Memorial Hermann Healthcare System (MHHS) in Houston includes nine acute care hospitals, one children's hospital, three long-term acute care hospitals, three specialty care hospitals, 21 regional affiliates, a home health agency, a retirement/nursing center, 10 ambulatory surgery centers, 21 imaging centers—and only one HIM department.
Prior to July 1, 2008, however, that was not the case. MHHS' medical records/HIM departments used to be facility- based. Each hospital had its own medical records department, its own coders, and its own vendors. But MHHS' leadership recognized that in an era when cost savings are a must, this model was not as efficient as it could be. A restructuring of the department was in order.
On December 30, 2009, the Office of the National Coordinator for Health Information Technology published the interim final rule for EHR certification standards, and on January 13, CMS issued the proposed rule on the EHR Meaningful Use Incentive Program and meaningful use standards in the Federal Register.
Just getting started with your transition to an EHR? Consider these five tips from experts in the field as well as some of the providers who’ve been in your shoes.
Despite common knowledge that hybrid systems are worse than either fully paper or electronic records, we continue to see proliferation of models implemented that promote the hybrid record as an extended transition strategy; however, with proper planning, you can avoid entering into a hybrid state.
