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E-Prescribing: it can save you money

Posted on November 24th, 2011 by Bill
e-Prescribing

e-Prescribing

Lately, we have put a lot of blogs up about smart phones and how they integrate into the medical community. One of the most important ways that they can make health-care provider’s lives much easier is through E-prescribing. A lot of doctors and health agencies have already implemented some form of sending prescriptions via an electronic service, citing the ease of use and timesaving aspects that electronic prescriptions offer. However, that isn’t all that E-prescription can do for you; it can also save you money.

 

New governmental initiatives are pushing for modernization of data maintenance across the board in the medical services, including prescriptions. In order to accomplish this, the federal government passed the HITECH Act in 2009. This act offers incentive payments to physicians through Medicare and Medicaid if they use electronic prescriptions for more than 40% of their prescriptions, not including those for controlled substances.

 

Government incentives are direct ways in which E-prescribing can cut costs. There are, however, many indirect ways that handling your prescriptions electronically can reduce your overhead. The most important of these is in the time saved. “time is money” is a cliché for a reason. Although it may seem quicker to just write out a prescription by hand, this is not the case. In fact, one third of all hand-written prescriptions necessitate a phone call from the pharmacy for clarification. To put this in more stark relief, the Medical Group Management Association estimates that, on average, medical practices receive fifty phone calls a day from pharmacies. These calls are disruptive to workflow, and thus consume time.

 

Furthermore, E-prescribing makes more efficient use of the physician’s time. Electronic prescription systems contain databases and programs that account for drug interactions and contra-indications, which means that the physician does not have to. Over time, this increases efficiency and productivity, and both add up to dollars saved. In one study, published in 2007, a group practice of thirteen physicians claimed that by transferring their records completely to an electronic format, they saved 1 million dollars in the first year and a half. Considering that this included the cost of implementing the system, that is an impressive saving (especially when you take into account that this does not include the federal reimbursement mentioned above).

 

For more on E-prescription, read Electronic Prescribing: Building, Deploying and Using E-prescribing to Save Lives and Save Moneyput out by the Center for Health Transformation. For more information on the HITECH Act, see Electronic Prescription Is Safe And Efficient, However Hurdles Remain.

Can smart phones actually help people?

Posted on November 2nd, 2011 by Noah
eye exam via smart phone

eye exam via smart phone

Dexcomm has been in the communications industry since the 1950’s and over that time we have always strived to stay on top of the amazing changes in communications technology.  We were the first telephone answering service in the state to be able to receive and deliver emails.  We offer sms, email, and fax delivery, web based on call management,  and are currently bringing onboard a completely secure and HIPAA compliant smart phone app that will allow medical practices to communicate all their messages in a private and encrypted environment.

 

Our secure messaging app for smart phones is an one example of great leaps in technology.  Another example aimed at helping people around the world is featured in the following video.  Netra has developed an app, and cheap ($2) accessory to the smart phone that can provide quick and accurate eye exams.  The impact that this development could have for children around the world, in developed and undeveloped countries alike is amazing.

 

 

3 Examples of Bio-medical Monitoring with smart phones

Posted on October 4th, 2011 by Noah
iPhone-Portable-ECG-Device

iPhone-Portable-ECG-Device

We are all aware of the amazing things that our smart phones are becoming capable of, but did you have any idea of the true scope of their capabilities?  One of the most recent and fastest growing segments of smart phone development goes hand in hand with the miniaturization of bio-medical monitoring equipment.

 

These developments will bring advanced bio-medical monitoring, previously only available in the hospital or with expensive hardware, into the homes of many.  The ability to monitor critical health information, and more importantly alert one’s physician to important fluctuations will potentially save lives and dramatically reduce health care costs.  The applications are endless, and the advantages priceless.

 

Following are three examples of what some developers are currently bringing to market.

 

Withings: The Smart Blood Pressure Monitor, Body Scale, and Smart Baby Monitor

 

AIRSTRIP Technologies : Healthcare Anywhere

 

AliveCor : iPhone ECG
 

ipads, smart phones, and HIPAA

Posted on September 20th, 2011 by Bill

smartphones
Marianne K. McGee over at Informationweek.com put out a rather informative article  detailing the problems that HIPAA requirements pose for IT departments in or associated with the medical field. A salient point in the article is that more and more patients and staff are relying on mobile devices to transfer medical information. As the article points out, mobile devices are often what are attacked when someone is trying to illegally gain access to an information system.

 

Many medical organizations preempt this by simply avoiding the issue. Mony Weschler, the ancillary informatics director at Montefiore Medical Center in New York City, provides an example of this approach. McGee’s article quotes Weschler thus, “We don’t store patient data on devices like smartphones and iPads.”

 

Though this policy is a good one for the present, how will it work in years to come? No blanket policy in the world will prevent your staff from transmitting information in the most expedient manner possible if the situation demands, and that is how it should be—especially in a sector such as the medical professions where so much information is time-critical. HIPAA regulations even make allowances for information that is shared during instances where timeliness is imperative (see: HIPAA and Natural Disaster: when is it appropriate to share medical records?). Instead of totally banning the use of newer, more portable communication technologies, the tact to take is to develop a sound, considered plan of integration of these technologies so that neither timeliness nor security is compromised.

 

Timeliness is an inherent quality of good communications, in *some* ways even more important than security. In fact, it may be reasonably argued that the advancement of communication is propelled by the invention of methods for *quickly* transmitting ideas, with the security of those transmissions as an after-thought which improves the general method. In a perfect world, timeliness and security would run apace of one another as communication technology progresses. However, that is simply not how the world works, and people use the technologies at hand. The fact is that, at some point, someone who works for you has probably already sent a text or sent an email from a smart phone that contains information that falls under HIPAA’s purview.

 

In the long run, we can’t expect this issue to go away. In a world that more and more relies on transportability of the work-space, people are not going to stop using their ipads and smart phones. In the medical industry, to do so is to potentially fall behind the competition. The trick is to make sure that the transition is made carefully and with fore-thought. The first thing to do is to familiarize yourself with what exactly HIPAA requires of communication security. To help with this, see 5 Questions to Ask About HIPAA Security. Though it is oriented towards selecting an answering service, it will provide you a good over-view of HIPAA compliance.