Wednesday 25 April 2012

Advantages of HIPAA Compliant Solutions



 The pressure on the healthcare industry across the world including US is on the rise as regards delivery of better quality of patient care and to bring about reduction in costs. Medical IT solutions like claims processing system, practice management software, EMR (electronic medical records), EHR (electronic health records), etc. are proving to be handy in achieving the above goal. The technology is helping to make life easier for doctors, hospitals as well as patients. However, the problem being there are a large no. of vendors offering a wide range of medical IT solutions. A particular system may be suitable for the practice and other may not. In absence of some sort of standardization and guidelines the optimal results can not be expected. Here, comes the role of HIPAA compliant solutions that are developed as per the HIPAA guidelines and set of rules.

HIPAA stands for “Health Insurance Portability and Accountability Act”, the act was enacted in 1996. Title I of HIPAA protects health insurance coverage for workers and their families when they change or lose their jobs. Title II of HIPAA, known as the Administrative Simplification (AS) provisions, requires the establishment of national standards for electronic health care transactions and national identifiers for providers, health insurance plans, and employers. Basically HIPAA is a regulatory body that provides guidelines as one of its functions as regards the development of healthcare IT systems ultimately known as HIPAA compliant solutions.

HIPAA compliant solutions provide a no. of safeguards as against a non-HIPAA compliant / un-standardized healthcare IT system:

1) Administrative Safeguards - policies and procedures designed to clearly show how the entity will comply with the act.

2) Physical Safeguards – controlling physical access to protect against inappropriate access to protected data.

3) Technical Safeguards – controlling access to computer systems and enabling covered entities to protect communications containing PHI transmitted electronically over open networks from being intercepted by anyone other than the intended recipient.

Information systems housing PHI must be protected from intrusion. When information flows over open networks, some form of encryption must be utilized. If closed systems/networks are utilized, existing access controls are considered sufficient and encryption is optional. And many other guidelines that ensure safety and security of data, standardization of system by introducing functional features and so on.

If we sum up, HIPAA compliant solutions ensure better safety and security of data, standardization, functional features and inclusion of other privacy policy / procedures that can be helpful in achieving the optimum utilization of the system.

Wednesday 4 April 2012

How to Choose a Right EMR Solution



The importance of EMR solutions in today’s hi-tech environment can not be denied. It is believed by industry experts that he who denies the adoption of newer technology has to pay for it in terms of excessive time consumption, poor productivity and unreasonable ROI. It is also believed that if a right EMR solution is chosen and implemented, it will not only benefit doctors but to the patients as well to a great extent.

The process of choosing a right EMR solution starts with documenting the current office work flow that supports the patient encounter. This is a tedious, iterative and time consuming process that is critical to the success of any electronic medical records implementation. Document exactly what happens when a patients sees a doctor. What forms do they fill out? What happens to those forms? Are they sent to other departments? What systems is data entered into? Who are the people involved and what do they do to move the process forward? Every detail, process, form, system, technology and person involved in the process has to be properly documented to fully understand the work flow of a patient encounter. This process involves many iterations and every person that is involved in the process before a complete understanding is gained.

Once the work flow is documented, a list of vendors needs to be prepared who provide with the certified EMR solutions. On preparing the list, the requirements of the practice must be compared with the features of the respective electronic medical records solution. The factors also need to be considered such as reviews about shortlisted vendors, pricing, long term support and so on.