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Every year, we witness the development and adoption of new technologies that have the potential to significantly improve the quality of care and access to treatment. Here are three technologies generating significant buzz.
- Speech-Recognition Software
Healthcare professionals are no stranger to speech-recognition software, and it has already fundamentally changed the way professionals work in their practices. The next advancement for this technology is natural language processing (NLP). NLP is a “… branch of artificial intelligence that helps computers understand, interpret and manipulate human language,” and it’s becoming widely available.
One of the most prominent examples is Amazon’s recently announced “Amazon Transcribe Medical.” It’s a real-time, automatic speech recognition for healthcare professionals. This breakthrough is at the forefront of speech-to-text software and will help streamline the documentation process that electronic health records require.
- Artificial Intelligence and Predictive Analytics
Predictive analytics applications have existed for a while. They already help physicians enhance the accuracy of their diagnosis and recommendations. Google has jumped in the game with the surprise reveal of its “Project Nightingale” last year. Google worked under the radar with a nationwide healthcare system to develop machine learning algorithms that help physicians navigate a database of diagnostics, treatments, and healthcare professionals. This search engine uses artificial intelligence (AI) to gather information on symptoms, biometrics, and health history that are inputted by the physician in real-time. The AI then compares that data with data from over 6 million health records to make recommendations on diagnosis, treatment, and specialist referrals.
Telehealth was a little used tool in the United States, generating less than 1% of U.S. medical claims in 2018, according to a 2019 FAIR Health white paper. COVID-19 has significantly increased the adoption of telehealth. Requests for virtual visits are surging across the country and clinicians are being forced to adopt telehealth technology on the fly. The good news is that telehealth products are generally simple to use. Our clients tell us that the biggest challenge is working with patients to establish telehealth connections.
Will the pandemic be the tipping point for telehealth? It will be very interesting to see how the adoption of telehealth further develops post-COVID-19. We will be monitoring it very closely.
- Perception of cash as a vehicle for coronavirus could change how consumers choose to pay in person.
- Analysts say the “psychological factor” of people thinking of cash as “unclean” could prompt more adoption of things like Apple Pay and Venmo.
- “People default to what’s familiar, unless there’s something to jolt you out of it,” says Jodie Kelley, CEO of the Electronic Transactions Association. “Contactless payments have come up as a new option for consumers who are much more conscious of what they touch.”
The coronavirus outbreak is prompting second thoughts about reaching for cash.
As the number of cases tick up in the U.S., some are going cashless to avoid potential hygiene issues around handling banknotes. Regardless of whether there’s a proven risk, the “psychological factor” of people thinking of cash as “unclean” could change how they choose to pay, according to Bain & Co. partner, Thomas Olsen.
“Merchants are encouraging people not to use cash, citing Coronavirus,” Olsen told CNBC. “We would expect some trigger to accelerate behavior from cash to digital payments.”
The U.S. Federal Reserve is also changing how it handles greenbacks. As a “precautionary measure,” the Fed increased the minimum holding period for bills coming from Asia and Europe to the U.S. to a 10-day minimum. The previous minimum was five days.
“The Fed’s staying in contact with the CDC to make sure we’re aware of the latest thinking, and right now it’s mainly person to person contact,” a Fed spokesperson said in a phone interview. “We’re prepared to modify that depending on the circumstances.”
Banks in China, where the outbreak started, were ordered to disinfect cash before issuing it to the public in an attempt to slow the virus spread. More than 169,000 people have tested positive for coronavirus as of Monday, according to Johns Hopkins University. Chinese government officials said during a February press conference that banks would only be allowed to release new bills that had been sterilized.
Meanwhile, the World Health Organization denied reports that the agency warned against using cash.
“WHO did not say banknotes would transmit COVID-19, nor have we issued any warnings or statements about this,” a WHOspokesperson said in an email. “We do recommend that people wash their hands regularly.”
Moving to mobile
The new virus fears could be enough introduce mobile payments to those who to otherwise didn’t see the appeal.
“People default to what’s familiar, unless there’s something to jolt you out of it,” Jodie Kelley, CEO of the Electronic Transactions Association, said in a phone interview. “Contactless payments have come up as a new option for consumers who are much more conscious of what they touch.”
Before the outbreak, mobile payments in the U.S. had not come close to the global adoption rates. It seems odd considering the ubiquity of smartphones. But experts cite a deeply embedded legacy system and rewards cards as reasons Americans don’t tap their phones to pay. In China, by contrast, more than 80% of consumers used mobile payments last year, according to management consultancy Bain. In the U.S., major mobile payments apps had adoption rates of less than 10%.
The major players in U.S. mobile payments are mostly tech companies. PayPal is the leader among several competitors, including Apple Pay, Google Pay, Samsung Pay, Venmo, Square Cash and Zelle, according to Bain. There are also a handful of newcomers looking to disrupt them. While they might get a boost as consumers adopt their mobile payment options, it likely hurts other, more profitable parts of their business.
“Coronavirus impact on fintech is a double-edged sword,” said Max Friedrich, analyst at ARK Invest. “Most payment providers also have exposure to payments in physical store.”
Major payment companies have already warned of the virus hitting U.S. spending. Visa, Mastercard and PayPal have all cut guidance due to the coronavirus. Banks have also taken a hit as the virus spreads. Shares of major U.S. banks have plunged in recent weeks as oil prices collapsed and falling bond yields sparked fear that the outbreak could lead to a recession.
On the consumer banking side, online options from traditional banks could see more adoption. As people self-quarantine they may avoid bank branches, too.
“I think this is an opportunity for a move to digital,” said Peter Gordon, executive vice president and head of emerging payments at U.S. Bank. Gordon added that Zelle, PayPal, and online banking could see a boost. “I believe this crisis will accelerate and move people to utilize all forms of digital financial services.”
‘Shock’ to the system
While the coronavirus impact is still unclear, India may offer a glimpse of what an unexpected, macro-economic event can do to people’s payment behavior.
E-payments in India soared after a surprise cash crunch in 2016. Nicolas Crouzet, an associate professor of finance at Northwestern University’s Kellogg School of Management, and Filippo Mezzanotti, Kellogg assistant professor of finance, said it shows how quickly and drastically consumers might change their behavior.
“Although the cash crunch was temporary, it had a very persistent effect on use of electronic payments,” Crouzet told CNBC in a phone interview. “There are network effects to these electronic payments. The shock forced people to start using that technology.”
Crouzet and Mezzanotti looked at a free, e-payment system in India similar to PayPal’s Venmo. They saw a “huge increase in usage” after the cash crunch. The number of transactions nationwide jumped 150%, then roughly doubled each week over the next three weeks. Meanwhile, the number of credit cards and credit-card transactions stayed “fairly steady.”
Still, the Kellogg professors said it’s too soon to tell if the virus will be enough of a jolt to change the payment system in the long-run. The effect could go beyond payments. They said Zoom and other software companies that people are newly relying upon for at-home-work could also see similar trend to what happened with payments in India.
“It’s most likely going to be a temporary shock, but forces people to use the software for a while,” Mezzanotti said. “You could imagine that for a bunch of industries, it could have permanent positive effects.”
Article submitted by Jennifer Autian, contact her to learn more about electronic payment options 678-523-8760 or Jennifer@tcabiz.com
Published on: October 17, 2019 and in the January 2020 issue of The American Journal of Managed Care
By: Pooja Chandrashekar, AB; and Sachin H. Jain, MD, MBA
In this commentary, the authors argue for moving away from state-based medical licensure and describe policy, technological, and administrative changes necessary for implementing portable medical licensure.
Telemedicine offers a promising solution to the growing physician shortage, but state-based medical licensing poses a significant barrier to the widespread adoption of telemedicine services. We thus recommend a mutual recognition scheme whereby states honor each other’s medical licenses. Successfully implementing mutual recognition requires policy, technological, and administrative changes, including a federal mandate for states to participate in mutual recognition, consistent standards for using and regulating telemedicine, a mechanism to enable interstate data sharing, financial support for states, and a “state of principal license” requirement for physicians. Reforming the United States’ outdated system of state-based medical licensure can help meet patient demand for virtual care services and improve access to care in rural and medically underserved areas.
The United States’ antiquated system of state-based medical licensure creates unnecessary hurdles that reduce the potential of telemedicine to address the growing physician shortage and improve access to care in rural and medically underserved areas.
Mutual recognition, a scheme whereby states honor each other’s medical licenses, is a comprehensive potential solution to enhance license portability and eliminate barriers to virtual care.
Implementing mutual recognition necessitates policy, technological, and administrative reforms to protect patient safety, prioritize the financial well-being of states, and streamline physician reimbursement.
By 2030, the United States could see a shortage of nearly 120,000 physicians.1 Telemedicine can alleviate the impacts of this shortage by helping physicians make use of unused time and see additional patients, allowing patients to access a larger pool of physicians and connecting specialists to hospitals in rural and medically underserved areas.2 Although telemedicine is growing in use and acceptance, state licensing laws create false geographic barriers and pose a significant challenge to widespread adoption.
In the United States, state medical boards regulate physician licensing, creating a patchwork of inconsistent state licensure laws. With few exceptions, physicians must acquire and maintain a license for each state in which they practice medicine. This antiquated system of state-based medical licensure, originally enacted in the 19th century to reduce medical malpractice and protect patient safety, has profound implications for the promise of telemedicine to increase access to care for vulnerable populations and mitigate the impacts of the national physician shortage.3 In this commentary, we argue for moving away from state-based medical licensure and describe policy, technological, and administrative changes necessary for moving toward portable medical licensure.
Physicians must be licensed in each state where current and future patients are located, so physicians practicing telemedicine across state borders may be responsible for obtaining and staying compliant with up to 51 different state practices of medicine at any given time. There are some exceptions—for example, 10 states issue special purpose licenses for physicians who wish to come to their state for a limited time, scope, and purpose, such as to demonstrate a new technique or to educate medical students.3 However, these exceptions are few and far between.
The multistate licensure process is long and expensive; some states require physicians to pay annual license renewal fees, complete additional coursework, submit required documentation, and participate in interviews. Even after physicians complete these requirements, state medical boards can take several months to process licensing applications.3 Along with imposing substantial direct costs on physicians, state-specific licensing reduces competition that could lower healthcare prices, limits opportunities for physicians to gain experience by seeing more patients, and exacerbates health disparities.4 The impact of restricting telemedicine falls hardest on poor patients, the uninsured, and those who rely on state Medicaid programs, many of whom lack access to reliable transportation and cannot travel across state lines to see specialists.5
Over the past decade, the Federation of State Medical Boards (FSMB), a national nonprofit organization that represents 70 state medical and osteopathic boards, has advanced several proposals to enhance license portability and reduce regulatory barriers to telemedicine. These include the Uniform Application and the Federation Credentials Verification Service, which are both web-based applications that eliminate the need for physicians to reenter identifying information and credentials when applying for multiple licenses. Most recently, the FSMB instituted the Interstate Medical Licensure Compact, an agreement to expedite the medical licensure process among member states. Physicians in good standing can freely practice in member states as long as they possess a “full and unrestricted” license in their state of principal license (SPL). To date, only 24 states have joined the compact.4
These proposals are a step in the right direction but far from the solution. They simply streamline—not eliminate—the process of applying for multiple medical licenses. Additionally, they do not reduce the cost to doctors of maintaining multiple medical licenses, estimated at $300 million each year.6 As a more comprehensive solution, we recommend a mutual recognition scheme whereby states honor each other’s medical licenses. This model has been successfully adopted in Europe and Australia and by the Veterans Health Administration, US military, and US Public Health Service.3 Furthermore, because standards for medical education apply nationwide and physician training requirements are set by federal agencies such as HHS, mutual recognition is warranted.
Proponents of the status quo argue that mutual recognition compromises patient safety, reduces revenues from state licensing fees, and complicates physician reimbursement. To address these challenges, mutual recognition should be accompanied by (1) a federal mandate, (2) consistent standards for using and regulating telemedicine services, (3) increased data sharing among states, (4) financial support for states, and (5) a requirement for physicians to select an SPL.
To reduce barriers to interstate medical practice, some states have attempted unilateral action. For example, in 2016, the Florida House of Representatives passed a bill with a provision allowing physicians licensed in other states to offer telemedicine services in Florida. However, the Florida Senate eliminated the provision. To avoid similar situations, Congress can require states to participate in mutual recognition. In fact, legal research suggests that federal action to promote interstate telemedicine is justified based on the Commerce Clause of the US Constitution, which states that Congress has the power “to regulate commerce…among the several states.”4 Another benefit of instituting a federal mandate is a consistent set of definitions needed to support mutual recognition (eg, SPL).
Standards for Using and Regulating Telemedicine Services
Each state currently defines the “practice of medicine” differently, making it difficult to discern what constitutes an acceptable telemedicine consultation in any given state. Standards of practice, conduct, and behavior during telemedicine consultations—including requirements related to physician credentialing, patient education, and physician supervision of other healthcare professionals—vary widely among states.3 Thus, the shift to mutual recognition must be accompanied by efforts to establish consistent standards for using and regulating telemedicine services. These standards should be defined at the federal level.
Interstate Data Sharing
State medical boards are tasked with the responsibility of monitoring and disciplining physicians licensed in their state. However, due to gaps in information sharing among states, nearly one-third of physicians disciplined in one state are able to practice elsewhere without limitations, repercussions, or public disclosure. This is especially dangerous in a mutual recognition scheme in which out-of-state physicians routinely see and treat patients with little oversight.
For mutual recognition to promote patient safety, information on malpractice, medical errors, and license cancellation or suspension must be shared among states, made publicly available to patients, and used to enforce disciplinary actions across state borders. States should use resources like the National Practitioner Data Bank, established in 1986 as a central data repository for malpractice payments and state disciplinary actions, to conduct rigorous background checks before physicians participate in telemedicine consultations and deliver care across state borders.
Financial Support for States
Given the administrative and technological costs of implementing mutual recognition and dismantling the existing state-based medical licensure system, HHS could provide states with incentive payments for adopting mutual recognition agreements and eliminating state-specific licensing and renewal fees. Additionally, HHS could offer grant funding to enhance interstate data sharing systems and other functions that promote mutual recognition. While financial support for states is an important first step, mutual recognition can reduce healthcare costs in the long run as telemedicine services increase access to care for rural and underserved populations.
One challenge of mutual recognition is attributing physicians to any given state. This can complicate physician reimbursement for telemedicine services and reduce the effectiveness of state healthcare programs dependent on physician participation. A possible solution is requiring physicians to select a single SPL for questions regarding reimbursement and attribution. This requirement already exists for physicians participating in the Interstate Medical Licensure Compact. Because physicians would fall under the jurisdiction of their SPL’s medical board, the SPL could hold primary responsibility for collating information from interstate data-sharing systems and enforcing disciplinary action against errant physicians.
The environment of medicine is changing. More than three-fourths of patients want access to virtual care services, and patients across all age groups express a desire to use telemedicine to gain easier, more immediate access to physicians.7 To meet growing patient demand and solve our country’s critical physician shortage, we can and must reform our outdated state-based licensing system.
Author Affiliations: Harvard Medical School (PC), Boston, MA; CareMore Health System (SHJ), Cerritos, CA; Stanford University School of Medicine (SHJ), Stanford, CA.
Source of Funding: None.
Author Disclosures: Dr Jain is an employee of CareMore and Aspire Health, which are both multistate provider entities. Ms Chandrashekar reports no relationship or financial interest with any entity that would pose a conflict of interest with the subject matter of this article.
Authorship Information: Concept and design (PC, SHJ); drafting of the manuscript (PC); critical revision of the manuscript for important intellectual content (PC, SHJ); administrative, technical, or logistic support (SHJ); and supervision (SHJ).
Address Correspondence to: Sachin H. Jain, MD, MBA, CareMore Health System, 12900 Park Plaza Dr, Cerritos, CA 90703. Email: Sachin.Jain@caremore.com.
- Dall T, West T, Chakrabarti R, Reynolds R, Iacobucci W. 2018 update: the complexities of physician supply and demand: projections from 2016 to 2030. The Heartland Institute website. heartland.org/_template-assets/documents/publications/aamc_2018_workforce_projections_update_april_11_2018.pdf. Published March 2018. Accessed November 18, 2018.
- Bodenheimer TS, Smith MD. Primary care: proposed solutions to the physician shortage without training more physicians. Health Aff (Millwood). 2013;32(11):1881-1886. doi: 10.1377/hlthaff.2013.0234.
- Kocher R. Doctors without state borders: practicing across state lines. Health Affairs Blog website. healthaffairs.org/do/10.1377/hblog20140218.036973/full. Published February 18, 2014. Accessed November 18, 2018.
- Svorny S. Liberating telemedicine: options to eliminate the state-licensing roadblock. Cato Institute website. cato.org/publications/policy-analysis/liberating-telemedicine-options-eliminate-state-licensing-roadblock. Published November 15, 2017. Accessed December 9, 2018.
- Schwamm LH. Telehealth: seven strategies to successfully implement disruptive technology and transform health care. Health Aff (Millwood). 2014;33(2):200-206. doi: 10.1377/hlthaff.2013.1021.
- Vestal C. Why physician licensing is a problem for telemedicine. Governing website. governing.com/news/headlines/why-telemedicine-is-a-problem-for–.html. Published March 7, 2014. Accessed December 9, 2018.
- Heuser EZ. What do consumers want from virtual visits? Advisory Board website. advisory.com/research/market-innovation-center/research-briefs/2017/virtual-visits-briefing. Published April 27, 2017. Accessed December 9, 2018.
Article provided by Stephen Bradley
Company logo branded journals and pens are the perfect corporate show gifts for networking at trade shows, conferences, and recruiting events. After all, your prospective clients and business partners will need a way to write down all the valuable information on your offerings! Adding your custom printed logo to a custom notebook and writing utensil, ensures that you will leave a noteworthy impression on your target audience!
If you’re looking for a promotional item that your event attendees will actually use then this is probably the product for you. Seriously, will all the travel, seminars, and breakout meetings it’s nearly impossible to keep your battery charged… unless you’ve got a portable phone charger with your custom printed logo. Your customers will thank you when they’re not fighting for outlets at the airport on the way home.
They say the way to someone’s heart is through their stomach and that principle holds true when it comes to promotional giveaways too! There’s no sweeter way to spread your brand than by adding your custom printed company logo to the wrappers and labels for some of your favorite candy and snack brands. Plus, they’re the perfect size treat to tide you over during those long-winded speeches.
This is another tradeshow giveaway that attendees will surely use! Personalized water bottles, coffee mugs, and tumbler cups are the ultimate way to stay hydrated (or caffeinated) all day long at trade shows. Custom drinkware is also an eco-friendly way to generate brand awareness too since it cuts back on plastic bottle consumption! Check out some of the custom drinkware options available from brands other than the expensive brands you’ve heard about. There is no reason to pay more for a brand name when other products work just as well.
Phone accessories are all the rage when it comes to promotional items. Seriously, if your goal is to make the most impressions possible on your prospective clients, customers, or colleagues, a PopSocket or phone wallet with your company logo is the way to go. Just think, how many times do you look at your phone a day?
It’s no surprise to see the tote bag on this list, as custom totes have been the go-to option for promotional bags for years. That’s because totes can easily hold all your trade show swag and they’re perfect for an embroidered company logo or custom design.
If you want to affordably maximize impressions then personalized koozies are the way to go. These wholesale bottle and can coolers by Koozie are a cheap and easy way to get your corporate logo into as many hands as possible! Plus, we can all agree that warm beer and soda stinks.
Company branded audio devices like custom Bluetooth speakers and wireless headphones are always a hit when it comes to premium promotional products. Part of this is simply because people just love getting new tech and gadgets, especially when it’s free. The other reason is that a speaker or a pair of headphones comes in handy on these business trips whether you’re jamming out in your hotel room or just blocking out the noise on your flight home.
Trade show season is also chapped lip season. There’s very little humidity in the air in the winter, causing lips to get chapped, and even if your convention is in Las Vegas, there’s little reprieve from the dry air. That’s what makes lip balm and chap stick tubes with your custom printed company logo so fitting as trade show giveaways. An added benefit is the fact that your clients will probably use these for months on end and see your logo every time.
This is a very recent development and is turning out to be a great promotional idea. They tie into the move away from single-use plastic items. They are a bit witty and unusual and have some serious staying power.
With the state and local governments bringing awareness to using less plastic, straws and plastic bags are being targeted.
More and more restaurants have opted to “no straw” or a “metal straw” unless a plastic straw is requested. Plastic straws take up to 200 years to degrade and even then don’t fully return to the soil. They end up affecting wildlife, the ocean, and the air we breathe. It’s no wonder many restaurants are banning disposable straws altogether!
But, if you have ever gone out for a drink with friends and received one of those paper straws that taste funny and stick to your lip, you will get why people are carrying their own straws.
Straws are the promo product to use if you are trying to bring awareness to an eco-friendly brand or campaign. Silicone or stainless steel straws are the trendiest promo product. They have small little cleaning brushes and carrying cases.
A new addition to this listing…Hand sanitizer.
Corona virus has made a mark on the psyche of most people. The “wash your hands” message we see on nightly news has made us acutely aware
From the CDC website:
Wash your hands often with soap and water for at least 20 seconds, especially after going to the bathroom; before eating; and after blowing your nose, coughing, or sneezing.
- If soap and water are not readily available, use an alcohol-based hand sanitizer with at least 60% alcohol. Always wash hands with soap and water if hands are visibly dirty.
The CDC has dedicated an entire page with instructions on how best to wash your hands and how hand sanitizer when and how to use it.
We also hear that hand sanitizer is unavailable or in low supply. That’s not the case with branded versions. There is huge variety of styles and sizes with various price points. This promo product is a win all around. 6 months ago hand sanitizer was just another inexpensive promo product. Obviously it’s grown in popularity for obvious reasons.
***Since this article was written, branded hand sanitizer’s availability is now maxed out! Most suppliers are no longer accepting orders for them, and if they are, the minimum quantities are in the thousands.***
Submitted by Sheila Fox-Lovell
Many Healthcare executives say the biggest change and pressure point for interoperability in 2020 and beyond will be around the rules allowing application programming interface (APIs) to access patient records. This could open the door for third party software to help patients access their own health information. This just might be the one of the main defining changes within the health IT space for the next five to 10 years.
However, many people are voicing concerns about patient privacy implications and the potential of enabling more open data sharing with third-party apps. Additionally, many EHRs are against the idea.
Article supplied by
GSG Compliance, LLC
On February 16, 2018 Kari’s Law was signed into federal law. Named for Kari Hunt Dunn, the law was championed by her family after she was killed and her 9 year old daughter was unable to reach emergency services because she didn’t know she had to dial “9” to reach an outside line before calling 911 at the hotel where they were staying.
Kari’s Law requires direct dialing of “911” be enabled in enterprise environments and directs the FCC to develop necessary 911 calling regulations for the multi-line telephone systems (MLTS) that are commonly used for communications services in buildings, like hotels, hospitals, and most office campuses.
Bringing your business into compliance with new laws and regulations can sound daunting, but having the right partner to help guide your efforts can make the February 16, 2020 Kari’s Law compliance date far less intimidating.
No More “9” For Outside Line
Tragically, the adoption of Kari’s Law was a response to an emergency event in which a child was unable to reach emergency assistance because she did not know she had to dial “9” to reach an outside line to make a 911 call at a hotel. Kari’s law will require that any MLTS will allow callers to reach emergency services (911) without the need to dial a prefix for an outside number first. Thus, among other things, all enterprises utilizing MLTS will need to update their phone configurations accordingly.
Locations & Notifications
In addition to disallowing prefixes when calling 911, the new rules also aim to ensure help is sent precisely where it’s needed while also notifying designated personnel of the emergency.
When you call 911 from your home, your registered street address is typically passed along to the Public Safety Answering Point (PSAP), who in turn gives that information to emergency responders. But what about at your office? If there’s a medical emergency in a 4th floor conference room and you call 911 from that office (without having to dial a prefix!), how will they know where to go if they only have the street address?
In addition to the direct dialing and notification requirements of Kari’s Law, pursuant to another federal law called Ray Baum’s Act, the FCC is also creating rules to improve the dispatchable location information that is associated with emergency calls from MLTS. Specifically, the objectives of the new rules are for campuses that use MLTS to be able to pass along location information that would be more specific than a front desk or the administrative office and add such information as building, floor, suite, and even specific conference rooms potentially.
In addition to removing the need to dial a prefix for an outside line when calling 911, Kari’s Law requires businesses using MLTS to also implement notifications to designated personnel when a 911 call has been made. These notifications can take the form of a phone call, email, SMS/text message, or conspicuous on-screen message.
Notifications will allow for designated personnel to know that there’s an emergency and even provide first aid if necessary. Most importantly, it allows them to quickly escort emergency personnel to where they’re needed, helping them through the front doors, elevators, and into keycarded areas depending on the particulars of any enterprise environment.
Don’t Go It Alone
We know this all sounds like a lot (and in some ways it is), so how can your business manage its legal obligations most effectively?
Well for one, you don’t have to do it alone — reach out to our 911 experts to find out how we can support your business’s 911 calling needs. For example, Clear Choice Telephones 911 solutions are well positioned to provide your business with the location and notification functionality you need.
Get Started Soon + Understand Vulnerabilities
Kari’s Law requires compliance by February 16, 2020. Getting started sooner will ensure that you’re not racing to find effective solutions at the last minute.
Create a checklist to understand what your business needs to do. Making sure that your entire team is on the same page will help make sure everyone is working towards the same goal (and that you’re not forgetting a crucial piece).
Article submitted by Paul Mancini, contact him to learn more.
678-387-3200 or firstname.lastname@example.org
If you’re thinking about changing your software you’re not alone. According to the Medical Economics 2017 EHR Report Card, 62 percent of physician respondents indicated that they had already switched EHR systems at some point. High level physicians and admins almost always begin the transition process by asking “What are the best practices for switching EHRs?”
The marketplace has partially answered where to start with an EHR switch, practices are demanding more user-friendly EHRs that offer better interoperability. In other instances, practices are searching for specific functionality to help them thrive. Often, the need to switch EHRs is driven by frustration that your current software impedes rather than speeds your workflow.
Undertaking an EHR switch can feel daunting—after all, it’s a big investment. You may be wondering:
- How do I identify the need for an EHR switch?
- What steps should I take to find the right vendor for my practice?
- How can I best prepare my practice to make this change?
To help you on your journey, the following are our best practices for switching to a new EHR.
Focus on your functional requirements
Consider your daily workflow. What types of capabilities does your practice need from an EHR? Of course, physicians want mobile capabilities, e-prescribing and integration with billing systems but it’s also important to look at the functional needs of your specific practice. List each functionality you want and create a scorecard to rate how well each vendor’s solution can meet your needs. Be sure to ask for input from people in a variety of roles at your practice.
Keep emerging needs in mind
Identify EHR software that helps you use data analytics to benefit both your patients and your practice. From population health management to merit-based incentive payment system (MIPS) reporting that helps practices receive reimbursement for value-based care, your EHR’s capabilities should offer both the tools and the interfaces that allow you to leverage the power of data. Your practice will also want an EHR with strong internal reporting functionality that allows you to create custom queries and leverage your data in the real world.
Be sure you’re in a position to Promote Interoperability
When evaluating new EHR software, ask how the candidate system operates with regard to interfaces with labs and hospitals in your area, how well it handles referral management, and does it support the newer initiatives evolving for on demand data requests such as Commonwell, Carequality, and Surescripts National Record Locator and Exchange. This is important with regard to the CMS Promoting Interoperability, a component of MIPS, compliance guidelines. You can read more about how we help our practices with MACRA/MIPS here.
Seek a vendor with a proven track record of success
Identify potential EHR vendors by reviewing published ranking lists and awards from third parties such as KLAS Research. Insight from your peers is also valuable and can be attained by attending industry conferences, or talking to other physicians in your specialty.
An EHR that checks all the boxes on paper may not necessarily perform to your expectations in practice. When you demo the system, make sure it fits into YOUR workflow versus changing how you practice to accommodate the software. A great EHR is designed with the user in mind, helping you work the way you want to and reducing the time you spend on routine tasks.
Enlist a variety of power users to give the EHR a test drive
A system that works well for a physician may have shortcomings that only the administrative or billing staff can detect. Conversely, the same EHR that your office manager loves, may also be the EHR the physician loathes. After you’ve developed a shortlist of EHR products to test, gather people from different areas of your practice to test the EHR for issues. Be sure everyone is on board with the same EHR before making your final decision. Keep in mind that not everyone may get exactly what they want, a little give and take may be necessary in choosing the best solution overall for the organization.
Confirm the availability of responsive customer support
When you have questions concerning your EHR, you want answers as quickly as possible. Ask EHR vendors whether they have a U.S.-based support team available during regular office hours and, again, look at published lists and rankings that detail the vendor’s approach to support.
Don’t skimp on training
Proper training is essential for every EHR user. Not only can it help reduce the frustration of adapting to a new system, it can help users become proficient more quickly—lessening the impact on your practice and patients. The vendor you choose should offer robust training options to help you experience a smooth implementation. Although everyone who uses the system must attend training, it is also valuable to select a person or persons depending on the size of your practice to be a “super-user” who will cross train on clinical, billing, and admin capabilities.
Invest in long-term gain
Although switching your practice’s EHR system is a major undertaking, the gains achieved by increased interoperability, more easily sharing patient data and reducing administrative workload can reap long-term benefits. Find the EHR that’s the right fit for your practice and focus on the future. Also be sure to consider the experience of the potential vendors in assisting practices in making a change. The path to successful change can be bumpy, but experience and proven processes can avoid many of the potholes along the way.
Your next step is to add Aprima to your shortlist. Our track record of industry praise, long-term client retention (98% of practices have remained customers after 10 years!), and expertise in helping practices switch EHRs make Aprima an EHR you should know!
Bart Segal is the CEO of Tri-Med Solutions, an award winning Gold Certified Value Added Reseller of Aprima EHR. He has over 20 years of experience in the EHR industry and loves talking about EHR’s. He can be reached at email@example.com.
Landmark retirement reform bill tacked onto “must-pass” FY 2020 spending package by Congress; will be voted on this week by House and Senate
Talk about your nail-biters! After months of collecting dust in the Senate, the SECURE Act, the most significant retirement saving reform legislation since the Pension Protection Act of 2006, is finally on its way to becoming law after being tacked on to a larger mandatory spending bill introduced into the House of Representatives on Monday afternoon.
The Setting Every Community Up for Retirement Enhancement (SECURE) Act, passed by an unheard of 417-3 vote in the House back in May, became stalled in the Senate after a handful of Senators placed “holds” on the bill over various concerns, preventing the bill from being fast-tracked to President Trump’s desk by unanimous consent.
Both chambers of Congress worked through last weekend, frantically negotiating the details of this final wide-ranging, must-pass $1.4 trillion spending package for fiscal year 2020. Down to its last chance of the year at moving forward, the SECURE Act, with strong bipartisan and retirement industry support, made the cut to be included in the package.
“Including the SECURE Act in the FY 2020 funding bill is a big victory that will help ensure that all hard-working Americans have a chance to build a nest egg for their retirement,” said U.S. Senator Rob Portman (R-OH), a key backer of the bill. “Many of the provisions in the SECURE Act have been under consideration by the Senate for multiple years and multiple sessions of Congress, dating all the way back to the Senate Finance Committee markup in 2016. I’m particularly pleased that this legislation includes legislation I’ve introduced to help protect the retirement security of hundreds of thousands of dedicated older Americans who are at risk of losing future retirement benefits this year.”
Portman noted it also includes two provisions he’s championed to help expand access to 401ks and allow individuals choosing to work later in life to keep saving for retirement. “I look forward to the president signing this legislation into law quickly to strengthen the retirement security of the American people,” he said.
The SECURE Act includes Portman’s Retirement Security Preservation Act, which would reform pension nondiscrimination laws to prevent more than 400,000 Americans from having their pensions frozen through no fault of their own. Several components of Portman’s bipartisan Retirement Security & Savings Act, which he introduced with Senator Ben Cardin (D-MD), are also included in the SECURE Act.
In a statement released Monday afternoon, American Council of Life Insurers (ACLI) President and CEO Susan Neely lauded congressional leaders for including SECURE Act in the 2020 spending package.
“The SECURE Act is the most sweeping retirement security legislation to move through Congress in more than a decade. It would mark a significant step toward modernizing America’s retirement system for workers.
“Each day, 10,000 Americans turn age 65 and many can expect to live 20 years or longer in retirement. Yet, research shows that one-third of Americans approaching retirement have between nothing and $25,000 in savings to supplement Social Security income,” Neely said. “The SECURE Act makes important changes that will go a long way toward addressing the nation’s looming retirement crisis. One provision alone will get more than 700,000 small business employees nationwide to start saving for retirement. Another will make it easier for employers to offer retirement plans with lifetime income options through annuities.”
Wayne Chopus, president and CEO, Insured Retirement Institute, said in a statement Monday, “We have a first down and goal on the 1-yard line. Congress and the President are about to deliver a meaningful, positive benefit to millions of American workers by expanding opportunities to save for and achieve a dignified retirement.”
The spending bill is expected to be voted on sometime Tuesday in the House, and then sent on to the Senate, where it would also be expected to pass without snags due to the looming Dec. 20 deadline to approve the spending bill and prevent a government shutdown, not to mention the fast-approaching Congressional holiday recess. It could be signed by President Trump by the end of this week.
Big changes coming
Provisions of the SECURE Act will have a wide-ranging impact on retirement savings plans, and 401k plans in particular. Among the biggies:
- The SECURE Act’s Section 204 gives fiduciary safe harbor to 401k plan sponsors who include annuities among offerings to plan participants, something long craved by insurers who offer annuity products. Many defined contribution plan sponsors have been reluctant to offer annuities in their plans due to the concern about fiduciary liability if the annuity provider becomes insolvent. Under Section 204, if an annuity provider chosen for a 401k plan were to go out of business or defraud plan participants, employees would not be able to sue the employer afterward.
MetLife released the following statement Monday from Graham Cox, executive vice president and head of MetLife’s Retirement & Income Solutions group, regarding Section 204:
“This legislation removes the long-standing regulatory barriers that prevent companies from including lifetime-income options in their employees’ retirement plans.
“MetLife is a strong supporter of these provisions and committed to ensuring that employees enjoy a secure retirement by having access to guaranteed income for life. Through the requirement that lifetime income estimates be included on annual defined contribution (DC) plan benefit statements, employees will gain a better understanding of how their savings translate into retirement income. The safe harbor provision, provided under the SECURE Act, increases workers’ access to solutions that will protect against the risk of outliving their savings. Both of these provisions provide valuable tools that will strengthen retirement security for millions of Americans.”
- The SECURE Act will increase the tax credit for employers introducing new retirement plans from $500 to $5,000, and small employers that implement an automatic enrollment feature in the plan design will be eligible for an additional $500 credit.
- The SECURE Act’s Open MEP provision will make it easier and more economical for smaller employers to offer retirement plans by allowing for the creation of pooled retirement plan providers. It removes the common nexus requirements and allows Open MEPs for employers that don’t share common traits to be administered by the pooled plan provider.
The provision also protects small employers in Open MEPs from penalties if other members violate fiduciary rules, also known as the “one bad apple” liability risk that a non-conforming member can pose to an entire plan. That issue has long been a stumbling block for MEPs.
- Many part-time workers will be eligible to participate in an employer retirement plan under the SECURE Act.
- The SECURE Act also pushes back the age at which retirement plan participants need to take required minimum distributions (RMDs), from 70½ to 72.
To pay for the estimated $389 million the SECURE Act would add to the federal budget over the next 10 years, the bill—in perhaps its most controversial provision—will effectively put an end to the popular estate planning tool known as the “Stretch IRA.”
As James Lange wrote in an article about Stretch IRAs on 401k Specialist earlier this year, under existing law, non-spouse heirs of an IRA owner can “stretch” or extend the taxable distributions of an inherited IRA over their lifetime. The benefit of protracting the distributions of an inherited $1 million IRA could mean as much as a million dollars to the heirs of the IRA owner over their lifetime. It’s all about how quickly taxes are or are not collected.
Under the SECURE Act, the entire IRA or retirement plan would have to be distributed within 10 years of the death of the IRA owner.
American Benefits Council applauds pension fix
“Among the many valuable elements of the SECURE Act is a measure that would address a glitch in the nondiscrimination rules affecting participants in frozen pension plans. The Council has determined that hundreds of thousands of participants could lose future pension benefits as of January 1, 2020, without a legislative fix,” said Lynn Dudley, senior vice president, global retirement and compensation policy. “We applaud the leaders of the committees of jurisdiction for their support and, in particular, Senators Rob Portman and Ben Cardin, for their bipartisan commitment to employer-sponsored retirement plans.”
“The bipartisan deal struck by congressional leaders is a victory for millions of Americans who receive health and financial security through employer-sponsored benefit plans,” American Benefits Council President James A. Klein added.
Article submitted by Joshua C. Harper, CFP®, ChFC®, CLU®, RICP®