Current Trends in EMR

Guest Post: Emily Matthews

Electronic medical records (EMRs) in the medical office setting are growing at a faster pace than ever before. With rapidly advancing technological features and integration capabilities, it doesn’t take a master’s degree to see that using EMRs allow for more efficient and profitable management of today’s medical practice. EMRs benefit you and your patients by improving the quality of care, reducing administrative costs and allowing you to focus your time and management skills on patients and not paperwork.

Projected Growth

Analysts predict 12% annual growth in the use of EMRs in physician practices each year for the next five years. This growth and change in attitude about EMRs is mainly due to technological advances in EMRs as well as increased financial incentives for their utilization through federal and state programs. CMS currently offers incentives for the use of EMRs in both Medicare and Medicaid billing.

Technological Features

Today’s EMR is not the same as EMRs of a few years ago. Recent technological advances and added features make EMRs more useful to the efficient and expanding medical practice, especially those within medical networks. EMR interfaces are now compatible with mobile or handheld devices. This allows you or any physician or assistant in your practice to access a patient’s complete record no matter what the location or time of day. Integration features allow you as a physician to access all aspects of a patient’s chart, including pharmacy orders, radiology results, laboratory results, discharge and transfer orders and allows you to communicate electronically with payers as well. Advances in interoperability between EMRs are at the forefront of healthcare technology and are high on the priority list at the federal level. The cost of implementing EMRs has decreased, especially for practices that join as a group or within a network or health system.

Benefits to Practice Management

One of the greatest advantages to implementing EMRs in your medical practice is the reduction of cost of operating your business. By entering into an EMR system as a partnership with other physicians or practices or as a partnership with a health system, this reduces the cost of implementation and purchase of the software. While EMR software may cost an average $6,000 per physician in your office, even with a practice of ten physicians, this is less than the cost of hiring a single employee to manage hard copies of medical records for you. As your office implements an EMR, you might experience a temporary decrease in productivity as records are scanned or transferred into the system. However, this short-term loss of efficiency more than makes up for itself as the nurses, physicians and other staff in your practice familiarize themselves with the new system.

Your patients will benefit from improved quality of care as your practice implements EMRs. Improved communication between your office, coordinating facilities and payers improves the technical aspects of managing a medical practice. EMRs are at the forefront of healthcare and computing technology, and bringing this advantage into your medical practice readies you for the future.

[Emily Matthews is currently applying to masters degree programs across the U.S., and loves to read about new research into health care, gender issues, and literature. She lives and writes in Seattle, Washington.]

Blame-free System Increases Medical Error Reports

According to an article on Reuters Health, “Flagging medical errors through a system that emphasizes a lack of punishment and maintains anonymity yields more reports than a traditional method of reporting errors, a team of doctors has found.”

After introducing the new system at a pediatric clinic in North Carolina, the number of reported mistakes jumped from five to 86 per year on average.

“Getting reports doesn’t mean we’re in an unsafe practice, it means we’re addressing flaws to make us a better practice,” said Dr. Daniel Neuspiel, the lead author of the study and the director of ambulatory pediatrics at Levine Children’s Hospital in Charlotte, North Carolina.

 

 

10 Things You Hate About EMR

From the HealthcareIT News blog comes an article on the top 10 things that readers hate about electronic medical records via a Twitter thread:

  1. It doesn’t measure up to paper
  2. It’s hard to use
  3. It doesn’t provide the basics
  4. It’s cumbersome
  5. It’s ineffective
  6. It doesn’t allow for patient interaction
  7. It doesn’t protect patient privacy
  8. It doesn’t have a viable, rapid feedback loop
  9. It’s not patient-friendly
  10. It’s outdated

And then came responses from other readers who had these six reactions to those complaints:

  1. Re: It’s outdated. Most software systems are based on programming that is “outdated.”
  2. Re: Paper vs electronic. You really cannot compare the two, especially given the advantages that EMR has over a paper chart.
  3. Re: It’s cumbersome. You don’t have to live with these issues. Get educated and choose a system that does what you need it to do.
  4. Re: It’s hard to use. You had to learn how to use an iPhone the first time you used it.
  5. Complaint about using Twitter to solicit comments.
  6. Complaint about how EMR systems are not ready for prime time.

Bottom line: a lot of whining from physicians who probably didn’t perform enough due diligence and now are suffering from buyer’s remorse.

Any things you have to add to this list? Responses to the responses?

Medical Practice Trends Podcast 27: How To Tell If Your Practice Is Well-Managed


MPT Podcast 27How To Tell If Your Practice Is Well-Managed, with guest Mary Pat Whaley of ManageMyPractice.com

This Issue (8:04):

  • Warning signs that your practice has management issues
  • Why hiring your spouse as your manager may cost you in the long run
  • Standard benchmarks that typical practices should be aware of
  • The importance of being a ‘calm’ practice

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Medical Practice Trends Podcast 26: Social Media and the Medical Practice


MPT Podcast 26 - Social Media and the Medical Practice, with guest Joseph Kim MD, President of Medical Communications Media Inc.

This Issue (9:41):

  • How specialty social media can be valuable for physicians
  • Should you engage your patients on a social media site?
  • How to stay on the right side of the law
  • Patient portals and communicating safely with patients

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EHRs are Easy Prey, But All is Not Lost

According to an article on NetworkWorld.com, the EMR/EHR market in the US will reach $6 billion by 2015. And where there’s money, there is crime. In recent years there has been a surge in data breaches, and as medical practices move into the digitized world more and more of these cases will involve patient data.

Christopher Burgess, an expert on IT security, says that most of these breaches occur at a base level: stolen laptops or lost some drives. Some practices feel they can avoid any problems by using Web hosted EMR systems, but even this is not a sure bet. While companies that run their software in the cloud do have more sophisticated hardware and security measures, they are not invulnerable to attack. And as the covered entity, the medical practitioner has an obligation to understand just how safe his or her patient information is.

 

 

EHR Success Stories: The Reality of Clinical Quality Measures


Many new EHR users currently view clinical quality measures as just another item on the checklist towards demonstrating meaningful use. However, veteran EHR users like Northwest Health Services, Inc., which has been using EHR for 7 years, sees clinical quality measures as an important tool that enables providers to distinguish between perceptions and reality when it comes to patient care and outcomes.

Medical Practice Trends Podcast 21: Leveraging the Resources of Health Information Exchanges


MPT Podcast 21Leveraging the Resources of Health Information Exchanges, with guest Mike Meikle, Hawkthorne Group.

This Issue (5:08):

  • What is a Health Information Exchange?
  • How can you keep your practice from being left out in the cold?
  • Ways your small practice can leverage technology larger entities are using

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Medical Practice Trends Podcast 17: How the Cloud Can Help Your Practice


MPT Podcast 17How the Cloud Can Help Your Practice, with guest Mary Pat Whaley of ManageMyPractice.com

This Issue (7:04):

  • Do you have a good handle on your documentation?
  • Is your disaster recovery plan in a safe place?
  • What if your IT director leaves or your manager gets hit by the proverbial bus?

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Electronic Health Records (EMR) Vendors – Points to Consider

Guest Post

Selecting an EMR system for your medical practice is a very challenging task due to the rapid development in that field for last few years. According to a research study, there are about 400 EMR vendors alone in the state of Los Angeles and California. Choosing the right EMR vendor is as important as choosing for the software itself. The element of reliability is very important because if it lacks that factor then there is no point of spending so much money on implementing EMR software for your medical practice.

So, if you are planning to have your own EMR system for practice, before buying the software the first thing that should be done is selection of the right EMR vendor. Following are the few points which will give you a guideline in carrying out the market research:

1. Checking the track record:

Evaluation of an EMR vendor can be done by reviewing their track record. Read the testimonials about their services and their success stories, this will help you in sorting out the right one for your requirements. Think of the EMR vendor as your partner and take a short interview before making up the final decision. Check the company history and their mission statement about the running business.

2. Evaluate your needs:

Before looking for an EMR vendor and getting confused with the services and features that they are offering, Make a clear list of what services and features that you actually require. This can be done by comparing it with the existing services you have implemented. This will save a lot your time once your clear with your depends or the type of system u want.

3. Consultation:

Before opting for EMR software, consult with different physicians who have been using the software for quite some time. Also, if you have any particular vendor in mind, check their clients and then compare and contrast with other vendors. Getting an opinion for complicated software like EMR is always beneficial in the long run.

4. Keep your questions ready:

Once you have evaluated your needs, and you are ready to go into the EMR market, make sure you have handful of important questions that are needed to ask. These questions can range from basic services to the more complicated ones including training procedures and the long term benefits. These Q/A sessions are extremely important because this would determine not only your commitment to your practice but also the efficiency of the vendor.

5. Training Issues:

Training is the backbone of the proper implementation of EMR system. Ask the vendor about their terms and conditions they are offering for training session. Learn about the onsite and online training manuals and demos. And also ask the vendor about the operating system and your requirements.

6. Manage your results:

After doing your market surveys write down your results. Don’t jump to any conclusions. It is wise to get back to your sales team or your staff, consult with them before making any final decision to proceed with a particular vendor. Also consider the differences very carefully because a physician with a newly established medical practice would be having different needs than the one who has been in business for a long time.

Daniel Ray MD Healthcare EMR | EHR Systems