Expert Witness Electronic Medical Records

Finding an Expert Witness in Electronic Medical Records – such as one who understands HITECH Act Audits, Forensic Review in HIPAA Breaches, Medical Malpractice, or Qui Tam False Claims Act is important.  Based on our experience digital forensic reviews of electronic health records can be an invaluable discovery tool in medical malpractice cases and HIPAA Privacy Breach cases.  The U.S. Government has paid out $billions to encourage the adoption of electronic health records.  Now, there are mandated requirements that ensure tamper-proof records and audit logs, along with clinical decision support and other areas that can be used by a skilled expert to determine the veracity of the patient chart.  The patient medical records and its accuracy can be determined many times based on specific discovery strategies.  Conversely, a skilled expert can be useful in rebutting the testimony of another expert as to whether the audit method was reliable.

Electronic Medical Records are the system of record for most patient diagnosis data, physician progress notes, and procedures.  This is especially true in the U.S. healthcare system after 2011 when the first incentive payments for Meaningful Use of Electronic Health Records were paid.  The requirements for healthcare providers to attest for meaningful use with electronic medical records are detailed and complex.  A summary of the requirements is in the Code of Federal Regulations (CFR) § 495.22 Meaningful use objectives and measures for EPs, eligible hospitals, and CAHs for 2015 through 2018.

Now that nearly all hospitals and physicians use an E.H.R., digital EHR forensics is useful in legal discovery and litigation.  Therefore, an electronic health record forensic expert witness can be useful in this proccess.

Electronic Health Record Forensic Audit Expert
Michael F. Arrigo Electronic Health Record Forensic Audit Expert. Contact Here. 
Electronic Medical Records
Attestation, Meaningful Use Audit Defense, Inpatient, and Outpatient, Remediation Strategies

Electronic Health Record Standard Configuration and Implementation

  • Electronic health records must be properly configured with clinical decision support and other alerts according to HITECH Act Standards
  • Electronic medical records require specific Technical Safeguards to comply with the HIPAA Privacy Rule and HITECH Act Standards
  • Implementation of an E.H.R. to meet both Standards and specific needs of the health care provider require an understanding of regulations and actual use of the solution in the medical setting for the physician specialty or hospital

Electronic Health Record Selection and transition

Our team can assist with :

Team qualifications

  • Led multiple electronic medical records (EMR) / Electronic Health Record (E.H.R) implementation projects for hospital systems.
  • Create and maintain training courses to further the technical education of customers in software development practices and reporting methodology.
  • Advising EMR vendors on preparation for ONC ATCB Certification and proctor examinations for Meaningful Use Certification of elctronic medical records
  • Deep understanding of Meaningful Use of EMRs

Our experience includes full life cycle implementations of electronic medical records including:

  • Epic
  • Cerner
  • NextGen
  • athenahealth
  • Allscripts
  • McKesson
  • Meditech
  • eClinicalworks (eCW)
  • eMDs
  • AdvancedMD
  • eCast
  • Varian
  • Elekta

…and a host of oncology-specific systems.  Our partner acted as the EHR technical advisor to American Society of Clinical Oncology (ASCO) for five years. Leading Systems:

  • ARIA (Varian)
  • MOSAIQ (ELEKTA)
  • OncoEMR (Altos Solutions)
  • IKnowMed by US Oncology (McKesson Distribution)

Small oncology systems

  • Rabbit E.H.R.
  • iClinic Ambulatory (MDLand)
  • MedSymEHR : Multispecialty, (MedSym Solutions)
  • Oncology System – EHR/CIS (Integrated Clinical Care)

Notes
  • Chemotherapy administration system; not an EHR but has an interface with GE & Allscripts
  • We are familiar with these systems but we have not implemented these systems
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