Successfully implementing HIT into an office practice can bring improvements in both quality of patient care and practice profitability. The implementation guide offers a nontechnical view of the steps necessary for the successful introduction of HIT with an emphasis on the needs of smaller practices. This publication will walk you through the process of acquiring and learning to use HIT.
With hundreds of EHR products, the marketplace offers a robust choice, and selecting a system that is right for your practice depends heavily on understanding the practice’s needs before seriously discussing a purchase with vendors. When the time comes to buy a system, emphasizing functionality and the practice’s readiness assessment can help vendors show you the product characteristics that create value for you and your practice.
EMR Readiness AssessmentThis readiness worksheet will provide you with an overview of your organization’s ability to successfully adopt an electronic medical record (EMR) solution.
EHR vendors most used in Texas
Certified Health IT Product List (CHPL) - ONC
EHR Product Evaluation Tool Need help finding the right EMR for your practice? TMA is here to help.
EHR Selection Tools - Includes links to EHR selection tools available through various organizations
Questions for EHR VendorsLearn some of the important questions to ask vendors during the selection process.
Questions for EHR Vendor ReferencesWhat questions should you ask when speaking to another practice that currently uses the EHR vendor you are considering?
How to do an RFP for an EHR
EHR Contracts Seal the Deal; Consider Having Them Reviewed (Action, Dec. 15, 2014)
EHR Buyer Beware: Issues to Consider When Contracting with EHR VendorsThis paper discusses eight important EHR contract terms your medical practice should consider before signing an EHR contract.
EHR Contracts: Key Contract Terms for Users to Understand - Prepared by Westat for the ONC
Guide to Licensing and Service Agreements
AMA-Medstar Scorecard on EHR Usability Testing
TMA is proud to offer members free technology contract review services from Coker Group. Evaluations focus on potentially unfavorable terms and conditions with feedback on identified concerns. TMA members are also eligible for a five-percent discount on fees for contract negotiations.
Sign Letter Urging Congress to Address EHR Usability (Texas Medicine Today, Feb. 8, 2019)
Get the Know-How You Need When Upgrading Your EHR (Texas Medicine Today, Oct. 19, 2018)
EHR 2.0 – Is It Time to Update or Replace? (Texas Medicine Today, Oct. 9, 2018)
Is Your EHR Keeping Your Patients Safe? (Texas Medicine Today, Sept. 20, 2018)
Before You Sign: 10 Tips for Tech Contracts (Texas Medicine Today, Aug. 31, 2018)
EHR Vendors Behaving Badly; What Can You Do? (Texas Medicine Today, Aug. 20, 2018)
EHR Customization Can Threaten Patient Safety (Texas Medicine Today, March 20, 2018)
EHR Dashboard May Not Tell You Everything (Texas Medicine Today, Jan. 30, 2018)
Introducing an HIT system into a practice requires a team effort, and before making any formal decisions, begin preparing your team. The careful, team-based redesign of work process is mission-critical to the success of HIT acquisition.
EHR Project Management Checklist - HITRC and DOQ-IT
How to Implement EHRs - HealthIT.gov
Report: Don’t Skimp on EHR Training (Action, July 2, 2012)
EHR Workflow Analysis, Redesign Critical (Action, Nov. 16, 2011)
Beginning in 2011, the Medicare and Medicaid EHR Incentive Programs were established to encourage eligible professionals and eligible hospitals to adopt, implement, upgrade (AIU), and demonstrate meaningful use of certified EHR technology. The EHR Incentive Program is now only available for Medicaid participants.
If you did not enter the Medicaid EHR Incentive Program by 2016, you cannot participate.
The Medicare EHR Incentive Program is no longer available. Eligible Medicare participants have moved on to the MACRA program.
Go to the EHR Incentive Program Resource Center
The SAFER Guides are designed to help healthcare organizations conduct self-assessments to optimize the safety and safe use of electronic health records (EHRs) in the following areas:
• High Priority Practices• Organizational Responsibilities• Contingency Planning• System Configuration• System Interfaces• Patient Identification• Computerized Provider Order Entry with Decision Support• Test Results Reporting and Follow-Up• Clinician Communication
The recommended practices in the SAFER Guides are intended to be useful for all EHR users, developers, patient safety organizations, and others who are concerned with optimizing the safe use of health IT.
Protect your practice from health information leaks or breaches, and know what to do if they occur.
Your EHR Vendor Is Not Responsible For Your Security Risk Assessment (Texas Medicine Today, Aug. 15, 2018)
Are You Prepared for a Computer Virus Incident? (E-Tips, Nov. 12, 2015)
Are You Prepared for a Lost Laptop or Smartphone? (E-Tips, Oct. 15, 2015)
Are You Prepared for a Business Associate Breach? (E-Tips, Sept. 9, 2015)
Security Alert: Are Your Browsers Vulnerable to POODLE? (E-Tips, Nov. 11, 2014)
Breach Notification Rules Get a Makeover (E-Tips, Aug. 13, 2013)
New BAA Rules Among HIPAA Changes (E-Tips, Aug. 13, 2013)
Eight Steps to a HIPAA Security Risk Analysis (E-Tips, Feb. 11, 2013)
Security Risk Assessment Tool (HealthIT.gov)
Online encryption guide launched by AMA
Use the following resources to learn more about patient engagement related to EHRs and the Meaningful Use Program.
The Guide to Getting & Using Your Health Records - Office of the National Coordinator resource (for patients)
Six Ways to Increase Practice Portal Sign-Ups (TMA Practice E-Tips, Nov. 23, 2016)
Electronic Patient Engagement Tools: A Guide for Physicians - TMA whitepaper, February 2016
How to Meet Mandate for Patients’ Online Access to Medical Records (Action, Feb. 2, 2015)
Enhancing Patient-Centered Communication and Collaboration by Using the EHR in the Exam Room - The Journal of the American Medical Association (JAMA) 2013
Personal Health Records: What Physicians Need to Know - TMA whitepaper, April 2008
Got EHR questions? Contact the HIT Helpline.
You carefully selected your electronic health record (EHR). You spent hours learning how to use it as efficiently as possible. It has been the keeper of all your patient records for years. Then comes the very difficult decision of having to part ways with your EHR. This self-study is designed to help you think through all aspects of the process and minimize the disruption and risk as much as possible.
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Electronic health record (EHR) vendors may not block or terminate your access to your patient’s information. This paper will help arm you with information about your rights.
Net Revenue Calculator - MGMA
Rural Health Information Technology Resource Center
Stark Law Exemptions and Electronic Health Records
Stark Law Rules - AMA
What advocacy efforts is TMA making to help physicians with EHRs and health information technology?
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