Carry an Umbrella, Rain or Shine

If anyone has any doubts about the ridiculously litigious climate in which we live, the news is full of examples, such as the fast-food companies being sued for making people too fat or the theme-park that was sued because their haunted house was too scary and caused a woman to incur severe “emotional distress.”

In addition to the increased exposure from medical malpractice, physicians, as well as other higher-income professionals, are also targets of frivolous negligence lawsuits, such as the lawn guy’s leg injury on the job or the “victim” in a fender bender who suddenly has a neurological condition after discovering the other party – in this case, you – has MD after his or her name (note: there was a great Brady Bunch episode on this very topic).

Liability coverage, often called an Umbrella Policy, is usually available as part of one’s home-owners or auto policy. Since it is essentially an add-on, this coverage tends to be very cheap – on the order of a couple of hundred dollars for one or two millions dollars of protection – especially when one considers the alternative.

A few caveats, however. These policies don’t cover you for any intentional acts. There is also often a limit to how much coverage you can purchase. Last, this is protection against you personally, such as a slip-and-fall on your private property. For liability protection related to your practice-related property or activities, consult your insurance agent for business insurance coverage.

You Say EHR, I Say EMR

In every industry, there are always those who seek to position themselves as the keepers of the nomenclature. Everybody else wonders what all the fuss is about. Granted, what’s in a name?

The value of standardized terminology lies in making sure that we are all on the same page, so to speak, when we are discussing complex issues. EMRs (electronic medical records) are certainly high on the awareness level of most physicians today. But what about EHRs and ePHRs?

Software Advice has a nice summary of the the difference between these and other related terms. Increasingly there are workgroups that are attempting to standardize the phraseology in an area comprised of a multitude of disparate – but interrelated – industries, from medical practices to hospitals to software vendors to insurance companies.

Soon, we will all become facile at copying our Google ePHR file and giving it to our physician for her EMR, which is linked to the RHIO’s EHR….

Medical Practice Trends Podcast 4: EMR Simulation & Evaluating Staff Training

EMR Update 4 – follow along as Ocala Eye implements its EMR system

This Issue:

  • The importance of running an EMR simulation
  • Evaluating the effectiveness of your staff training

Training Your Staff for EMR

As I wrote in previous posts, the technical side  of the electronic medical records (EMR) implementation process, namely which EMR system to use, is probably the least critical component.

The most important things are ultimately related to the people side or what is known as ‘change management’. For EMR, this boils down to the implementation plan (which we discussed earlier) and the training plan.

The EMR training plan can be broken down into three steps:

1) Identify current skill levels. Many of your employees are probably recent high school graduates andhave grown up making cell-phone calls, emailing, and texting. These are the people you need to worry the least about.

[Read more...]

Medical Practice Trends Podcast 3: EMR Hardware & Wireless Networks

EMR Update 3 – follow along as Ocala Eye implements its EMR system

This Issue:

  • Hardware for EMR systems – balancing efficiency with cost
  • The proper way to set up a wireless network in your office

Planning Your Electronic Medical Records Implementation

We’ve all heard the proverb, “He who fails to plan, plans to fail.”

This is certainly the case in the majority of failed electronic medical records (EMR) implementations, and usually the physicians/ administrators/ owners (circle your choice) bear the responsibility. Since this may well be the most difficult (and expensive) project your medical practice will undertake, it literally pays to have a good plan in place.

Implementation of an EMR system is truly a formidable task and the logistics can be overwhelming. We realized that we would need an integrated plan that would tie together both the technical side of the project with training in order to maximize efficiency, making the best time and use of our staff and contracted help.

So we worked with a project manager to break our EMR implementation project down into major processes and then [Read more...]

How to Choose EMR Software for Your Medical Practice

Ask any doctor,  what is the first thing you should buy for an EMR implementation and the response will be, “The EMR Software, of course.”

Wrong! Ask any non-medical person involved with EMR implementation and his or her opinion would be that the EMR software is the last (or one of the last things) to choose.

But let’s assume that you already know that there are some basics that must be set up first, such as your building’s infrastructure, your network design, determining staff skill sets, etc. (If not, then check out this blog for previous posts on these topics before proceeding).

In this article, I¹ll discuss how to decide on both an EMR software vendor and the actual EMR software. [Read more...]

Medical Practice Trends Podcast 2: Staff Training and Scanning Old Records

EMR Update – follow along as Ocala Eye implements its EMR system

This Issue:

  • Train the Trainers
  • Utilize the “Gee Whiz” Factor
  • The Who, What, Where, and How of Scanning Old Paper Records

Choosing a Phone System for Your Practice, Part 2

In Part 1 of this topic, I discussed the key issue your practice must resolve before purchasing a phone system: what are your needs? Now let’s review the questions you need to ask yourself and why they are so important:can-phone.jpg

  1. How many people and devices need to be on the phone at one time? Don’t forget that voice calls are not the only things which tie up your phone lines. Take an inventory of any peripheral devices which could possibly be in use concurrently with your staff: modems, fax or postage machines, credit card machines, or your security system.
  2. How many calls at each location do you need to receive at one time? You don’t want to limit the number of lines you have and then have patients unable to get through. This will also help you determine if you need to have an actual call center set up. [Read more...]

Lightning Strikes Again

I wrote previously on disaster recovery planning for the medical office (and we have an audio teleseminar coming out in the near future on just this subject). If you connect to your office from home, it’s a good idea to have a disaster recovery plan in place for your home office as well. I had a chance to personally put a plan into effect when my house was struck by lightning – for the second time in three years.

Well, it wasn’t actually a direct hit. I was awakened early one morning last week by what sounded like a mortar going off in the back yard. There was no loss of power but several electronic devices were affected: a wireless router, two switches, a satellite receiver, a digital phone, the alarm system and, oh, yes, my desktop computer. [Read more...]