Computerized Provider Order Entry (CPOE)

See the following -

Are Electronic Medical Records Worth the Costs of Implementation?

Tara O'Neill | American Action Forum | August 6, 2015

All of these potential advances could greatly improve health outcomes and help bend the health care cost curve. Unfortunately, these advances come with significant costs, both financially and in terms of personal privacy. Going forward, policymakers should work to ensure limited resources are used in a more cost-effective manner. Changes to EMR policy have been part of recent legislative and executive action.

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Composable Software, Collaborative Development, and the CareWeb Framework

The CareWeb Framework (CWF) enables the software developer to build complex, richly interactive, web-based applications in a modular fashion...The CWF has been used as the basis for a complete EHR and CPOE system and has been ported to several open source EHRs, including OpenMRS, VistA, and RPMS. The CWF is open source software built upon open source software. Read More »

Halamka on MU3 Regs: The Good, The Bad, and the Ugly

On Friday March 20, CMS released the Electronic Health Record Incentive Program-Stage 3 and ONC released the 2015 Edition Health Information Technology (Health IT) Certification Criteria, 2015 Edition Base Electronic Health Record (EHR) Definition, and ONC Health IT Certification Program Modifications. Perhaps the most important statement in the entire 700+ pages is the following from the CMS rule:  "Stage 3 of meaningful use is expected to be the final stage and would incorporate portions of the prior stages into its requirements."

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Halamka Summarizes the CMS Meaningful Use Final Rule

I’ve been asked to summarize the  752 page CMS Meaningful Use  Final Rule...Between the Notice of Proposed Rulemaking and the publication of the CMS Final Rule, the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) passed to include sunsetting the Meaningful Use payment adjustment for professionals at the end of 2018.   Also, MACRA requires the establishment of a Merit-Based Incentive Payment System (MIPS) which would incorporate Meaningful Use.  The comment period will be used in an attempt to align the Meaningful Use program and the MIPS program...Stage 3 is more controversial and I will focus on that.

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Medsphere Systems Marks 10 Years of Better Patient Care Through Affordable Healthcare Technology

Press Release | Medsphere Systems Corporation | November 27, 2012

A decade after the founding of Medsphere, interest in the company's OpenVista EHR remains strong. Their open source solution rapidly delivers federal Meaningful Use funds to its constantly expanding customer base

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Midland Memorial Hospital Receives Federal Funds for Meaningful Use of OpenVista Electronic Health Record

Press Release | Medsphere Systems Corporation | January 10, 2012

Medsphere’s OpenVista enables Texas county hospital to meet Medicare and Medicaid requirements of federal reimbursement program and receive more than initial investment cost of OpenVista.

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North Carolina's Central Regional Hospital Rolls Out VistA For Less Than $1 Million

Central Regional Hospital, a state psychiatric and medical facility located in Butner, North Carolina, has just completed a full-scale implementation of the open source VistA electronic health record (EHR) system. The hospital, after three years of work, was able to self-implement and customize the fully-featured EHR at a cost of less than $1 million. The 398-bed hospital serves the acute and long-term inpatient mental health and medical needs of North Carolina citizens from 26 counties and employs more than 1,900 staff, including 50 doctors, 300 professional nurses, 700 nursing assistants, 40 psychologists, and 70 social workers. Central Regional Hospital is a major teaching site for 23 psychiatric residents per year from Duke University and the University of North Carolina medical schools.  It also provides training for medical students from both schools as well as psychiatry subspecialty fellowship training. Read More »

Open Source and EHRs: A proven reality and invaluable opportunity

Michael J. Doyle | Healthcare IT News | September 20, 2011

The marriage between open source technology and electronic health records is at first blush, greeted by many with skepticism regarding robustness and efficacy. In truth, persistent myths obscure an intriguing reality: Open source EHR systems are not only possible but already in place. Read More »