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Obama's Prime-Time Health Care Appeal
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President Barack Obama walks from the Oval Office of the White ...

WASHINGTON (Reuters) – U.S. President Barack Obama will plead his case for a broad healthcare overhaul in a prime-time news conference on Wednesday, with doubts growing about the plan even among his fellow Democrats and polls showing slipping public support.

Leaders in Congress struggled to find common ground on the cost and scope of a proposal that Obama has made his top legislative priority, and hopes dimmed they could meet his goal of passing early versions by the August summer recess.

The package has run into opposition from all sides, with a group of conservative Democrats questioning the cost and funding, liberal Democrats concerned it would not do enough, and Republicans blasting the more than $1 trillion price tag and seeing a chance for a crushing political defeat of Obama.

"We need to put the brakes on this president. He's been on a spending spree since he took office," Republican Senator Jim DeMint, a conservative who recently said the healthcare debate would be Obama's "Waterloo," told NBC's "Today" show.

Obama has stepped up his involvement in the debate, meeting with rebellious House of Representatives Democrats at the White House on Tuesday and scheduling healthcare events throughout the week, topped by the nationally televised news conference at 8 p.m. EDT (0001 GMT) on Wednesday.

The overhaul plans call for a government-run insurance program to compete with private insurers, expanded coverage to most of the 46 million uninsured Americans and holding down soaring healthcare costs that are rising faster than inflation.

But the details have proven difficult for lawmakers to nail down, and a series of opinion polls show Obama's approval rating dipping and his support on the healthcare issue falling to below 50 percent in a Washington Post poll.

U.S. House Speaker Nancy Pelosi said lawmakers were making "great progress" on healthcare, and said there were enough votes to pass the bill in the House. But she did not give a firm timetable for a vote.

'LONG WAY TO GO'

The August deadline for passing versions in each chamber of Congress appeared to be slipping, and Republicans pushed hard to put on the brakes. Obama wants the first versions of the bills passed before the monthlong break to keep opposition from building during the recess.

"It takes some time, but we're going to do it right," Pelosi told reporters

The House Energy and Commerce Committee canceled a planned drafting session for the second consecutive day on Wednesday in order to work with the fiscally conservative Democrats on the committee known as "Blue Dogs," who could scuttle the bill.

"We are making progress; however, we have a long way to go," said Representative Mike Ross, leader of the Blue Dogs.

Another panel, the House Ways and Means Committee, will meet to discuss taxes and other issues in its version of the bill. Its plan to add a tax on the wealthy, to raise about $544 billion over 10 years, has come under fire.

Members of the Senate Finance Committee, meanwhile, continued a series of closed-door meetings aimed at finding a compromise that could be crucial to getting the proposal through the Senate.

Senate Finance Committee Chairman Max Baucus said leading members of the panel trying to negotiate a bipartisan agreement on legislation were "making progress."

The handful of senators spent the morning looking to find more ways to save money in the Medicaid health program for the poor, Senator Kent Conrad told reporters after the meeting.

The more savings lawmakers can wring from existing health programs, the less new revenue they will need to raise.

"We've gone through a series of options on Medicaid to try to see if there couldn't be additional savings," Conrad said. "The work goes on."

'AFFORDABLE PLANS'

Senator Olympia Snowe, a crucial Republican swing vote, said the senators negotiating the committee's package want to make sure the insurance coverage provided through a proposed exchange program would be affordable.

"If you have an individual mandate you have to make sure that affordable plans are available," she told reporters.

The proposed state insurance exchanges would operate as a clearinghouse where individuals without employer sponsored health insurance and small businesses, with up to 50 employees, could shop for medical coverage plans.

Obama said on Tuesday that the bills were "not where they need to be" but he remained confident that he could win approval.

Senate Democratic leader Harry Reid said taking no action to reform the $2.5 trillion healthcare industry was not an option and accused Republicans of supporting the status quo.

Senate Republican leader Mitch McConnell said he supported reform, but not proposals that would increase the federal debt and hurt small businesses.

"Unfortunately, the administration seems bent on its own proposal for a government-driven plan that costs trillions of dollars and asks small businesses and seniors to pay for it," McConnell said.

 
A Practice Going Paperless
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 Most medical practices now use an electronic practice management (EPM) system. Usually this means some type of proprietary software, something different than the old system of hand-written calendar notes. In the last twenty years, this market has ballooned into a large industry, generating products which run on several platforms.

Unfortunately, however, although these systems are enacted, the vision of the paperless office is not fulfilled. Most practices still store paper records in the old-fashioned way. Some practices are text-driven, such as family practices and internal medicine. Graphical and visually-driven specializations like ophthalmology, however, have given developers trouble and many systems are not ready to go live.

At our practice we had been using an EPM system since '83. The first vendor we were using said that they would not extend technical support after the year 2000. We decided to change to another system before this happened. While the software was good for billing and scheduling, we started to realize that we would need to keep growing in terms of square footage, in order to accommodate the storage of medical records. So, we asked ourselves which would be more cost-efficient in the end: conversion to an EMR system, or continual growing of the space? Our particular practice has five office spaces with records storage at the central main office. We started to consider a scanning solution to assist with the storage problem, still realizing that we'd have to become more efficient while maintaining full access to stored information.

EMR system implementation involves the following expenses:

* Technical Support
* IT Consulting
* Infrastructure Costs
* Computer Hardware
* Licensed Software

Also consider the costs of training staff, and the extra data entry that they will perform to move information over to the new system. In most cases, a practice will use both the new and old systems until a conversion is complete. There could be some tasks duplicated between the two systems.

Our choice came down to a consideration of the necessity to curb the amount of paper records we were accumulating, meanwhile facing new privacy and patient record security proactively.

There are some excellent benefits to EMR, which include:

* Enhanced Documentation
* Remote Access
* Improved Coding and Compliance
* Better Integration
* Communication Improvements
* Measured Efficiency


When making our choice, we imagined that we could recover our investment in two years; this calculation was based on savings on estimated office space rental needs. This includes reduced service costs and printing expenses. We are monitoring changes in job efficiency. There are benefits which are difficult to calculate accurately, but we are always measuring our performance and return on investment. There will be an initial investment of both time in expense which should reap benefits in terms of future productivity.

The overall trend seems to look toward a future in which EMR is the standard rule. Insurance providers and government agencies are increasing pressure for standardized medical documentation, and EMR could become obligatory someday. As healthy competition brings down hardware and software costs, even the smaller offices are then able to make the move over to a paperless practice.

 
Know how to get $44,000+ for using an EHR?
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The Time is Now. The Stimulus Center will help to prepare you to implement an EHR.
Great incentives are coming. Be ready for them.

Stimulus 101

Understanding the HITECH Act

On February 17, 2009, President Barack Obama signed into law the American
Recovery & Reinvestment Act.

The health IT component of the Bill is the HITECH Act, which appropriates a net $19.5
Billion dollars to encourage healthcare organizations to adopt and effectively utilize
Electronic Health Records (EHR) andestablish health information exchange networks at
a regional level, all while ensuring that the systems deployed protect and safeguard
the critical patient data at the core of the system.
The opportunity presented by the Bill is enormous. After literally decades of slow
but steady progress towards converting our paper-based record system into an
electronic one, we now stand poised for a monumental leapforward. The
Congressional Budget Office predicts 90% of physicians and 70% of hospitals will
be using a comprehensive, robust Electronic Health Record over the next few years.
As a result, the country will save billions of dollars on the provision of healthcare, and
our citizens will receive coordinated, informed care from their entire network of providers.
 
Visit HCIS At The Life Services Network Annual Convention
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For over 75 years, Life Services Network, a statewide  association, has represented the leading
providers of the complete continuum of services for older adults, including nursing care, supportive
and assisted living, senior housing and home and community based services. With a diverse
membership now numbering over 500 providers, LSN is the largest eldercare association in Illinois.

As one of the largest and most respected trade associations of its type in the country, LSN is 
nationally recognized for its innovative programs, leadership and expertise on issues related to 
long term care and senior housing and services. Committed to the advancement of quality and 
innovation in older adult services, LSN is also the state affiliate of the American Association of 
Homes and Services for the Aging (AAHSA) and  the Assisted Living Federation of America (ALFA)
Please Visit HCIS at The Annual Life Services Network Convention and Enjoy a Live Demo.

 
HCIS Releases New Version of MDS Ease
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Sunday, 14 June 2009 21:46
MDS Ease is scheduled for a brand new release on January 1, 2010. This release of MDS Ease 2.01 will include the latest technology including multiple online videos, a more enhanced help section, and various social media links.
Last Updated on Friday, 10 July 2009 18:17
 
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