As I work with various clients who are preparing for transition to EHRs, I often hear HIM staff voice concerns that they haven’t been invited to the table for discussions regarding EHR strategy. In some cases, the selection of an entire system has been made for the facility with literally no input from the HIM department!
It comes up every other day now, it seems. It’s the question with no good answer; you’re sure of it. But your staff members really want to know: Why can’t they eat at their desks?
Where is the healthcare community at in terms of EHR implementation, and where is it going from here? And what effect, if any, has the EHR meaningful use incentive program had on implementation efforts? MRB asked these and other questions in our July 2010 benchmarking survey on EHRs—and HIM professionals from 325 hospitals and facilities answered.
If you’ve been outsourcing your transcription but think there might be a better way to meet your needs in-house, you may want to take another look at some other options. You may have more than you realize.
Regardless of the safeguards in place in any electronic document management system (EDMS), sometimes a document ends up in the wrong patient’s record. It was a reality in the paper world, and it is a reality in the scanned record world. Obviously, it was easier to rectify in the paper environment. So how does one address this issue with a hybrid electronic record?
When it comes to release of information (ROI), it may seem that exceptions are the rule. But you must know when you can and cannot release information to protect the privacy of your facility’s patients.
Those of us who work in clinical settings are familiar with situations involving medical ethics when it comes to patient care. End-of-life decisions, resource utilization vs. quality of outcomes, genetic testing, pro-life issues, and other hot topics create endless ethical and moral discussions. And don’t forget to mix in a little government healthcare policy and discussion on rationing of healthcare and on whether healthcare is a right or a privilege.
EHR implementation is a “big, hairy animal,” according to Meg McElroy,RHIA, MBA, HIM and medical staff services director at Children’s Hospital of Milwaukee. McElroy has been working toward having a fully electronic record for years. “It’s so expensive, and how do you just get it done?” she says.
The annual MRB salary survey for HIM directors and managers has come to a close and the results are in. Read on to find out what more than 1,000 of your peers had to say regarding their salaries, the various factors that affect compensation, and the effects of the down economy.
