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	<title>Comments on: Legislating Health IT: Beware of Land Mines</title>
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	<link>http://ehrdecisions.com/2009/06/08/legislating-health-it-beware-of-land-mines/</link>
	<description>Electronic Health Record (EHR) information and news</description>
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		<title>By: Al Borges MD</title>
		<link>http://ehrdecisions.com/2009/06/08/legislating-health-it-beware-of-land-mines/comment-page-1/#comment-1648</link>
		<dc:creator>Al Borges MD</dc:creator>
		<pubDate>Mon, 10 Aug 2009 11:21:43 +0000</pubDate>
		<guid isPermaLink="false">http://ehrdecisions.com/?p=653#comment-1648</guid>
		<description>Interesting what will happen to this bill now that CCHIT has been refuted by HHS on 7/16/2009 and replaced by the new &quot;HHS certification&quot; as described by Dr. Kibbe in his most recent column?  This should certainly render CCHIT into a deep stupor, a coma, or outright DOA. 

URL: http://www.thehealthcareblog.com/the_health_care_blog/2009/08/finally-a-reasonable-plan-for-certification-of-ehr-technologies.html

Al</description>
		<content:encoded><![CDATA[<p>Interesting what will happen to this bill now that CCHIT has been refuted by HHS on 7/16/2009 and replaced by the new &#8220;HHS certification&#8221; as described by Dr. Kibbe in his most recent column?  This should certainly render CCHIT into a deep stupor, a coma, or outright DOA. </p>
<p>URL: <a href="http://www.thehealthcareblog.com/the_health_care_blog/2009/08/finally-a-reasonable-plan-for-certification-of-ehr-technologies.html" rel="nofollow">http://www.thehealthcareblog.com/the_health_care_blog/2009/08/finally-a-reasonable-plan-for-certification-of-ehr-technologies.html</a></p>
<p>Al</p>
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		<title>By: Cathleen</title>
		<link>http://ehrdecisions.com/2009/06/08/legislating-health-it-beware-of-land-mines/comment-page-1/#comment-1616</link>
		<dc:creator>Cathleen</dc:creator>
		<pubDate>Sun, 05 Jul 2009 23:20:53 +0000</pubDate>
		<guid isPermaLink="false">http://ehrdecisions.com/?p=653#comment-1616</guid>
		<description>This whole EHR idea seems very costly for the medical provider to implement. I am an MTSO and many of my clients have EHR already in place. However, many of them have several EHR systems within the facility that do not interact with each other. If  there is to be a forced standard which sounds like there will be, they are going to have to scrap their current systems and invest in new ones that can be certified and then have to pay a new certification fee periodically. At least that is what I am learning here. If you haven&#039;t seen provider activisim yet, just wait. I can see it coming.</description>
		<content:encoded><![CDATA[<p>This whole EHR idea seems very costly for the medical provider to implement. I am an MTSO and many of my clients have EHR already in place. However, many of them have several EHR systems within the facility that do not interact with each other. If  there is to be a forced standard which sounds like there will be, they are going to have to scrap their current systems and invest in new ones that can be certified and then have to pay a new certification fee periodically. At least that is what I am learning here. If you haven&#8217;t seen provider activisim yet, just wait. I can see it coming.</p>
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		<title>By: M J</title>
		<link>http://ehrdecisions.com/2009/06/08/legislating-health-it-beware-of-land-mines/comment-page-1/#comment-1572</link>
		<dc:creator>M J</dc:creator>
		<pubDate>Fri, 19 Jun 2009 04:59:02 +0000</pubDate>
		<guid isPermaLink="false">http://ehrdecisions.com/?p=653#comment-1572</guid>
		<description>I am truely proud of you all for standing up against this horible bill.</description>
		<content:encoded><![CDATA[<p>I am truely proud of you all for standing up against this horible bill.</p>
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		<title>By: Vishal Gandhi</title>
		<link>http://ehrdecisions.com/2009/06/08/legislating-health-it-beware-of-land-mines/comment-page-1/#comment-1555</link>
		<dc:creator>Vishal Gandhi</dc:creator>
		<pubDate>Tue, 16 Jun 2009 23:39:33 +0000</pubDate>
		<guid isPermaLink="false">http://ehrdecisions.com/?p=653#comment-1555</guid>
		<description>They are enforcing all the NJ providers to use CCHIT certified products for Financial Management, whereas there are plenty of CCHIT certified products which do not have BILLING SOFTWARE.
 
The assembly man doesn&#039;t know anything about CCHIT. I would like your office to CONTACT the following ASSEMBLY MAN and explain then that CCHIT is for clinical work-flow management. You do not have anything to do with CLAIMS, BILLING, INSURANCE ELIGIBILITY, ACCOUNTS RECEIVABLES etc.
 
This will kill our Small Business with 50 employees and we can&#039;t use our own Practice Management program and we would be forced to use some other product and pay thousands of dollars in Licensing. 
 
On one side President OBAMA is trying to create more jobs and here is few politicians who want 50 jobs and many more jobs like that to be lost because they don&#039;t understand the Healthcare Technology.
 
Moreover how can you force a brand new / young from school doctor to BUY COSTLY EHR product (CERTIFIED) when he doesn&#039;t have money to invest $20000 in just software alone. He would obviously start out with Practice Management or Billing first, streamline his revenue before he invests into any costly EHR product.</description>
		<content:encoded><![CDATA[<p>They are enforcing all the NJ providers to use CCHIT certified products for Financial Management, whereas there are plenty of CCHIT certified products which do not have BILLING SOFTWARE.</p>
<p>The assembly man doesn&#8217;t know anything about CCHIT. I would like your office to CONTACT the following ASSEMBLY MAN and explain then that CCHIT is for clinical work-flow management. You do not have anything to do with CLAIMS, BILLING, INSURANCE ELIGIBILITY, ACCOUNTS RECEIVABLES etc.</p>
<p>This will kill our Small Business with 50 employees and we can&#8217;t use our own Practice Management program and we would be forced to use some other product and pay thousands of dollars in Licensing. </p>
<p>On one side President OBAMA is trying to create more jobs and here is few politicians who want 50 jobs and many more jobs like that to be lost because they don&#8217;t understand the Healthcare Technology.</p>
<p>Moreover how can you force a brand new / young from school doctor to BUY COSTLY EHR product (CERTIFIED) when he doesn&#8217;t have money to invest $20000 in just software alone. He would obviously start out with Practice Management or Billing first, streamline his revenue before he invests into any costly EHR product.</p>
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		<title>By: Chris Bickford</title>
		<link>http://ehrdecisions.com/2009/06/08/legislating-health-it-beware-of-land-mines/comment-page-1/#comment-1553</link>
		<dc:creator>Chris Bickford</dc:creator>
		<pubDate>Tue, 16 Jun 2009 19:53:07 +0000</pubDate>
		<guid isPermaLink="false">http://ehrdecisions.com/?p=653#comment-1553</guid>
		<description>Dear Mark,

Things are definitely heating up.  This legislation should garner substantial
press coverage.  If it got out of committee or passed then we would probably
see MD activism like we haven&#039;t seen since  HMO or Medicare in 60s.
I agree with above comments that you seem to be walking these minefields
very effectively so far.   I wonder if  SGR and other reimbursment issues 
will get lost in the EHR and eRxing turmoil..

Thank you for all the time that you have spent on this.  I know that you 
have been there since the beginning..

cbmd</description>
		<content:encoded><![CDATA[<p>Dear Mark,</p>
<p>Things are definitely heating up.  This legislation should garner substantial<br />
press coverage.  If it got out of committee or passed then we would probably<br />
see MD activism like we haven&#8217;t seen since  HMO or Medicare in 60s.<br />
I agree with above comments that you seem to be walking these minefields<br />
very effectively so far.   I wonder if  SGR and other reimbursment issues<br />
will get lost in the EHR and eRxing turmoil..</p>
<p>Thank you for all the time that you have spent on this.  I know that you<br />
have been there since the beginning..</p>
<p>cbmd</p>
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		<title>By: Robert J. Porcelli, Ph.D.</title>
		<link>http://ehrdecisions.com/2009/06/08/legislating-health-it-beware-of-land-mines/comment-page-1/#comment-1548</link>
		<dc:creator>Robert J. Porcelli, Ph.D.</dc:creator>
		<pubDate>Mon, 15 Jun 2009 18:17:23 +0000</pubDate>
		<guid isPermaLink="false">http://ehrdecisions.com/?p=653#comment-1548</guid>
		<description>I tend to agree with all the above points. But I also believe that whatever is the reasoning behind such a bill (NJ) is based on either faulty thinking or some sub rosa relationship. Such a bill might be the opening swing in the expected fist fight over the trillions of federal dollars that will ultimately be in health care reform and in every corner expect there to be proprietary venodors looking to have their fat fingers in the pie. A place to start is to ensure that these agents have no part in the decision making process and that final outcomes, from &quot;meaningful use&quot; to &quot;certification,&quot; are based on the best interest of the American public, their health care, and their health care providers and not in the interest of profit and/or political or financial agendas.</description>
		<content:encoded><![CDATA[<p>I tend to agree with all the above points. But I also believe that whatever is the reasoning behind such a bill (NJ) is based on either faulty thinking or some sub rosa relationship. Such a bill might be the opening swing in the expected fist fight over the trillions of federal dollars that will ultimately be in health care reform and in every corner expect there to be proprietary venodors looking to have their fat fingers in the pie. A place to start is to ensure that these agents have no part in the decision making process and that final outcomes, from &#8220;meaningful use&#8221; to &#8220;certification,&#8221; are based on the best interest of the American public, their health care, and their health care providers and not in the interest of profit and/or political or financial agendas.</p>
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		<title>By: Health Care. (united health care, universal health care) &#187; Blog Archive &#187; Public CCHIT response to NJ &#34;CCHIT or else&#34; Health IT Bill</title>
		<link>http://ehrdecisions.com/2009/06/08/legislating-health-it-beware-of-land-mines/comment-page-1/#comment-1540</link>
		<dc:creator>Health Care. (united health care, universal health care) &#187; Blog Archive &#187; Public CCHIT response to NJ &#34;CCHIT or else&#34; Health IT Bill</dc:creator>
		<pubDate>Fri, 12 Jun 2009 10:01:56 +0000</pubDate>
		<guid isPermaLink="false">http://ehrdecisions.com/?p=653#comment-1540</guid>
		<description>[...] I&#8217;ve just become aware of a June 8 public response to the Bill at CCHIT&#8217;s site &#8220;EHR Decisions&#8221; entitled Legislating Health IT: Beware of Land Mines: [...]</description>
		<content:encoded><![CDATA[<p>[...] I&#8217;ve just become aware of a June 8 public response to the Bill at CCHIT&#8217;s site &#8220;EHR Decisions&#8221; entitled Legislating Health IT: Beware of Land Mines: [...]</p>
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		<title>By: Public CCHIT response to NJ &#34;CCHIT or else&#34; Health IT Bill &#8212; HealthFeedr</title>
		<link>http://ehrdecisions.com/2009/06/08/legislating-health-it-beware-of-land-mines/comment-page-1/#comment-1537</link>
		<dc:creator>Public CCHIT response to NJ &#34;CCHIT or else&#34; Health IT Bill &#8212; HealthFeedr</dc:creator>
		<pubDate>Thu, 11 Jun 2009 20:06:37 +0000</pubDate>
		<guid isPermaLink="false">http://ehrdecisions.com/?p=653#comment-1537</guid>
		<description>[...] I&#8217;ve meet embellish alive of a June 8 open salutation to the Bill at CCHIT&#8217;s place &#8220;EHR Decisions&#8221; entitled Legislating Health IT: Beware of Land Mines: [...]</description>
		<content:encoded><![CDATA[<p>[...] I&#8217;ve meet embellish alive of a June 8 open salutation to the Bill at CCHIT&#8217;s place &#8220;EHR Decisions&#8221; entitled Legislating Health IT: Beware of Land Mines: [...]</p>
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		<title>By: John Lynn</title>
		<link>http://ehrdecisions.com/2009/06/08/legislating-health-it-beware-of-land-mines/comment-page-1/#comment-1533</link>
		<dc:creator>John Lynn</dc:creator>
		<pubDate>Wed, 10 Jun 2009 16:29:13 +0000</pubDate>
		<guid isPermaLink="false">http://ehrdecisions.com/?p=653#comment-1533</guid>
		<description>Mark,
I have to give you credit for taking a stand on this issue that might not have been seen as favorable for CCHIT.  It&#039;s refreshing to see this type of reaction since I didn&#039;t expect it.  I&#039;ve written quite a bit about this bill: http://www.emrandhipaa.com/tag/new-jersey/  I&#039;m glad that you support many of our views about this bill being a horrible idea.</description>
		<content:encoded><![CDATA[<p>Mark,<br />
I have to give you credit for taking a stand on this issue that might not have been seen as favorable for CCHIT.  It&#8217;s refreshing to see this type of reaction since I didn&#8217;t expect it.  I&#8217;ve written quite a bit about this bill: <a href="http://www.emrandhipaa.com/tag/new-jersey/" rel="nofollow">http://www.emrandhipaa.com/tag/new-jersey/</a>  I&#8217;m glad that you support many of our views about this bill being a horrible idea.</p>
]]></content:encoded>
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		<title>By: CCHIT Town Halls and CCHIT Comments on New Jersey Bill &#124; EMR (EHR) and HIPAA</title>
		<link>http://ehrdecisions.com/2009/06/08/legislating-health-it-beware-of-land-mines/comment-page-1/#comment-1532</link>
		<dc:creator>CCHIT Town Halls and CCHIT Comments on New Jersey Bill &#124; EMR (EHR) and HIPAA</dc:creator>
		<pubDate>Wed, 10 Jun 2009 16:23:03 +0000</pubDate>
		<guid isPermaLink="false">http://ehrdecisions.com/?p=653#comment-1532</guid>
		<description>[...] a different CCHIT issue, CCHIT has made a comment on the New Jersey bill I&#8217;ve written about previously. Here&#8217;s the part of their comment [...]</description>
		<content:encoded><![CDATA[<p>[...] a different CCHIT issue, CCHIT has made a comment on the New Jersey bill I&#8217;ve written about previously. Here&#8217;s the part of their comment [...]</p>
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