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    Dr. Marcinko is originally from Loyola University MD, Temple University in Philadelphia and the Milton S. Hershey Medical Center in PA; as well as Oglethorpe University and Emory University in Georgia, the Atlanta Hospital & Medical Center; Kellogg-Keller Graduate School of Business and Management in Chicago, and the Aachen City University Hospital, Koln-Germany. He became one of the most innovative global thought leaders in medical business entrepreneurship today by leveraging and adding value with strategies to grow revenues and EBITDA while reducing non-essential expenditures and improving dated operational in-efficiencies.

    Professor David Marcinko was a board certified surgical fellow, hospital medical staff President, public and population health advocate, and Chief Executive & Education Officer with more than 425 published papers; 5,150 op-ed pieces and over 135+ domestic / international presentations to his credit; including the top ten [10] biggest drug, DME and pharmaceutical companies and financial services firms in the nation. He is also a best-selling Amazon author with 30 published academic text books in four languages [National Institute of Health, Library of Congress and Library of Medicine].

    Dr. David E. Marcinko is past Editor-in-Chief of the prestigious “Journal of Health Care Finance”, and a former Certified Financial Planner® who was named “Health Economist of the Year” in 2010. He is a Federal and State court approved expert witness featured in hundreds of peer reviewed medical, business, economics trade journals and publications [AMA, ADA, APMA, AAOS, Physicians Practice, Investment Advisor, Physician’s Money Digest and MD News] etc.

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The Cost of Early [HIT] Adopters

An eHR Lesson for Physicians?

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With the rapid change in technology, such as eHRs, knowing when to purchase a truly innovative product is becoming increasingly more difficult. With promises of changing our lives or saving time and money, more often than not, the initial release doesn’t live up to these expectations – at least not right away.

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However, many of us – doctors included – wait in long lines to be the first adopters, understanding that we most likely will pay more and have to deal with problems. Even with these known hurdles, being an early adopter does have its benefits.


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7 Responses

  1. CMS Releases Final Rule on eRx Incentive Program Changes for eHRs

    The CMS’ final rule on changes to the federal e-prescribing incentive program for 2011 includes additional hardship exemptions and more time for providers to obtain such exemptions.

    The final rule also will extend the deadline for requesting significant-hardship exemptions to November 1, 2011. The program creates financial incentives and penalties to encourage the use of digital prescriptions by healthcare providers participating in Medicare.

    Under the final rule, issued Wednesday and scheduled to be published in the Federal Register on September 6th, there are additional significant-hardship exemption categories to help providers avoid the Medicare payment cuts they would face beginning in 2012 for not meeting e-prescribing targets. The new exemptions apply to providers participating in the Medicare or Medicaid EHR incentive programs that adopt certified EHR technology.

    Source: Rich Daly, Modern Healthcare [8/31/11]


  2. EHR Vendors Take Aim at Proposed Patient-Level Data Rule

    Electronic health-record system vendors are asking the CMS to roll back a proposed Medicare rule change that would require providers to report patient-level data for clinical quality improvement and rely on the reporting of aggregate quality data instead.

    The vendors, members of the Electronic Health Record Association, an affiliate of the Chicago-based Healthcare Information and Management Systems Society, stated in a news release that the proposed rule for the 2012 Medicare Physician Fee Schedule (MPFS) and the Hospital Outpatient Prospective Payment System should be reconsidered “based on the burden it would impose on provider organizations and other considerations.”

    Source: Joseph Conn, Health IT Strategist [8/31/11]


  3. A National eHR Safety Board?

    Joseph Goedert posted “New Report Echoes Call for National EHR Safety Board” today.


    He writes: “A new report published in the Journal of Patient Safety advocates creation of an independent national board to monitor and improve the safety of electronic health records. Among other duties, the board would have the power to implement unannounced, randomly scheduled, on-site EHR safety inspections.”

    Oh goody!

    “The EHR safety board could be modeled after the National Transportation Safety Board. To support the new national board, institutional EHR safety committees, including a designated EHR patient safety officer, would investigate and report all known safety incidents in an organization and perform routine safety self-assessments.”

    So is the new national safety board likely to make EHRs cheaper or more expensive?

    D. Kellus Pruitt DDS


  4. 5 reasons EHR functionality hasn’t changed since 1982

    Despite progress and incentives, usability remains an issue for electronic health records. Booz Allen Hamilton consultants explain why, and point to 4 themes on the future of EHRs in this essay.




  5. Doubting the cost savings of health information technology

    According to Jennifer Shine Dyer MD MPH a recent Health Affairs article casts doubt on the cost-saving prospects of health information technology despite the significant investments made by hospitals, physicians, and the federal government to promote electronic records.




  6. HIT Foibles

    One big problem in healthcare IT adoption, as I see it, is the use of uncommon technology platforms, formats, languages, etc.

    Now, none of the various healthcare technology solutions can talk to each other with ease. With that, information has to be entered again and again into different places or providers have to pay for expensive fees to link the software through interface.

    Yes, there have been some improvements with CCR, CCD, HL7 etc; but it is not enough. HIT is still not ready for prime time.



  7. 50% Looked Up Health Information on the Internet in 2015

    The Centers for Disease Control recently released results from the National Health Interview Survey on health information technology use. Here are some key findings from the report:

    • 3.7% used online chat groups to learn about a health topic in the past 12 months.
    • Half of everyone surveyed looked up health information on the internet in 2015.
    • 8.7% filled a prescription online in the past 12 months.
    • 1 in 10 scheduled an appointment with a healthcare provider online in 2015.
    • 11.2% communicated with a health provider by email in the past 12 months.
    • 3 in 4 with advanced degrees looked up health information online, vs. 35% of high school graduates.

    Source: CDC, May 18, 2016


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