Meaningful Use And Beyond

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Overview

Ready to take your IT skills to the healthcare industry? This concise book provides a candid assessment of the US healthcare system as it ramps up its use of electronic health records (EHRs) and other forms of IT to comply with the government’s Meaningful Use requirements. It’s a tremendous opportunity for tens of thousands of IT professionals, but it’s also a huge challenge: the program requires a complete makeover of archaic records systems, workflows, and other practices now ...

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Hacking Healthcare: A Guide to Standards, Workflows, and Meaningful Use

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Overview

Ready to take your IT skills to the healthcare industry? This concise book provides a candid assessment of the US healthcare system as it ramps up its use of electronic health records (EHRs) and other forms of IT to comply with the government’s Meaningful Use requirements. It’s a tremendous opportunity for tens of thousands of IT professionals, but it’s also a huge challenge: the program requires a complete makeover of archaic records systems, workflows, and other practices now in place.

This book points out how hospitals and doctors’ offices differ from other organizations that use IT, and explains what’s necessary to bridge the gap between clinicians and IT staff.

  • Get an overview of EHRs and the differences among medical settings
  • Learn the variety of ways institutions deal with patients and medical staff, and how workflows vary
  • Discover healthcare’s dependence on paper records, and the problems involved in migrating them to digital documents
  • Understand how providers charge for care, and how they get paid
  • Explore how patients can use EHRs to participate in their own care
  • Examine healthcare’s most pressing problem—avoidable errors—and how EHRs can both help and exacerbate it
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Product Details

  • ISBN-13: 9781449305024
  • Publisher: O'Reilly Media, Incorporated
  • Publication date: 10/26/2011
  • Edition number: 1
  • Pages: 248
  • Sales rank: 803,193
  • Product dimensions: 7.00 (w) x 9.20 (h) x 0.70 (d)

Meet the Author

Fred Trotter is a hacktivist. He works for social change by coding and promoting Open Source Health Software. In recognition of his role within the Open Source Health Informatics community, Trotter was the only Open Source representative invited by congress to testify on the definition of ‘meaningful use’ for the federal health care incentives law (Meaningful Use). Trotter also represented the Open Source EHR community in negotiations with CCHIT, the leading EHR certification body.

Trotter is the original author of FreeB, the worlds first GPL medical billing engine. In 2004 Fred Trotter received the LinuxMedNews achievement award for work on FreeB. Fred Trotter was an editor for the Open Source EHR review project with the American Medical Informatics Association (AMIA), Open Source Working Group (oswg). Fred is a member of WorldVistA and is the programmer behind Astronaut Shuttle which is the first cloud-based VA VistA offering.

Fred Trotter is a recognized expert in Free and Open Source medical software and security systems. He has spoken on those subjects at the SCALE DOHCS conference, OSCON, LinuxWorld, DefCon and is the MC for the Open Source Health Conference. He has been quoted in multiple articles on Health Information Technology in several print and online journals, including WIRED, ZSnet, Government Health IT, Modern Healthcare, Linux Journal, Free Software Magazine, NPR and LinuxMedNews. Trotter has a B.S in Computer Science, a B.A in psychology and a B.A in philosophy from Trinity University. Trotter minored in Business Administration, Cognitive Science, and Management Information Systems. Before working directly on health software, Trotter passed the CISSP certification and consulted for VeriSign on HIPAA security for major hospitals and health institutions. Trotter was originally trained on information security at the Air Force Information Warfare Center.

David is CEO of ClearHealth Inc. which created and supports ClearHealth, the first and only open source Meaningful Use certified Comprehensive Ambulatory EHR. Coming from a background of supply chain systems and big business ERP for companies including DEC, Micro Systems, Motorola, and EDS, David entered health care in 2001 as CTO for the OpenEHR project. One of the first companies to try commercializing open source healthcare systems, OpenEHR met face first with thedifficult realities of bringing proven mainstream technologies into the complicated and sometimes nonsensical world of health care. In 2003 David became CEO of ClearHealth and created theClearHealth system based on VistA that was originally developed by the Veterans Health Administration.

ClearHealth’s software is open source (GPL) and powers more than 1,000 sites from small offices to mega-institutions servicing millions of patients per year. As CEO of ClearHealth Inc. David alsooversees outsourced management and operations consulting of several general practice groups and in 2013 will begin operating it’s own general practice facilities.

A frequent speaker and writer David has presented and OSCON, TEPR, LinuxWorld, SCALE, OSHC, and others. You can see his work online in Modern Health Care, Wired, Linux Journal, and on his blog: Health 365.

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Table of Contents

  • Preface
  • Chapter 1: Introduction
  • Chapter 2: An Anatomy of Medical Practice
  • Chapter 3: Medical Billing
  • Chapter 4: The Bandwidth of Paper
  • Chapter 5: Herding Cats: Healthcare Management and Business Office Operations
  • Chapter 6: Patient-Facing Software
  • Chapter 7: Human Error
  • Chapter 8: Meaningful Use Overview
  • Chapter 9: A Selective History of EHR Technology
  • Chapter 10: Ontologies
  • Chapter 11: Interoperability
  • Chapter 12: HIPAA: The Far-Reaching Healthcare Regulation
  • Chapter 13: Open Source Systems
  • Meaningful Use Implementation Assessment

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Customer Reviews

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Sort by: Showing all of 2 Customer Reviews
  • Posted February 15, 2014

    Required reading for anyone in Health IT

    When I first began working in health IT, I was thrown into a pool of terms I didn't realize existed: Meaningful Use, CMS, state registries, HIPAA, ICD-9 vs ICD-10... but mostly Meaningful Use.

    If you're new to health IT sector--whether it's as a developer, an IT manager, or as in my case, a technical writer--this is required reading for you. Understanding this will put you way ahead in terms of being able to understand all the jargon, understand the needs of your clients (doctors, staff, and hospitals), a understand things like the back office workflow of a doctor's office. I will say, at this point it's a little outdated: MU Stage 2 is already at work, and the book focuses mostly on MU Stage 1, but the vast majority of this is still applicable for today.

    I can't speak for anyone in a non-technical field, other than to perhaps mention that there's not much technical jargon in this book, and what there is can generally be skipped. Just knowing that it's there will help you get a hold of what your tech folks are looking at and how they're looking at it.

    One of the biggest challenges in American health care these past few years has been the move to a more digitized system. A true intersection between health worker and computer technician is best described as uncommon, but this book bridges that gap quite well. And if you're working somewhere like Allscrpts, Athenahealth, Greenway, Cerner, eClinicalWorks, Nextgen, McKensson, or any of the other EHR software makers, this SHOULD be required reading right from the get go.

    P.S.
    If you're a policy wonk, this book will help you understand the workings and challenges of the system without much (or any) bias, so it's a good read if you actually want to know what happens in the background, from a technical standpoint.

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  • Anonymous

    Posted December 29, 2011

    good initial approach

    The book has a well prepared set of best practices and blueprints of core processes that exists in health care.
    I would recommend a more graphical approach for newer editions

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