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Print 18 comment(s) - last by etrading59.. on Dec 7 at 7:38 AM

Funds will only be given to communities with healthcare IT already in place

A big part of the federal stimulus plan for America that was approved by the government this year is intended to help improve the health care system in America. The money is in part needed to help the nation move to digital health records.

The federal government is now offering a new series of grants worth $235 million to communities with electronic health programs already in place. The new grants are to allow the communities to strengthen their health information infrastructure and data exchange.

The $235 million is coming out of the $2 billion that was set aside for discretionary program spending within the $20 billion federal stimulus package. InformationWeek reports that so far, 75% of the $2 billion in discretionary funds have been allocated to projects.

The funds will allow the so-called Beacon Communities to track goals and measure improvements in efficiency and quality of care related to the use of electronic health records and other health IT systems.

The grant funds will be given out based on merit and will not be given to communities to set up health IT programs. The Beacon Communities chosen will be required to coordinate with state health information exchange programs such as the VA and DoD who are already working on promoting the exchange of health data.

The $235 million in funds will be broken down for different uses. $220 million will be given as grants to 15 different Beacon Communities for projects to help clinical decision support, infrastructure, and other tasks. The funds left over will be broken into a $5 million chunk for technical assistance to the communities and $10 million will be used for an independent evaluation of the program.

In August, $1.2 billion in grants were announced that would be given out in 2010. These grants will be given to help hospitals and health care providers to build the infrastructure needed to move to digital health records. At the time U.S. health secretary Kathleen Sebelius said that the move to electronic health records was a fundamental part of reforming the health care system in America.

In July, the DoD started to use electronic health records in some of its medical facilities and is looking to use similar technology in more facilities going forward. Fast access to medical records can help speed diagnosis of illness in patients and save money by preventing duplication of effort and other problems.

Privacy of digital health records remains a big concern for many. The DoD is making the program opt in only and the patient records don’t go online unless the patient specifically agrees to join. Both Google and Microsoft are involved with the DoDs efforts. Special arrangements to ensure the medical data is only stored on private servers was made with both technology giants. Penalties for mishandling the patient information by Microsoft or Google were also put in place. The huge amount of funds spent to revamp health IT is expected to eventually save the U.S. about $77 billion each year.



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By Machinegear on 12/3/2009 12:02:19 PM , Rating: 4
quote:
Feds Cough Up $235 Million for Beacon Communities in Healthcare IT


Tax Payers Cough Up $235 Million for Beacon Communities in Healthcare IT




By mdogs444 on 12/3/2009 12:27:17 PM , Rating: 4
quote:
Tax Payers Cough Up $235 Million for Beacon Communities in Healthcare IT


Tax Payers Cough Up $235 Million plus a crap load of interest for Beacon Communities in Healthcare IT


By Lord 666 on 12/3/2009 1:29:19 PM , Rating: 2
My problem with spending tax payer money is we are effectively investing in multiple software vendors. Who is to say these vendors will continue to support their products. There isn't a worry Google or Microsoft are going away, but just the way Google Gears is being phased out, the same could be said for their EHR products.

The EHR field has many players, but one thing holding back adoption is the standardization. Sure, we have HL7 and CCD for information exchange, but the user interfaces are different along with the configuration. Once there is a true leader, it will greatly increase EHR adoption... just the same way Microsoft did for personal computers. In my circles, the winner has been Eclinicalworks.


By mdogs444 on 12/3/2009 1:40:25 PM , Rating: 4
I'm and IT analyst right now for a hospital system involved in a major deployment of EMR. Epic is by far and large the industry leader right now do to customization.

I don't know much about the other vendors, but I sure as hell know our system is going to cost tens and tens of millions by itself before the rollout is done....not even counting the 6000 citrix cals we need and server replenishment every 3 years.


By brshoemak on 12/3/2009 1:54:59 PM , Rating: 2
I don't even want to remember the cost or headaches involved in just the creation of bi-directional interfaces that were used to link to together our practices using Allscripts, Meditech, Orchard, Cerner, IDX. Lab results, demographics, MRI's and such.

The government has been trying to come up with standard data fields for years (20+) but no company wants to bend, they all think their way is the best way and are happy to charge you for expensive interfaces.

btw mdogs, one company who will remain nameless wanted us to go with Windows RDP for our method of client access across 9 servers and hard code the server IP into the RDP client. Of course if one server goes down those clients are screwed. After a brief discussion with management we got approval for a Citrix farm (the right way of doing it).


By Lord 666 on 12/3/2009 2:01:04 PM , Rating: 1
Yes, I know you work for a hospital system in Ohio and honestly enjoy communicating with you on this topic among others. I am the CTO for a large not-for-profit healthcare company in NY.

Everyone I know that went with Epic, it took forever (3 years) along with some complete failures. The rollout time for ECW is about 12 weeks for a full blown PM/EHR system. With your environment and many departments, the lack of standardization among the units is holding back your deployment.

While I understand the need in a large environment for thin clients, the medical peripherals and printers (label and RX) are challenging in that environment if not deal breakers. With the advent of desktop virtualization and "inexpensive" SSD drives for desktops, the value of thin clients versus functionality of full desktop OS are questionable.

The next big project for me is a server refresh mixed with virtualization of 95% of our EHR environment. Waiting for the new 32nm Intel servers with AES-NI for real-time encryption for data at rest/in motion.

Disclaimer: Lord 666 does not work directly/indirectly nor compensated by any EHR vendor


By SlickRoenick on 12/4/2009 11:24:45 AM , Rating: 2
McKesson is another huge vendor in the business. McK and Cerner are rivals.


By callmeroy on 12/4/2009 1:10:15 PM , Rating: 2
At this point after the bailouts of banks and the auto industry $235 million is chump change.....(I'm being sarcastic btw if the humor is lost on you)....

Anyway my current employment as an IT consultant for a Health Care consultant firm - we are a relatively small company but we've been around for a long time as far as Health Care IT goes and we do have a national client base.

Since I have some experience with this stuff, I can honestly say I see both sides of the coin on this one. One one hand the expenditures to implement proper HIT systems are staggering (and this $235 million won't cover even 1/10th the TOTAL cost to implement modern HIT systems nation wide) but on the other hand the state of technology in the Health Care industry would shocked most folks if they realized the mess it is in. Like another poster hinted at -- many of our clients are in the same boat -- they have several systems, most don't even "talk" to each other and our poorly documented in the first place, then there's a seperate vendor that supports each system...but that's not all these vendors are specialists in their particular system and as such have a monopoly on support for their system and likewise often have poor customer service attitudes (i.e. "your entire clinic and all your patient data is on our system and we are the only game around that knows the system to support it -- so we'll treat you like crap and help you out on OUR TIME...." kind of attitude)....

Add to the mix the understandable urgency doctors and nurses have to instantly have patient data at their finger prints -- fill RX's, order MRI/CAT Scans, etc. etc... and if your system isn't streamlined and well documented its just a miserable situation.

The one thing that I don't think is communicated to well about the public in regards to health care IT is how very frustrated a LOT of doctors are with the poor state of it in this country. It's my company's job to constantly visit board of directors for hosptials as well as talk to individual doctors at small practices all over the nation -- we don't stay in business because they are HAPPY with their health care solutions....


By callmeroy on 12/4/2009 1:11:54 PM , Rating: 2
damn typos....sorry


Medical distributors stand to benefit.
By vcolon on 12/3/2009 12:08:48 PM , Rating: 2
Yep. I applied for a job some months ago (which I did not get) with MEDCO data here in Tampa. They're one of the companies on the forefront of mixing IT with health care. The money will be used to help converge all medical histories into digital format. Big Brother will know you better than you know yourself.




RE: Medical distributors stand to benefit.
By Lord 666 on 12/3/09, Rating: 0
By kyleb2112 on 12/4/2009 6:13:57 AM , Rating: 2
"Close Minded" by being skeptical of government?
Go find a job as a government drone. Perhaps the DMV--with all those other cheerful, open-minded folks.


RE: Medical distributors stand to benefit.
By vcolon on 12/4/2009 2:08:38 PM , Rating: 2
LOL. I bet YOU'RE so open minded you voted for Obama.


RE: Medical distributors stand to benefit.
By vcolon on 12/4/2009 2:11:18 PM , Rating: 2
(above comment directed at kyleb2112)


RE: Medical distributors stand to benefit.
By vcolon on 12/4/2009 2:12:45 PM , Rating: 2
(damn sorry . I meant directed at Lord666)


RE: Medical distributors stand to benefit.
By Lord 666 on 12/4/2009 4:24:05 PM , Rating: 2
Read my other DT posts for the answer.

http://www.dailytech.com/Article.aspx?newsid=16994...


By vcolon on 12/5/2009 1:07:41 AM , Rating: 1
Lord666 should change name to Loser666. rofl.


By etrading59 on 12/7/2009 7:38:21 AM , Rating: 2
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