Health providers in Holland will have to create electronic health records for their pediatric patients by the end of next year. In a three-stage process, paper records will be digitized, a data-transfer infrastructure built and the feasibility of a national exchange among all child care sectors will be explored.
PHRs could reduce redundancies and be a vehicle for better patient care, says Dr. Matthew K. Wynia, director of the Institute for Ethics at the American Medical Association. But he also wonders how a physician could be expected to know all that's contained in a voluminous record and how a physician might moderate his or her notes knowing that a patient could see them.
The government's current timeline for ICD-10 adoption will create a "major meltdown in the health-care industry," says the president of the Blue Cross Blue Shield Association. The acting director of the Centers for Medicare & Medicaid Services says each year of delay will add to the overall costs.
Next year, physicians and other providers may be able to complete some of their Medicare enrollment processes online. The Centers for Medicare & Medicaid Services will add a front end to their Provider Enrollment, Chain and Ownership System, and says it should shorten the enrollment process by about half. However, CMS will not accept electronic signatures, so paper forms must still be mailed in, and some express skepticism that the online process will fix the problems with enrollment.
GE Healthcare collaborated with the University of California, San Francisco, to develop the Centricity Enterprise Monitored Care package, designed to integrate clinical and medical-device data into a single electronic record. The application features an interface that connects with medical devices to obtain real-time information, significantly reducing the time needed for manual documentation, GE said.