Monday, March 26, 2012


Continuing to Run a Practice with Paper Records is Unnecessarily Dangerous

In a study conducted by Robyn Tamblyn et. al, it was found that “individual risk estimates displayed graphically and numerically are a more effective method of eliciting response to drug alerts and reducing the risk of medication-related injury” (p.8).  In short, this study found that doctors who have individually customized alerts for each patient are more capable of reducing each patient’s risk of being injured by their medications. This makes perfect sense; people are not generic, so why should their healthcare be?

However, managing medications effectively can be challenging, especially when it comes to psychotropic medications (p.1).  In the same study it was found that the risk of medication associated injury amongst the elderly currently taking psychotropic drugs “increased by 39%, 59%, and 50% with the use of benzodiazepines, antidepressants, and antipsychotics respectively” (p.1).  Almost 30% of the elderly taking these drugs are taking them in doses above what is recommended, and nearly 70% have more than one physician prescribing said medications. This significantly increases the patient’s risk of injury by cumulative toxicity going undetected.  

Yet with doctors continuing to utilize the old paper method of record keeping, overdosed clients are harder to detect as each doctor may not have the patient’s full medical record. Continuing this practice is putting countless patients at risk. Unlike an EHR system, pieces of paper in a folder are not capable of alerting a doctor that the medications they prescribe could be more detrimental than beneficial.

Protect your patients from medication induced injuries, and protect yourself from potential malpractice lawsuits, by utilizing an EHR system with customized alerts. If you are interested in reading the full results from the study, look no further:













Tamblyn, Robyn, Tewodros Eguale, David L. Buckeridge, et. al, The Effectiveness of a New Generation of Computerized Drug Alerts in Reducing the Risk of Injury from Drug Side Effects: A Cluster Randomized Trial.J Am Med Inform Assoc published online January 12, 2012. DOI: 10.1136/amiajnl-2011-000609

Thursday, March 22, 2012

 Rural Hospitals ... Untapped Opportunity

In 2012 and beyond, the best hospital opportunity for VARs are rural and smaller hospitals.
In understanding why this marketing is so valuable, it's important to understand what the market looks like.
• There are over 3,200 hospitals in the United States with under 150 beds. The vast majority of these hospitals reside outside of major metro areas.
As predominately smaller hospitals, these customers have not made the same critical investments in Health IT as many of their larger competitors. As you may also expect, with fewer legacy IT purchases these hospital customers also come with less sophisticated internal IT departments. Lastly, because they are small they are not called on by competing resellers or technology vendors nearly as much as larger organizations.
However, it's critical to understand that although these customers are smaller they have significant advantages in terms of federal incentive payments.
• The average small hospital will receive between $1-3m between Medicaid and Medicare incentive payments. While that may not be a large figure to a 500 bed IDN, it's an operational game changer for your average 75-bed hospitals.
Why does this add up to opportunity for our reseller partners? First, the lack of internal IT resources combined with the requirements for Health IT adoption means these hospitals know they must buy but don't know how to do so effectively. This provides the reseller with a perfect opportunity to build a trusted vendor relationship with the customer.
These hospitals are not shown the same attention as other customers, showing the proper investment and helping them through this time of challenge can garner the loyalty that leads to long-term customer engagements.  With that in mind, let's look at a few primary opportunities where a reseller can make an immediate impact?
• Electronic health records: These customers are largely ignored by the top hospital EHR vendors. However, every hospital MUST invest in a certified EHR system. If you have an EHR to offer or can help navigate the waters of system selection and implementation then you have an advantage. A cloud solution for EHR is even more desirable due to the lack of data center build out and internal IT staff.
• Wireless and mobility: Don't be surprised to walk into a 75-bed hospital and find they're running DSL. Seriously. Wireless infrastructure, network security are all areas that most of these hospitals have not even considered up until now.
• Security: Aside from the wireless security example provided above there are a host of security issues these hospitals must deal with but have gone largely ignored. General privacy & security efforts, HIPAA compliance, and risk assessments to meet Meaningful Use requirements are all in high demand.
• Managed services: Without strong datacenter experience and internal IT resources, these customers need managed service providers more than ever to support their ongoing investments in HealthIT. The more services that can be delivered through the cloud, the more of a burden the reseller can relieve for the customer.

Every hospital has the need to share health information with other trading partners (clinics, physician practices, labs, etc.). With the recent announcement of Stage 2 for Meaningful Use this requirement to actively demonstrate the ability to exchange data is front and center. By aligning with the small/rural hospital, a reseller is also likely to gain leverage into other customers with similar needs.

Be sure to check out our products for hospitals and services for local New Mexico practices here:

Tuesday, March 20, 2012


As some of our channel partners are determining the best approach to this market, the below article talks about patient (aka: consumer) demand. Just as important, it also talks about market segment and who is more likely to adopt technology.
Docs slow to engage patients with IT | Healthcare IT News http://bit.ly/zL0Cf

My key takeaways from the article:
 "The cost of IT related to investment and impact on productivity is the primary barrier to adoption, with 66 percent citing upfront financial investment as their primary concern and 54 percent saying this about operational disruptions. This creates an opportunity for organizations that can assist physicians with financing, implementation, workforce training and process redesign. 
o If you haven't already, you might want to partner with someone on the financial side of business. There are some banks/lenders that have a healthcare-centric focus. With that piece covered and Hielix's operational expertise, you've created a compelling "solution" to bring to market.
• "Nearly one-half (46 percent) of single practices do not use EHRs compared to 22 percent of group practices with 10 to 49 full-time employees. Furthermore, 45 percent of solo practices have no plans to use EHRs, compared to only 15 percent of practices with 10 to 49 full-time employees."
o This is a very telling statistic about the small practices and confirms our notion that they are a more difficult segment to crack.
• The survey "shows growing consumer interest for secure messaging, access to personal health records and remote monitoring. Moreover, consumers trust information from physicians more than from employers or insurance companies, according to the survey, creating an edge for physician groups to gain market share via online engagement."
o During a time where margins are king, any competitive advantage a provider can exploit to gain market share will be very well received.

As always, for any EHR, IT and Meaningful Use support, please don't hesitate to contact your customer service specialist at Wildflower International powered by Hielix.


Monday, March 5, 2012


Tax Rule Offers Nice Savings on Hardware and Software

Congress has extended the IRS Section 179 to cover the 2011 tax year. That means that qualifying business equipment purchases (including most computer hardware and software) can be deducted at full cost on your 2011 business taxes, instead of being amortized over several years. From section 179.org:


"The Section 179 Deduction limit increased to $500,000. The total amount of equipment that can be purchased increased to $2 million. This includes most new and used capital equipment, and also certain software."


Translation: Now is a great time to purchase hardware and software! You effectively receive a discount equivalent to your tax bracket on the purchase.


For example, if you were to purchase $100,000 of IT equipment by December 31st and were in the 35% tax bracket, you could write off $35,000. The equipment cost to you is $65,000.


If your plans for 2012 include any hardware or software purchases or upgrades, do it now! The Section 179 provision is scheduled to expire at the end of 2011.


Disclaimer: We are neither accountants nor tax lawyers. This should in no way be construed as tax advice. Talk to your CPA or www.irs.gov for details.