E-prescribing jumped 61% in the first quarter of 2009, according to a survey by Surescripts. "In the past two years, the U.S. has gone from 19,000 to 103,000 prescribers routing prescriptions electronically—punctuated by 39% sequential growth in prescriber adoption in the first quarter of this year," said Harry Totonis, president and CEO of Surescripts.
When Deb Howard, 42, of Kingwood, TX was discharged from the military in 1992, she was given eight years' worth of her paper medical records in two tattered and worn out folders. And although the records include valuable health information, including every illness with which she had been diagnosed and every drug for which she had been prescribed during her military career, she says she has no idea where those records are now.
Upon retirement, Howard's husband, a 24-year military veteran, was also given his paper medical record, much of which was illegible and incomplete, Howard says. She says she has watched him carry those records from appointment to appointment ever since.
That's because currently there is no comprehensive system in place that allows for a streamlined transition of healthcare records between the Department of Defense (DoD) and the Department of Veterans Affairs (VA).
Like many other veterans, Howard and her husband must recall in detail their medical histories or simply carry paper medical records to their civilian doctors.
Sounds a bit archaic, right? This process seems especially ineffective, given the often long-term effects of diseases and injuries that veterans acquire or sustain during the course of their careers.
And it's also inefficient. "It's about avoiding unnecessary duplication and wasting valuable time," says Margret Amatayakul, RHIA, CHPS, CPEHR, CPHIT, FHIMSS, president of Margret A. Consulting, LLC, in Schaumburg, IL. "If one provider asks a patient about his or her condition and treatment to date, why shouldn't the next provider have that information?"
When patients must verbally repeat information about their own medical health, providers run the risk of receiving incomplete or inaccurate information on which they could base a potentially harmful decision.
But all of this may soon change as the DoD and VA begin to work together to create a new joint virtual lifetime electronic record that will track veterans' health information from the day they enter the military, throughout their military career, and even after retirement.
The project is a step in the right direction, given the national push for EHRs and interoperability under the American Recovery and Reinvestment Act of 2009. Securely sharing information is the wave of the future, and it will most likely foster more efficient, effective, and personalized patient care than we could ever begin to imagine would be possible today.
"When a member of the armed forces separates from the military, he or she will no longer have to walk paperwork from a [Defense Department] duty station to a local VA health center," President Barack Obama said in the article. "Their electronic records will transition along with them and remain with them forever."
The need for a more streamlined process is critical in terms of patient care and research into new ways to afford active protection and treatment, says Amatayakul. "Hopefully, it should go a long way to solving the problem, although some veterans are treated in private hospitals, which may be more challenging to integrate."
However, universal integration is what will truly make a difference in veterans' lives and healthcare, says Joe Cruz, healthcare technology consultant in Chesterfield, MO. "Unless you enable universal exchange of data, then you will still be missing critical pieces of that military members' chart from when they were seen or provided care at a commercially contracted hospital or private physician," he says.
The DoD contracts out much of its healthcare to private hospitals when its own facilities are either too remote or when the patient volumes do not justify providing certain services, Cruz says. The ideal goal of the project should be to devise a truly interoperable longitudinal record that can accept data from and send data to disparate systems, including a DoD facility, VA hospital, contracted commercial hospital, or TRICARE contracted private physician's office, he adds.
Howard admits that having a centralized record would ease the burden of having to carry paper information to appointments or recall years' worth of personal health information. "The bottom line is that if all your information was located in one place at the touch of your finger tips in any doctor's office across the country, I think your individual care would be better," she says.
The joint virtual lifetime electronic record will hopefully serve as a model for a national EHR system, Amatayakul says. For now, the DoD and VA are logical agencies with which to begin the process because they are both under the federal government's jurisdiction and are mandated to adopt electronic records, she adds.
The White House has not yet released details of how the DoD and VA will achieve lifetime electronic record; however, the administration has stated that the project is part of an overall increase in funding for the VA that includes $25 billion over the next five years to honor the nation's veterans and expand the services they receive.
Lisa Eramo, CPC is a senior managing editor in the health information management division of HCPro, Inc. She is located in Rhode Island and writes content for the company's flagship newsletter, Medical Records Briefing. Contact her at leramo@hcpro.com.
The Florida House has overwhelmingly voted to restructure the panel that recommends how to distribute roughly $2 billion a year in Medicaid money. The proposal by Rep. Jimmy Patronis would revamp the Low-Income Pool Council. The panel was created in 2005 to advise the Legislature on the distribution of Medicaid funds. Miami-Dade County currently contributes more money than any other local government. But this session, groups such as the Hospital Corp. of America and federal health clinics have pushed to change the makeup of the council, arguing for more transparency.
A new federal subsidy designed to help laid-off workers pay for health insurance could be out of reach for thousands of jobless workers because they worked for a small company or their former employer has gone out of business. The subsidy, part of the economic stimulus package, covers 65% of COBRA premiums for individuals laid off between Sept. 1, 2008, and the end of this year. The subsidy is available for up to nine months.
Years of verbal volleys, grabs for physician practices, and disputes over reimbursement rates came to a head this week as the West Penn Allegheny Health System filed suit in federal court against rival University of Pittsburgh Medical Center and insurer Highmark. West Penn Allegheny accuses UPMC and Highmark with antitrust violations that it says have illegally raised prices for consumers in the region while trying "to destroy West Penn Allegheny." The suit lays out various acts against West Penn Allegheny dating back to 2002 that health systems officials say were meant to ensure Highmark's continued dominance in return for higher payment rates for UPMC and Highmark's help to "eliminate" West Penn Allegheny.
Aetna Inc. Chief Executive Ronald A. Williams got $3.14 million in compensation for 2008 and was awarded stock rights that could be worth an additional $10 million, the company disclosed. The compensation information was reported in the proxy filing for Aetna's annual shareholders meeting May 29.The proxy said Williams' compensation was based in part on Aetna's "superior operating performance" and his leadership in differentiating the company from its competitors by launching new products and services and expanding health information technology.