More About Regional Extension Centers

RECs Explained

By Shahid N. Shah; MS 

www.BusinessofMedicalPractice.com

The Meaningful Use and Certification requirements along with the myriad of government regulations around Medicare and Medicaid reimbursements will be too complicated for most physicians to understand and manage on their own. To help out small practices, one of the interesting things funded by the HITECH Act was the creation of the Health Information Technology Extension Program. Via that program, the Department of Health and Human Services is required to invest in Regional Extension Centers (called “RECs” and pronounced like “wrecks”). RECs are designed to offer consulting and technical support to physicians in order to help accelerate adoption of Electronic Health Records (EHRs).

Purpose

The purpose of the RECs is to provide guidance on which products to buy, help reduce prices of software through group purchase agreements, and give technical assistance on implementation and deployment. These services will be free of charge to physicians. However, keep in mind that all RECs are non-profit organizations and most have little or no inherent knowledge about EMRs, EHRs, implementations, deployments, computer skills, etc.; initially they are groups that responded to the grant request in a manner that fulfilled documentation required by the government and will be provided government money to help Physicians become meaningful users [MUs].

No Cost Advice

In the short run no RECs will be very good because they will all be inexperienced. Over the long run, some RECs will become very good at their jobs while other RECs will be mediocre or not good at all; only time will tell which ones will be superb and helpful vs. not. Since RECs will be paid by the government for each physician they sign up, RECs will be very eager to approach and conduct outreach to sign you up. And, it will not cost you anything to sign up and the advice and assistance will be free to MDs.

Assessment

Keep in mind, though, that whenever something is free to you, always think about why it’s free. What does the organization get out of providing you free advice, assistance, knowledge, etc. – in the case of RECs, it’s is money from the government. The good news is that RECs are being told by the government that will only be paid if you become a “meaningful user.” However, the bad news is that some RECs will not be able to do a good job and may give you bad advice.

Conclusion

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5 Responses

  1. Hi Dr. Marcinko and all ME-P Readers

    I hope you are doing well. I am hosting a poll about RECs on my blog at:

    http://www.softwareadvice.com/articles/medical/five-reasons-we-think-recs-are-reckless-1092310/#survey

    I’m hoping to get as many participants as possible to make this a meaningful survey. I’d really appreciate your help spreading the word to your ME-P membership.

    The poll coincides with an article I wrote on “5 Reasons We Think Regional Extension Centers are RECkless.” I’m excited to see progress of HITECH Act initiatives, but I’m skeptical that throwing money at the problem will lead to efficient and successful adoption of EHRs.

    It would also be interesting to read any anecdotes you might have about Regional Extension Centers. Please let me know what you and your readers think:

    (512) 364-0117 (office)
    (800) 918-2764 (toll free)
    houston@softwareadvice.com
    Houston Neal

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  2. That is the most vapid anti-REC screed I have yet to read. You are not competent to evaluate the REC program.

    Vegas Boomer

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  3. CHIME, ONC offer EMR adoption expertise to regional extension centers [RECs]

    The College of Healthcare Information Management Executives (CHIME) and the Office of the National Coordinator for Health Information Technology are urging the new, ONC-designated network of regional extension centers to work with an established CHIME initiative.

    http://www.fierceemr.com/story/chime-onc-offer-emr-adoption-expertise-regional-extension-centers/2010-09-30

    Therefore, not so fast Vegas Boomer!

    Chip

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  4. States Advance on Setting Up Exchanges

    In late January, an increasing number of states led by Democratic and independent governors were moving forward to create state-based health insurance exchanges as required under the federal reform law. And several, including Maryland and Rhode Island, introduced bills to set up governing structures and the like.

    At the same time, some states with Republican governors, including Wisconsin, continue to consider the viability of using as a model Utah’s state-run exchange, which is housed within the governor’s Office of Economic Development.

    The Obama administration has said it expects 16.9 million Americans to choose coverage options through states’ individual and small-employer group exchanges in 2014, their first year of operation.

    By 2019, the administration says, the national enrollment in exchanges is expected to reach 31.6 million. Yet to date, California is the only state to have enacted exchange-related legislation. Most states remain in the strategic planning phase, with many expected to pass exchange-related bills during their 2011 legislative sessions.

    Source: Judy Packer Tursman, Health Business Daily [2/22/11]

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