AMA | MedVoy

As hospitals and providers have been rushing to meet deadlines, meaningful use stipulations have been fraught with controversy and the recent deadlines extensions are no different – stating issues with aggressive policy, immature technology, and tight deadlines. This summer, the AMA sent a letter to Kathleen Sebelius citing concerns that the timelines were too short, expressed concerns that the vendor community was not ready and that rushing to meet these deadlines would compromise patient care. Last Friday, just weeks before the looming 2014 deadlines, the government agencies, the Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC), delayed Stage 2 timelines to allow time to implement the additional features for Phase 2, such as enhanced patient engagement, interoperability and health information exchange requirements, and to use the data from Stage 2 to make policy decisions.

One of the biggest concerns for meaningful use is interoperability, simply stated that different EHRs cannot talk to each other. In an interview about the deadlines, Dan Haley, VP of government relations at athenahealth, posed the question “Why is it that in 2013 different EHR vendors can’t talk to one another?” The lack of interoperability across EHRs is a major hindrance for the current referral paradigm. When a doctor using one EHR refers a patient to a specialist at another hospital using a different EHR, there is no way to integrate the two patient records. As mentioned in a previous post, 60 percent of ambulatory providers state that the move to EHR is increasing their workload just for document alone. However, rather than waiting for the interoperability to be addresses by the juggernauts, there are solutions that can help integrate data and manage patient records. MedVoy uses push/pulls to other EHRs and build connectors to allow access to all documentation in one place and to help avoid the duplication in procedures. MedVoy helps to bridge the gap between different EHR and put all the documentation into one place so it is simple, easy to use – helping to save time and money.

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(a) Medical care outside of the U.S. must be voluntary.
(b) Financial incentives to travel outside the U.S. for medical care should not inappropriately limit the diagnostic and therapeutic alternatives that are offered to patients, or restrict treatment or referral options.
(c) Patients should only be referred for medical care to institutions that have been accredited by recognized international accrediting bodies (e.g., the Joint Commission International or the International Society for Quality in Health Care).
(d) Prior to travel, local follow-up care should be coordinated and financing should be arranged to ensure continuity of care when patients return from medical care outside the US.
(e) Coverage for travel outside the U.S. for medical care must include the costs of necessary follow-up care upon return to the U.S.
(f) Patients should be informed of their rights and legal recourse prior to agreeing to travel outside the U.S. for medical care.
(g) Access to physician licensing and outcome data, as well as facility accreditation and outcomes data, should be arranged for patients seeking medical care outside the U.S.
(h) The transfer of patient medical records to and from facilities outside the U.S. should be consistent with HIPAA guidelines.
(i) Patients choosing to travel outside the U.S. for medical care should be provided with information about the potential

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Tag Archives: AMA

Interoperability Issues Impact Meaningful Use Deadlines

AMA recently published its new guidelines on Medical Tourism. They are as below