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ELECTRONIC HEALTH RECORDS
Audacious Inquiry takes a unique approach to planning for and implementing clinical systems such as electronic medical records and practice management tools. We recognize that even more important than the technology itself are a practice’s clinical and administrative workflows. As a result, we seek to match providers with technology that suits the unique needs of their practices. We also put a significant emphasis on process mapping, extensive training, development of custom clinical content, and, as needed, workflow reengineering—as we recognize that this is where most clinical systems implementations succeed or fail.
We have more than 17 years of collective experience implementing and servicing clinical systems in large and small care settings throughout the mid-Atlantic region, with particular expertise in GE Centricity. We would welcome the opportunity to discuss your practice’s needs.
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Last Thursday, the Maryland Hospital Association (MHA) hosted its first Health IT Executive Forum focusing on Federal and State Health IT Initiatives and Principles for Progressing in a Health IT-enabled Future in Maryland at its headquarters in Elkridge, Maryland.
An EMR trainer's perspective on clinicians' acceptance of EMRs.

With the flurry of activity taking place both in Maryland and throughout the nation to implement electronic health records and make them interoperable via health information exchanges, the topic has received an increased amount of media attention.
Deliberations from the GE Centricity EMR technology conference

On Wednesday, Maryland’s Health Services Cost Review Commission (HSCRC), the state entity that determines reimbursement rates for hospitals, awarded $10 million in startup funding to Chesapeake Regional Information System for our Patients (CRISP) to build and operate a statewide health information exchange.
The Maryland/DC/Virginia region is quickly becoming a hotbed for health information exchange (HIE).

On Tuesday, AI team members Scott Afzal, David Finney, and Christopher Brandt showed their support as Governor Martin O’Malley signed into law Maryland House Bill 706.
Since the stimulus bill was signed into law in February of this year, in effect mandating incentives and penalties for health care providers tied to the meaningful use of electronic health records (EHRs), there has been an explosion of rhetoric around EHRs. Though EHRs are certainly a topic of concern for all providers, it appears two other important initiatives have been overshadowed by the debate.
On Tuesday, May 19th, the Maryland state legislature took a big step forward in encouraging the adoption of health IT among the state’s providers. Following passage by the state Senate and House, Governor Martin O’Malley signed into law House Bill 706 (HB706).
Last Thursday, I attended a conference in Washington, D.C. that focused on health reform in long term care. As I listened to the impassioned speakers, each with broad ranging ideas for health reform, they all seemed to have one goal in common: to ensure long term care is given the attention it deserves and is not pushed aside amid the larger debate about health reform.
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Last Thursday, the Maryland Hospital Association (MHA) hosted its first Health IT Executive Forum focusing on Federal and State Health IT Initiatives and Principles for Progressing in a Health IT-enabled Future in Maryland at its headquarters in Elkridge, Maryland.
The Maryland Health Care Commission (MHCC) wanted to develop health information exchange (HIE) guidelines for the number of community-centered exchange currently being undertaken or planned throughout Maryland. The team of Dynamed Solutions and Audacious Inquiry was chosen to develop these policy guidelines.

There is clearly a need for a lightweight HL7 messaging engine or tool that facilitates the integration of healthcare systems and is available to the developer community for free. The AI HL7 Engine is designed to meet some of these immediate low-cost integration needs.
In 2008, Audacious Inquiry partnered with Erickson Health Information Exchange, LLC, a subsidiary of the Erickson Foundation, to respond to a request from the Maryland Health Care Commission (MHCC) for an evaluation of the viability of Management Service Organizations (MSOs) in the state of Maryland. The team was to explore the environment for MSOs providing health IT services to physicians’ practices and to compile recommendations around MSOs for Maryland.

In 2008, a large healthcare client engaged Audacious Inquiry to develop a personal health record, sometimes also known as a health record bank (HRB), to better empower consumers to actively participate in their own healthcare. Audacious Inquiry led the project from discovery, through design, to deployment.
After leading a team that deployed a health information exchange between the Erickson Retirement Communities’ Charlestown and St. Agnes Hospital, Audacious Inquiry was again engaged by Erickson Retirement Communities to develop a strategy for Erickson to foster health information exchange (HIE) more broadly.
 In October 2008, a large, private-sector client engaged Audacious Inquiry to evaluate its enterprise-wide integration needs. The evaluation centered on two integration engine platforms: Microsoft’s BizTalk and Healthvision’s Cloverleaf.

Audacious Inquiry undertook a business process modeling (BPM) and redesign project for Erickson Health, whereby a complex nursing rounds process was reengineered to improve the quality of care for many Erickson patients.

Early in 2007, an organization employing over 10,000 people approached Audacious Inquiry to assess an executive-level business intelligence initiative. The organization’s chief information officer believed that leadership at all levels of the enterprise could be empowered to make better decisions if they were delivered timely, mission-critical data in a simple online dashboard.

Charlestown, in Catonsville, Maryland, is home to over 2,500 residents and is the flagship campus in the Erickson Communities network. When Charlestown residents require ambulatory or critical care, they are normally taken to St. Agnes Hospital. With the support of Erickson, the team planned and built a health information exchange (HIE) using HealthUnity’s innovative technology platform.
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