time to Capture Data in a Way Not Burdensome to MDs

By Mark Hagland for HCI | Healthcare Informatics Rush University Medical Center CMIO Brian Patty, M.D., shares his perspectives on physician documentation reform As the implementation of electronic health records (EHRs) has moved towards universalization, one of the unfortunate unintended consequences of the rapid shift to electronic form for patient records has been that of…

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25 Quotes That Show Just How Fed Up Physicians Are With EHRs

By Max Green for Becker’s Health IT & CIO Review More than half of the physicians who bill Medicare in the U.S. are currently being penalized 1 percent of their 2015 payments as a result of the meaningful use program, according to Steven J. Stack, MD, president of the American Medical Association. “Imagine, in a world…

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The End of Meaningful Use: 6 Health IT Leaders React

By Akanksha Jayanthi and Max Green for Becker’s Health IT & CIO Review January 15, 2016 While CMS Acting Administrator Andy Slavitt’s announcement of the end of meaningful use was met with a collective sigh of relief from the healthcare industry, questions, concerns and expectations regarding the future remain. Though frustrating, many IT leaders do…

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