News, Analysis, Trends, Management Innovations for
Clinical Laboratories and Pathology Groups

Hosted by Robert Michel

News, Analysis, Trends, Management Innovations for
Clinical Laboratories and Pathology Groups

Hosted by Robert Michel
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Hospital Laboratories Take Note: Medicaid will Cease Reimbursing for Hospital-Acquired Conditions in 2012

Medicaid policy takes effect on July 1, 2012, and mirrors existing Medicare policy

Medicare was the first government program to announce that it would not reimburse hospitals for certain hospital-acquired conditions. Pathologists will be interested to learn that the Medicaid program is now prepared to institute a similar non-reimbursement policy. This fulfills a Dark Daily prediction that other government and private health programs would copy this Medicare policy.

As of July 1, 2012, Medicaid will no longer reimburse hospitals for treatment of certain hospital-acquired conditions (HAC). The Centers for Medicare and Medicaid Services (CMS) published its final rule on June 6th as a way of aligning Medicaid’s HAC policies with those of the Medicare program. The new Medicaid HAC rule becomes a baseline policy on top of which States can still attach their own HAC reimbursement restrictions.
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Ranking Top 10 Hospital EMR Vendors by Number of Installed Systems

Clinical pathology laboratories will keep busy interfacing their LISs to these EMRs

Tis the season of electronic health records (EHR), now that both hospitals and physicians can qualify to earn incentives from the federal government when they implement these solutions and meet “meaningful use” criteria.

It is possible for individual hospitals to receive incentives totaling as much as $2 million for implementing a certified EHR. This is powerful motivation for cash-strapped hospitals. For that reason, pathologists and clinical laboratory managers of hospital laboratories can expect to be busy ensuring that their laboratory information system (LIS) interfaces properly with the EMR of their parent hospital.

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Hospital and Physician Adoption of EHRs Will Accelerate Because of Federal Incentives

Clinical Pathology Laboratories Swamped With Requests to Interface Their LISs to EHRs

This is the first year that hospitals and physicians can qualify for federal incentives associated with their adoption and meaningful use of electronic health record (EHR) systems. Already clinical laboratories and pathology groups report increasing demand for them to interface their laboratory information systems (LIS) to the physicians’ EHRs.

The financial incentives for hospitals and physicians are authorized as part of the federal government’s health information technology (HIT) incentive program. To get their fair share, healthcare providers must demonstrate by the end of 2011 (September 30th for hospitals) a 90-day contiguous meaningful use of an electronic health record (EHR) for Medicare transactions—and either adopt, implement or upgrade an EHR for Medicaid also within 90 days. Hospitals can receive payments for both, but physicians only one. (more…)

VA Uses Integrated Health Informatics to Produce $3 Billion in Savings

Improved Utilization of Clinical Laboratory Tests Was One Source of Significant Savings

Investment in health informatics saved the Veterans Administration (VA) more than $3 billion during the past 10 years. This was the finding of a newly-published study in Health Affairs. It is likely to have positive implications for how use of information technology (IT) improves utilization of clinical pathology laboratory tests.

Titled “The Value from Investments in Health Information Technology at the U.S. Department of Veterans Affairs,” the study was undertaken by the Center for Information Technology Leadership. This is a Charlestown, Massachusetts-based research organization.

During the period of the study, the VA spent more than $4 billion on health information technology. As a result of that HIT investment, the VA realized total savings amounting to $7 billion. After subtracting the expense of the HIT investment, there was a net savings of $3 billion for the VA during the 10 years covered by the study.

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