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Your EMR / EHR â Does it have to be CCHIT certified?
What is CCHIT?
CCHIT or Certification Commission for Healthcare Information Technology was founded in 2004 by three industry associations (HIMSS, AHIMA and the Alliance) and is an independent non-profit private sector initiative that certifies EMR / EHR software (used interchangeably in this article) solutions based on a specified set of parameters. Its mission is to accelerate the adoption of robust, interoperable health information technology by creating a credible and efficient product certification process.
The purpose behind CCHIT
There are hundreds of EMR software solutions on the market, each differing in feature functionality, and it is easy for providers to get lost in the cacophony of vendors especially, considering that Providers are not IT experts and often find it difficult to properly assess and select an EMR solution that will best meet their current and foreseeable needs. CCHIT certification was intended to reduce the risks of physician investment in EMR / EHR products, while achieving the following:
a. Facilitate interoperability of EMR products with the emerging national health information network, sometimes called RHIOs
b. Enhance availability of EMR adoption incentives
c. Ensure that EMR products protect the privacy of personal health information
EHR / EMR Certification Criteria
The main category of certification deals with products designed to be used in physician offices and clinics and commonly referred to as Ambulatory EMR. CCHIT certified EMR products were required to demonstrate compliance with 116 criteria in 2006. Another 96 criteria were added in 2007 and in 2008, 19 new criteria were added to the certification requirements focusing on the following:
a. Additional electronic prescribing features including access to the patient’s medication history, formulary, and eligibility.
b. Better and safer medication dosing, adjusted for patient weight and other factors.
c. Better ability to prevent adverse reactions due to drug interactions or allergies.
d. Use of standard formats to exchange basic patient information for continuity of care.
e. Enhanced ability to view X-rays and other diagnostic images.
f. Better management of patient consents and authorizations.
g. Increased use of standard formats when receiving and storing laboratory results.
How much do vendors spend for certification?
The initial cost of certification is about $28,000, which provides a three-year certification. Vendors then pay an additional $4,800 in each of the second and third years to cover marketing and licensing fees. An EMR is certified for three years, but if a product is significantly reengineered or re-architected before the end of the three-year period, it must be recertified. Minor updates usually do not need re-certification.
As of January 2009, certified EMRs include the following:
a. Ninety-two EMRs that have received certification under the 2006 Ambulatory EHR criteria (latest certifications made on 30th April 2007).
b. Fifty-five EMRs (including multiple versions of the same product by the same company) that have been certified under the 2007 criteria.
c. Fifteen EMRs that have been certified under the 2008 criteria. These include a number of products that have been further certified for Child Health and Cardiovascular Medicine.
Compare these numbers against the 300+ EMR / EHR solutions available on the market and it is clear that the smaller niche players, offering cost-effective products, have neither the time nor the financial resources to spend on certification and especially, on re-certification every time they make any significant updates. This certification process is stifling competitors in the free marketplace and will only lead to higher prices and in turn, negatively impact Physiciansâ pocket books.
What does certification really fetch?
EMR is a long-term investment and providers must be careful in choosing the right solution. Most practices have very limited time and resources to evaluate every detail of every product of interest.
On the other hand, certification can help with the evaluation and selection process by narrowing down the initial set of solutions because CCHIT certification assures implementation of basic functionality. This should allow a Practice to focus more upon performing due diligence about a companiesâ track records in meeting individual practiceâs special needs, ease of use, implementation success, financial viability, and after-sales service and support, and financial stability of the EMR vendor.
The flip side to this approach, insisting on certification will potentially cut out a significant population of more powerful (a better mousetrap) solutions from smaller vendors, who cannot afford the certification costs. Just because a product is not certified does not necessarily mean that it will not meet the specific requirements of the Practice. At the same time, a Practice may not really need the 300+ features mandated and evaluated by CCHIT. The real question of the day is, do you need a Rolls Royce when a Toyota Corolla might serve the purpose?
What must a Practice do?
Rather than getting fixated on CCHIT certification, a Practice would do well to create a checklist of features that are important to it. This list should include:
1. Does it support the specific requirements of the specialty? (CCHIT acknowledges that its criteria may not be suitable for settings such as behavioral health, emergency departments, or specialty practices.)
2. Does it allow the Practice to share information electronically with other physicians, hospitals, pharmacies, laboratories, radiology groups, and others? (from a technical viewpoint, any system that has HL7 interface, inbound and outbound, will be able to interoperate with other systems.
3. Does it enable you to measure and report the quality indicators, needed to satisfy payment incentive programs that are based on levels of performance?
4. Does the vendor have the reputation of providing outstanding customer support?
5. Are there any references of the same size practice, specialty, and type in the local market who can vouch for the ease of use of the selected product?
6. Does it help monitor potential adverse drug reactions?
7. Does the EMR interface with the Practice Management or Billing software? You should also find out if you need an integrated system with a common database.
These are only a few of the foundational questions, as there are many non-functional requirements that need to be addressed to ensure successful implementation of an EMR/EHR solution. These requirements are focused around people (commitment, volunteers, etc.), capital (cost, ROI, initial cost vs. annual costs), technology (server-based vs. ASP, tablets or laptops, etc.) and organization (stakeholders, selection and implementation leaders).
If all this seems too time consuming or overwhelming, the Practice must find a good independent EMR/EHR and Practice Management Solutions Firm who can assist in the initial needs assessment phase, vendor evaluation and selection process. These days you can find good Consultants who will do all of the up-front leg work for you at no cost to your practice. Therefore it would be wise to think twice before, employing a company wanting to charge hefty up-front retainers and steep per hour consulting fees ranging from $100 to $200 per hour.
Alok Prasad
http://www.articlesbase.com/medicine-articles/how-important-is-cchit-certification-to-physicians-in-the-electronic-health-record-selection-process-747027.html
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Duration : 2 min 23 sec
I’m young and have been struggling withacne for a few years now and I am very healthy for the most part and do everything I can to avoid breakouts ect. There has always been the decision of what skincare products, out of the very many out there, to use. Also, if you should use Omer and when to use moisturizer. What are the main things in keeping healthy acne free skin? And what is
more important, the excercising and diet, or what brands of skin care you use? Thanks I’m curious of peoples opinions.
The two really go hand in hand. Staying healthy and stress free will reduce breakouts from those causes. Making sure to drink enough water will keep the skin naturally hydrated. Getting enough rest will give the skin time to heal itself.
Products are a different story. There is a LOT out there and what works for you, might not work for anyone else. But the basics are these two products: Cleanser and Moisturizer with SPF.
The cleanser will keep your oil production down and take off the grime for the day. What cleanser you use is up to you. For sensitive skin, I normally recommend one of two face washes. Cetaphil is great for sensitive skin when you don’t have much to spend. It’ll do the basics of cleansing, which is really all you need. If you have more to spend, I’d suggest Somme Institute. It’s an incredibly gentle. non-foaming cleanser that has vitamins in it. It smells great and it’s the one I use.
For acne prone skin, I like Noxema. It gives a good tingly sensation and has a low amount of salcylic acid to clear up problem skin.
As for a moisturizer, it again depends on your skin type. Moisturizers will help keep the skin hydrated and will in turn help reduce the production of oil. I would go with Cetaphil or Boots if you have normal skin. If you’re slightly dry, then you can do the moisturizer morning and night.
If you have very dry skin, I would get an additional hydration mask (I suggest any vitamin mask.. my favorite was just pulled off the market
) and up your daily water intake. Do know, that a lot of times if your skin seems like it’s oily, it’s actually dry and the skin is overcompensating by creating all the oil.
Other products you should think about are scrubs, toners, and sunblock. A scrub will help take off that extra build up on the skin which will help keep pores clean. Toners help minimize the size of the pores and tighten the skin. Sunblock is a must have, as it will keep the skin healthy and help prevent premature aging.
It’s a lot of information, definitely, but it helps to know what you’re buying and why you’re buying it. If you’ve found a product that works for you, use it! As long as you’re happy with the way your skin looks, then it’s doing it’s job. If you’re not happy, it’s time to make a switch.
Acai is a small grape-like berry found in the Amazon Rainforest of Brazil. It is said to be the most nutritious berry in the world. It is extremely high in antioxidants, vitamins, fiber, and other nutrients. It has been linked with weight loss, anti-aging, energy, and heart health, all while being low-fat and low-calorie. There are some conditions though. Its nutrient value is dependent on how the berry was harvested. If it was kept too long before being dried or processed for shipment, the availability of the nutrients decreases.
There are a variety of acai capsules out there on the market right now. Some are crap, offering no nutritional value and making unsubstantiated claims. Others, though, utilize the properties of this special berry along with other superfood substances to make great supplements to weight loss, anti-aging, energy, and general health programs.
All these supplements (good and bad) are available in the form of free trials. These must be carefully scrutinized to analyze their legitimacy. The companies offer you a free 30-day supply of the supplement in return for a small shipping fee (anywhere from $3-7). Based on their confidence in your satisfaction, they charge your card the real price the upcoming month. You are able to unsubscribe if you are unsatisfied, although the bad companies make it difficult to do this. The good companies make it easy, but generally their products work so well that very few customers cancel.
Some companies also slip in a membership to an online weight loss program or e-book, and charge something around $20 a month for it. Some people find these programs useful, but the real issue is being aware of what you are signed up for.
Basically, no company can sell something and charge you for things that were not authorized by you. When you purchase any of these free trials, you are agreeing to the terms that have to be listed on the website. Look for the button on the bottom labeled âTerms and Conditions.â Read through it thoroughly. Some companies actually write the price of their products out in words, rather than numbers. This makes the high price of their products seem not so threatening. Don’t you think you are less apt to gasp at âthe small price of ninety-three sixty four every monthâ than at â$93.64/monthâ? These little techniques lessen the blow of a high price, and disguise the number of smaller charges that they will add to your bill. Just be sure to read the through the terms. There is no way to be scammed as long as you know what you are buying.
That being said, some companies do offer quality products where the free trials are worth trying. The price of the berry is always high since it is expensive to grow and harvest. It is, however, incredibly nutritious and might be the ticket you need to fix your health woes. Some people have found great results with weight loss, beauty, energy, anti-aging, and health. Acai berry could be the thing you’ve been searching for. Just don’t forget to read the terms and conditions for whatever you are buying! Remember, if it looks too good to be true, it probably is.
Zehra Tannely
http://www.articlesbase.com/supplements-and-vitamins-articles/acai-supplement-scams-exposed-a-real-unbiased-review-of-acai-capsule-free-trials-1044410.html
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Duration : 2 min 23 sec
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When it comes to beauty skincare products, there is a multitude of products available to choose from in the market. But you need to be vigilant while choosing the most effective skincare products for yourself, as not all the products are as effective as promised in the glossy advertisements.
In fact, many of these skincare products have harmful ingredients that do significant damage to your skin in the short term as well as in the long term. This fact might be shocking for you, but I have scientific evidence backing it.
As there are no well defined strict monitoring standards for beauty skincare products, you need to look at the authenticity and scientific potency of the ingredients that are being used in the skincare products, before you take the big decision of buying them for personal use.
Let us look at some of the harmful chemicals that you should avoid. They are used extensively in a majority of the branded skincare products-
1) Mineral Oil – It finds widespread use in skincare products. It is also known as various different names like: liquid paraffin, paraffin wax, petrolatum. It is used because it is cheaply available. It serves as a moisturizing agent for the skin, but in turn it also clogs the skin’s pores and suffocates the skin from breathing freely. Due to this the skin is unable to be free from the toxins and this causes acnes, allergies, inflammation and skin disorders.
2) Acrylamide – This substance is very commonly found in hand and face skincare products. Clinical studies have indicated that it causes Breast Tumours.
3) Parabens – These are preservatives and are very commonly used in skincare products to increase their shelf life. A longer expiry period is beneficial for the manufacturers and its makes them bigger profits. But for consumers, it is harmful. Parabens are known to cause cancer and skin allergies! But still they are being used as they are cheap.
There are many more harmful chemicals that are being abused a lot in skincare products. You can see them in detail in my website.
I would also like to tell you about some natural substances that work wonderfully to promote skin health and youth in beauty skincare products. These are the kind of substances that should form a part of the most effective skincare products.
The essential feature of such natural substances should be that they should be able to enhance the production of collagen and elastin in the body naturally. Why is it so? Collagen and Elastin are the two vital proteins in our body which are responsible for keeping our skin firm, supple, pliant and elastic.
In our youth days, the production of these proteins in our body was normal, but as we age, their production slows day by day. The result of this slowdown in production is that we get wrinkles, saggy skin, age spots and dark uneven skin complexion.
One such natural substance that enhances the natural production of collagen and elastin in the body is Cynergy TK. It has been pioneered in New Zealand by a niche skincare company. Cynergy TK is rich in functional keratin, which plays a pivotal role in the structural health of our skin.
Cynergy TK works effectively as an anti aging and anti wrinkle remedy. In fact, it has been termed as “liquid skin” due to its clinically proven abilities in wrinkle healing and removal. If you are looking for smooth complexion and wrinkle free young skin, then Cynergy TK is that best effective skincare ingredient that you must lookout for.
Another such wonderful natural substance which should be a part of the most effective skincare products is Phytessence Wakame. It is an extract of a special Japanese sea kelp.
Phytessence Wakame has been proven to tighten the skin, soothe skin inflammation and make the skin soft and smooth. One amazing feature of Phytessence Wakame is that it preserves the hyaluronic acid in our body. This is important as Hyaluronic acid works together with collagen and elasin in the body to keep our skin healthy, firm and elastic.
I have covered an extensive research on my website on such natural substances that have been clinically proven to work effectively in making the skin healthy, young and vibrant again. These substances are being used successfully as part of most effective beauty skincare products.
Vijay Raisinghani
http://www.articlesbase.com/skin-care-articles/the-shocking-truth-about-beauty-skincare-products-720163.html
A right acne treatment can begin from your kitchen. There are several vegetables and fruits which can be used to cure acne. Some people are not convinced with the effectiveness of home treatments for acne. So first you should know what the actual cause of acne is?
Acne is the result of the lack of vital vitamins like Vitamin E, Vitamin A and Pantothenic Acid. Deficiency in these vitamins leads to the growth of bacteria that clogs the skin oil. This in turn leads to acne. Most of the medicines try to replenish the essential vitamins, which can be easily got by filling your diet with vegetable and fruits containing those vitamins.
Diet containing green vegetables and fresh fruits can do wonder in your efforts to cure your acne. Skin reflects what is happening inside the body. Avoiding junk and processed food to a large extend can be very useful in the treatment of acne. If followed strictly, change in dietary habits can be the best treatment for acne.
Keeping the skin clean is also an important part in the acne treatment. Cleaning the skin with lemon is an effective acne treatment. Lemon is used for several purposes mainly due to the presence of citric acid. The citric acid has several essential properties required to kill the harmful bacteria. Rub lemon on your skin before going to sleep and you will find a clear skin in the morning. Similarly, you can get rid of acne scars by applying tomato slice. Applying garlic on the spots is another effective homemade acne treatment. Mint juice also can remove skin lesions and scars.
Apply a paste of sandalwood and fresh basil leaves on the affected area to get rid of acne naturally. The clogging of the skin oil which leads to acne is caused by particular bacteria. Applying witch hazel after washing of the face and shower can eliminate the harmful bacteria.
Other homemade acne treatments include applying the paste of orange peels. This paste cleans the skin and fights harmful bacteria. Application of raw papayas can also bring relief to acne. Daily application of tea tree oil, coconut oil, lavender oil and jojoba oil before bathing for an hour can reduce acne. Drink at least 8-10 glasses of water to flush. Another effective treatment for acne is applying a paste of crushed strawberry leaves.
Disclaimer: This article is not meant to provide health advice and is for general information only. Always seek the insights of a qualified health professional before embarking on any health program.
Copyright © Nick Mutt, All Rights Reserved. If you want to use this article on your website or in your ezine, make all the urls (links) active.
Here are excellent Acne skin care products that will give you acne free skin you were longing for. Also read Home remedies for acne at Natural cures website â a health guide to make you and your family fit and healthy.
Nick Mutt
http://www.articlesbase.com/acne-articles/acne-home-remedies-free-acne-treatments-682036.html
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