Tuesday, March 2, 2010

California Electronic Discovery Act




The California Electronic Discovery Act became effective on June 29, 2009. This important new legislation is California's first attempt to deal specifically and comprehensively with the issues presented by the discovery of e-mails, word processing document files, digital images, internet access records, and numerous other types of "electronically stored evidence" (ESI) in California state court litigation. It substantially re-vamps the California treatment of the discovery of ESI, often referred to as "e-discovery." Due to the importance of this topic, every California attorney needs to be aware of electronic discovery issues and how they will be handled in California. E-discovery is a rapidly expanding area and those California attorneys who have not yet encountered e-discovery issues in the course of their practices may reasonably expect to do so in the foreseeable future. At present, E-discovery is probably the hottest single issue in litigation

USA's Greatest Speed Skater Takes His Medical Practice to the Cutting Edge















Thirty years ago, Eric Heiden became the first athlete to win five gold medals at a single Olympic Winter Games, setting world and Olympic records and sweeping all five individual speed skating events. It's a feat no other skater has ever accomplished. He dominated the sport, set 15 world records, and after retiring, successfully competed as a cyclist, winning a U.S. championship and racing in the 1986 Tour de France.




Today, Doctor Eric Heiden is achieving a different kind of success – as an orthopaedic surgeon following in his father's footsteps and fulfilling a lifelong dream to practice medicine. It's a passion he pursues with the same drive and dedication he displayed as a world-class athlete. And just as he did while training to race, he embraces new ideas to make Heiden Orthopaedics, his Park City, Utah, practice, the best that it can be.









"There is a fine line between being successful and not being successful,” said Heiden. "Whether it's in sports or medicine or some other profession, you always need to do that little bit extra, try that little bit harder. You have to keep an open mind, watch what's going on in other industries, and then be willing to incorporate new ideas and new technologies that will allow you to do what you do even better.”





Dr. Heiden recently put that philosophy into practice at his own clinic. He is in the process of implementing a revolutionary records management software system that will take Heiden Orthopaedics to the cutting edge of information technology.





"We are on the cusp of major technological changes in the medical field with regard to patient medical charts,” he explains, "but a lot of private practices have not yet made the transition. I've been practicing medicine for 14 years, and when I was at University of California-Davis, we were just starting to put together electronic medical records. I've been watching the software capabilities expand for about eight years now. I've looked at a lot of different packages and Records Studio® was the one for us.”





Still at the forefront, utilizing high-tech to improve performanceJust as athletes benefit from high-tech gear, clothing and equipment that enables them to be faster, better, stronger, Heiden says Records Studio utilizes superior technology to help optimize the performance of all departments of his medical practice, not just patient care.





"You are always looking for ways to maximize your dollars, minimize your expenses, and better serve your patients,” he explained, "and this software does all three – plus, we were able to implement it with minimal disruption to the practice.”





A content management system that manages all physical and electronic files, Records Studio adapts to any existing records structure and works across an entire enterprise, including all of its business units and departments around the world. It allows users to create, route, store, search and retrieve data from all corporate systems and databases, including records, files, documents and e-mail.





Customizable and cost effective"One of the best things about the software,” said Heiden, "is its flexibility and ease of implementation. The platform is adaptable to individual practices and even to individual preferences within a practice. For example, my wife Karen, who is also a physician at Heiden Orthopaedics, is a hand surgeon. I'm in sports medicine. The things we want to know about a patient will be different. She's going to want more specialized hand information. I'm going to want to know about knees and shoulders. With Records Studio, we're each able to determine what we want our records to look like.





"Plus,” he added, "I'll be able to access those records from anywhere in the world, so if I'm traveling with a sports team in Europe and I need information about somebody's medical history, I have immediate access to that electronic record.”





Heiden sees potential for drastically reducing IT costs when the system is fully operational. "One immediate cost savings,” he says, "will be transcription costs. Automatic transcription will save the practice thousands of dollars each year. Generating physical charts, entering paper, storing and filing the charts – all that takes time and costs money,” continued Heiden.





A healthy choice for patients, tooGathering relevant patient information is challenging in our current health care system, says Heiden, and electronic records will provide a much more efficient and accurate way to acquire, sort, share and use information as needed, saving time and money for patients as well as doctors, and improving the quality of care. Too much information is lost, mistranslated or duplicated, all of which adds to our country's increasing health care costs.
"The health care industry is being encouraged to develop electronic medical records,” said Heiden. "There is, in fact, a government stimulus program to help with the cost of implementation. The hope is that by having an electronic medical record, correct information can be easily and securely disseminated within the medical field. Now, with paper charts, it's very difficult to gather pertinent patient information, especially if that patient has seen a number of different providers.”





The bottom line, says Heiden, is that utilizing Records Studio will allow him more time to do his real job – practicing medicine – and helping other athletes reach their goals and achieve their dreams.

Global Market for Medical Transcription Services to Exceed $48.43 billion by 2015

Global Market for Medical Transcription Services to Exceed $48.43 billion by 2015

Global market for medical transcription services is projected to exceed $48.43 billion by 2015. Growth in the industry is primarily triggered by efforts to prune down healthcare costs. Health maintenance organizations, healthcare providers, and hospitals, primarily in developed countries, are increasingly turning towards the maintenance of digital records of patient encounter, which is contributing for rapid proliferation of medical transcription services.
Medical Transcription Services are experiencing high demand due to several reasons, including insurance purposes, and detailed documentation of medical records. Though emerging technologies such as EMR systems, and speech recognition technology are threatening MT services, the industry will continue its growth, stimulated largely by federal regulations to document patient medical records.



The United States is the largest market worldwide for medical transcription services followed by the UK, Australia and Canada, as stated by the new market research report on medical transcription services. The increasing complexity of the healthcare sector, coupled with heightened demand for reliable healthcare documentation for insurance claims, have been the two major factors driving the US medical transcription industry. MT Outsourcing emerged as a best option for conventional hospitals to gain competitive edge over managed care organizations, and to fortify market standing by offering quality patient care. India is presently an undisputed leader in terms of number of offshoring contracts, followed by Philippines.

Key players profiled in the report include Acusis India, Audio Dicta Transcription Services, C-Bay Systems Holding Ltd., CBay Systems (India) Pvt Ltd., MedQuist Inc., Care Technologies India Private Ltd., Etransmed Medical Transcription, FocusMT India Pvt. Ltd., Global eBusiness Outsource, Inc., iMedX Information Services Pvt. Ltd, IQ West Outsource Technologies Corp., Scribe, Inc., Spheris Inc., TransDyne, Transmedic Outsourcing Philippines, Inc., Webmedx, Inc., and World Tech U.S.A. Inc among others.

Happy Birthday, HITECH!



Happy Birthday, HITECH!
Yes, readers of the HIM world, it was 1 year ago today that President Obama took that fateful pen to paper and signed the American Recovery and Reinvestment Act (ARRA), paving the way for electronic health records (EHRs) and all the perks and headaches associated with them.
The push for EHRs is part of the Health Information Technology for Economic and Clinical Health (HITECH) Act, a component of ARRA with the specific goal of using a combination of technology and training to improve health care while reducing costs. Things like regional extension centers and EHR incentive payments (which you've hopefully heard all about by now), fall under the legislation, as does funding for educational programs so there's a work force available to coordinate such projects.
So far, the stimulus seems to be working. In a recent survey, nearly 50 percent of patient respondents said their doctor used digital records during their last visit. Of those 14.3 percent said their doctor had installed the electronic system within the past 6 months.
It's a great start, but there's still the problem of making sure those records can connect. Last week--perhaps in honor of HITECH's approaching milestone--the Secretaries of the Department of Health and Human Services (HHS) and the Department of Labor announced the availability of nearly $1 billion in stimulus grants to help states promote EHR adoption and build health information exchange (HIE). Among the recipients, California snagged more than $100 million to fund its efforts, while Massachusetts earned $26 million and Vermont and Tennessee secured $12 million each.
The anniversary is a celebratory moment, but it also marks a deadline for some organizations. Starting today, business associates (BAs), including medical transcription service organizations (MTSOs), must comply with the HIPAA Security Rule. Once reserved for covered entities, the extensive requirements for encryption and protection of personal health information were expanded to BAs under HITECH. MTSOs and other affected companies had a year to get in line, but now HHS is ready to drop the hammer.
What does it mean for those in the MT biz? You'll have to wait until our March issue to find out (we're checking in with industry experts to see who's prepared for HITECH). From the looks of it, BAs better hope compliance audits aren't high on the HHS agenda.