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Technical Doctor's insights and information collated from various sources on EHR selection, EHR implementation, EMR relevance for providers and decision makers
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8 Best Practices for Building Better Relationships During EHR Implementation and Training

8 Best Practices for Building Better Relationships During EHR Implementation and Training | EHR and Health IT Consulting | Scoop.it

New software implementations can be a high-stress scenario in the hectic and sometimes change-averse world of healthcare. End users are under pressure to adapt to new resources while continuing to tend to the high-stakes business of patient care.

 

Instilling confidence in users’ ability to make thorough and efficient use of new technology plays a big role in successful tech adoption. Comfort with new tools is particularly important in patient-facing roles like scheduling where staff frustration can negatively influence a patient’s first impression of the facility.

 

As EHR consultants, project managers and trainers, one of our primary goals is to engage and encourage end-users during software transitions.

 

We lead the charge to get projects done on time and under budget without having official authority over team members within the client organization. Throughout my years working as an Epic principal trainer one thing has consistently helped me garner buy-in with project teams: building good relationships.

 

Good relationships with stakeholders play a pivotal role in maintaining project momentum and getting through the inevitable stress points that arise during implementation.

 

Here are some best practices to keep in mind to put your best foot forward when building relationships with clients and end-users.

 

Make communication a key priority. Make sure everyone clearly understands the objective of the project and the overall plan up front to set the tone and establish team buy-in. Demonstrate that leadership is on board.

 

Address team expectations openly and honestly. Clearly define the expectations you have of people involved in the project. Identify and articulate specific deliverables and due dates. Meet on a weekly basis to review plans, get progress updates and identify risks that may have cropped up. Maintain a living document that changes with every meeting.

 

Encourage team members to take ownership. No one likes a know-it-all. One tactic I use even when I know the answer to a problem is to pose a probing question to the team and let the group come up with the solution themselves.

 

This boosts staff confidence, helps team members feel they are contributing and keeps you from having to micromanage.'

 

Build trust with project staff. Teams want leaders who will act as a voice for end-users. Spend at least a couple of hours with team members each week to get to know them, their pain points and their motivators. Walk throughs offer great opportunities for engagement.

 

Honor individuality. Don’t expect individuals to change who they are to fit the culture of the team. Some people, for example, work better independently. Recognize that and let them go. Refrain from forcing end users too far out of their comfort zone to avoid unnecessary friction.

 

Leverage rewards and recognition. Make it a point to celebrate staff accomplishments big and small. Peer recognition can be a strong motivator, but not all people appreciate public acknowledgement. Different rewards work for different people. Find the trigger that works for that individual. Small things like taking people to lunch can help you celebrate achievements and further develop relationships.

 

Make team participation fun. Humor can help diffuse project resistance and apprehension. Open presentations with a cartoon to bring fun to team meetings. During stressful times, a cartoon slide that acknowledges the pressure staff members may be facing can remind end users that they are not alone.

 

Invite end user feedback. Feedback loops help project managers and trainers continually get better. All EHR trainers and classes should be evaluated by end-users. This helps reveal improvement opportunities for future client projects.

 

At the end of the day, EHR training is not about you and how much you know. It is about making sure that users get what they need out of class. Don’t overflood their minds on day one. '

 

Demonstrate patience as staff members acclimate. Remember that relationship building and team engagement is a great way to not only share your knowledge but to learn from others as well.

Technical Dr. Inc.'s insight:
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Is your EHR due for its check up?

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Electronic Health Records (EHRs) continue at the center of the National debate on improving quality of care and stemming the tide of rising healthcare costs.

 

Providers are heavily invested in EHRs and their investments continue to rise dramatically. However, inspite of the huge investments being made, organizations do not seek regular check ups and ‘second’ opinions to ensure the EHR investment is being maximized.

 

Whether organizations are early in the EHR journey or have been working on it for years, many of them experience four unwelcomed, and often avoidable events:

 

  • Projects take longer and cost much more than estimated
  • Benefits are less than planned and take longer to realize
  • Cost of ownership (ongoing costs such as upgrades and support) is higher than planned
  • Clinicians do not readily adopt the new tools and workflows

 

Organizations often respond by scaling back the EHR initiative, resulting in significant benefits that are never realized or realized at an even later date. Others believe that the EHR is a project with a start and an end, not realizing the project is just the beginning of the EHR journey.

 

Without a plan for the ongoing ‘care and feeding’ of their EHR, the process stagnates, and value withers away.

 

The truth is the initial EHR implementation is often a break-even proposition at best. How organizations build on the EHR foundation is where the real value is achieved.

 

Key to achieving the promised benefits of EHRs, is the understanding that the initial implementation is only the starting point. Organizations who are successful understand early that EHRs need to be enhanced and built upon.

 

Beyond the foundational project is where organizations can realize significant value and return-on-investment, making the financial, organizational, and sweat-equity worthwhile.

 

Perficient’s HealthyEHR Health Check can help Organizations ensure that they are on the right track to achieve their original targeted benefits and to identify new, creative ways to leverage their EHR investment to unlock new value across the enterprise.

 

The health check helps CEOs, CFOs, CIOs and CMIOs by providing:

  • Review of EHR targeted benefits and outcomes
  • Evaluation of the organization’s strategic plan and EHR roadmap for benefit achievement and alignment
  • An objective 3rd party review of key EHR risks factors:
    • Clinical adoption
    • Workflow fragmentation
    • Project governance
    • Testing methodologies
    • Business continuity planning
  • Actionable recommendations to maximize the EHR investment.

 

EHR Health Checks are conducted by a senior team with decades of experience working with health care organizations to implement Electronic Health Records, and to help them achieve their targeted outcomes.

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5 Strategies to Integrate EHR and Patient Satisfaction Survey Data 

5 Strategies to Integrate EHR and Patient Satisfaction Survey Data  | EHR and Health IT Consulting | Scoop.it

A key challenge to making full use of your Patient Satisfaction Survey Data is learning how to integrate it with your EHR data.

 

Having an understanding of a patient’s associated encounters can provide valuable context on the results you receive on a Patient Satisfaction Survey.

 

The challenge oftentimes is having the right data to link these together.

Here are 5 strategies to enable integration and fully leverage EHR and Patient Satisfaction Survey Data.

  1. Use MDM to match patient information
    • Use the patient submitted information to match the patient record in the EHR
  2. Ensure pass-through of encounter information to your survey provider
    • If the encounter is captured as part of the Patient Survey, then ensure that you receive this your survey provider for integration with clinical records
  3. Create a complete patient record from the data warehouse
    • This aggregates the encounter(s) relevant information for the patient to provide context to the survey responses
  4. Group surveys by service location and practitioner
    • Using the integrated EHR data, then group survey results by location and practitioner to determine trends
  5. Use integrated data to drive change
    • Identify leading indicators to unfavorable patient satisfaction scores and then use these to drive change in the organization

Using patient survey results in conjunction with EHR records can remove operational blind spots that can exist when using Patient Survey Data solely.

 

When fully integrated, you can move on to identify trends. This then should be used to promote change and improve patient experience and well-being.

Technical Dr. Inc.'s insight:
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inquiry@technicaldr.com or 877-910-0004
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4 Factors That Affect the Total Costs of Implementing EHR

4 Factors That Affect the Total Costs of Implementing EHR | EHR and Health IT Consulting | Scoop.it

Acquiring a new EHR system means investing a significant amount in software and resources.

 

Therefore, as a healthcare provider, you need to get an accurate estimate of the potential return on investment before setting up a new electronic health record system.

 

An EHR system offers numerous benefits to healthcare providers, including increased efficiency and government incentives for EHR payments.

 

In addition, the system offers higher patient satisfaction and puts you ahead of your competition.

 

Whether you’re looking to install a new EHR system or upgrading what you already have, the shift can come with additional costs that you didn’t plan for. To accurately allocate a budget and predict the project’s ROI, you must ready yourself for additional costs.

 

Here are four factors that can affect the costs of implementing EHR:

 

HARDWARE AND ADDITIONAL IT INVESTMENTS

 

When shifting to EHRs, healthcare providers need to invest in tech equipment. This ranges from servers for holding the software and storing data to computer workstations for physicians and doctors.

 

You may also need to upgrade your networks so that doctors can access EHR data anytime with no downtime or performance challenges. And if you use a cloud-based EHR, you may have to upgrade your internet bandwidth for data to be transferable back and forth.

 

SECURITY TOOLS

 

When your facility starts holding patients’ health information electronically, you need to invest in state-of-the-art security systems to protect data and comply with HIPAA regulations.

 

Some of the security measures include firewalls, encryption tools, network monitors and computer anti-theft tools.

 

EHR TRAINING

 

Doctors, nurses and your employees will require thorough training on how to use the newly installed EHR system and the best security practices.

 

After all, your facility can’t make the most of the IT investment if employees don’t know how to use it optimally.

 

A NEW LEARNING CURVE

 

Switching to an EHR is a big change, and even with the best training, it will take time for people to get used to the new workflow and begin working efficiently.

 

At first, efficiency could reduce and you may have to hire temporary staff until your current employees get accustomed to the new system.

 

Switching to an EHR system from paper records is a great move that requires both resources and time.

Technical Dr. Inc.'s insight:
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inquiry@technicaldr.com or 877-910-0004
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3 Mistakes To Avoid When Choosing EHR Software

3 Mistakes To Avoid When Choosing EHR Software | EHR and Health IT Consulting | Scoop.it

Health information technology has brought enormous benefits to small and medium sized practices, and has made administrative tasks a lot easier for healthcare staff.

 

Medical practices that wish to enhance the well-being of their patients by offering better services are harnessing the power of EHR software to automate billing,

 

scheduling, prescribing medications, and managing patient records.

 

But when it comes to choosing the right EHR software, there are major mistakes you should avoid. Here are three of them.

 

NOT KNOWING WHAT YOU NEED IN EHR SOFTWARE

 

Take time to understand the solution you need before choosing any software. Determine if you need fully integrated EHR software or best-of-breed software.

 

Usually, the decision will depend on the challenges you want to solve, the structure of your practice, and the opportunities you want to seize.

 

For example, small and medium sized practices should consider fully integrated EHR software because this type of system can enable you to streamline your processes and improve productivity without breaking the bank.

 

CHOOSING THE WRONG EHR SOFTWARE VENDOR

 

When in the market for EHR software, picking the right vendor can mean the difference between an effective implementation and getting one that falls short of your practice’s needs.

 

Managers often assume that “big name” vendors guarantee big returns on investment.

 

But some giant healthcare software companies are too large to provide specialized industry knowledge for small and medium sized practices.

 

Choosing a vendor with in-depth knowledge of the healthcare industry can help you achieve rapid deployment, cost effectiveness and increased efficiency.

 

NOT INVESTING IN EHR SOFTWARE FOR THE LONG-TERM

 

When choosing EHR software, have realistic expectations of the costs and remember you’re investing to improve your business. Keep in mind that low cost solutions usually result in massive long-term payments.

 

As such, choose a software developer who can provide quick and effective implementation, high returns on investment, and low total cost of ownership after implementation.

 

Also, look for software that can help you achieve your practice’s goals. Most importantly, work within your budget, and ensure you understand what you’re receiving upfront and anticipate when to expect the first return on your investment.

Technical Dr. Inc.'s insight:
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Moving from One EHR to the Next: It Is a Transition

Moving from One EHR to the Next: It Is a Transition | EHR and Health IT Consulting | Scoop.it

No one really believes that you can complete a well-documented clinical note in three easy clicks.

 

We know that you can’t over-book your patients on the first day you are live on a new electronic health record (EHR) software.

 

This isn’t our first rodeo after all. But in my experience as an implementation manager, I have observed a few trends we may each be guilty of as we’ve approached that transition from one EHR to the next.

 

The free trial is not just for fun.

 

Before you sign that contract remember, there’s a trial period for a reason. An EHR isn’t an impulse purchase.

 

The vendor may be the industry leader in your specialty, but it is still recommended that you use and all but abuse that 30-day trial period. This isn’t just for the physician to see the improved clinical documentation.

 

This purchase will impact the entire practice. The 30-day trial should be treated as if you are actually using the system. Start with the front desk registration.

 

Did you completely walk through a new patient registration? The insurance screen – does it contain all of the data that you need? Where does the pre-authorization number go? Does that pre-authorization number carry forward onto the claim form, or will someone need to enter it directly on the charge ticket? What is the workflow for checking a patient in/out and processing the orders for outside services when the patient checks out? You will need to schedule patients in this new software.

 

Did you build a test schedule? Can you create separate schedules for each physician? What about separate locations on the same calendar date? Run the “end-of-day” reports in this new system and compare the fields and features to what is in place now. What monthly productivity reports are available?

 

The clinical templates are important, but so is the ability to import a patient’s complete medication history and verify eligibility for medical, pharmacy, and DME.

 

Data migration is an important piece of the puzzle not to be forgotten.

 

Data migration is a vague word inherent with any transition from an old system to this wonderful new, improved, efficient model. However, this word can make/break your sanity and the success of a transition.

 

Reach out to your existing software representative during this 30-day trial period. Do you have their process for providing the basic patient demographics, insurance files, referring physician files, progress notes, past medical records and other data that will be key to an efficient transition for your patients?

 

Don’t forget the tough questions – what is the cost of this export, how long will it take, what is the output format/delivery method, and will you have access to your data in their system once the export is complete- for how long? In which system will the outstanding patient balances be kept – and worked?

 

Do your homework.

 

When the trial period expires, reach out to your sales representative with each of your observations and concerns. Discuss the timelines and methods offered by the existing software vendor for extracting your data.

 

Request a demo for the specific features that are a ‘make/break’ deal for your practice. Follow-up this sales conversation with an email detailing your expectations and understanding of their deliverables.

 

Even the most straightforward software is still not plug-n-play. You’ve embarked on this journey for well-thought out reasons. Don’t lose sight of those reasons but don’t undermine them by skipping over some of your pre-contract homework. Your time spent will go a long way in ensuring a successful transition.

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Why Your Practice Needs EHR Software

Why Your Practice Needs EHR Software | EHR and Health IT Consulting | Scoop.it

Electronic health records, or EHR, allow physicians and medical offices to digitally store patient medical charts. There are many reasons why you should use EHR in your practice.

 

EHR software simplifies patient records by reducing the need for paper files. Here are a few reasons why your practice needs EHR software.

 

ACCESS PATIENT RECORDS MORE EASILY

 

Electronic health records allow you to store all patient records in one place. Spend more time with patients and less time combing through paper records to find the correct file.

 

EHR software takes up less physical space in an office, and patient files can contain more information than a limited paper chart.

 

VIEW MORE DATA

 

EHR software allows users to see much more than a patient’s medical chart. In addition to the patient’s medical history, electronic health records can show everything from medications and treatment plans to laboratory results.

 

EHR software allows doctors to share information with other health providers too.

 

STREAMLINED SERVICES

 

Since electronic health records allow for secure communication between different physicians and offices, appointments can go much more smoothly.

 

Streamlining services reduces the chance of excessive medical testing and unnecessary questions. Patients can go from provider to provider without having to repeat their entire medical history.

 

BETTER CARE

 

EHR software will also result in better care for the patient. Electronic health records have more detailed information than paper charts, so the provider can better prepare for an appointment.

 

This cuts out time spent during appointments updating records.

 

PATIENT PORTALS

 

Patient portals are another function of EHR software. A patient portal allows patients to access their own medical records online. Patients can access their laboratory results, schedule appointments and send secure messages.

 

This new form of communication allows patients to be more proactive about their health and their care.

 

LEARN MORE

 

EHR software is the future of medicine. It allows you to communicate with patients and other medical providers.

 

Streamline patient record keeping and appointments with electronic health records.

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Managing the EHR Implementation

Managing the EHR Implementation | EHR and Health IT Consulting | Scoop.it

How to Manage Your Electronic Health Record Implementation

General Implementation Guidelines

 

Here are some general implementation guidelines that other offices have found useful: 

 

  1. Concentrate on implementing your staff and office first and providers second. While this sounds paradoxical it actually is very useful. Many of the office automation features that electronic health records enable will make the providers life extremely easy.

    The providers have a good deal of learning to do regarding working this new way in the examination room and everything can be set up to help this process ahead of time and to provide information at the time of care, things will go much smoother. So before you go live with the record everything else should be functioning appropriately including scanning, faxing, messaging, and any interfaces that can be brought online quickly.
  2. The providers and staff should be familiar with the hardware and the software as much as is possible before starting to see patients.

 

Sample Implementation Timeline

 

This sample implementation timeline represents a conservative guideline for a small medical office. Certainly, it can be done more quickly if desired.

Three to four months before launch

  1. Install hardware in the rooms or purchase wireless equipment including tablets and/or laptops. Depending on your electronic record at this point you may need a server.
  2. Ensure the functionality of your network and hardware and that everything can communicate with each other.
  3. Install and verify your scanning and faxing capability.
  4. Accomplish any basic computer teaching that is necessary and get feedback from your staff and all involved.
  5. Ensure your team is working well together.

Two to three months before launch

  1. Establish your protocols for scanning incoming information and faxing outgoing information.
  2. Continue to build general computer skills and continue to receive staff feedback.
  3. Install and test any ancillary programs which might either be required or be very helpful which includes speech-recognition programs, accessory faxing and scanning programs etc.

One to two months before launch

 

In an ideal world this would be the time that you're electronic health record software would be installed.

 

This would allow the providers and office staff time to fully check out the system and make sure everything works. Sometimes this is not done because the teaching and installation is done at the same time by the vendor, very close to the go live day.

 

Whatever the exact time between software installation and starting to see patients using the record a few things should be checked out:

  • Ensure the software and hardware function as expected. Make sure that screen transitions are quick and that there is no lag in how the system is performing.
  • Test the interoffice messaging system and make sure you can fax prescriptions.
  • Test printers.
  • Scan some material into the record to test this functionality.

Decide what information needs to be put in to the patient's chart ahead of time and start doing this for patients coming in the first few weeks at least.

Run through some mock patients in order to get a feel for how the system is working and for patient flow through your office.

Launch Day and Beyond

 

If you have done your homework and preparation, launch day should not create any undue stress or anxiety. Mostly it should go smoothly. Certainly, expect some glitches and problems that were not anticipated. Here are some things to consider for three to nine months after that initial day:

  1. Continue to concentrate on retiring charts. The paper charts should be signed off and retired no later than the second patient visit after the electronic health record is implemented. Establish a protocol for inputting all useful information into the electronic chart.Certainly your staff can do some and you can do the other real-time. Many offices put in medications, allergies, and established a problem list at the time of the first and/or second visit. The provider can tag certain pages that need scanning. By six to nine months there should be very few paper charts left that need to be archived.
  2. Continue to have weekly or biweekly meetings with your staff and certainly be open and honest and address all problems associated with the record. The meeting should be structured such that anyone is an able to speak their mind without fear.
  3. Your new electronic health record mandates a new workflow and a new approach. It can help your office illuminate wasteful work and redundant effort. Continue to be on the lookout for steps that accomplish no useful work and can be eliminated. Continue to think of new ways to use your new record efficiently. This step never ends.
  4. Get help if you need it. The American Academy of Family Physicians has great online resources as well as people willing to help you. Feel free to contact other offices that have been through this same type of start up and have been successful.

Most of all, keep at it. Your electronic health record represents the foundation and nervous system for your new way of working. It enables the future of family medicine to occur.

 

Measuring EHR Success

It is useful to consider how you are going to tell whether you were successful in your transition to an EHR.

 

Is it that you use the EHR? Is it that you increased revenue? Is it higher job satisfaction? Or is it some combination of these?

You should make time to think about what you consider a successful transition and how you might demonstrate that it was or was not a success.

 

If you are feeling more ambitious, you can develop a detailed framework with pre- and post-measures to determine whether your EHR implementation succeeded.

 

The COMPETE group developed survey tools to measure medical office processes, including administrative and physician tasks, pre- and post-EMR implementation

 

They included variables that were expected to improve with EMR implementation, as well as those that were not expected to improve as control measures.

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Electronic Health Records For Solo Practices

Electronic Health Records For Solo Practices | EHR and Health IT Consulting | Scoop.it

Solo practices may think implementing an electronic health record system (EHR) is costly, confusing, and requires IT expertise; however, the best EHRs for solo practices are user-friendly and time-saving.

 

Solo practices can benefit from EHR systems just as the larger practices do.

 

HOW EHR SYSTEMS WORK

 

EHR systems are basically digital copies of paper charts which contain patient medical information including medical history, diagnoses, medications, and test results to name a few.

 

EHR systems are made to share information at the point of care with other health care providers by providing treatment plans, immunization records, and allergies.

 

They allow access to tools to help make decisions about patients’ care while automating the health care providers workflow. EHR systems are intended to contain information from all health providers involved in the patient’s care.

 

BEST EHR FOR SOLO PRACTICES

 

The best EHR for solo practices are user-friendly and offer helpful tools/features that allow healthcare professionals get the job done with ease.

 

EHR1 is an EHR system designed specifically for small and solo practices with an easy to use design it assists with scheduling, charting, and electronic prescribing.

 

EHR1 is compatible with mobile devices with features such as document templates, patient portal, and a dashboard for appointments. EHR1 offers a free trial and is cloud-based making it a great option for solo practices.

 

BENEFITS OF EHR FOR SOLO PRACTICES

 

Benefits of EHR systems to solo practices include allowing doctors to spend more time with patients improving patient satisfaction. Solo practices have a smaller staff than their larger competitors and EHR systems mean health care providers do not spend as much time doing administrative work. Solo practices can provide a better experience for their patients, appointment management, and payment collection.

 

The ability to share patient information with other health care providers means patients receive the best care, especially during an emergency.

 

For any doctor, their patients’ well-being is the most important aspect of their practice, and even solo practices can benefit from EHR systems. Remember, some EHR systems designed for solo practices are user-friendly and support the tools used in solo practices.

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5 Key Features for Streamlined Lab Processing

5 Key Features for Streamlined Lab Processing | EHR and Health IT Consulting | Scoop.it

Ordering, sending and receiving labs are an integral part of clinical practice and patient care. Therefore, it’s important for medical practices to look for an EHR with key features that will streamline lab processes:

 

1. Interoperability with EHR

 

Most importantly, the EHR you choose should offer a bi-directional interface with laboratory companies so that you can easily order, receive and send results from within your EHR.

 

Integrated lab processing improves efficiency and will result in cost savings for your practice.

 

2. Patient Portal Access to Results

 

Your EHR should offer an easy way to share lab results with patients via a patient portal. This functionality is important to your patients and also your practice.

 

Today, patients expect to receive and access lab results quickly. Additionally, a patient portal will help cut down follow-up calls and help your practice meet Meaningful Use measures that require sharing results electronically.

 

3. Provider Access

 

Your EHR should provide an easy way for you to receive and share information and results with other providers.

 

Sending this information electronically, via e-fax or secure messaging allows you to communicate more efficiently. 

 

4. Order/receive Labs within the Patient’s Chart

 

The EHR you choose should allow you to order labs within your clinical workflow. Additionally, once the results have been completed, they should automatically upload into the patient’s chart so that you can easily access and review .

 

5. Intuitive Workflow

 

It’s important that the EHR you choose is easy-to-use. A good EHR will offer an user-friendly workflow that makes it easy for you to send and receive lab orders, intuitively and efficiently.

 

 Physicians should be able to quickly view and verify results, as well as send the results to the patient, or send a message to staff with further instructions on how to proceed.

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Things to Think About Before EHR Implementation 

Things to Think About Before EHR Implementation  | EHR and Health IT Consulting | Scoop.it

Things to Think About Before Going Live with Your EHR

Workstation Setup

Will you be using workstations in the examination rooms or will you be using wireless laptops or tablets that you carry around?

If you'll be using workstations, pay strict attention to workstation set up in the room so that you can interact with the computer and interact with the patient in a reasonable way.

 

The computers in the room can be very small these days using small form factor computers.

 

Flat screens varying from 15 to 19 inches plus are now standard. One good idea that seems to work well for many offices is putting the flat screens on a swivel arm so that they can be readjusted easily.

Network Setup

Accommodations need to be made in the room for ethernet connectors, outlets, etc.

 

Do not be too concerned about patients and children messing with computers.

 

This has been found by many to be a minimal problem.

 

If you are using a tablet or laptop computer you need to be concerned about your wireless set up and make sure this works appropriately.

Power/Operation Issues

Battery life is also a concern and many have docking stations within the room to provide a stable platform for entering data. Other offices use mobile carts to carry tablets or laptops from room to room. Your ancillary staff will also need mobile computers.

 

This may seem obvious, but test your hardware extensively and make sure it works reliably and quickly before going live.

 

Also test your electronic health record software extensively and make sure it works well with the hardware that you have selected.

EHR/Practice Management Integration

If at all possible, you will want to have your practice management and billing system connected to your electronic health record. Many electronic health records are installed as a complete solution containing both practice management and electronic medical record. If this is not the case, an interface could possibly be built between the two pieces of software.

Lab Connectivity

Establish digital connections with the laboratories you deal with, if possible.

 

These may also require an interface. Interfaces can be expensive, but the flow of information in your office and the digital format of data that come from it (especially laboratory) makes it very worthwhile.

 

Having digital connections from end to end and information flowing into your office in a digital format at the time that you start to implement your record makes things much easier.

Dealing With Paper from Outside Sources

You may be on the verge of having a paperless office, but most of the world is still using paper. Therefore, you must think extensively about how you will deal with the paper that presently comes into your office and the paper that you produce that goes out of your office.

There are multiple ways to deal with this, some more efficient than others.

  • Faxing - The ability to fax prescriptions and other electronic documents is an absolute essential element to your strategy.
    • The faxing ability will either be integrated into your electronic record or you will need to install a modem and network fax software which will allow you to fax any electronic document that can be printed from anywhere in your office. You can accomplish this by bringing up the print dialog box and instead of printing to a printer, you "print to the fax modem."
    • You can also use this same fax modem or if you have a lot of incoming fax traffic as a separate incoming fax modem to electronically capture faxes. That is, instead of coming out of your fax machine in paper format at which point it would need to be scanned into your record, it can be captured in digital format and inserted into the record directly. This saves a number of steps.

 

  • Scanning - You also need a robust scanning solution as the paper will be coming into your office from the mail which will need to be scanned into the record.

 

  • Messaging - Your electronic health record should contain a robust messaging system for interoffice messaging. After all, you no longer have paper charts to attach sticky notes. Robust messaging capability is absolutely essential and is the glue that holds everything together especially within a larger office. You will find it essential.

 

  • Printing - While you want to minimize the amount of paper coming into your office either through the front door or from the paper fax machine, you still need the capability of printing prescriptions, patient information, and other documents. Consider carefully where you want to position your printers within the office space. Many practices have found it useful to have printers in each examination room where prescriptions, instructions, and information can be printed real-time and handed directly to the patient. 
    • If you have the printers in a more central location or at the front of the office, consider carefully the workflow that this entails. The patients must remember to pick up their instructions or prescriptions and/or someone must remember to give it to them before they leave the office. Also, having the provider leave the examination room multiple times to retrieve paper is somewhat inefficient.
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Electronic Health Records Software For Patient Peace Of Mind

Electronic Health Records Software For Patient Peace Of Mind | EHR and Health IT Consulting | Scoop.it

Imagine traveling state or even nationwide and have a serious medical issue – many patients live with this concern.

 

The problem of different hospitals and clinics as well as being able to reconcile the necessary health records can pose great health risks if each medical professional does not have access to the medical history of a patient.

 

There are drug allergies, interactions, previous surgeries and more to be considered by every medical professional the patient encounters.

 

This is not only time consuming and stress-inducing to the patient but it’s also dangerous.

 

Catastrophic results can occur if a patient cannot inform a doctor of a new drug they have been prescribed and there is a reaction. The possibilities for harm are numerable, especially if the patient is non-verbal for whatever reason at the time.

 

TIME IS OF THE ESSENCE

 

In cases where time is of the essence, correct medical history is a life-saving necessity. Many illnesses such as diabetes and heart ailments can present themselves as other issues, and not every patient wears health alert bracelets or carries the medicine or medical papers they would need to show to their care provider.

 

Particularly susceptible to issues such as this are patients who are newly diagnosed and have no idea how to keep themselves on the right track because they are still learning about their illness and how to live with it.

 

QUICKER DIAGNOSIS AND RECOVERY

 

Now, imagine a world where at the touch of a computer, a patient’s medical history can be accessed within moments to provide instant details about their condition or medications.

 

The man who just drove his car into a tree for seemingly no reason and is now unconscious, has no way to tell you he has a history of strokes or diabetic attacks, but quick access to his records can put him on the road to recovery so much faster than waiting on multiple test results.

 

Ultimately, quick access to electronic health records can save lives. This can also improve patient confidence by providing peace of mind, ensuring a speedy diagnosis and facilitating immediate healthcare.

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4 Reasons To Utilize Dental EHR

4 Reasons To Utilize Dental EHR | EHR and Health IT Consulting | Scoop.it

4 REASONS TO UTILIZE DENTAL EHR

The adoption of EHR (Electronic Health Records) is rapidly increasing in healthcare. Dental EHR systems are being developed with advanced functionalities to cover developments in technology and to comply with new regulations. Adoption of dental EHR, however, is still lower than in other areas of healthcare.

 

Here are some of the factors that will drive the adoption of dental EHR in the near future.

 

1. INCENTIVE ELIGIBILITY & COMPLIANCE

 

Government regulations motivate many dentists to adopt dental EHR in their practices. Medicaid and Medicare incentive programs based on EHR motivate medical practitioners to adopt, upgrade, implement, and demonstrate that they meaningfully use EHR systems. Government regulations also outline penalties for medical practitioners that do not show that they use EHR.

 

2. INTEROPERABILITY

 

The main selling point for EHR platforms is that they allow for data exchange and sharing. Dental EHR will enable dentists to merge their systems with those of larger platforms and to share data across care teams seamlessly. The ability to electronically exchange information across platforms and systems is a major driver to dental EHR adoption.

 

3. TECHNICAL ASSISTANCE

 

Dentists argue that their focus should solely be on catering to patient needs and not actively learning how to use dental EHR. Dentists, just like other medical practitioners, have an aversion to EHR systems that are fussy or overly technical. Dental EHR platforms that offer usability and technical assistance will drive the adoption of EHR platforms.

 

4. MANAGEMENT OF POPULATION HEALTH

 

Patients are actively looking for quality dental care without expensive interventions. Dental EHR systems can reduce medical costs by reducing medical risks arising from patient care. Population health management systems focus on parts of the population that generate the largest share of medical costs.

 

Focusing resources on preventive care can reduce treatment expenses, which is why dental EHR systems actively track high-risk populations. Dental EHR systems can also track changes in health risk and help designate resources towards reducing identified health risks.

 

Advanced dental EHR platforms are the future of dentistry as they can identify patient needs across different systems, and focus resources in the highest-risk areas, ultimately reducing costs associated with dental care.

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Do EHRs reduce test requests or make them (too) easy to order?

Do EHRs reduce test requests or make them (too) easy to order? | EHR and Health IT Consulting | Scoop.it

Two recent studies have published conflicting results regarding the correlation between EHR/ HIE usage and the number of tests ordered by physicians. First, a general comparison of the studies and their outcomes:

 

The study Bridging the Chasm: Effect of Health Information Exchange on Volume of Laboratory Testingconcluded that doctors order fewer lab tests when they have access to a patient’s electronic medical records.

 

The above Archives study:

  • Was based on medical records of >117,000 patients treated in outpatient departments of Brigham and Women’s and Massachusetts General Hospitals between 1999 and 2004. Their HIE was created in 2000 as part of their Partners HealthCare collaboration.
  • Determined that the overall number of tests ordered for each patient in the study fell from an average of 7 to 4 with their HIE implementation.

These results seem to support the generally accepted mantra that a by-product of adoption of EHRs and participation in HIEs will be a reduction in the ordering of redundant tests.

 

It is, however, in direct contrast to another recent study that was published in Health Affairs, Giving Office-Based Physicians Electronic Access To Patients’ Prior Imaging And Lab Results Did Not Deter Ordering Of Tests.

 

The Health Affairs study:

  • Analyzed data from the 2008 National ambulatory Medical Care Survey which includes 28,741 patient visits to a national sample of 1,187 physician offices. It excludes hospital and outpatient departments as well as offices of radiologists, anesthesiologists and pathologists.
  • Concluded that:
  • Point-of-care electronic access to electronic imaging results, sometimes through an electronic health record, was associated with a 40-70 percent greater likelihood of an imaging test being ordered. Physicians without such access ordered imaging in 12.9 percent of visits, while physicians with access ordered imaging in 18.0 percent of visits.
  • Women received more imaging studies overall than men, perhaps reflecting their use of mammograms and ultrasound studies–but not more advanced imaging.
  • Surgeons and other specialists were more likely to order imaging tests than primary care physicians.

 

This conclusion flies in the face of the assertion that access to electronic medical records will reduce the number of tests required. That fundamentally doesn’t make sense, does it? If you have access to information at your fingertips, why would you need to run the test again?

 

The second study didn’t delve into the physician behavior behind the increase in tests ordered, so let’s do a little brainstorming:

 

  • Perhaps the physicians surveyed are chronic offenders to ordering repeat tests and this is a behavior that needs to be modified/ re-learned.
  • What if there is a financial benefit to the physician for self-referrals to affiliated imaging centers? Again, a behavior that may need to be modified.
  • What if the quality of the report resulting from the previous image does not leave the physician comfortable with determining the appropriate course of action?

While some EHRs and HIEs are able to support links to the actual image result, the majority of results based clinical documentation tools are only able to support the actual communication of the dictated report.

 

Do we know that was the case with the EHRs that the above physicians were using? No, but think about it.

 

If the access to the EHR included the actual image and the dictated report what else would be needed? Because they have access to an EHR which likely facilitates the test ordering process, it would be much easier and quicker to reorder the test than to try to retrieve the actual original image.

 

So, what am I proposing that we conclude from the above study? Remember: it makes a clear distinction between physicians with EHRs and those without.

 

Those with EHRs most likely do not receive or have easy access to a paper file, so they may not get the actual image to review.

 

Those without EHRs rely on a more manual process such as pulling a file to read the report then viewing the image. They have to request the result manually if they don’t have it.

 

I’m suggesting that some of the issue may lie with what is actually available via the EHR, i.e. can you access the actual image or just the dictated report? I’m sure the ease of reordering the test on-line via the EHR vs. requesting the original report be faxed is contributing to the duplication of tests.

 

I think there is definitely the opportunity to improve care and reduce costs with the utilization of a quality EHR application that can provide the necessary clinical information in the format(s) necessary to make an educated decision.

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What's Really Driving EHR Implementations?

What's Really Driving EHR Implementations? | EHR and Health IT Consulting | Scoop.it

Health care organizations which do not qualify for incentive reimbursement have in large part not implemented EHRs, leading researchers involved in a study published in the March issue of Health Affairs to conclude that it is the incentives rather than factors such as improving patient care which are driving EHR adoption.

 

Under the 2009 federal stimulus legislation, health care providers who demonstrate meaningful use of certified EHRs can qualify for Medicaid and Medicare incentive payments.

 

The incentive program, however, excludes home health agencies, inpatient psychiatric hospitals, inpatient rehabilitation hospitals, long term acute care hospitals and nursing homes.

 

While EHR adoption in eligible, short term acute care hospitals is currently at about 12%, ineligible health care organization EHR adoption was described in the study as “abysmally low.”

 

The study included:

  • 4,629 general short term acute care hospitals
  • 486 psychiatric hospitals
  • 401 long term acute care hospitals
  • 237 rehabilitation hospitals

 

Only 6% of long term acute care, 4% of rehabilitation and 2% of psychiatric hospitals had implemented EHRs.

 

The likely factors impeding implementation were cited as the ongoing vendor focus on the acute care environment (which benefits from incentive reimbursement) and uncertainty regarding which EHR would best suit their unique environment.

 

With such large numbers of health care organizations continuing to operate in a paper world with little incentive to change, the goal of achieving either the quality or efficiency of care EHR technology promises will remain elusive.

 

Creative and workable solutions will need to be devised to ensure that these disenfranchised health care organizations, which play such a critical role in the health care delivery system, are sufficiently incentivized to adopt EHRs.

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3 Ways EHR Systems Have Changed the Healthcare Industry

3 Ways EHR Systems Have Changed the Healthcare Industry | EHR and Health IT Consulting | Scoop.it

Hospitals have a mandate to use EHR systems to measure quantity and quality of healthcare. This results in meaningful use, which is great for dentists/dental practices, hospitals, doctors and nurses. But how have EHRs changed the healthcare industry, and what are the benefits of such systems?

 

1. IMPROVED PATIENT OUTCOMES

 

EHRs have taken center stage in recent years, and the majority of health care settings have seen improved patient outcomes. These systems do more than simply transmit data, they leverage information for the benefit of both hospital and practice patients.

 

Electronic health records also alert physicians to potential issues. For example, EHRs automatically assess new medications patients are prescribed against problems based on their listed allergies. This sort of information is also vital during emergency situations.

 

For example, a primary care doctor will enter information about allergies into the EHR, and if the patient ends up in emergency care, the physician will then have access to this data and treat the patient correctly. This is very important if a patient is unresponsive.

 

2. CARE DELIVERY

 

EHR implementation has ensured workflows are less time-consuming than former paper methods. When records and treatment plans are electronically inputted into the system, errors are reduced, lowering the risk of issues and problems e.g. rejecting reimbursement claims.

 

Mundane and routine tasks are also less of a burden thanks to EHR due to the ability to view data on portable devices and increased automation. This further enhances productivity and speed, giving nurses and doctors more one-to-one time with their patients.

 

3. HEALTHCARE IS NOW MOBILE

 

Once paired with mobile technology, EHR systems allow medical providers to view patient data in real-time, but they also streamline appointment management processes and tasks such as reviewing test results. This functionality enhances the patient’s experience and allows doctors to improve on the outcomes they offer.

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How are Ehr Systems Beneficial to Both Patients and Healthcare Providers?

How are Ehr Systems Beneficial to Both Patients and Healthcare Providers? | EHR and Health IT Consulting | Scoop.it

EHR BENEFITS TO PATIENTS

 

The error margin in EHR is considerably lower compared to the traditional paper records.

 

The use of EHR significantly improves communication among doctors as they can easily access a patient’s medical history. Moreover, multiple doctors can access and follow up on a patient’s medical care wherever they are with ease.

 

Perhaps the main benefits of electronic health records are that they are fast, efficient and readily available to offer critical information during medical emergencies.

 

In many cases, patients fail to articulate themselves making it difficult to access personal medical details and provide a timely and effective response.

 

It is entirely reasonable to say that EHR systems simplify a doctor’s legwork so that he/she can provide medical attention straightaway, considering each second counts in critical cases.

 

EHR BENEFITS TO HEALTHCARE PROVIDERS

 

Medical errors associated with patients’ medical files such as loss, misplacement and transcription errors are some of the last things doctors ever want to hear.

 

Solving this particular problem is probably one of the biggest benefits of electronic health records that medical providers enjoy.

 

Keeping track of patient’s filed medical information such as past and current procedures, health conditions, medication, allergic reactions etc. can be a daunting task to a doctor if the patient is under the care of multiple doctors.

 

EHR makes it easy for doctors to share and discuss a patient’s medical information at the touch of a button.

 

Medical experts agree that the benefits of electronic health records, especially in emergency cases, have resulted in a significant increase in patients’ health-related safety.

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8 Best Practices for Building Better Relationships During EHR Implementation and Training 

8 Best Practices for Building Better Relationships During EHR Implementation and Training  | EHR and Health IT Consulting | Scoop.it

New software implementations can be a high-stress scenario in the hectic and sometimes change-averse world of healthcare.

 

End users are under pressure to adapt to new resources while continuing to tend to the high-stakes business of patient care. Instilling confidence in users’ ability to make thorough and efficient use of new technology plays a big role in successful tech adoption.

 

Comfort with new tools is particularly important in patient-facing roles like scheduling where staff frustration can negatively influence a patient’s first impression of the facility.

 

As EHR consultants, project managers and trainers, one of our primary goals is to engage and encourage end-users during software transitions.

 

We lead the charge to get projects done on time and under budget without having official authority over team members within the client organization.

 

Throughout my years working as an Epic principal trainer one thing has consistently helped me garner buy-in with project teams: building good relationships.

 

Good relationships with stakeholders play a pivotal role in maintaining project momentum and getting through the inevitable stress points that arise during implementation.

 

Here are some best practices to keep in mind to put your best foot forward when building relationships with clients and end-users.

 

Make communication a key priority. Make sure everyone clearly understands the objective of the project and the overall plan up front to set the tone and establish team buy-in. Demonstrate that leadership is on board.

 

Address team expectations openly and honestly. Clearly define the expectations you have of people involved in the project. Identify and articulate specific deliverables and due dates. Meet on a weekly basis to review plans, get progress updates and identify risks that may have cropped up. Maintain a living document that changes with every meeting.

 

Encourage team members to take ownership. No one likes a know-it-all. One tactic I use even when I know the answer to a problem is to pose a probing question to the team and let the group come up with the solution themselves. This boosts staff confidence, helps team members feel they are contributing and keeps you from having to micromanage.

 

Build trust with project staff. Teams want leaders who will act as a voice for end-users. Spend at least a couple of hours with team members each week to get to know them, their pain points and their motivators. Walk throughs offer great opportunities for engagement.

 

Honor individuality. Don’t expect individuals to change who they are to fit the culture of the team. Some people, for example, work better independently. Recognize that and let them go. Refrain from forcing end users too far out of their comfort zone to avoid unnecessary friction.

 

Leverage rewards and recognition. Make it a point to celebrate staff accomplishments big and small. Peer recognition can be a strong motivator, but not all people appreciate public acknowledgement. Different rewards work for different people. Find the trigger that works for that individual. Small things like taking people to lunch can help you celebrate achievements and further develop relationships.

 

Make team participation fun. Humor can help diffuse project resistance and apprehension. Open presentations with a cartoon to bring fun to team meetings. During stressful times, a cartoon slide that acknowledges the pressure staff members may be facing can remind end users that they are not alone.

 

Invite end user feedback. Feedback loops help project managers and trainers continually get better. All EHR trainers and classes should be evaluated by end-users. This helps reveal improvement opportunities for future client projects.

 

At the end of the day, EHR training is not about you and how much you know. It is about making sure that users get what they need out of class. Don’t overflood their minds on day one.

 

Demonstrate patience as staff members acclimate. Remember that relationship building and team engagement is a great way to not only share your knowledge but to learn from others as well.

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Top 4 Benefits Software For Small And Medium-Sized Practices

Top 4 Benefits Software For Small And Medium-Sized Practices | EHR and Health IT Consulting | Scoop.it

From the very first day you implement EHR software, you’ll let out a sigh of relief once you realize its amazing potential and how it can transform your practice.

 

You may experience some minor drawbacks along the way, but these are nothing compared to the many benefits you’ll achieve.

Below are some of the benefits healthcare facilities acquire from the use of EHR Software:

 

1. LESS CLUTTER

 

With EHR software, you no longer have to worry about dealing with heaps of paperwork.

 

EHR software takes care of all the paperwork for you in real-time. Eventually, all the clutter that was consuming your space becomes a thing of the past.

 

2. FEWER ERRORS

 

Maybe you’ve heard of a particular incident where the doctor had a mistype, misunderstood, or otherwise forgot a crucial piece of health data.

 

EHR software is specifically tailored to help you avoid these mistakes. EHR systems support artificial intelligence, which sifts through and analyzes massive patient care data to ensure there’s no sign of errors and every information is accurate.

 

Some of the data analyzed include laboratory and diagnoses tests, current and past prescriptions, medical procedures, and foods a patient should avoid when taking certain medications.

 

As a consequence, healthcare providers find it easier to access a patient’s complete health information and have their health problems addressed in less time.

 

3. BETTER PATIENT CARE

Among the top benefits of using EHR software is its ability to provide optimum patient care.

 

The easy and fast access to a patient’s complete records puts an end to the boring follow-ups of the same paperwork at the doctor’s office. Each staff can view which diagnostic tests a patient has had, along with the treatments they’re taking in real-time.

 

As a result, you get improved patient outcomes and better patient care.

 

4. GET EVERYONE ON THE SAME PAGE

 

As your practice grows and as you employ more staff, it can be overwhelming to keep everyone on the same page and working towards a common goal.

 

EHR software allows for effective coordination among providers, which results in more accurate diagnoses and better overall patient care. Eventually, everybody also finds it easy to keep up with the goals put in place by the practice.

 

As you can see, there are many ways your healthcare facility and its staff could benefit from the use of electronic health records software.

 

The fun part about this is the fact that it would only take a few days to notice a striking difference.

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Migrating Old Records to Your EHR

Migrating Old Records to Your EHR | EHR and Health IT Consulting | Scoop.it

Tips on Migrating Old Paper Records to Your EHR

Occupying vast quantities of space in your office are thick patient records containing years of office encounters, labs, studies, consults and various other sundry notes and paper artifacts.

While there are those that advocate scanning the entire paper chart into the electronic health record, the consensus of most offices that have been through implementation is that this is overly time-consuming and not necessary.

 

There is actually no avoiding taking a somewhat fresh start with the electronic health record.

 

Information such as problem list, social history, family history, allergies, past medical history and medications are discrete data that need to be entered into your electronic health record database to produce a useful record for the present and future.

With proper guidelines, most of this data can be entered by a non-physician in your office.

 

However, many family physicians who have been through implementation find it useful to enter problem list, past medical history, procedures, referring physicians and medications themselves, getting a fresh look at the patient and accurate data.

If you have set up your implementation to provide you with sufficient, you should have time either before or during the office visit to do much of this.

 

This is a significant amount of work and there is no sense sugar coating it– doing it properly the first time will pay enormous dividends for the second, third, and 30th time the patient is seen in the future.

Certainly there are some things such as immunization history, EKG, recent cat scans or MRI scans and possibly recent important consultation reports which can be scanned into the record.

 

The provider can flag these items either before, during or shortly after the first or second visit. It should definitely be a goal to retire the paper chart at or before the second visit. The chart can then be stored off-site for retrieval if necessary.

Scan Entire Paper Chart into EHR

 

Advantages:

  • All data is in the electronic record.
  • Old paper charts can be stored securely off-site.

Disadvantages:

  • Data is stored in a graphical format (i.e., PDF) and can not be searched by using keywords.
  • Requires sorting the files after they have been scanned and placing in appropriate areas of the EHR record (i.e., labs, X-ray report, H&P, admin, etc).

Nurse Enters Only Allergies and Medications into EHR

Advantage:

  • Usually fairly straightforward if the information is up to date in the chart.

Disadvantages:

  • Nurse may not accurately enter the correct info.
  • Cost to pay nurse to do this.
  • Medical problems not entered or physician must add medical problem list later.

Physician Enters Own Data into EHR

Advantages

  • Get most accurate data.
  • Phrasing and diagnosis are to the individual doctor's liking.

Disadvantages:

  • Doctor has to use his/her time to do this.
  • Not a money generator.
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Cloud-based EHR vs Server-based EHR

Cloud-based EHR vs Server-based EHR | EHR and Health IT Consulting | Scoop.it

Choosing an EHR for your practice is a major decision. It requires thorough research and consideration before you make that selection and pay for setup.

 

You’ll also need to align your staff to get them on board with the new system, including training them so they can adapt and use it once it’s in place.

 

One step in the decision-making process is to determine whether a cloud-based EHR or a server-based EHR will be the system best suited to accommodate your needs.

 

To help you make that election, we have highlighted their differences below.

Cloud-Based EHR

This EHR system is also recognized as a web-based EMR system and owes all of its functionality to a third-party server. That server stores all of the data coming through the EHR.

 

Generally, the software for this EHR has to be purchased separately from the vendor, but its accessibility may vary depending on the package you opt for.

 

Some vendors load this software partially onto the computers of their client practices, while others have unique web portals that allow complete access to the software according to the plan selected.

 

The cloud-based EHR has its pluses and minuses, though. It is highly suitable for small practices that opt for complete outsourcing of medical billing services.

 

It also makes the deal a cost-efficient one for the smaller practices because they get the functionality of sophisticated software, as well as a comprehensive EHR without having to purchase the complete setup, expand to a larger office space, or employ IT staff for EHR management.

 

Secondly, the cloud-based EHR can be accessed from any location in the world using any of the smart devices you have. It always has the real-time data available to you, which adds to workflow efficiency.

 

As the entire setup is web-based, all your data is absolutely safe from being influenced by any environmental changes, natural disasters, etc. Even if the data is lost somehow, you can retrieve it from the cloud-based backups in no time.

 

However, on the downside, the cloud-based EHR depends solely on an Internet connection for its performance and functionality. If you have a stable Internet connection and high bandwidth available, then you are good to go with this option. Otherwise, this system can delay your operations and cause you more harm than good. Practices located in rural areas might find it difficult to access the Internet.

 

So the cloud-based services are simply a no-go for them. Another important factor here is the reliability of the EHR vendor because you’ll be reliant on them for uninterrupted access to the data. So before choosing one, consider their credibility.

Server-Based EHR

As the name indicates, this EHR system is based on a server or a group of servers, depending on the size of your practice, for storing all the data.

 

These servers have to be installed within the practice and are managed by specialized staff. Also, the software required to make the system function has to be purchased and installed separately.

 

The biggest advantage of this EHR system is that it gives you greater control over your data. If you have efficient servers and a secure internal network, then your server-based EHR will work wonders. You won’t have to depend on an Internet connection for the speed and accessibility, or on the vendor for the data access. You can smoothly upload/download files of any size whenever you want as there is no limit of speed or bandwidth.

 

Moreover, the data security is ensured as long as the data remains within the premises of the practice.

 

However, an in-house server-based EHR will cost you much more than a cloud-based EHR. This is because it requires sophisticated hardware and software, dedicated office space, and specialized staff for its management, all of which incurs huge costs. The story doesn’t end there.

 

There are other expenses, including hardware and software maintenance and updates that have to happen on a regular basis. Also, the staff has to be trained regularly regarding EHR updates.

 

Depending on your needs, either of these types of systems could offer you the right solution. While one is readily adoptable by small practices, the other seems more relevant to the bigger, more established practices.

 

That being said, the decision depends on the particular requirements of your practice. So, it would be best to evaluate your practice needs before opting for a cloud-based or a server-based EHR system.

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Understanding Electronic Health And Medical Records: EMR VS. EHR

Understanding Electronic Health And Medical Records: EMR VS. EHR | EHR and Health IT Consulting | Scoop.it

Despite the costs and the difficulties surrounding the implementation of EMR and EHR technology, more than eight percent of hospitals and doctors have employed electronic health records and electronic medical technology.

 

We are going to take a close look at the differences and similarities, as well as how EHR and EMR help improve healthcare delivery services and patient outcomes.

 

EMR – ELECTRONIC MEDICAL RECORDS

 

An EMR is essentially a digital version of a patient’s medical report. It is primarily used by medical service providers to aid with treatment and diagnosis. The services provided by EMRs include:

• Immunization dates
• Medical history/chart
• Diagnosis
• Visit record
• List of allergies
• Treatment plan

 

An effective electronic medical record system manages the charting process by simply obtaining the preferences and medical history of a patient over a period of time.

 

It helps a doctor make smart medical suggestions about the diagnosis based on the data obtained. Electronic medical records trace patients’ medical information, allowing the doctor quick access to crucial information that may significantly affect the treatment.

 

EMR also acts as a legal record in case of an office visit.

 

EMR technology has effectively eliminated the need for paper charts. The use of EMR is restricted to inter-office communication, though it’s shareable among medical practitioners in case the patient visits a different clinic or lab.

 

EHR – ELECTRONIC HEALTH RECORDS

 

If an electronic medical record is just a snapshot of a patient’s medical history, then an electronic health record is the equivalent of a whole movie.

EHR services include:

• Demographic information
• Medication history
• List of allergies
• Blood type
• Immunization dates
• Laboratory results
• Radiology images
• Encounter notes
• Diagnoses
• Physician recommendations
• Past procedures
• Past medical history
• Progress notes

The patient’s medical records are fluid because they are repeatedly updated over time. Both the patients and medical practitioners increasingly enjoy the benefits of EHR.

 

THE ADVANTAGES OF EHR

 

EHR software systems offer far more advantages than disadvantages.

 

• Electronic health record software provides clinical reminder alerts. It connects the health care expert’s decision support by analyzing the aggregate data for both the research and care management.

 

• The Electronic Health Record system focuses on the complete patient’s health. EHR is designed to share crucial patient’s information electronically to other healthcare service providers.

 

• EHRs software is the heart and the future of medical systems because the information shared and provided can be used to make clinical decisions and help to coordinate the care between all medical service providers in the healthcare ecosystem.

 

• There is a continuous movement of information from patient to the specialist or even across the entire country since the EHR systems are set in a way that they are accessible by all individuals involved and also the patients themselves.

 

BENEFITS OF EHR TO PATIENTS

 

Patients are big winners when it comes to the benefits of the EHR systems.

 

Patients’ EHRs is a combined and comprehensive medical data. When a doctor gets access to the patient’s medical cache of information, he or she will be able to conclude on the right choice about treatment-either for short-term illness or long-term chronic disease.

 

Since a patient can have access to his or her medical records, he or she too can get access the cache information they require hence making a better healthcare decision.

 

There will be no worry whenever the patient wants to transfer his or her treatment to another service provider as the transferring and accessing of the medical record is done electronically.

 

In some situations where a fast decision needs to be made, EHR gives the doctor the medical data needed to make the right medical choice as quickly as possible.

 

HOW EHR HAS AFFECTED THE FUTURE OF HEALTHCARE

 

For the most positive and effective future in healthcare, EHR will be the primary type of system.

 

The healthcare industry must adapt to technological advancements to create the best results for patients.

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Is Your Practice Ready for E-Prescribing Mandates?

Is Your Practice Ready for E-Prescribing Mandates? | EHR and Health IT Consulting | Scoop.it

Laws requiring e-prescribing are gaining momentum nationwide. Many states have already passed mandates on e-prescribing and many others are introducing legislation that will take effect within the next few years.

 

Are you familiar with the laws on e-prescribing in your state? Each state has an individual approach, so mandates vary from state to state.

 

Review our outline below for more information on e-prescribing laws in your state and remember, e-prescribing under Medicare Part D will most likely be required for all prescribers come 2021.

 

States who have current laws in place are:

  • Connecticut - e-prescribing for controlled substances
  • Maine - controlled substances containing opiates
  • Minnesota - all prescriptions
  • New York - all prescriptions

States who passed laws that will be going into effect soon are:

  • Arizona - controlled substances, effective 2020
  • Arkansas - Schedule II-VI controlled substances, effective 2021
  • California - all prescriptions, effective 2022
  • Colorado - Schedule II-IV controlled substances, effective July 2021 for most prescribers or July 2023 for dentists and rural or solo practitioners
  • Indiana - controlled substances, effective 2021
  • Iowa - all prescriptions, effective 2020
  • Kansas - controlled substances containing opiates, effective 2021
  • Kentucky - controlled substances, effective 2021
  • Massachuttes - controlled substances, effective 2020
  • North Carolina - Schedule II and III controlled substances, effective 2020
  • Oklahoma - Schedule II-V controlled substances, effective 2020
  • Pennsylvania - Schedule II-V controlled substances, effective October 24, 2019
  • Rhode Island - controlled substances, effective 2020
  • South Carolina - controlled substances, effective 2021
  • Tennessee - controlled substances, effective 2021
  • Virginia - controlled substances containing opiates, effective July 2020
  • Washington - controlled substances, effective 2021
  • Wyoming - controlled substances, effective 2021

States with pending legislation on e-prescribing are:

  • Delaware
  • Florida
  • Michigan
  • Missouri
  • Nevada
  • New Jersey
  • Texas

Is your practice ready for e-prescribing requirements? As more states begin to mandate e-prescribing, now is a good time to ensure your practice is ready. E-prescribing also has many advantages, such as safer, more accurate, prescribing and lower-costs.

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Hardware Basics for Electronic Health Records

Hardware Basics for Electronic Health Records | EHR and Health IT Consulting | Scoop.it

Basic Terms

  • Workstation - This refers to the hardware that holds everything a physician or office staff worker needs to perform their jobs: word processing, practice management software, EHR software, fax software, etc.

 

  • Desktop - One of three basic types of workstations. This describes a fixed, hard-wired computer that does not move around.
  • The computer can actually sit on the top of the desk (desktop) or on the floor (tower).

 

  • Laptop - One of the three basic types of workstations. This is a portable computer that has a keyboard and either a touchpad, stick, or mouse for moving the cursor around the screen.
  • It is a fully functioning computer that can be carried or placed on a cart and moved around the office.

 

  • Tablet PC - One of the three basic types of workstations. Tablet PCs contain built-in handwriting recognition software that allows the user to "write" on the screen using a stylus, much as they would write on paper attached to a clipboard. Tablet PCs can have add-on keyboards for instances when typing is preferred.

Desktops

The basics:

  • A desktop computer usually has a standard configuration consisting of a CPU, monitor, keyboard, and mouse.
  • It is stationary; it resides in one location and cannot be moved from room to room.
  • It can stand alone or work with any of a variety of network arrangements.

Advantages:

  • Desktops are low-cost and available from a wide variety of vendors.
  • Because desktop PCs are standardized, it is relatively easy and inexpensive to find spare parts and support or to replace a machine.
  • Desktops will run just about any software you need.
  • Additional devices such as microphones, speakers, and headsets are readily available at low cost.

Disadvantages:

  • Because it's stationary, you need to buy a desktop PC for each room in which you need access to your EHR software.
  • Desktops typically take up more space than a laptop or tablet PC. While flat-screen monitors and tower units save actual desktop space, the standard desktop computer requires more room than either a laptop or tablet PC.
  • You must purchase additional equipment to take full advantage of voice recognition and/or handwriting recognition programs.

What your peers have to say:

"Have had wired computers [desktops] in the exam room since 1998 and think it is the best way. I find it less hassle than carrying a computer around all day, worrying about batteries running out or losing wireless connectivity or dropping the computers.

 

The computers are much cheaper both to buy initially and fix if something does happen. I tried a tablet but did not like it all.

 

Never had a problem with children or adults interfering with the computer in the examining room and if you log out when you leave, HIPAA is not an issue."

Laptops

 The basics:

A laptop is a fully functioning computer that is small enough to be portable. Laptops can take advantage of wireless as well as traditional networks. A laptop can easily serve as a desktop machine and can connect via a docking station to a larger monitor and a standard keyboard.

Advantages:

  • A laptop has a smaller footprint and can easily be turned to allow patients to view information on the screen.
  • A laptop is less obtrusive during patient interviews.
  • Most have fairly long battery life and/or an A/C adaptor.
  • Laptops use standard PC inputs such as keyboard and mouse and/or touchpad.

Disadvantages:

  • Although laptops are portable, they can be heavy to carry, typically weighing five to eight pounds.
  • Repairs and maintenance tend to be more expensive because laptops use non-standard or proprietary parts. You may have to send a laptop off-site for diagnosis and repair.

What your peers have to say:

"We work wirelessly with laptops. All [prescriptions] print from one central printer right outside the exam rooms. Benefits of the laptop:

  1. Can open the note and chart before entering the room and bring up appropriate templates. Can enter the room already knowing what HM is late and what the purpose of the visit is.
  2. Can close the note right outside the room if you want to go ahead and have the patient leave before finishing a note.
  3. Can see with bifocals; no neck strain.
  4. Can have all my personal settings and programs handy all the time - PDR, links, hospital links, etc.
  5. Can look at patient easily over the top of the laptop and can easily show patients what I'm doing.
  6. Touchpad is always in the same place in relation to keys; easy to switch from it to typing or tabbing without looking. I like having a full-size keyboard.

Tablet PCs

 The basics:

There are two main types of tablet PCs: a slate tablet PC, which is a tablet with no attached keyboard (although one can be added), and a convertible tablet PC, which is basically a laptop computer with a screen that can swivel and fold onto the keyboard to create the tablet.

 

Advantages:

  • Tablets are truly portable and lightweight, typically weighing three to four pounds.
  • It is as powerful as a PC, but it doesn't require a keyboard. Instead, you add information by writing on the screen with a digital pen or stylus, much like you do in a paper chart.
  • Handwriting recognition software developed for tablet PCs is excellent, even for very poor handwriting.
  • Tablet PCs have integrated dictation capability with voice recognition software that transcribes directly into the patient record.

Disadvantages:

  • Writing with a stylus takes getting used to; there is a longer learning curve in adapting to a new way of using a computer.
  • Handwriting recognition dictionaries have not yet fully integrated medical terminology and acronyms, requiring more correction.
  • There is not as much standardized software yet available for tablets.
  • Screens are easily scratched and can become unusable without screen protectors purchased at additional cost.
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What Features Should You Look For In EHR Software?

What Features Should You Look For In EHR Software? | EHR and Health IT Consulting | Scoop.it

The dental EHR market is an exciting area of study since dental providers have not adopted EHR at the same rate as other medical professionals.

 

The main reason for the low adoption rates of dental EHR is the underdevelopment of the market, which is evidenced by the existence of very few EHR applications and modules appropriate for dentists.

 

What features should dental providers look for in dental EHR?

 

1. INTEROPERABILITY

 

Interoperability connotes the ability of a dental EHR to exchange and share information with other EHR platforms.

 

Interoperability is a function of all EHRs and is not specific to dentistry. However, dental EHRs should consider interoperability to take advantage of incentive programs.

 

2. DECISION SUPPORT

 

Decision support is an important application of dental EHR that captures, displays, analyzes, and stores digital images and consequently proposes treatment options.

 

Dentistry practices that utilize a mapping system can benefit from decision support applications by analyzing images such as an X-ray to generate a course of treatment that is evidence-based.

 

3. TREATMENT PLANNER

 

Planning of treatment in dentistry is vital in supporting care transitions, quality improvement, population health management, and coordination of care.

 

Dental EHR can generate valuable data based on factors such as a patient’s fluoride exposure, intake of sugar, frequency of treatment, and most recent restorations to allow for planning of treatment.

 

4. E-PRESCRIBING

 

E-prescribing allows dentists to experience numerous benefits such as reduced prescription errors, and reduced amount of time spent prescribing, adjusting, and refilling medication orders.

 

Incorporating an e-prescribing module in dental EHR is a way of coordinating care, enhancing the quality of care, and avoiding medical errors.

 

E-prescribing allows dental EHRs to alert dentists to the risks associated with the prescription of certain medications to their patients.

 

Although the risk of adverse effects is minimal in dental practices, there is still a risk of adverse drug events from prescribing the two main types of drugs – painkillers and antibiotics.

 

The dental EHR market does not have the range of choice present in other markets in EHR. The features outlined above can offer benefits to dentists seeking to adopt dental EHR.

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