Practice Technology

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It wasn't too long ago that many of us toted around a cell phone, pager, PDA, and a laptop-a veritable RadioShack holstered at our waists. Now most of these devices can be consolidated into a single cell phone.

After spending eight years and $1.6 billion, Canada has made little progress toward its goal of implementing electronic health records by 2010, according to a recent report.

Medicare is proposing a rule that would simplify reporting requirements for the Electronic Prescribing Incentive Program and the Physician Quality Reporting Initiative and set the Medicare Physician Fee Schedule for calendar year 2010.

Let's take a look at how a "utopian medical practice" in the not-too-distant future functions from the perspectives of the patient, physician, office staff, nurse, billing department, and referred physician.

Practices that aspire to become medical homes are required to set self-and evidence-based standards for access, communication and clinical care, create and document team-based strategies for achieving these standards, and document movement toward achieving standards.

Physicians who visit most of their patients in their homes or nursing homes won't be able to earn the 2 percent bonus for e-prescribing on their Medicare claims, according to the current legislation.

Something has gone awry to create an environment that leaves well-intended physicians victimized when government audits reveal their software systems have allowed-even facilitated-submission of non-compliant and potentially fraudulent claims.

The $787 billion American Recovery and Reinvestment Act, which promises potential incentives of as much as $64,000 for physicians who adopt an electronic health record system, may have spawned a new cottage industry: EHR selection consultants.