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Category Archives: Current Affairs

Rural health saved from fiscal cliff

View the NRHA today article on “Rural Fiscal Cliff Averted”.

Resources for Disaster Distress

Below is an email that went out from the Substance Abuse and Mental Health Services Administration to behavioral health providers. This is related to the drought and provides resources for providers and communities on important mental health resources. Please forward this information on to providers and communities in your state.

Dear Disaster Behavioral Health Partner,

We are writing to you today regarding the drought and extreme heat that is currently impacting so many communities across the United States.  We are especially concerned about those in rural communities experiencing economic stress due to the financial threat to their livelihoods. As communities across the nation find ways to cope with the impact of this extreme weather, I wanted to send you some information about the Substance Abuse and Mental Health Services Administration’s Disaster Distress Helpline, as well as to share other SAMHSA resources that we thought might be helpful for the local response.

A disaster or tragedy is unexpected and often brings out strong emotions. The Disaster Distress Helpline is the first nationwide hotline dedicated to providing disaster crisis counseling. The toll free Disaster Distress Helpline 1-800-985-5990 can provide immediate crisis counseling to anyone who needs help in dealing with the effects of the extreme heat and subsequent droughts occurring across the country. This free, confidential and multilingual, crisis support service is available via telephone (800-985-5990) and SMS (Text ‘TalkWithUs’ to 66746) to residents who are experiencing emotional distress as a result of natural or human caused disasters. Callers are connected to trained and caring professionals from crisis counseling centers in the network.  The Helpline staff provides confidential crisis counseling, referrals and other needed support services. The Helpline is a 24 hour-a-day, seven day a week resource that responds to people who need crisis counseling after experiencing a natural or man-made disaster or tragedy. The Helpline complements HHS, FEMA and other disaster response capacity, and is available immediately anywhere within the United States.
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HRSA Introduces New Quality Improvement Website

In late June, HRSA’s Office of Health IT and Quality and Office of Communications launched the redesigned HRSA’s Quality Improvement (QI) website. This new website aggregates HRSA’s Bureau and Office’s QI resources, as well as QI information from HRSA’s Federal and non-Federal partners.

Some of the site features include:

HRSA Quality Improvement Grantee Spotlight
This month, HRSA’s Quality Improvement Program is highlighting the Primary Care Systems of West Virginia’s (PCSWV) quality improvement work and the success of their health center’s pain management program. PCSWV has instituted a strategic and effective approach for reducing prescription drug abuse among their patient population. This quality improvement initiative allowed PCSWV to create a safe and accountable environment for clinical staff to legitimately identify and treat patients with both acute and chronic pain.

HRSA Health IT Grantee Spotlight
This month HRSA highlights the William F. Ryan Community Health Network on their use of health information technology for integrated HIV testing. In 2006, the Centers for Disease Control (CDC) issued new guidelines for all healthcare providers on integrated HIV/AIDS testing. The Ryan Network uses workflow analysis to streamline and evaluate the new changes in how clinical and non-clinical staff provides patient care, and while meeting the CDC’s new guidelines. In addition, The Ryan Network’s workflow analysis has allowed them to create a HIV Lab Template for electronically entering information into the patient’s electronic health record, which provides the staff a multitude of clinical and administrative benefits.

Meaningful Use Roundup
 This webpage provides safety net providers a technical assistance resource for helping them understand how to qualify for CMS’s EHR Incentive Program in this area.

HRSA Quality Improvement News Items

HRSA Health IT News Items
Turning the Patient-Centered Medical Home From Concept to Reality
HHS: HHS Announces Initiative to Stimulate Adoption of EHRs in Minority Communities 
CMS: CMS Medicaid EHR Incentive Program Issues New FAQs for Tribal Clinics and FQHCs

Information on Joining Missouri's Health Information Exchange

Missouri’s Strategic Implementation Process (“MOSNIP”) invites providers to register for attendance at the July 13 meeting in Columbia to hear the latest about Missouri’s Health Information Exchange, ICD-10, and 5010. Membership in MOSNIP provides the benefit of membership in the national Workgroup for Electronic Data Interchange – Strategic National Implementation Process (“WEDI SNIP”), and access to all the many resources offered by WEDI SNIP. Click here for registration information.

EHR Helps Joplin Clinic Rise from Rubble in 72 Hours

The devastating tornado that swept through Joplin on May 22 completely destroyed a number of physician offices, including that of Tracy Godfrey, MD, a Family Practitioner with the Family Health Center of Joplin. But thanks to electronic health records, Godfrey had access to all of her patients’ information, and in less than three days after the catastrophe, the practice was able to reopen its doors at a temporary location.

The Missouri Health Information Technology (MO HIT) Assistance Center traveled to Joplin to document Godfrey’s amazing story for “On the Road to EHR Success.”  Godfrey’s experience demonstrates the safety, endurance, and value of electronic health records in the wake of a disaster.   Although Family Health Center of Joplin lost the building and its contents, the practice survived because of the decision made years ago by Cynthia Croy, MD, Godfrey’s partner, to switch the clinic to an EHR.

Patient needs continue, regardless of whether or not Family Health Center of Joplin has an office, Godfrey points out.  In their new temporary home, patients are greeted with a calm, relaxed, and inviting environment, a world away from the clinic’s chaotic disaster zone.  Armed with her laptop and their EHR, Godfrey is free to focus solely on patient needs and not have to worry about recollecting their histories.   It is truly business as normal. 

Godfrey credits their IT specialist, John Motazedi, CEO, SNC2, for the data safety measures that protected their patient files and their rapid response that enabled Family Health Center of Joplin to recover their EHR data so quickly.  Data were backed-up every 15-minutes and was stored on multiple servers, both onsite and at remote locations.  Motazedi urges physicians on an EHR to do frequent data back-up and store it at multiple locations (other than their home) to protect and preserve data in the event of widespread destruction. 

Godfrey and Croy wonder what impact the permanent loss of paper-based practices and their patient health records will have on the health and well-being of their community.  As the people of Joplin struggle to recover and rebuild their lives, the strain could influence their health and possibly place a greater demand for health care services from a smaller pool of health care providers.  To view Godfrey’s full story, click here.

If a disaster struck you, what would be the fate of your practice, patients, and community?  Your practice could survive, if you use an EHR, and have appropriate back-ups.

For information on the Medicaid and Medicare EHR incentive programs, EHR adoption, or how the MO HIT Assistance Center helps health care providers adopt and achieve meaningful use of certified EHRs, please visit the Missouri Health Information Technology Assistance Center Website, E-mail us, or call us toll-free 1-877-882-9933.

MHA Reports On Status Of Electronic Health Records In Missouri Hospitals

Missouri hospitals are making significant investments in health information technology, according to a new special report released by the Missouri Hospital Association. Hospitals’ investment in electronic health records promises new opportunities for quality improvement in Missouri’s health care delivery system and an economic boost through expansion of jobs in the state’s health care and information technology sectors.

“Hospital’s progress on EHR implementation is vitally important to our health care system in Missouri,” said Herb B. Kuhn, MHA president and CEO. “There are federal incentives for hospitals that are contingent on demonstrating meaningful use of the technology in 2011. These funds will not only partially offset part of the cost of adoption for hospitals, but it also will increase economic investment and the addition of technology jobs.”

The report tracks Missouri hospitals’ progress across four main areas of use and 24 basic quality and performance functions. The data indicate that 60 percent of hospitals reported operation of a certified EHR system and the intention to seek federal incentives during the next two years.

Click here for more information.
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IRS announces: “Portion of Form 990 Schedule H Optional for Tax-Exempt Hospitals for Tax Year 2010”

The Internal Revenue Service (IRS) has announced that tax-exempt hospitals that are required to file the 2010 Form 990 have the option to complete part V, B (community health needs assessments) for the 2010 tax year for the purpose of providing hospital communities more time to familiarize itself with the types of information the IRS will be collecting related to compliance with section 9007 of the Patient Protection and Affordable Care Act and to address any ambiguities arising from the extensive revisions of the form and instructions. The IRS invites comments on how to improve the clarity and reduce the burden of reporting the information related to the additional requirements on the Form 990 and Schedule H. Click here for more information on this announcement from IRS.