Is your practice using your EMR in a meaningful way?

Do you have questions about meaningful use?

Do you need answers?

Center for Computer Resources can help! Our certified trainer is dedicated to helping you learn the processes of Meaningful Use.

CCR’s approach towards Meaningful Use training is broken into 3 Phases:

Phase I: Meaningful Use Launch

Prerequisite: Review EMR

Actions:

• Review Roadmap to Meaningful Use Guide (Provided)
• Initiate and present overview of meaningful use objectives
• Discuss high-level timeline for Meaningful Use Stages
• Discuss next steps

Deliverables:

• Outline of meaningful use roadmap

Phase II: Develop Meaningful Use plan of action

Prerequisite: Meaningful Use Launch and Designation of Practice Meaningful Use Super User

Actions:

• Perform Meaningful Use Overview Assessment and Educate Meaningful Use

Super User

• Discuss registration process
• Discuss attestation process
• Work one-on-one with Meaningful Use Super User to develop a plan of action for each eligible provider. Meaningful Use Super User will need to document plan of action and submit to CCR for review
• Review resource guide/sources and How to use them
• Discuss next steps

Deliverables:

• Reviewed Plan of Action
• Attestation Test/Worksheet
• Glossary of Meaningful Use Terms/Definitions
• List of Resources

Phase III: Meaningful Use Plan of Action Implementation

Prerequisites: CCR will provide a list of required process to be document. The prerequisite is to submit completed documentation of the required processes prior to initial meeting.

Actions:

• Work one-on-one with eligible provider to assist with choices of Meaningful Use

Measures:

• Review of written processes
• Develop of list of required processes changes necessary to meet Meaningful Use mandates
• Preliminary testing against CMS attestation criteria to locate any deficiencies

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The kind of email system you use makes a difference. Full access and full control of your email account – even when on the go – can be essential tools for people who work in the field. But just the same, you might need a few tweaks to a less fully featured system to keep operations efficient and cost-effective.

Whether you work from an office or are productive while on the go, email most likely plays a big factor in the way you go about your business. Unbeknownst to many, some types of email systems have certain limitations that by extension can also limit the level of productivity of your business, and especially for people in the organization who must also work while out in the field.

One major issue for many people is synchronicity. Many people need their emails to be accessible on their mobile phones, PDAs, or other mobile devices, and they need them to be properly synchronized with their desktop workstations. The need to constantly update conversations and email threads from mobile devices to desktops with certain types of email can prove to be tedious and unproductive– and some email system types don’t include this ability at all.

Depending on the way you use your email, especially when on the go, having full access and full control of your account can define how productive you and others in your organization can be. Besides providing a much better degree of synchronization and integration with mobile devices, certain types of email systems also have features for sharing and collaboration features that allow you to set schedules and share files from your mailbox, as well as central storage for emails that allows you to access your account seamlessly with any mobile device, regardless of where you are located.

Of course, having a full-featured email system might not be best for everyone. The key is to know whether adapting a more bare-bones system is cost-effective for your business (especially in the long run). Sometimes the top of the line may be needed, and sometimes all you need is a bit of tweaking on your less fully featured system. Not sure which is best? Call us and we’ll be glad to sit down with you and assess what kind of email system is best suited for you and your business.

Your reputation and your company’s reputation are important. When people talk about you or your company, depending on what’s being said, it can have either a helpful or a damaging effect. In the online world this can be even more challenging, as the proliferation of websites and social media tools make monitoring these comments more difficult to do. Here are some tools to help you make sense out of the sea of information—so you can keep track of and manage what’s being said about you or your business.

Besides your own eyes and ears, there are plenty of tools—for free or for a price—available to help you monitor your presence online. The simplest of these is your familiar search engines such as Google or Bing. By simply searching online, you can find where your name or your company’s name appears in various websites. With Google in particular, you can set up “alerts” which will email you when a specific word or term appears in their website index.

What words or terms should you use? Start with your name, or your company name, then try the name of your products and/or services, and maybe even the names of your employees, directors, and other stakeholders. It might also be helpful to search for the competition as well. As results come in you can refine your search by expanding or narrowing the scope of terms you would like to search or be alerted on. If you want to be able to search across all different search engines and not just one or two, you can use Monitor This.

Next you can use specialized website or social media monitoring tools to search only specific sites or services as opposed to the entire Internet. One example is Greplin, which allows you to search all of your accounts or accounts that you own. This is very helpful to be able to execute highly filtered searches on specific information in your Facebook, Twitter, or LinkedIn accounts, or your blog. Another option is Rollyo, which allows you to set up your own specialized search engines that cull content from public or open websites of your choosing.

Other more generalized tools include RSS feed readers—which allow you to consume news or information feeds from news sites or blogs. Examples include Newsgator.com, Bloglines.com, Google Reader or Pluck.com. Other generalized tools include those that monitor specific newsgroups or message boards like BoardReader.com, ForumFind.com, Big-Boards.com, BoardTracker.com, iVillage, Yahoo Message Boards, and MSN Money. Still others track changes to content of specific sites (Copernic Tracker, Website Watcher and WatchThatPage.com), as well as their domain information (DomainTools.com and BetterWhois.com).

The really interesting new services actually give you an explicit idea of the status of your reputation—especially if you are a relatively well known name or your business has an established brand. In this category are sites like Amplicate, which monitors general feelings or impressions about brands, businesses, or services; Klout, which tries to measure the influence of individuals based on their social interactions; and SendLove.to, which focuses on celebrities and media personalities.

There are literally dozens more tools you can use to monitor and manage your reputation online. To find out more, a great resource is here at the Duct Tape Marketing blog. If you have any additional suggestions, feel free to let us know!

While the decision to have some of your IT resources “in the cloud” can be a complex one, one area we get asked about often is email and productivity applications. Below is a summary from two industry giants: one from Google and the other from Microsoft, and see how they compare:

Google Apps
Google Apps is a service from Google that started in 2006, with the introduction of Gmail—a hosted email service, and which later incorporated other apps such as Google Calendar, Groups, Talk, Docs and Sites. Google Apps allow customers an independently customizable version of these Google products under their own domain name. The entry level option is free, but the package offered for Businesses is a paid service with an annual fee per user and additional storage space.

1. Storage. Gmail, Google Apps’ email service starts with a sizable 7GB of free storage. Business users get 25GB. Bear in mind however that this storage space is shared with any data you have in other Google properties such as Picasa Web Album and Google Docs. Extra space can be bought however starting with USD $5 per year for an extra 20GB of storage. E-mail attachment sizes are limited to 25MB.
2. Calendaring and Task Management. Gmail can be integrated with the overall excellent Google Calendar application. Google Calendar allows you to easily share personal calendars with colleagues, or create shared calendars used by groups of people (such as a calendar to track meeting room reservations, marketing events and others). Google Calendar also offers a built-in, but somewhat underpowered task management tool. Tasks can readily be added with due dates, but not readily shared or cannot be nested or linked with other tasks.
3. Spam filtering, security and reliability. Gmail’s spam filtering features a community-driven system. Email tagged as spam by users help identifies similar messages as Spam for all other Gmail users. Generally the system works well, although some have complained that it can get over aggressive in its filters. In terms of security and reliability—Gmail has been criticized in the past with showing ads in its free Gmail service that display based on key words in the user’s messages—potentially violating their privacy. Its paid service offers however the option of disable these ads. Reliability is generally good with very few, but widely publicized disruptions in service.
4. Usability. Gmail offers a host of unique usability enhancements that make it different from most other mail services. For one for a web app it loads really fast, as Google has been known to studiously optimize web page loading performance for their products. Another is that it offers a threaded view of messages by default. It also uses a starring/labeling system to tag and segregate messages instead of using folders. Another interesting enhancement done recently is the ability to sort messages by “importance” where it learns based on your usage over time what email messages it thinks you think are important.
5. Mobile access. Gmail offers a version optimized for mobile devices, as well as support for a variety of devices for their native mail applications such as iOS and Android.

Overall Gmail is a solid mature choice if you are thinking of moving email to the cloud and are not afraid of being on the bleeding edge of cloud services and technology.

Microsoft Office 365
Microsoft Office 365, like Google Apps, offers a host of applications such as online versions of productivity tools which we all already know and use such as Word, Excel and PowerPoint. Most however work best when they are used in conjunction with your desktop-installed Office applications. Focusing on email, Office 365 offers a Hosted Exchange service, which transforms the mature, business-proven on-premise application to an on-demand service. Compared to Google Apps, it is quite new—being introduced only last June this year, although its suite of products in an alternate form has been around for much earlier.

1. Storage. Microsoft’s Hosted Exchange email service gives users 25GB of storage. Attachment file sizes are limited to 35MB. Additional storage can be purchased for $2.5 per GB per user per month.
2. Calendaring and Task Management. Exchange integrates a mature feature set for personal productivity including calendaring, resource management, and task management. As an example tasks can be grouped, color coded and easily sorted. Emails can be converted as tasks and so on.
3. Spam filtering, security and reliability. This is an area where perhaps Microsoft easily outshines Google with Exchange’s roots as an enterprise-class application. It offers spam protection, antivirus and others via Microsoft’s Forefore Online Protection for Exchange technology. It offers other features such as more full features user management, identity access management, mail archiving, etc. If you are in a highly regulated industry like financial services or healthcare these features may be essential for your business.
4. Usability. While the web apps of Office 365 is not as fast loading or as slick as Google, it does offer familiarity. Modeled after their desktop brethren, or directly integrating with them—they offer a smoother migration experience for users specially if they have been weaned on Outlook.
5. Mobile access. Like Gmail Microsoft made sure to support a variety of devices on launch, as well as integration with a variety of devices—specially enterprise stalwarts like Blackberry mobile phones.

Overall Office 365 is a solid choice if you are thinking of moving email to the cloud but may be hesitant with changing the apps your users already know and use. Also if you are a business with strict policies related to security and compliance—this service may be something your auditors and IT people may be more comfortable with.

Interested in learning more? Can’t decide which to try? Let us know and find out how we can help get you the right balance between your existing IT systems and infrastructure and the cloud.

The advent of social networking these days gives smaller businesses a bigger voice in the market, allowing them to rise to a level nearly at par with their larger competitors – and elevating the playing field to a battle of efficiency, cost effectiveness, and quality service rather than advertising and marketing budgets.

One of the most difficult challenges smaller businesses face is having a bigger presence in the market. While many of these companies offer good, quality services at much more affordable rates, they are many times overshadowed by larger firms that have bigger budgets to spend on marketing, advertising, and the like.

Things have changed, though, with the advent of social networking. What was once a simple, social, get-to-know-each-other tool between people on the internet has now evolved into a tool that small businesses can take advantage of in order to get their voices heard.

The gist of social networking for business is the simple concept of reaching potentially millions of people at a mere fraction of what is normally spent on advertising and traditional marketing. The wide reach of social media allows businesses to find their voices and showcase what they can do. The playing field then moves from an unfair balance of advertising budgets to a battle of service quality and value for money, as it should be – and many smaller firms can compete effectively in this arena.

There are many ways to tap into the social networking phenomenon to boost your online presence and aid in your marketing. If you are interested in knowing more about this, please contact us and we’ll be glad to assist you in developing strategies that fit your specific requirements and needs.

It is a misconception among many businesses that using a cheap, basic router/firewall is sufficient for day-to-day operations. But it is important to realize that there is more to it than just price – especially since more often than not, going cheap will only get you what you pay for (or maybe even less).

In business, protecting important information and data is paramount. This is why it is recommended for any sort of business to invest in a security system that will prevent any cyber-attacks that might be launched against you.

Unfortunately, though, it’s lost on many that a security system is not just made up of one single thing – software, better staff, better hardware, et cetera. A good and solid security system is composed of several factors working together to create a virtual chain that envelops your business and keeps it safe.

And one of the most underestimated links in this chain is the router/firewall. Many businesses are content using the most basic and cheapest option available on the market, without realizing that their security chain is only as strong as its weakest link. And if you make do with a cheap router/firewall, odds are you’ll get what you pay for – not much.

While basic routers might work fine for homes or individual users, it is a much different scenario when it comes to business operations where basic just doesn’t cut it. Plus, there’s more at stake with business data, so why take the risk with cheap routers that lack the proper security features?

With viruses, malware, and the cyber thieves behind them continuing to grow and evolve, it is important that you understand what it takes to protect your system and your data – and invest in the best solution. Remember that it can take only one incident, one infiltration, to bring your whole business down.

We realize that every system is different and every business has its own specific needs, so if you want to know more about getting the right router/firewall for you, please don’t hesitate to contact us.

Electronic evidence-based protocols used as a “shared baseline” at the patient bedside may help eliminate unnecessary medical care—and that can lead a health care entity down the road to being a top-performing organization, as one case study illustrates.

IT plays a crucial role in preventing health-care-associated infections (HAIs), according to a new white paper from GE Healthcare IT.

HAIs affect 1.7 million inpatients each year, and are the fourth leading cause of U.S. deaths. Additionally, they cost the U.S. health care system as much as $35 billion each year. According to the GE Healthcare IT report, however, HAIs can be prevented with emerging technologies, such as electronic medical records (EMRs).

As one example, the report highlights the case of Intermountain Healthcare, where 80 percent of care delivery is evidence-based (vs. less than 55 percent for the rest of the industry).

There, evidence-based care protocols are rolled into a clinical information system and used as a “shared baseline” at the patient bedside. Physicians are expected to base their treatments on these protocols, making any necessary adjustments to meet individual patient needs.

Evidence-based protocols can improve accuracy, as illustrated by the work of Anthony Lee, MD, of Columbus Children’s Hospital, Columbus, Ohio. Lee created a Web-based system that automatically calculated a patient’s next dose of insulin. Instead of reviewing multiple pages and performing manual calculations, nurses simply enter two variables and the system instructed what action to take next. As it turned out, nursed calculated the insulin rate incorrectly nearly 25 percent of the time with the paper system, but only 1 percent of the time with the Web-based system (and in 80 percent of cases with errors, the insulin infusion rate was miscalculated by at least one unit per hour).

According to the GE Healthcare IT report, using such evidence-based care protocols for clinical decision support also eliminates unnecessary care, which has helped make Intermountain a top-performing organization. Other health care organizations of all sizes may wish to emulate this practice.

The entire report is available here.

With the mobile phone trend evolving into an all-around multimedia device, many people have seen the need to have a smartphone – for different reasons. That is why there are so many different smartphones that cater to different kinds of people with different needs and uses. It’s important to know what you need, and think things through before buying so you can get the smartphone that works best for your purposes.

For many people these days, smartphones have become more of a necessity than a luxury. Being able to stay in touch through constant access to the internet and the thousands of mobile smartphone applications available has made smartphones an indispensable tool.

But with the boom in smartphone use, there also comes a conundrum for many: Which smartphone should I get? With so many choices out there, it’s becoming difficult and confusing to pick the right one. Here are a few quick and simple tips that you might find useful when canvassing the market:

1. Know what you want.
What do you need a smartphone for? Each handset has its own strengths and weaknesses. There are smartphones that integrate email and web browsing and put more focus on multimedia such as audio and video – while there are other no-frills, no-nonsense models that trim features down to those that are the most basic and essential.

2. Consider your carrier.
Carriers are important because there are some smartphones that are only available with certain carriers, or carriers that limit certain features of a particular smartphone. You do have the option of getting an unlocked phone (meaning the device does not come with carrier requirements), but this has its own set of pros and cons that you have to weigh as well.

3. Get a feel for your choices.
Nothing beats actual experience, so visit local stores to get the physical feel of each phone. Is the keypad big (or small) enough for you? Is the device too thick or too thin? Do you like the user interface or is it too complicated for you? These are just some of the questions that you can answer once you get an idea of how it actually feels to use them yourself.

4. User feedback is important.
Talk not only to sales people but also to other people you know. Your friends and acquaintances have actual experience with various smartphones, so ask them what concerns and issues they have with their particular models.

If you have additional inquiries about how you can better use your smartphone for your business, please give us a call and we’ll be happy to assist you.

Only a fraction of U.S. physicians have fully implemented and begun to use an electronic medical record (EMR) despite years of widespread availability and incentives, and for many good reasons—but gloEMR is covering resistance with its commitment to truly meaningful use.

The process of vetting and implementing an electronic medical record (EMR) can be challenging for any medical group, with barriers to adoption including excessive perceived costs for setup and maintenance, disruption to physician productivity, and insufficient clinical and financial benefits.

But technological progress, HITECH Act incentives, and consumer demand have all combined to overcome resistance and spur a wave of adoption—and today, many physicians have seen firsthand that the right system can help their practices gain greater efficiency and generate increased revenues.

The key is to adopt the right system, such as gloEMR 6.0, gloStream’s flagship EMR, which has been certified by the Certification Commission for Health Information Technology (CCHIT), an ONC-ATCB, in accordance with the applicable certification criteria adopted by the Secretary of HHS.

gloStream guarantees that gloEMR will provide eligible providers with everything they need to achieve meaningful use and qualify for stimulus incentive funding. That means gloStream will provide everything the government requires for customers to be eligible for stimulus payments—and more.

That’s because to gloStream, meaningful use is about more than just meeting government requirements; it’s about making sure clients are completely comfortable using their EMRs and getting the results they need.

gloStream achieves this with its innovative gloDNA process, which allows the company to understand the needs of a practice so gloEMR can be configured the way the individual doctors practice medicine. During this process, gloStream reviews the practice’s needs in order to build a customized solution and recommend process changes that help smooth the transition to a digital environment. It then follows through with a wellness phase designed to make sure clients continue to be truly meaningful users.

That’s what gloStream calls “truly meaningful use,” and that’s its guarantee.

Looking for a better return on investment? Health care practice’s medical billing departments may be able to realize a significant return on investment by implementing an electronic document management solution (EDMS) with integrated workflow technology, according to a new white paper.

Medical billing departments are tasked with maximizing revenue per claim and minimizing cost per claim processed, which is often more difficult than it sounds. The administrative cost of processing a medical claim can be as high as $10, but on average, 30 percent of medical claims sent to insurance companies never get paid. Plus, many insurance companies take up to three months to process paper claims.

Billing managers who use technology to improve the billing process may be able to dramatically improve collection amounts and times. According to a white paper from Laserfiche^®, “ROI for Medical Billing,” with an investment in digital document management and workflow technology, medical billing departments can save anywhere from $145,000 a year in annual operational costs for a single-facility billing department to upwards of $1,500,000 for a large billing organization.

Some entities have already started down that path. For example, America’s Health Insurance Plans (AHIP) shows that three-quarters of all health insurance claims are now submitted electronically, up from 24 percent in 1995. As a result, 98 percent of claims are processed within a month of receipt (and many within a week).

One more technology that can streamline billing and coding processes, thereby shortening the revenue-collection cycle, is an electronic document management solution (EDMS) that includes workflow technology. A best-of-class EDMS can automatically take files received in different formats including paper and fax, convert them into a single electronic format, automatically name the documents, and route them to the appropriate staff. Advanced EDMSs can even monitor network folders for faxes or FTP uploads and immediately process the files without staff intervention. Scanned documents are then stored in a secure, HIPAA-compliant repository.

Savings, according to the white paper, arise from the reduced labor hours of batch and file creation, as well as reduced office supply requirements. Even more dramatic savings can be achieved when scanning is done at the source, such as a remote office, which eliminates the cost of transportation.

The white paper is available here.