Augmedix, one of several start-ups devising applications for Goggle Glass in health care, is developing a seamless way for Glass-wearing doctors to push information to and from electronic health records (EHRs). A recent study in the International Journal of Medical Informatics found that doctors who use EHRs in the exam room spend much of their time looking at the computer screen rather than at the patient. The Augmedix product would record information from the doctor-patient interaction automatically and potentially boost “face time.” Meanwhile, Austin, TX-based Pristine has developed an app that lets Glass-wearing physicians transmit HIPAA-compliant video and audio of patients to authorized computers. The idea is to enable real-time consults with specialists located remotely from the patient. (See related OrthoBuzz item from Jan. 30, 2014.)
A workgroup has submitted draft recommendations for Stage 3 Meaningful Use incentives. Chaired by Paul Tang, MD, the workgroup has put forth various policy ideas over the past 2 years. One proposal would have physicians and hospitals use clinical decision support interventions based on four of six high-priority objectives: preventive care, chronic disease management, appropriateness of lab/rad orders, medication-related decision support, medication and allergy lists, and drug-drug and drug-allergy checks. The workgroup has also proposed new certification standards for electronic health records (EHR) that would make it easier for patients to modify their records online.
The Centers for Medicare and Medicaid Services has proposed extending the attestation period for Stage 2 of Meaningful Use of electronic health records (EHR) through 2016. The extension would give providers more time to meet the requirements, still be eligible for 2014 incentives, and start thinking about Stage 3 requirements. For providers embarking on the transition from Stage 1 to Stage 2, Michael Nunimow, CEO and cofounder of drchrono, offers five tips.
Almost everyone will be affected by the Affordable Care Act in one way or another. For many, it will mean an abundance of new patients because as of Jan. 1, 2014, twenty-two states and the District of Columbia expanded access to Medicaid to children and adults with individual or family incomes less than 133% of the federal poverty levels. Additionally, Jan. 1st means the beginning of Stage 2 requirements of the CMS meaningful use program for EHRs. February 28 is also the reporting deadline for physicians to submit performance data that qualifies for a bonus through the Physician Quality Reporting System. To see more important dates and deadlines for physicians and healthcare providers, see Medscape’s slideshow (login required).