Nortec EHR | Electronic Health Records Software

Nortec EHR | Electronic Health Records Software
Nortec EHR

April 18, 2014

ICD-10 Delay

As the delay allows the additional time for preparation, it poses an important resource and financial impact on inventing entities in transition, according to the APMA.

ICD-10 Delay
ICD-10 Delay
Officially it has been declared that usage of ICD-10 code has been delayed till 2015. President Barack Obama has signed the patch legislation of Medicare Sustainable Growth Rate which means that physicians would be able to receive payments according to the old formula of Medicare patients, also includes the delay of ICD-10 implementation till October 1st, 2015. But definitely; the delay would affect the industry generally.
Most of the health care industry has spent a lot to meet with the deadline of October 1, 2014. The current act which is now spreading, will prohibit the Centers for Medicare and Medicaid Services to carry out the switch from ICD-09 to ICD-10 before October 1, 2015. This system is already used by most of the countries all over the world and also the one which makes improvement in diagnosis, specificity and care quality.
As the delay is official, it is said by the CMS that the delay will cost between $1.1 billion to $1.6 billion which provided the estimates in 2012 when the switch of ICD-10 delayed till the year of 2014. Organizations are expecting that the delay causes an additional spend of about 10% to 30%. Also the delay in ICD-10 provides an additional time for preparation.

Options to Delay

Direct Methods

·        Incentives
·        Providing infrastructure
·        Direct funding

Indirect Methods

Implementation schedule

The accurate and detailed reporting that reflects the difficult population CHCs serve will be allowed by the ICD-10. Both the Physician Quality Reporting System and Pay for Performance use diagnosis data for the measurement of incentive payments plus the advantage plans of Medicare.


The main concern is the increasing number of codes that are available in the new system. Coders and physicians will not only require to learn the new format of ICD-10 but also learn to rearrange the code book and spending most of the time in researching options. Surely, that is an issue and productivity is to be examined to avoid coding delays.


Cost estimates depend on the IT system requirements, whether the EHR implemented or not. Although, the total cost will not be known till the procedure is completed, it surely will be a burden on the physicians.

CIOs at insurance companies, hospitals, healthcare companies and the vendors of health IT are not completely prepare to lose their built momentum to meet with the fall deadline, but also they are searching for more clarity before they start.

April 14, 2014

EHR System is More Secure than a Paper Based Record System

The switch to the electronic health record software is a complete change for most of the medical organizations; it is more secure than the records on paper.

EHR System is More Secure than a Paper Based Record System
EHR System is More Secure than a Paper Based Record System
If the medical organization is being the barrier about the switch from paper based records to electronic health records, you might think that the paper based records suggest you better security for your patients. However, usage of EHR system allows you better control of the security of medical information. There are some reasons that why electronic health records software is much more secure than the paper based records software.

Access Grant to the Authorized Users

When the physician uses a paper based record system for the medical records of the patients, it is possible for an unauthorized person to access this medical information without knowledge of anyone. Anyone can misuse of these medical information easily.
With an EHR system, it is easy to secure the information of patients easily. As it is digital, it would not be easy for anyone or unauthorized person to use the information without permission of the physician.

Encryption, the way to Secure Information

A paper based record system is easy to access, anyone can see it, record of details, copy, scan or even fax the information to a third party. The Electronic health record system can be secured with the encryption methods to keep the patient information safe to get interfere with anyone.
Your organization must have to do anything which is possible to meet the term with privacy regulations like HIPAA, and electronic health records software makes it easier to keep the privacy over paper records.

Paper Based Records System Subject to Interfering

Paper records can be changed in a manner that can be difficult to notice. Anyone can remove papers from a report. As far as EHR is concerned, Electronic health records are safe with encryption plus the strong login and password systems which make it more difficult for anyone to make unauthorized alterations to the patient chart and information.

Trials of Audit

Electronic health record software provides improved security to the medical organizations because they allow you to do audit trails. Generally, there is no guaranteed procedure for doing the trials for audits of paper based records.
With the help of an EHR system, you can determine quickly which people have accessed a record of the patient, and whether the access is authorized. The event that somebody accesses the information which they should not be seen, an audit will shine light on the situation, dissimilar to the paper records, which can be too problematic to control.

What Disasters Leave for Data Backup

Keeping the record of your patient secure is more than controlling the access to the confidential information. You need to make sure that the data will be available under the scenarios of a worst case.
As you can see that the switching over to electronic health records system will provide more security and safety for your organization for the confidential data of your patient. EHR software also offers you a number of other benefits, plus the efficiency of increased staff and decreased errors while helping you become more profitable.

Key Points:

·        Electronic health records make you enable to provide only authorized personnel access to the patient data
·        Strong encryption protocols assured that confidential information about patient remains safe.
·        Paper based records system creates a number of safety risks and it can be problematic to notice when they have been interfered with.
Electronic health records make your patient data in secure backups can be maintained, empowering your organization to rapidly improve after a disaster of data.

April 7, 2014

Workflow Analysis Helps to Implement EHR Software

Analysis of workflow makes important modifications in the implementation of your EHR system, either you have already made the choice to implement an EHR solution or to evaluate your needs

Workflow Analysis Helps to Implement EHR Software
Workflow Analysis Helps to Implement EHR Software
The failure of electronic health record software participation into clinician workflow is a barrier to the implementing of EHR systems. To identify this problem, organizations have to analyze their processes of workflow before the implementation of EHR software.
A group of physicians and other medical organizations should use certified Electronic Health Record systems before they work with Medicaid and Medicare, so there would be the financial incentives for conducting the analysis of workflow for determining the best solution of EHR to maximize and to use the advantages which can come with setting up an EHR system.

Workflow Breakdowns

Workflow analysis breaks down the routine tasks and helps you analyze potential problem waste, areas and termination. You presently do not suggest reminders or only offer to patients who demand them, you may find that you are spending time imagining out about whom to contact. Electronic Health Record software can contact patients automatically by an incorporated and digital patient portal.

Professional’s Consultations

The software developer of the EHR system in which you are interested in implementing, can support your organization in defining as the best course of action to take. As in, if this is your specialty practice, your needs for workflow will be different from the needs of family practice.
If your staff has zero or limited exposure to using the EHR software, you will have to arrange some training sessions to switch from the paper-based record system to the digital method.
The more information you know about the performance of your staff, their daily operations and the kind of functionality you need in your EHR system, the more you will be prepared to implement it in your organization. Analysis of workflow is a perfect way to help you get the data you require as you take decisions about the requirements of your EHR system.

Tools and Techniques

Your workflow analysis includes the appliance a set of techniques which address and identify the environmental factors and the information require in the initial stages of implementation and selection of system. These techniques are;
·        Classify the limitations of a procedure
·        Create a common understanding of its causes, results and steps between the stakeholders
·        Examine how the existing procedural functions
·        Recognize from where it can be modernized and improved
·        Develop the use cases which will guide the development, design and support of the new system which automates the process

The information regarding the procedure which is taken by an extensive diversity of tools like; flow charts for the procedures, movement diagrams of workflow and others.

Key Takeout

·        After the performance of a workflow analysis, your organization must have better result from implementing the electronic health record software
·   Get ready to spend resources and time on examining your staff about the performance on a regular basis, the procedures on patients. Your patience will be pleased with improved productivities.
·        Be sure about the consultation which must be with a well-qualified software developer to assure you that you are working with an organization which has an excellent record of track supporting medical organizations which are switching to an EHR solution.
·        Analysis of workflow will show you that which part of your practice will give you advantage the most from the implementation of an EHR system and helping you to take decision from where to emphasis on your efforts.

Capturing of Data

If the main goal of workflow analysis is the designing of improved and new processes which optimizes the workflow by carrying the correct information at the suitable point, then the capturing of data is a major consideration. It also offerings the highest risk of the process and system which not working as wanted or the point of highest user dissatisfaction.

April 4, 2014

Transition to the ICD-10

Apart from a reduction in efficiency and a possible rise in claim denials, providers can expect to see the most important impact with the transition to the ICD-10

All practices can easily make a transition successfully, but for this, they have to start planning immediately and the physicians themselves must have to become engaged in the procedure. They have to be educated about the features, its associations, and about their responsibilities which are in the transition.
Transition to the ICD-10
Transition to the ICD-10
As there are a number of variables involved in calculating about the ICD-10 transition that will cost your practice, it is somehow hard to give an exact number. There are four fundamental things which must be considered;

Preparation for the Decreased Cash Flow


In a white paper which is published by the American Association of Professional Coders (AAPC), some understanding about the negative effects of ICD-10 that can have on a practice which has been provided. According to this white paper, shortly after the implementation, the normal coding time per record improved from 12-15 minutes to 33 minutes, whereas reversal time noticed a 100% growth from 69 days to 139 days. These numbers may not be translated straightly to your practice, but they must have to give you some idea that what you may be up against after the October 1st transition.

Training for the Better ICD-10

The share of your budget will be spent on securing the resources of training for your staff. There is a number of training options are available for the providers and coders, which ranges from the World Health Organization’s (WHO) free online training tool to extra strong code set training camps for the people who are looking to complete training rapidly. Courses and training materials can range in price from $50 to more than a few hundred dollars per person.

Software Updates

As the cost of the software varies from vendor to vendor, the costs which are associated with updating will be dependent on whether your system is hosted on your own server and cloud-based. For those practices which are using a cloud-based system, it is doubtful you will experience the additional costs to get your system prepared for the ICD-10. Client server based systems mostly need additional costs to make the upgrades, and to pay for the professionals of IT to test, install, and to maintain the systems.
Whether or not you experience the costs related to any software during making the transition, be certain to settle that your vendors will be ready. Communicate actively with your vendors to see if their timeline supports of implementation is with the plan for your practice.

Implementation of the ICD-10

Implementation will vary a great deal by the type and size of an organization. The larger health care providers for e.g. hospital based systems, even clinic provider organizations and even hospitals, all have more sophisticated systems which is needed to be relieved and more work which needs to be done than the smaller practices, but they must possess the greater number of resources, which also includes the administrative personnel. Minor practices might have to face more challenges in gaining the resources and information they require, but they will also, at least at some extent, have less work to do than the bigger organizations have. The implementation of the ICD-10 must have to possess;
·        Improvements in the documentations
·        Development of relationship between the clinicians and coders
·        Strategies of an institute for training
·        Location of the resources for help