Tax refunds and credits for R&D investments

I spoke with the BizDev manager of Fortis TCS today. They are an interesting company that focuses on the tax side of technology. That is, if you spend money on R&D and would like to get tax credits (refunds of what you’ve already paid in taxes) then they’re a group you should get to know. Fortis comes in and talks with you for 30 to 60 minutes and can then give you an idea of how much money you might be able to get back from the government in the form of tax refunds based on R&D expenditures.

HISTalk mentioned a recent Cerner vs. Epic discussion on their forum. It’s a wonderful example of what an end-user or customer view of a product comparison should look like. I like the idea of forums to ask questions publicly (I get emails asking questions often which I post answers to online sometimes). I’m thinking of adding forums at my new HITSphere health IT blogs aggregator and specialty search engine. [Let me know what you think][4] either via email or comments here.

A reader sent in an email asking “Is there an online health record that is open source or one that I can private label?” The answer is generally yes. Here are just some of the options for open source health records management: OpenEMR ClearHealth MirrorMed FreeMed MedSphere Note that none of the above choices is good to just private label and start a PHR or EHR without some modifications but there are at least FOSS products that won’t require you to start from scratch.

Over at Microsoft, reports HealthBlog, they are using their tried and true “eat your own dogfood” approach to open the lines of communication between docs and patients by getting their own employees to be the early users of the system. Dr. Crounse writes: …we learned that patients really like being able to correspond with their physicians by e-mail, and physicians enjoy providing clinical cognitive services electronically when they get paid for doing so.

Peter Coffee, one of my favorite writers because he actually knows what he’s talking about, wrote a column entitled A Healthy IT Outlook in which he opines that the medical sector holds the key to innovation and growth. Specifically, he says: Health care technology and practice have long been sources of some of the best case studies available to eWEEK’s analysts. Medicine adopts new technology aggressively and has a tradition of extensive discussion and peer review of new techniques, whether we’re talking about emergency readiness or hospital management or international assistance.

Healthcare Informatics has a good article on Healthcare Customer Service using kiosks, portals, and bedside carts. The move towards treating the patient as a true customer which has to be won over and catered is requiring new techniques and technologies; the old model of a patient who has no choice but to come to your facility is no longer the case. Customer service, which has long held a back seat in our industry, is now more important than ever and as consumers continue to be empowered using physician ranking websites, hospital scoring companies, and specialty search engines it will be become paramount if a provider organization is to thrive.

It’s time to add a new acronym to the long list of medical records-related acronyms: the DHR. The disaster-time health record is similar to a personal health record (PHR) except it’s meant to maintain an electronic record that is concise and simple enough to be used by emergency personnel in times of natural or other types of disasters (or even personal disasters, I guess). We should have EMRs managed by care providers, PHRs managed by individuals themselves, and DHRs managed by governments and disaster relief services like Red Cross.

I read about an idea for a wireless home-monitoring network for recuperating hospital patients. Apparently if someone can come up with a basic prototype there’s money in VC circles available to pay for it. Here’s the relevant snip from the article: WHAT THEY WANT: A wireless home-monitoring network for recuperating hospital patients. WHY IT’S SMART: No one likes extended hospital stays. Not patients, not hospitals, and not insurance companies paying bills that can exceed $5,000 a day.

Christina over at Christina’s Considerations writes about Personal Health Records. She points out Medem’s new iHealthRecord site, which seems like a great PHR initiative. This PHR competes with the likes of OnFile, MyMedicalRecord.com, MyPHR.com, and numerous others. The market is not starting to mature yet because the initial players are still basically throwing darts at the wall to see what’s sticking. Until a “name brand” PHR appears (like my suggestion for American Red Cross to become a player) we’ll continue to see widely varying implementations.

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