EHR and Health IT Consulting
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EHR and Health IT Consulting
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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Lessons Learned from EHR Integration of Medical Devices 

Lessons Learned from EHR Integration of Medical Devices  | EHR and Health IT Consulting |

Human lives depend on how well a healthcare organization manages its EHR integration of medical devices.

As the assigned project manager spearheading numerous large health system enterprise-wise medical device integration programs for over a decade, I’ve learned an essential lesson about EHR integration of medical devices.

Data captured from thousands of heart monitors, ventilators, balloon pumps, and other bedside devices must be perfectly managed, seamlessly integrated, and standardized to each patient’s electronic health record (EHR) and then made accessible to multiple providers. Once synced properly across the care continuum, connected medical devices play a critical role in the transfer of near real-time, reliable data to EHRs that improve both the safety and quality of patient care.

Otherwise, failing to do so can prove fatal.

Lessons borne out of experience

My role in bringing together clinicians, IT experts and device vendor representatives is to achieve that goal through flawless organization of precise integration methods and over-communication. Sharing information among these three teams is paramount to our success — that is, we’re managing vital data used by physicians and nurses as analytics in making life-changing medical decisions as quickly as possible.

Additionally, I have learned other valuable lessons about EHR integration of medical devices.

Start with a clean inventory list of biomedical devices and equipment planned for the device integration project. This list should comprise the number counts of all devices and supporting equipment including firmware versions and serial ports in addition to Ethernet gateway connections.

At the project’s onset evaluate and identify devices lacking the capability to integrate. Identify older firmware versions and research feasibility of cost to update as opposed to replacement.

Conduct walkthroughs on clinical rounds to determine data points for integration in order to identify network cabling and power needs. At that time, initiate engaging device vendors and setting clear deadlines and key parameters for the EHR integration.

Ensure middleware vendors partnering with the medical facilities supply all security-related product information upfront.

Invite middleware vendors to an onsite visit to determine exactly how much hardware is needed to ensure connectivity with other devices. Also include them in weekly or biweekly team update meetings. They are oftentimes overlooked.

Be adaptable and versatile to make quick adjustments while also striving to deliver impeccable results. Since workflows are not usually established upfront, responsibilities get shuffled around and integration details quickly become overwhelming.

Find creative ways to facilitate communication among the different team members. For example, assign color-coded status levels — green, yellow and red — to flag a change in project progression to speed up problem resolution. When senior management tackles red status issues as a group, expect people to pay attention!

Organization translates to project acceleration

Finally, organization of every integration detail is imperative. Associated device hardware, such as installing mounting hardware and new monitors in each patient room, must be managed. Biomedical managers, hospital IT groups, and clinical administrators must work concurrently to coordinate every step. In my experience, managing all of these different teams is by far the most challenging aspect of device integration.

Our healthcare ecosystem is slowly but surely modernizing, and we must leverage our technologies every possible way to maximize delivery of patient care to improve outcomes and the patient-provider experience. Ultimately, the success of any enterprise-wide EHR integration of medical devices is founded on strong communication and organization in addition to data management.

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Contact Details : or 877-910-0004

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EHR Training: How to Help Users End Frustration, Overcome Fear and Engage 

EHR Training: How to Help Users End Frustration, Overcome Fear and Engage  | EHR and Health IT Consulting |

During EHR implementations, trainers are frequently the first to introduce end-users to the new technology. Users often come to EHR training frustrated about the change and nervous about acclimating to a new system. Adding to the pressure they feel, EHR training may only entail a one-time training class that delivers an immense amount of information in a short period of time—unless the healthcare organization offers on-site interim training opportunities, users often never touch the EHR again until after go-live. Under those circumstances, trainee resistance and fear are understandable.

What I’ve discovered in my years as a trainer is that successful EHR adoption is not just about the technical training. The biggest part of my job is to give end-users encouragement and confidence that they will be able to adapt to the EHR even though they may forget some of what is taught during training. People learn the best when they feel personally engaged and know that the trainer cares about them. Trainers play a key role in promoting not only technical EHR know-how, but cultural buy-in.

Given the right training environment, EHR trainers can help healthcare organizations diffuse negativity and push-back while bringing end-users up to speed on new EHR workflows. A trainer’s ability to successfully empower users truly does come down to training delivery. Here are some of the best practices that I’ve cultivated over the years to help maximize staff acceptance of the EHR.

Little things matter when creating a welcoming learning environment. When EHR users come to class, stand by the door and greet them. Smile, ask trainees their name and introduce yourself. Don’t just sit behind the desk. Don’t underestimate the power of a smile to make people feel comfortable. Remind trainees that you are there as a resource for them.

Address end-user frustrations head-on. As part of class introductions, ask trainees to comment on how they are feeling about the EHR migration. If necessary, purge EHR transition angst and negativity by letting users briefly share how they feel at the very beginning of class. After that catharsis, implement a strict “no complaining” policy and start working to shift end-user thought patterns. I encourage users to change their internal talk track from one of resistance to one of acceptance.

Employ compassion and empathy to understand where end-users are coming from. Trainees may come to class with feelings of nervousness, fear and anxiety. This is particularly true among non-computer natives, who are pervasive in healthcare. I like to share my personal story of being hired to be a trainer based on my background as a speaker and a nurse, and having to learn the technical aspects of training along the way. Shared experience and understanding go a long way in establishing rapport.

Build a sense of safety and community among end-users. To avoid trainee feelings of inadequacy, I offer patience to those in the class and work to foster a growth mindset. In peer training settings, clinicians often feel they are expected to know everything. Actively work to make end-users feel comfortable asking questions. Remind them that just because they don’t know something yet does not mean they can’t learn it.

Create a different training environment than people expect. Infusing unanticipated elements into the training program can make it more memorable. I like to bring laughter to the training program because if people are laughing, they are learning. Humor can help diffuse tension and put people at ease.

Always opt for words of encouragement. Remind EHR trainees that they can all do it and they will succeed, regardless of age or technical aptitude. Point out that people often learn the same thing in very different ways and warn against comparing one’s learning speed to that of others. All end-users will inevitably forget a portion of what is covered in training but, with the right mindset, they will be able to learn it again.

I can’t say enough about the need for words of affirmation in healthcare. A lot is expected of staff members during an EHR implementation. The stress of training while managing the day-to-day work of patient engagement can be overwhelming. If nothing else, give them hope. We all feel the strain of change in healthcare and we could all use an encouraging word!

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Contact Details : or 877-910-0004

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Philips Launches EHR-Integrated Patient Monitoring Solution for Clinicians

Philips Launches EHR-Integrated Patient Monitoring Solution for Clinicians | EHR and Health IT Consulting |

Philips has announced the launch of their next-generation Patient Monitoring solution, an enterprise-wide system that consists of bedside, transport, mobile and central station monitoring technology backed by a new approach of consulting, training, service and customer support.

Helping Clinicians Improve Patient Care

When patients are admitted to the hospital, they are frequently transferred between departments, which can make it difficult for clinicians to obtain complete data from monitoring systems that operate independently of one another. Incomplete data not only limits clinicians’ view into the patient’s condition, but can put a patient’s safety at risk. In a recent Philips-sponsored study, results revealed patient safety is still a top concern for physician and nurse leaders in the U.S.

In an effort to alleviate this concern, Philips designed this solution to help clinicians improve patient care, drive clinical performance and assist health systems in lowering costs, by harmonizing monitoring system updates and improved service agreements.

IntelliVue X3 Patient Monitor

The IntelliVue X3 is a highly portable, dual-purpose monitor with intuitive smart-phone-style operation. With this monitor, there is no need for caregivers to change patient cables during transport or at bedside, allowing them to spend less time dealing with equipment and more time caring for the patient. With alarm fatigue a top concern for healthcare professionals, the Patient Monitoring solution also includes IntelliVue bedside monitors with Alarm Advisor, a tool that tracks how clinicians respond to alarms and alerts them when set thresholds may be too sensitive.

EHR-Integrated Patient Monitoring

As a comprehensive system, the Patient Monitoring solution captures a steady stream of detailed patient data from monitors and medical devices, and feeds it securely to the hospital’s EMR for virtually gap-free patient records from admission to discharge, even during transport. The integrated solution fits securely into health systems’ existing IT environment, delivering vital signs, waveforms and alarms directly to caregivers.

By incorporating these clinical decision support tools and advanced algorithms, caregivers have better visibility into a patient’s changing condition. All Philips bedside, transport, and mobile monitors share the same look, feel, and interface for consistency and to reduce complexity, accelerate care, making it easier for clinicians to provide the best quality care throughout patients’ transports around the hospital.

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Medical billing software VS Electronic Health Record

Medical billing software VS Electronic Health Record | EHR and Health IT Consulting |

Many EHR vendors are offering billing services as well and this tend to confuse many of the difference between an EHR and medical billing software. In order to improve their usability and functionality, many medical billing and EHR software systems are designed to have overlapping features. The main idea behind this all is to offer a “one-stop-solution” to a medical practice. This leads to people using medical billing software and EMR for reasons they are not developed for.


So, an EHR is a single, comprehensive solution that helps doctors achieve Meaningful Use by offering features such as patient scheduling, appointment reminders, diagnosis/treatments/procedures, patient information and history, clinical notes, medication/ drug allergies/prescription, e-prescribing, scans and reports, clinical decision support, electronically available results, patient education resources and full-fledged medical billing programs, all in a single software.


Specialized medical billing software is specifically programmed to keep and maintain comprehensive records of examinations, procedures, tests, diagnoses and treatments that are conducted on patients.


The software then combines all this medical information with patient’s policy details and formulates a complete medical record that is utilized to generate bills. Medical billing and coding software is also integrated in many such software to seamlessly and accurately handle all complex processes. They also cater to correspondence involved in medical billing.


So it all comes down to this. While features of an EHR are primarily focused on clinical functions, records and outcomes, specialized medical billing software focuses on a practice’s billing-related administrative and financial processes and medical billing procedures.

Technical Dr. Inc.'s insight:
Contact Details : or 877-910-0004

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9 Best Practices For Choosing EMR Software 

9 Best Practices For Choosing EMR Software  | EHR and Health IT Consulting |

Selecting an electronic medical record (EMR) or electronic health record (EHR) for your medical practice is a challenging, but very important task. Purchasing and installing a new EMR system require a lot of research and time. The best EMR software for your practice will fit in with your practice’s workflow and increase efficiency, but a bad EMR will halt your workflow and cause frustrations.

The following best practices should be considered before selecting and implementing a new system, to ensure you select the best EMR for your practice. 

1. Create a list of requirements.

Make a list of EMR software requirements based on the needs of your practice. This list may include the need for e-Prescribing software, automatic billing, scheduling features, and others. Also map out your ideal practice workflow and usual patient visit flow to determine how potential EMR software could complement your workflow instead of hindering it.

It is important to involve all the physicians and staff in your office in the development of this list, ensuring that all aspects of the practice have been considered. However, a physician should be in charge of the decision, not the back-office or IT staff. This decision requires leadership and an understanding of the medical requirements.

2. Analyze your budget.

Purchasing and integrating an EMR system into your practice workflow can be costly. However, the benefits of EMR systems can be worth the financial investment and may even help your practice save money in the long run. Besides the initial EHR / EMR costs, there are hardware, implementation, training, and maintenance costs to consider when purchasing a new system. Find our more about what EMR costs you can expect with a new EMR system.

3. Only consider specialty-specific EMR systems.

EMR software that is designed for your particular specialty is customized to deal with the unique characteristics associated with your specialty. The customization includes specialty-specific features and templates. It is crucial that you only consider software that is designed for your specialty, not software that you need to make adjustments to in order to use. This will help your practice workflow tremendously.

4. Systems architecture.

There are many factors of the EMR system to consider, including the system architecture of the software: web-based or client/server. One type of system architecture is not better than the other, however, one may be better for your particular practice. When choosing EMR software, you will need to decide which type of system architecture is best suited for the needs of your practice and will complement your workflow. Read more about web-based vs client/server EMR.

5. Ensure the EMR System has been certified

Any EMR system you are considering for your practice should be tested and certified by an ONC-Authorized Testing and Certification Body (“ONC-ATCB”). The ONC (Office of the National Coordinator for Health Information Technology) is the responsible agency for establishing EMR certification standards and certifying vendor EMR products. ONC-ATCB certification assures that your EMR has met required Meaningful Use (“MU”) objectives and measures. This is a prerequisite to obtaining MU Medicaid (up to $63,750) and Medicare (up to $44,000) incentives for adopting an EMR, and avoiding penalties for not adopting one.

6. Get advice from other physicians and staff.

The best way to understand how an EMR system will fit in with a practice’s workflow is to witness it first hand. You may want to visit a practice that currently using the EMR software you are considering implementing. Talk to physicians and the staff about the EMR software to find out if the software would be suited to your practice and what issues you may face with usage or installation.

7. Decide how much support you will require.

Most vendors will offer 24/7 support, but you need to make sure you understand what sort of support you will be receiving. You may need nighttime or weekend support if your practice is open beyond normal office hours. You may also need on-site help instead of help from a call center. Lastly, understand the extent of the support you will be receiving. Instead of just technical assistance, you may want additional assistance installing new features and upgrades, and fixing bugs. Be sure to ask these questions before purchasing from a particular EMR vendors.

8. Have a lawyer review the purchase agreement.

Since purchasing an EMR software is a big commitment, have an attorney review the purchase agreement to make sure the software is what was promised and includes the right features. Also be sure you understand all the costs and additional fees associated with the EMR software purchase.

9.  Spend time installing the EMR system.

Transitioning to electronic medical records takes a lot of time, so do not underestimate the time and effort you will need to put in. Apart from installing new hardware and software, you will also need to manually scan or input existing paper records into the system. Be prepared to hire additional help during this process, as it can be time-consuming and disruptive to your workflow. It is also recommended that physicians schedule fewer appointments during the transition time.

Technical Dr. Inc.'s insight:
Contact Details : or 877-910-0004

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Essential Questions for Picking EHR Patient Portal Software 

Essential Questions for Picking EHR Patient Portal Software  | EHR and Health IT Consulting |

It’s time to revisit the much undervalued, if much maligned, patient portal. To date, patient portals remain an underutilized resource. But a convergence of trends may change your thinking about their value — especially when selecting or upgrading EHR software. To help with that process, we offer a 10-point checklist for evaluating a patient portal’s usability and functionality. 

Patient Portals: A Mixed Bag

Most of us have used a patient portal, and the reviews are mixed at best. A product of meaningful use requirements, they were mandated as a way to provide patients with timely access to their healthcare.

At their most basic, they’re used to retrieve lab results, ask a question or update patient profiles and insurance providers. Some allow patients to schedule appointments and pay bills. For providers, they represent an opportunity to increase patient engagement, promote loyalty, manage costs and streamline workflows.

In reality, their potential has yet to be harnessed. Hard to access, patient portals are often badly designed, cumbersome to navigate and limited in utility. It’s sometimes easier for patients to pick up the phone and call their provider than to look up their user name or create a new password. For staff and physicians, they require time and resources that aren’t usually billable.

Emerging Trends Impacting Patient Portal Usage and Importance

So beyond next-stage meaningful use requirements, why should the patient portal receive greater consideration in the EHR selection process?

Value-Based Care

First and foremost, as healthcare moves from fee-for-service to value-based care, providers will have further incentive to improve the patient experience, track compliance and manage costs.

In a medical research paper — Patient portals and health apps: Pitfalls, promises, and what one might learn from the other — issued last year, the authors asserted that “the push for reimbursement that relates to value-based care creates an opportunity to develop high-quality patient portals.”

In addition to improving patient health and facilitating wellness, patient portals have the potential to free up staff time, lower call volume (including call backs and phone tag), increase accuracy, reduce duplication and cut down on time spent on patient records, payments and prescription refills.


The future of health and medicine points to the primacy of data. Patient portals can yield a trove of information not captured in a doctor’s visit or clinical interaction — resulting in better population health management and a better ability to track patient engagement and improve adherence to treatment plans.

Patient as Consumer

Patient portals will grow in popularity as patients evolve into healthcare consumers. Increasingly, they want better, faster access to their health information, and to be involved in the medical decision-making process. Patient portals are a natural extension of the trend to go online to select a provider or research medical conditions and treatments. They’re going to expect a positive user experience, rewarding those who do with their loyalty.

Mobile Apps/mHealth

The growing use of mobile apps, smartphones and wearable devices to monitor and upload information about their health and physical activity facilitates more patient self-management and data exchange with their patient portal.

10 Point EHR Checklist for Evaluating Patient Portal Usability

Given the patient portal’s potential and growing importance, how should you evaluate the best portal for your practice or facility?

As a healthcare provider, you can select a standalone patient portal that oftentimes is hosted by a third-party vendor. This approach can result in compatibility issues with your EHR system, requiring your EHR vendor’s cooperation — often at a price.

Alternatively, you can select a patient portal as part of an EHR bundle of services. The good news is that most EHR systems provide a patient portal component. When evaluating their product, you need to remember that patient portals are not all created equal, and can vary in functionality and usability. As such, you need to take into consideration:

  1. Cost – What is the cost to design and activate the portal? Do they provide training, maintenance, troubleshooting and upgrades?
  2. Customization – Do you have flexibility to customize the interface to take into account your practice, specialty and patient profile?  Is it white-labeled to allow for branding?  Do providers have the ability to make refinements?
  3. Patient Management – Does it provide the ability to refill prescriptions, monitor compliance, track patient progress, schedule/cancel appointments, pay bills, upload documents and download practice forms? If they don’t provide all these services, which ones are most important to you?
  4. Communication – How easy is it for patients to send and receive emails and messages? Can patients upload documents? And does it easily and securely integrate with mobile health apps, in a format that providers can use?
  5. Patient Access – How complicated is it for patients to set up an account?  Is it a multi-step process?  Does it incorporate “responsive design” so that it’s accessible and easily readable on a computer screen, mobile device and a smartphone?  
  6. Usability and Navigation – Is the user experience intuitive, consumer-friendly and easy to navigate? Does the portal present information such as test results in a way that patients can understand and interpret? Can it account for sight-impaired patients and patients who don’t speak English?
  7. Content – Can patients view laboratory results and track immunizations, medications and allergies? Can they access personal health data, notes from physicians and medical histories?  Can they renew medications; update their information (insurance, address changes, etc); view discharge and medication instructions; and access an online healthcare library of educational resources?
  8. Security – Is the site HIPAA-compliant to ensure privacy? How secure is the connection in protecting stored data and guarding against data breaches? Does it meet confidentiality and legal requirements for minors? What is the process for setting and resetting passwords?
  9. Workflow automation – Once patient information has been reviewed and approved, can it be uploaded into your EHR (including care plans, clinical visits, insurance coverage, billing) without additional keying or extra work that can result in errors? Can this process be customized to meet your current and future requirements as procedures and policies change? Can it send alerts?
  10. You: The patient portal is evolving, gaining wider acceptance and growing in importance. Not every EHR can address all of these considerations in a manner that meets your needs. Its components are only part of the equation. The other part is you and your commitment.

For starters, do you have a physician champion or super-user who’ll advocate for your patient portal?  Can you ensure that staff are properly trained, and that it’s maintained and regularly upgraded? Are you willing to commit the resources to ensure it’s routinely monitored and being used properly? Do you have the resources to create awareness and educate patients on how to use and maximize its benefits? And do your internal policies and procedures encourage usage?

Ultimately, you can’t guarantee patient compliance or participation. However, you can select a portal that helps you achieve your business goals and meets your patients’ needs.

Technical Dr. Inc.'s insight:
Contact Details : or 877-910-0004

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Successful EHR interoperability starts locally

Successful EHR interoperability starts locally | EHR and Health IT Consulting |

Interoperability is one of the most difficult challenges with electronic health record optimization: The ability to share clinical data across health systems and respective EHRs. Sometimes it takes a personal experience to drive home the meaning of interoperability, not only to the healthcare professionals who regularly interface with the EHR, but the patients.

When EHR interoperability hits home

For those that read my last post, you know that I lost my 40-year-old brother to a heart attack in 2015.  I had a physical about two months after my brother died, but due to my family history of heart disease, I also made a long-overdue appointment to see a cardiologist. Both my primary care physician and cardiologist work within the same system and use the same ‘integrated’ EHR. And yet the scheduler for the cardiologist requested I fax my EKG and history, including labs, to the office prior to my appointment.

Needless to say, we know interoperability will doubtlessly improve patient care and experience. But it can often feel like a mammoth, unachievable task. Some staff are accustomed to jumping through hoops to access data, but it doesn’t have to be that way. The secret is to approach interoperability on a smaller scale and address the changes you can make more locally to move the needle forward. Interoperability is a spectrum, and the right answer for one health system may not be the same for another. 

Small steps toward interoperability

Every health system executive has interoperability on their priority list these days, with exciting strides in personalized medicine, the day-to-day demands of care management and reducing unwarranted care variation.

So where should you start?

First, as leaders in this industry, we need to recognize interoperability isn’t just a technology problem. Opening up access to clinical data across different care settings must be a strategic priority that starts with an honest assessment of a health system’s technical capabilities against the imperative to deliver better patient care. Health systems can’t afford to be left behind here, but can’t do it alone. In an industry rife with mergers and acquisitions, health systems should work from the inside out. While that might seem obvious, many systems struggle to make sure internal stakeholders have access to data on the system in some way or another. 

Second, there’s more than one right technique to achieve some level of interoperability. While a truly integrated EHR is the ultimate goal, it’s typically more costly, time-intensive and organizationally disruptive than other options. There is a myriad of interface engines/brokers, health information exchange tools, APIs and custom-built options that can be implemented much more quickly and provide real value, at the point-of-care, now.

Most health system executives assume that to achieve interoperability, they need to implement or migrate every provider in their system onto the same EHR. And often this course of action is advised. However, I’ve seen clients use some innovative methods to tackle interoperability.

One of my favorite examples is a large health system in the northeast that explored different methods to standardize access to data without moving to the same EHR platform.

As the health system acquired new physician practices, it faced limitations that made an integrated EHR financially and operationally prohibitive. After exploring its options, the health system opted to create an HIE, a safe way to send and standardize patient records between EHRs. While the data are not truly in one single place, HIEs give clinicians access to data across separate systems within a couple clicks.

Achieving interoperability will be a long journey that will only grow in importance as healthcare shifts from a volume to value mindset. When possible, health systems should move to an enterprise EHR architecture and go beyond minimally meeting regulations. There’s no such thing as true, complete interoperability: There will always be a new source of data with a different set of access issues. But in the interim, work with community partners to craft solutions to affect patient care now.

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Contact Details : or 877-910-0004

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Physician resistance to EHR systems and how to overcome it

Hospitals face a number of challenges when they implement a new electronic health records (EHR) system. One of them is often getting doctors on board with the new system. Due to this and other issues, facilities may struggle to maintain productivity at first. 

The key to overcoming these obstacles is communication.

The benefits of an EHR system need to be stressed by the folks in charge from the initial planning stages on. Organizations need to be honest about what the system will achieve so that doctors aren’t disappointed in the actual results.

Effectively communicating the benefits of electronic records, training everyone properly and providing strong technical support can help organizations overcome doctors’ three most common complaints about EHR systems:

Productivity drops

Implementing an EHR system is a huge undertaking, and as with any new tech system, it will take some time for an organization to adapt to it. That means doctors might not see any productivity gains for a while. In fact a survey conducted by American EHR Partners found that in many cases, productivity drops dramatically right after a new system is installed.

Physicians may also become frustrated that they’re no more productive with their documentation than they were before the EHR system implementation. That’s why it’s important to stress the benefits of EHRs to doctors in terms of what they’ll allow docs to do for their patients and not so much in terms of saving time.

So if physicians start feeling like data entry clerks, you may need to take a look at the system and make sure it is working properly or get providers more training so they can use the EHR system more effectively.

The bottom line is: Hospital administrators need to make sure doctors still have time to focus on what they’re best at — treating patients – to keep physicians happy.

Overreliance on EHR systems

EHR systems have a lot of features to help doctors make better decisions — and some doctors will interpret that to mean the system will be making decisions for them. Facilities, however, need to emphasize during EHR training how doctors can combine the information they get from the system with their own expertise to give patients the best possible care.

Another benefit to emphasize is the fact that EHRs can greatly increase efficiency for administrative staff through patient self-service tools.

Hospitals can save a lot of staff time by having patients enter data into the system themselves. For example, many patient forms can be filled out beforehand through online portals or at a computer kiosk in the waiting room.

Interfere with patient communication

Little changes that are caused by EHR adoption can have a big impact — for example, facing a computer instead of holding a chart can make it more difficult to make eye contact with a patient and make it clear the doctor is listening.

To help, hospitals might want to consider using tablets instead of laptops to access records. This makes it feel more like providers are holding paper charts and are still able to focus on the patient, rather than sitting with their backs to patients typing away.

What’s extremely important to getting physician buy-in for an EHR system is to find one that’s easy for doctors to use and has all the features the hospital needs. Just remember, there’s no such thing as a perfect system. In a hospital with numerous physicians, there will always be some gripes about any given EHR system.

That’s why finding a system that’s flexible enough to meet the greatest number of end users’ needs is the best bet.

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The Pros and Cons of Customizing Your EHR

The Pros and Cons of Customizing Your EHR | EHR and Health IT Consulting |

Customizing an EHR can offer incredible benefits to a medical practice, but it is critical to understand the cost-benefit analysis of customization before implementation for the benefit of the practice and the health of its patients.

Customization is a common path for modern practices; research from Medical Economics reveals that in a 2-year survey, over 50 percent of practices were starting to customize generic EHR templates. Analyzing both the pros and the cons of customizing an EHR system can help a practice best plan for the future.


To Customize of Not to Customize

One of the first questions to ask before deciding to move towards a customized EHR is about the health or the efficiency of an existing system. Are there currently bottlenecks in flow? Would EHR customization better support “meaningful use” and best practices? Do providers and staff find themselves frustrated on a routine basis with data entry or records management? If so, it may be time to consider a tailored records system.

Despite the benefits of customization,there are associated costs which must also be weighed in the decision-making process. Resource consideration is important when deciding if customization is appropriate, for example. Are the resources (both time and financial) available? Creating a cost-benefit analysis can help to determine whether or not to adopt a customized EHR system.


Pros of Customization

Designing and implementing a customized EHR system has many incredible benefits. Custom modules lead to better capturing of data and improved accuracy of that data. SuchEHR system impact affects not only practice flow, but also health outcomes.

Another important benefit of a customized records system is utilization by providers and staff. With a system carefully tailored to the needs of the practice (and in-turn its staff), practice-wide adoption can become much easier. It is no coincidence that staff will be eager to use an EHR system that’s more functional; when appropriate screens and modules appear when and where they are needed, and the system is tailored to the flow providers desire and follow, staff is more invested.


Cons of Customization

Despite its advantages, practices need to be aware of the cost of implementing a customized EHR system, both in terms of time and financial investment. The cost of implementation can by high, which is a common barrierto EHR customization for practices. This cost comes in the form of financial investment, but also the investment of time.

Adaptation and training take commitment on the part of providers, staff, and administrators, and customization management requires thoughtful and careful leadership. Other points of consideration include long-term system changes such as updates, as vendor updates down the line may create rifts with interfacing custom systems. Careful communication with a vendor before customization about future changes is key to best prepare for such events.

Understanding the advantages and costs of implementing a custom EHR system is an important step in deciding if customization is right for your practice.

Technical Dr. Inc.'s insight:
Contact Details : or 877-910-0004

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Improve Patient Care with EHR

Improve Patient Care with EHR | EHR and Health IT Consulting |

EHR systems did not appear overnight. Since the Institute of Medicine’s strong endorsement of computerized medical records in 1991, developers and providers have worked closely to employ the use of information technology to improve patient care. Modern applications like today’s integrated and robust EHR systems is simply an extension of this idea that technology can help us better serve patients. Nonetheless, it’s not uncommon for administrators and providers to find themselves frustrated at the perceived distance between the realities of EHRs and their goals for practice workflow and patient care.

Patient Record Software and the Roots of Best Practices

It is easy to lose sight of the purpose of an EHR system. For example, a common complaint is feeling like EHR implementation means staring at a computer and not at patients.

But, it’s important to remember both the end-goal of EHRs (excellent patient care)as well as effective implementation strategies to maintain the best practices of accurate documentation methods and good bedside manner while still adhering.

EHRs have demonstrated incredible strides in patient safety and continuity of care and have proven themselves worth the investment for even the smallest medical practice.

Patient Care By the Numbers

It’s an exciting time for the electronic records industry. Part of this is due to the years of valuable data to which we now have access – data which has shaped HIPAA, Meaningful Use, and ultimately, the quality of patient care. EHR systems have contributed to increased data accuracy such as patient history, medications, CPOE processes, and more. And for chart access and patient report maintenance, research shows that not only do EHR systems support the accuracy of these activities, but also the speed of completion in a clinical environment.

In addition, patient record software systems’ ability to interface with clinical tools have generated huge improvements in health outcomes, for example,drug interaction alerts via data sharing between an EHR system and an electronic prescription system. And patients are responding positively, too. In fact, patients are beginning to associate EMR use with higher-quality healthcare and perceived increased value with the use of electronic records systems.

Buy-In and the Importance of Practice Investment

It may seem obvious, but an EHR system can only be a useful tool for improving patient care if all of its users are invested. Success requires the commitment of physicians, nurses, technicians, billing and front desk staff, administrators, and everyone in between. This can take patience. Research indicates that it can take up to a year for physicians in primary care to report increased efficiency, communication, and overall clinical quality as a result of the implementation of an electronic health records system. But commitment throughout the stages of implementation and optimization can help ensure the very best functionality of a health records system, provide the best ROI for the organization, and result in the best possible patient care.

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The Changing Healthcare IT Consulting Landscape

The Changing Healthcare IT Consulting Landscape | EHR and Health IT Consulting |

The last several years of healthcare IT consulting, specifically around EHR implementations, has been busy and fruitful. For a period of time there, it seemed that anyone who could both breathe and type would be hired on, trained, and thrown into the fire, working at a feverous pace to digitize our Nation’s medical records. Largely, this onslaught was driven by the financial incentives of Meaningful Use – get up on an approved medical record system, hit specific targets, by specific dates, and reap large financial rewards. The incentives were highly effective and as a result the vast majority of US hospitals are now utilizing some form of electronic health record solution. But there is a murmur out there: “what’s next?”

To begin, two significant dates come to mind. The first date was May 25, 1961, when President Kennedy committed to having a man on the moon by end of the decade. To many it was an impossible goal. Something that seemed so absurd considering we had only just witnessed the first American to orbit the Earth some 20 days prior. The next 8 years were filled with collaboration, heavy investments, long hours, and much ingenuity, which all culminated to the first human to walk on the moon on July 20, 1969.


The second date was January 20, 2004, when President Bush, during his State of the Union address, announced his vision for the majority of American enjoying the benefits of computerized medical records within 10 years. Here we are, 10 years later, and the majority of Americans are provided care at a facility that utilizes an Electronic Health Record. The parallels between the two announcements and efforts are apparent – unbelievable amounts of money were invested and an innumerable number of people were involved in realizing the vision, similar amounts of time were allotted, and both meant accomplishing something that seemed impossible. In both cases we were successful. We successfully landed on the moon by the end of the 60’s and today the majority of Americans are provided care at a facility that utilizes an EHR.


We’ve accomplished what we’ve set out to do. Sure, not all facilities are utilizing an EHR yet, and not all that are using an EHR are yet meeting “meaningful use guidelines”, but for the most part, the big push is complete. The big question that looms is: what’s next? And this question is one that riles many who were involved in this great undertaking. It’s alarming and concerning to know that what you’ve become accustomed to will be changing – demands of great effort and great ingenuity working tirelessly to discuss, plan, build, configure, test, train, implement, and support, and then repeat and repeat again – this will be changing. But this is the nature of IT. Without successfully completing our mission, would be akin to Neil Armstrong not taking the first step onto the Moon. But as with NASA, that first step wasn’t the last one either, but the beginning of what would become its greatest era with the likes of the Hubble Space Telescope, Space Shuttle, and Rover programs.


I believe that this is just the beginning of a more exciting time for healthcare IT. That the real bread and butter, the real pleasure from the work we do, and the real benefit to patients is just beginning. Now that the majority are utilizing an EHR, we can now leverage the efforts and investments through optimization, integration, and interoperability. Through optimization, we can make the experience more effective for both the clinician and the patient. Through integration with other health software, we can extend the capabilities of the EHR further using the EHR as the jumping off point. And through interoperability it’s easier to share patient information when it’s needed the most; no more burning CDs with images or faxing results.


About the only tangible benefit of utilizing an EHR over a paper based documentation system is legibility; it’s not having an EHR that matters, rather it’s how the digital bits of information are used and leveraged that makes the difference. Walking on the moon did very little for us, it’s what it took to get there, what it represented, and its ability to make us realize our potential that mattered most.

It’s important that we never stop progressing, that we never settle down and accept status quo. We must continue to innovate.


Moving to an EHR from a paper based documentation system should never be the end goal but rather the means to getting there. As a healthcare IT professional, your continued success will be in driving this progress forward. Continuing to look for opportunities – by recognizing issues when they present themselves and developing solutions, continuing to develop yourself through continuing education and certifications, and networking with other professionals. The possibilities are endless really, and now is the time when we get to see the real benefit of this investment. Now is the time for leverage.

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Most doctors with EHRs still not taking advantage of their benefits

Most doctors with EHRs still not taking advantage of their benefits | EHR and Health IT Consulting |

Interoperability of medical records across physician offices remained elusive in 2015, according to the latest data reported out by the Centers for Disease Control.

About 8 in 10 U.S. physicians had an electronic health records system in 2015. One-third of these doctors electronically sent, received, integrated or searched for patient health information — indicating that most physicians still aren’t using EHRs to their fullest extent. These findings come from the NCHS Data Brief from the CDC, State Variation in Electronic Sharing of Information in Physician Offices: United States, 2015.. Only 9 percent of physicians took advantage of all four functions.


Full use of EHRs varies by state:

  • The percent of doctors who electronically sent patient health information to other providers ranged from a high of 56.3 percent in Arizona to a low of 19.4 percent in Idaho.
  • The percent of doctors who electronically received patient health data from other providers ranged from a high of 65.5 percent in Wisconsin to a low of 23.6 percent in Louisiana and Mississippi.
  • The percent of doctors who electronically integrated patient health information from other providers ranged from a high in 49.3 percent in Delaware to a low of 18.4 percet in Alaska.
  • The proportion of doctors who electronically searched for patient information from other providers ranged from a high or 61.2 percent in Oregon to a low of 15.1 percent in Washington, DC (the District of Columbia).

These data come from the 2015 National Electronic Health Records Survey which polled a national sample of nonfederal office-based patient care physicians between August and December 2015.


Health Populi’s Hot Points:  Most U.S. physicians have purchased, installed and are using electronic health records systems, driven primarily by financial incentives they’ve derived from the HITECH Act — part of the Stimulus Bill (more formally, the American Recovery and Reinvestment Act of 2009). Why was this part of the Stimulus package? The policy thinking was that health care costs in America were a key driver of the long-term deficit and so the U.S. health system had invest in the means to measure health spending and outcomes and then manage what we measure.

Without interoperability — that is, the ability to move data where it needs to go throughout the continuum of care and shared across providers who all serve the patient — we can’t fully measure, and thus manage, costs and quality for that N of 1 patient.

U.S. taxpayers have made the investment into EHRs for their doctors. But we’ve still miles to go before we see and benefit from the ROI from fully interoperable digital health records systems. There are promising technologies and standards beginning to be adopted by pioneering informaticists and healthcare systems — FHIR standards for innovating within the EHR environment, and APIs bringing patient-generated data to their personal health records. May 2017 be a new year for health data liquidity and sense-making out of EHRs

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Building the right IT team for a successful EHR go-live

Building the right IT team for a successful EHR go-live | EHR and Health IT Consulting |

In the world of healthcare IT rarely is one person or small group of individuals able to complete the entire value chain of delivering IT solutions that properly define operational requirements and workflows and translate these needs into technical programs or application builds. A variety of backgrounds are needed including input from people with diverse and unique expertise that lie in different areas of the organization. As a result, comprehensive teamwork is essentially required to successfully launch and deploy projects that result in ongoing improvement in patient care, advancements in research and overall operational efficiency. 

So what are some of the specific essential components of building the right team to ensure success in an environment that requires absolute preciseness and accuracy? 


Based upon my healthcare organization’s successful deployment of an integrated electronic medical record throughout the ambulatory, inpatient and homecare environments, the following are some elements that delivered optimal results via an integrated teamwork approach:

People: Recruiting the right people into the right roles is the number one starting point to begin an initiative. Clearly communicating each person’s role on a project accents the defined contribution expected from each participant. In our organization, we focus heavily on selecting people who exude energy, have a positive attitude and demonstrate a proven record of aptitude in their specific area of expertise.

Chemistry: Blending operational and information services personnel together is a critical component needed to collaborate and most effectively evaluate all required application functionality for delivery.

Project Leadership: Guiding the project and removing barriers from issues ensures that staff level employees can be successful in their role.

Process: Using a tried and proven methodology with agreed upon milestones binds the various teams together and aligns goals and tasks for execution.

Culture: Building an environment to foster recognition that we are all in this together results in developing respect for one another. This aspect is paramount to gaining positive momentum in working as a highly functioning team. No “drama” is tolerated.

Enterprise Leadership: Working with other leaders throughout the organization ensures proper staffing, goal setting and achievement of set objectives.

In a healthcare environment — which is characterized by continuous change, increased transparency and a wide variety of diverse accountabilities — the need for a solid, mission oriented team has never been greater. Organizations that have invested in using the integrated team approach are recognizing the benefits of their investment by more readily enabling their business objectives. And these organizations are better prepared for the next wave of challenges.


The journey on the road to achieve the many benefits of healthcare IT is long and winding, but the need for comprehensive teamwork along the way will always be vital to achieving success.

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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 |

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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Adopting Electronic Health Records

Adopting Electronic Health Records | EHR and Health IT Consulting |

Solo and small-practice physicians and dentists have had the lowest rate of the adoption of Electronic Health Records (EHRs), in which over 50% of physicians who had not adopted an EHR cited financial difficulties as the main reason for not participating in the nation-wide push towards the goals set forth in the American Recovery and Reinvestment Act of 2009 (ARRA of 2009). Understanding the difficulties for small practices to invest in new technology and to adhere to new standards, the Federal Government set aside billions of dollars to award to physicians and dentists to help them achieve the goal of “interoperability”; which can only be reached if all health care professionals are using certified EHR systems.


The EHR Incentive Program is grant-like funding available to help off-set the cost of acquiring a certified EHR. Well over 1.3 billion dollars has already been distributed to physicians, dentists and other eligible professionals that chose to participate in the EHR Incentive Program. Each eligible professional that qualifies and applies for funding through the program receives $21,250 for their first year, and can receive up to $63,750 over the course of the 6-year program.


The goal of the EHR Incentive Program is to provide the financial means, especially for small practices, to meet the national goal of interoperability through the use of certified EHRs. Not only is a significant financial benefit offered for qualifying professionals, but EHRs themselves are designed to protect and expand the bottom line. EHRs are specifically designed to save you money and time- which is also money- and to encourage patient health with comprehensive digital records, prevention, drug interaction warnings, appointment reminders via text and e-mail as well as numerous additional benefits of advancing technologies embedded into EHRs.


Don’t miss your opportunity to get paid to save money and join the new age of health care. Let EHR Funding see if you qualify for Incentive Funding at no cost.

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A secret shopper’s perspectives on the EHR and clinical workflow 

A secret shopper’s perspectives on the EHR and clinical workflow  | EHR and Health IT Consulting |

As someone who has practiced medicine using both paper and electronic records, and someone who's been focused on the health tech scene for the past 20 years, you might think I've seen it all. Indeed, during my 35 year career in medicine and tech I've traveled the world and learned a lot about healthcare, clinical practice and the intersection between medicine and technology. However, there's nothing like being a secret shopper to get a little reality check on where things stand with electronic health records and clinical workflow.


For the past couple of months, and likely continuing for most of the next year, I am charged with helping a family member through treatments for an all-too-common medical problem--cancer. That means I am accompanying my family member through diagnosis, surgery, chemotherapy, radiation therapy, and eventually medical monitoring and follow-up. Let me tell you, there's nothing like being in the trenches of a patient care experience to see how far we've come, and how far we still need to go to fix healthcare.

The hospital and health system we are visiting uses one the major EHR solutions. However, even within the same institution, departments seem anything but connected. When we have multiple appointments on the same day in different departments, we are still filling out paper forms asking the same questions in every department we visit. Worse yet, even when we make our second or third visits to those departments we are again presented with forms to fill out. Wouldn't it be better to fill out that information on a tablet device or kiosk and make it available to all departments at once? Wouldn't it be better on subsequent visits for us simply to review the information on an electronic screen and edit or update it as needed? Where's the single version of the truth?


In the exam room I've noted how much time clinicians and support staff are spending in front of the computer, rather than with the patient. The only doctors not doing this are the super-specialists who foist most of that burden on scribes or other members of their support staff. Furthermore, the computers in the exam rooms are mounted to a wall or sitting on a counter, often forcing the user to have his or her back to the patient. Clinicians must assume a kind of sideways posture with head bobbing back and forth between the machine and the patient. Where are the mobile devices--the laptops, tablets, and smartphones? Has anyone really given a thought to the importance of mobility in clinical workflow?

Then there's the clinical user interface that looks like it came from the dark ages. It took one of our providers about ten minutes just to key in an order for a durable medical supply and print it out for our insurance company. The user interface to the institution's patient-facing portal is equally bad. A web-savvy teenager could likely do better. Today's portals need to look and work more like Facebook or LinkedIn than something from the dawn of the Internet.

Another inefficiency I have observed isn't so much about bad tech as stupid billing mandates. Even when visiting different physicians in different departments on the same day, during each visit staff enter the exam room to take and document vital signs. Over and over again the thermometer and blood pressure come out, even though vital signs were just taken and documented 30 minutes ago in a different department. I finally asked why this was necessary only to be told that unless it is done the physician will not be paid. Has anyone considered what this totally unnecessary and duplicative workflow is costing our hospitals and health systems in wasted staff time? Let's stop the insanity.

By now, I'm sure you are thinking I've grown old and crotchety. I probably have. But please future generations of software developers, EHR vendors, regulators, and others; can't we do better for our clinicians and patients? I'm sure we can.

If you would like to become more familiar with the work Microsoft is doing in health and the healthcare industry (in cloud computing, mobility and devices, productivity and collaboration, and advanced analytics) please contact your account executive or visit Microsoft in Health.

Bill Crounse, MD      Senior Director, Worldwide Health         Microsoft 

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EHR vs EMR: What are the Key Differences?

EHR vs EMR: What are the Key Differences? | EHR and Health IT Consulting |

Any given industry will tend to develop its own particular vernacular, with inside terms that outsiders typically do not need to understand but are essential for key players to be aware of. Jargon serves to separate professionals from the non-experts and members of the public, and its use also saves time when writing and speaking about various concepts.

A case in point is the healthcare industry, where many people in medical practices have heard the terms “EHR” and “EMR” being bandied about but are not quite sure what they refer to or what the differences are between the two.

The first step in understanding EHR vs EMR is to know that EHR stands for electronic health records and EMR stands for electronic medical records. They are similar applications but have different capabilities that you should become aware of.


About Electronic Medical Records

Essentially, EMRs are digital versions of paper charts and are maintained at the doctor’s office. In the early days of digital medical information, clinicians were focused on medical diagnosis and treatment, which explains why they used the term “Medical” in EMR. (By contrast, the “Health” in EHR refers to a patient’s overall health situation and not just medical questions as revealed by diagnosis and lab test results.)


Key benefits of an EMR include helping the physicians keep track of data over time and identify which patients need to come in for a checkup, screening, or appointment.

EMRs also help practitioners get a quick glance at the patients’ basic vitals, such as blood pressure and weight. Finally, an EMR enables you to get a better view of the state of the practice and how it is doing in treated patients.


However, there are also some disadvantages when it comes to using electronic medical records. For example, you cannot share information about your patients outside of the office.

Consider what happens if you run a family medical practice and you are referring a patient to see a specialist, such as an endocrinologist. Your practice needs to share information with the specialist, but since the EMR is only designed for internal use by one practice, your staff would probably need to print out the patient’s chart and mail it.


This means that your EMR files are pretty much the same as paper records at this point. And when the specialist has information to add, the details cannot be transferred back to your EMR without your staff first typing them in from the specialist’s faxed or mailed documentation.

About Electronic Health Records

An EHR contains all of the things an EMR does, but offers much more. EHRs are designed to collect all medical information from all healthcare sources, including multiple physicians, hospitals, and the patient themselves.

Benefits of switching to an EHR system include:

  • Secure when compared to paper records: You can designate specific members of your team to access and change records, as well as conduct audits to detect when people try to gain unauthorized access.

  • Also secure to send and share information with others: The data that you share with other parties, such as a specialist, must be safeguarded so that criminal hackers cannot make off with patient information and commit identity theft and fraud.

  • Important information available in emergencies: The EHR allows patient information to be made present to emergency room doctors immediately with the full medical history and details on any allergies or other issues.

  • Patient portal: A patient portal lets patients enter their own information from the comfort of home using an internet-connected computer, instead of having to fill out stacks of paper forms that your staff will later have to input by hand.

  • Access to advanced tools: An EHR will include tools and various features to help you make better decisions and work more efficiently. For example, you can useanalytics to detect emerging patterns of patient behavior, such as more no-shows to appointments in a certain population or ZIP code.

  • E-prescribing: Electronic versions of traditional prescriptions made by signing a piece of paper from the physician’s Rx pad are more convenient for the doctor, who just needs to transmit the details to the pharmacy. Patients don’t need to wait, since the medicine will be processed while they travel from the doctor’s office.

  • Voice-to-text data entry: Typing in patient details takes longer than speaking. You can activate speech recognition in your EHR to automatically transcribe what the nurse or doctor says, and the text appears on the screen in real time.

  • Reporting: Each report that you need to generate for your practice, such as revenue projections or how many patients have failed to pay their bill after the second notice are much easier to generate, thanks to templates that you customize in the EHR application.

It’s Essential That a Modern Medical Practice Uses Some Form of Electronic Records

Any modern practice needs some form of electronic records. Trying to get by using a paper-based system will simply not do.

What’s more, your practice is eligible to receive financial incentives from Medicare and Medicaid, but only if you are using certified EHR software that allows you to communicate details about patients electronically to insurance providers and public health researchers.

Paper records secured by a mere filing cabinet and a reliance on your staff to only access the details when authorized make for bad business practices in this day and age. With electronic records, you can maintain security by keeping unauthorized individuals from seeing patient information.


Electronic records also make for better patient engagement, especially when you consider how much time they save in the clinical setting, allowing your nurses and doctors to spend more time on treatment and less time on record keeping.

A patient portal activated in your electronic records will further boost engagement, since patients can access the system to check on things such as lab results, request an appointment, or send a message to a member of your staff. The more engaged patients are, the better chance you have of retaining them for the long term.

Key Takeaway

  • For professionals working in the healthcare industry, it’s good to have an understanding of EHR vs EMR.
  • EHR stands for Electronic Health Records.
  • EMR stands for Electronic Medical Records.
  • While EHR and EMR might seem to be referring to the same thing, an EHR is more flexible, because it lets you gather information from multiple sources while an EMR only handles local data.
  • Any medical practice that is still relying on antiquated systems based on paper to keep track of patient records will need to upgrade to some form of electronic records in order to remain competitive.
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Why does EHR customization Matter?

Why does EHR customization Matter? | EHR and Health IT Consulting |

Electronic health records shouldn’t be frustrating. However, many providers are finding themselves disappointed or aggravated by EHR systems that don’t provide the tools they need to support the very best care for their patients.

In fact, the American Academy of Family Physicians has noted a 30 percent decrease in physician satisfaction with EHRs within the past five years. Reasons for this dissatisfaction include inefficient systems, deluges of tools that don’t apply to their practice or even generic modules that lead to inaccurate documentation.

Fortunately, customization presents a key solution to these issues and much more.


Your Practice, Your EHR

Every practice is unique, and this should be reflected in each health records system. An EHR system for a small practice will need to operate differently than that of a large practice. Layouts, prescriptions, scheduling, patient education, and countless other EHR tools should reflect the needs of providers and their patients. Customized EHR systems impact not only the efficiency of providers and their staff but also the experiences and health outcomes of patients.


The Impact of EHR Customization

Tailoring electronic health records to the unique needs of an individual medical practice impacts all parties involved, from the physicians and their staff, to administrators, to patients. For physicians, EHR customization can result in improved specificity and accuracy of data, whether with a patient or reviewing records outside the exam room.

EHR customization examples can include setting dosage parameters, accommodating in-house test results, or even modifications to make the system mimic familiar and intuitive paper charts.

A system that is carefully tuned to the needs of a specific practice is far more efficient for users, and saves time for both providers and patients alike. And those specific needs are naturally different across varying specialities. An ophthalmology practice, for example, would likely benefit from a very different EHR layout than a physical therapy practice or an urgent care clinic.

Not only can the speed and ease of utility improve with the adoption of a customized EHR, but also the quality of that data and accuracy of the information. A 2006 study illustrated that after customizing EHRs, more than 50% of surveyed practices reported improved accuracy and quality of records. More accurate records and data means better patient care and ultimately better health outcomes.


Configuring the Best EHR

Determining the configuration of a system to maximize its usefulness and alignment with best practices requires careful planning. Resources who can help a medical practice ideally customize their systems include EHR vendors and third-party consulting firms, and of course, in-house experts such as providers and administrators who understand the practice’s needs and challenges best.

Customization of an EHR system is an effective method of improving practice efficiency, accuracy, and communication for a medical practice.

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Decoding Meaningful Use For Your EHR System 

Decoding Meaningful Use For Your EHR System  | EHR and Health IT Consulting |

During EHR implementation, it can become confusing to successfully navigate federal and locally-mandated requirements for regulations concerning HIPAA and Meaningful Use. For many healthcare practices, Meaningful Use attestation has become less of a collaboration in good patient care, and more of a headache – but it doesn’t have to be.

Decoding Meaningful Use and understanding its requirements will not only improve implementation and optimization of an electronic health records system, but it will also result in improved clinical processes, and ultimately, better patient outcomes.


What is Meaningful Use?

Back in 2009, Meaningful Use was developed by the federal government as a way to regulate electronic health records systems, and ensure that providers are on track to make the most out of those systems. Their incentive programs for Medicare & Medicaid generated incredible interest, and within just a few years, had captured most of the US industry. Last year, the ONC reported that of Critical Access and other eligible hospitals, 95 percent had demonstrated Meaningful Use. Meanwhile, according to CMS, over half a million providers had received over $25 billion in federal payments through the Medicare & Medicaid incentive programs as of this summer.

But this brings up an important question: just who benefits from Meaningful Use? The answer is encouraging. When employed properly, Meaningful Use benefits everybody. Providers and their staff benefit from improved clinical processes, billing and insurance parties benefit from standardization, and patients benefit from better care.


Understanding Meaningful Use Incentive Programs

The role of federal incentives is simply to encourage providers to adhere to Meaningful Use requirements through certified EHR systems. Finding vendors that provide certified EHR technology is critical to qualifying for these incentive programs, which have to-date paid tens of billions to providers who have successfully met the requirements of the incentive programs. Not only are these programs designed to improve health outcomes through compliance with important measures, but also encourage certified EHR adoption through effectively lowering the cost of EHR implementation for healthcare organizations.


The Future of Meaningful Use and EHRs

Each year, CMS and the ONC release new updates for Meaningful Use. Currently, the incentive programs have been widely successful, with over 500,000 medical practices having attested for Meaningful Use as of this year. And moving forward, there is still a great deal of opportunity for benefit to both providers and their patients.

There will still be significant pressure from the federal government to achieve even more universal adherence to Meaningful Use. Many of the most ambitious goals of the program can only be achieved through near-universal participation including those regarding information exchange. For Medicaid, 2016 represents the final year of beginning participation in the incentive program. And while CMS’ final rule published in 2015 extended through to 2017, the Center for Medicare & Medicaid Services has already begun constructing their 2017 requirements.

Successfully attesting for Meaningful Use isn’t always easy. That’s why it’s crucial to find an EHR vendor that is ready to support you and your practice every step of the way towards successful implementation.

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Your nurses may hate your hospital’s EHR: Here’s why

Your nurses may hate your hospital’s EHR: Here’s why | EHR and Health IT Consulting |

While most talk about electronic health record (EHR) systems has centered on doctors’ troubles with adapting to them, hospital nurses are also having major difficulties with EHRs.


A new survey highlights just how frustrated nurses are with most hospitals’ EHR systems. Ninety-two percent of nurses are currently dissatisfied with their hospital’s EHR, according to the Q3 2014 Black Book EHR Loyalty survey.

The survey polled almost 14,000 RNs from across the country who all used hospital EHRs in the past six months, and participants had mostly negative things to say about their facility’s systems.

Most nurses said their hospitals’ EHR systems contributed to lower productivity and workflow disruptions affecting the quality of patient care. And 85% of nurses said they continually struggle with their facility’s flawed EHR.

Reasons for frustration

Communication issues are a major contributor to why nurses aren’t happy with hospital EHRs. Ninety percent of nurses surveyed said their hospital’s EHR negatively affects communication between nurses and patients, and 94% thought it hurt communication between nurses and other clinical staff, including doctors and pharmacists.

Some of the communication problems between nurses and other medical staff come from a lack of consistency when it comes to documentation in the system. Only about half the nurses working in large hospitals with more than 100 beds said that all clinical staff access and document patient info on the same EHR screens.

Because everyone accesses patient info differently, there’s more room for confusion and miscommunication when it comes to patient care.

Another big problem for nurses is a lack of IT resources, which can cause delays in entering information in a patient’s EHR. In fact, 91% of nurses in for-profit facilities said they had difficulty even locating an available EHR workstation during their shift.

The survey also showed many hospitals are lacking when it comes to troubleshooting EHR problems. Less than a third of nurses said that their IT departments or administrators responded quickly when nurses pointed out EHR vulnerabilities in documentation.

Rather than solve their problems, many nurses are just given temporary workarounds, and that makes them more frustrated with the system. Almost 70% of nurses surveyed have been told to use workarounds with their facility’s EHR.

Heading off problems

Not only can these issues compromise the quality of care your hospital provides, they can also cause issues with retention and recruitment for nurses. Several nurses surveyed indicated they were currently looking for new jobs, and for close to 80% of these nurses, the reputation of a specific hospital’s EHR is one of the top three factors that determine whether they’d accept a position at a facility.

So it’s clear: Your nurses’ needs should be considered when selecting or upgrading an EHR. This is why it’s key to include representation from your nursing staff throughout the process.

Nurses spend most of their time directly interacting with patients – possibly even more than your doctors. So it’s important for nurses to be able to accurately and effectively document vital signs and other key medical info in patients’ health records. Getting their feedback about what should be included in an EHR system will improve their efficiency and the quality of care they provide.

Besides getting input from nurses about your EHR – and implementing their suggestions – it’s also important to make sure they have easy access to the technology required to use the system.

One suggestion: Instead of limiting nurses to a few EHR workstations, consider allowing them to access the system using secure handheld electronic devices, such as tablets. This could help them enter clinical information into patients’ records faster, boosting productivity and reducing frustration.

Technical Dr. Inc.'s insight:
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What does practice leadership have to do with an EHR system?

What does practice leadership have to do with an EHR system? | EHR and Health IT Consulting |

Like any practice-wide implementation, a successful electronic health system relies on leadership and coordination. Because an EHR system impacts an entire practice, an effective leadership team should comprise a number of individuals from practice administration to physicians, to nurses or technicians, to billing, and more, depending on the size of the practice.

This leadership team is key for a successful EHR implementation, along with one critical decision-making individual who is capable of leading that team.


Who makes the EHR Decisions?

Determining the configuration of an EHR system is no small task.While effective leadership in EHR design requires confident decision making from a focused individual, EHR decisions should be influenced by other players in the practice and their workflow needs, highlighting the importance of a leadership team as described above. Individual doctors, for example, are a critical source of valuable information for the EHR decision-making process, as their needs and challenges in an electronic system impact the entire practice.


Leadership in EHR Systems

The transition to electronic records in healthcare has witnessed challenges of adoption and usability, many of which are still common today. Whether implementing a new EHR system for a small practice or a large group, common complaints from providers or staff include feeling mandated to use a system that perhaps they do not enjoy using, or that they themselves would have configured differently.

Other common complaints include the concept that EHR operations are not part of a physician’s job, for instance, and that data management tasks should be allocated to specific data specialists or data entry clerks. These sentiments may lead providers to disperse EHR system tasks down to nurses, technicians, and other staff, leading to productivity bottlenecks and increased frustration.

EHR leadership helps to address these and many other challenges. Consolidating decision making to this team can minimize time and costs, and also improve the overall quality of data captured in the electronic records with standardized use.


Ways to Calm the Storm

Fortunately, there are methods of EHR implementation that create fair and realistic expectations for providers and staff in a medical practice.

  • Customization

One of the best ways to prevent issues stemming from frustration is to configure a custom EHR tailored to the specific needs of an individual practice. Customization can improve reception and adoption of a records system, leading to effective use.

  • Training

Training is critical for a successful EHR system implementation. Some of the many decisions for the EHR leadership team are training providers and staff on the new system, deciding who will provide this training, and assigning individuals as points of contact for questions.

  • Leadership

While an EHR leadership team should be equipped to address individual challenges as they arise, it is critical for this team and the leading individual to keep in mind “big picture” goals and management. Patient outcomes, best practices, “meaningful use,” and other practice-wide goals should always be part of the leadership team’s considerations throughout a new system implementation.

Designing a consolidated EHR takes leadership. Keeping the goals, challenges, and needs of the practice as a whole in mind, while also addressing the concerns of individuals throughout the practice’s workflow, requires thoughtful management and guidance.

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5 Signs You Need EMR Consulting Services

5 Signs You Need EMR Consulting Services | EHR and Health IT Consulting |

Let’s face it, medical records can be frustrating. Between keeping up with new information and making sure that things are orderly, it’s a tough task.

Thankfully, you can get some help. EMR consulting can make your medical facility run smoother than ever!

Ready to learn more? Keep reading for some telltale signs that it’s time to look into an EMR service.

1. It Takes Too Long to Find a Patient’s Medical Records

Let’s face it, the old pen and paper format just isn’t as effective as it once was. These days we have the cloud and all sorts of EMR consulting services that make finding records easy.

And in the medical field, time is of the essence. Every second you waste looking for a patient’s records is a second that could be spent with the patient.

You’ll also lose money due to basic logistics and time management issues. Using an EMR service is just more cost efficient.

2. You’re Looking to Boost Your HIPAA Compliance

You already know that it’s critical that your medical facility complies with HIPAA. But by switching to an EMR system, you’ll make things far easier on yourself.

Under HIPAA, each and every patient is afforded a few things:

  • A copy of their medical records
  • The correction of any mistakes on their form
  • Specific information on how and with whom their medical history is shared

Take a moment to think about how difficult all of that could be with paper correspondence. By contracting an EMR consulting service, your patient will have easy access to their pertinent info.

Best of all, you’ll have backups of your files in case something goes wrong.

3. Your Current Records System Is Uncoordinated and Messy

Of course, there’s always a chance that your current MR system is a bit of a bust. Whether you’re using paper or electronic services, you’ll want to make sure that organization is a priority.

With the right product, there’s little to no room for error. Best of all, you’ll have access to all sorts of analytics.

So when the patient comes in for a visit, you’ll have tons of hard data that you can use to better inform your care.

Give yourself and your staff a break. Get in touch with EMR consulting services and watch productivity go through the roof.

4. You’ll Have Support When Things go Wrong

One of the best reasons to invest in EMR consulting is the support it offers. Most companies, such as ourselves, offer a robust support service. With more than 25 years’ experience in the health informatics industry, CIS understands that a system is only as good as the efforts lifting it to success.

Leave the technical details to someone else, you and your team already have enough on your plates. When something goes wrong, don’t hesitate to seek support.

In the case of an emergency, our staff is ready to help at a moment’s notice.

5. You Need an Easier Way to Access Medical Records

Perhaps the biggest reason to invest in an EMR service is due to the sheer convenience it offers. No more clipboards and shuffled papers; today’s technology allows for a more streamlined and organized system, with information available at the touch of a button.

Believe it or not, all you really need is your phone, a tablet, or a smartwatch.

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What is Certified EHR and Why is it Important?

What is Certified EHR and Why is it Important? | EHR and Health IT Consulting |

The advent of electronic health records (EHR) systems was built on a foundation of improving patient care. Establishing infrastructures that support highly accurate patient data, closing gaps in communication between healthcare providers, and securely storing records are all among the goals of a certified EHR system. To standardize this, certified EHR systems were conceived and built.

Why is Certified EHR Technology Necessary?

Certified EHR technology is simply a method of taking the ideas of improving patient outcomes through technology forward in a standardized, regulated fashion.

But what does this mean for providers?

Not only does adopting a certified EHR system ensure that your records adhere to requirements for HIPAA and Meaningful Use through CMS and the ONC, but they also can qualify medical practices for federal incentive programs, which can greatly reduce the cost of EHR implementation.

Who Certifies EHR Technology?

The requirements for certified EHR technology are generated and regulated by the federal government. Both the Centers for Medicare & Medicaid Services (CMS) as well as the Office of the National Coordinator for Health Information Technology (ONC) determine the regulatory requirements for certified EHR systems.

Overview of Requirements

In order to adhere to Medicare and Medicaid requirements (and to qualify for incentive programs), an EHR system must meet a set of requirements, and then further, a medical practice or organization must put those features appropriately to use. Meaningful Use was broken down into three stages, and while details on all the requirements for the three stages can be found here, below is a brief overview of requirements to demonstrate Meaningful Use.

• Data capture and sharing

Stage 1 of Meaningful Use focuses on essentially capturing and tracking KPIs (key performance indicators) within a clinical setting. Coordinating care with this new information includes both in-office communication, and communication with patients and their families.

• Advance clinical processes

Stage 2, advance clinical processes, focuses on honing electronic processes such as e-prescriptions, online laboratory reports, electronic delivery of patient care summaries such as after visit reports, and a new focus on Health Information Exchange (HIE).

• Improved outcomes

Finally, Stage 3 focuses on demonstrating improved health outcomes, decision making on high-priority conditions, and patient portal access and utility, including access to laboratory results, provider communication, and more.

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5 must-have traits to require from your EHR and infrastructure vendors

5 must-have traits to require from your EHR and infrastructure vendors | EHR and Health IT Consulting |

You are past the big go live. You and your team are focused on optimization, enhancements, ongoing support issues and upgrades. So, what should you expect from your vendor in this ongoing relationship?

I have worked with all the major EHR players and many other IT application and infrastructure vendors over the years. I have worked with three of the major EHR vendors just in the last 18 months given my interim CIO engagements.

My post “Keys to successful vendor management” covered the importance of the product roadmap, service, total cost of ownership, reputation, contract, implementation, and escalation.

It’s time to look at the ongoing vendor relationship that clients should expect. Vendors, take note. I assume most of your clients would share this view. There’s a reason that the KLAS Research reports carry a lot of weight for CIOs, they are vendor evaluations from their peers.

Whether it is a large, proven vendor or a small start-up, here’s what you should expect:

  1. Excellent customer service: this means being highly responsive, providing quick resolution to issues without escalation, and well-trained, expert support staff. All in the context of a service culture.
  2. Effective account management: every client needs a primary point person who is the face of the vendor, who effectively and expeditiously navigates the vendor’s organization regardless of its complexity on behalf of the client, tracks and reports on all open issues and ensures overall excellent customer service.
  3. Executive level relationship: vendor executives who regularly meet with client executives to ensure an effective, ongoing win-win partnership and who understand and support the client’s strategic plans.
  4. Long term value for the investment: vendors should work with their clients to help them fully leverage and utilize current products they have already licensed, have deep knowledge and transparency around the product roadmap, and sell new add-on products only when there is a clear client need.
  5. Support mergers and acquisitions: provide pricing, licensing and maintenance models that enable and support continued mergers and acquisitions; not create burdens and roadblocks that hinder growing integrated delivery systems.

No vendor or product is perfect. As clients, we must make tradeoffs. But we invest big dollars in long term relationships with our vendors. There is a reason that the Gartner magic quadrant has two dimensions – “ability to execute” and “completeness of vision.” We need robust products that work reliably today and that will evolve in the future to meet changing needs.

How does your vendor stack up against these expectations? Yes, “awesome” is a very high bar. But if you gave them a low grade, it may be time for some face to face discussions.

Technical Dr. Inc.'s insight:
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Top 5 ways to bring doctors to the EHR optimization table

Top 5 ways to bring doctors to the EHR optimization table | EHR and Health IT Consulting |

While some speak optimistically about the "post-EHR era," electronic health records are still very much a going concern – and will be of great interest to many of the 45,000 or so attendees at the 2017 HIMSS Annual Conference & Exhibition later this month.

There will be education sessions on topics ranging from enabling EHR analytics to resolving usability issues that could impact patient safety to better integrating genomics data into clinical workflows. There's even a half-day User Experience Forum at HIMSS17 –  a major theme of which will be the ways UX can be improved for care teams to create a more transparent, intuitive way of care delivery.

Long story short: For all their ubiquity, EHRs still have a lot of improving to do.


As a physician informaticist, I'm fortunate to be invited to many meetings about electronic health record optimization: big meetings, small meetings, fantastic meetings … YUUUGE meetings.


But there is always one thing, or rather, person, missing: Inevitably, I'm usually the only doctor in the room … and I haven't seen an actual patient in more than five years!

With only 34 percent of physicians reporting that they are "satisfied" or "very satisfied" with their EHR according to a 2015 survey conducted by the American Medical Association, this is a definite problem. Not only that, but as the AMA's Vice President of Professional Satisfaction Christine Sinsky, MD, and colleagues reported, physicians spend another 1-2 hours on computer and other clerical work during their personal time each day, contributing to the increasing rate of professional burnout.

Nearly every hospital and health system has an EHR in place, and are hard at work optimizing their investment in a system that typically cost millions or even billions to implement. EHR optimization, for those unfamiliar, is the continuous improvement of the primary technical tool that provides care to the patient through the clinician. Healthcare organizations are simply not going to get the results they want if practicing physicians aren't at the table.


To a layman reading this, this sounds laughable that they are not at the table. Just having guys and gals like me – "the geek doc," "the techie nurse," or "the ex-clinician turned 'suit'" – is not enough. While we haven't forgotten the years we spent providing care for patients at the bedside, you must include the current bedside providers into the decision-making processes.

I understand this is easier said than done – doctors are among the busiest people on the planet, and most do not show up or speak up if it means leaving their patients or taking a significant productivity hit (code word for "financial"). Many clinicians will remember the days of pharma reps bringing in catered lunches in exchange for some of their time. I think the question you need to ask yourself is: "What is the new drug rep luncheon that we can offer busy physicians in order to get a bit of their time to get feedback, versus make a sales pitch?"

In my 15 years of expertise, most physicians and nurses care about "buttons, clicks and lists," which translates to usability, configurations, and technical workflows that match their real-world workflows. So the next question you should have is "How do we get this level of input without needing them to leave the bedside and join a meeting?" I'm glad you asked. I will put on my technical and organizational 'chef hat' to share with you a few recipes for getting the docs and nurses to the table!


Here are the top five ways to bring doctors to the EHR optimization table:

1. Email. I know what you're thinking: Did he really open No. 1 with email? Don't doctors get enough messages already? Keep reading: They do, but in my experience in leading EHR efforts at healthcare organizations across the country, it still works. Be sure to leverage the account they use most—for many docs, this is not their hospital-issued account and may be the Gmail account they check every evening instead. If you're unsure, ask them which address they prefer to communicate about EHR matters, which is their new "black bag." Asynchronous (non-real time) communication allows physicians to respond on their schedule. It might take a while to get a reply, but if you include a clear call to action and it's formatted properly, you'll get it eventually. Which leads me to my next point…

2. Images. As I mentioned above, most of the time when you're seeking physicians' opinions for EHR optimization, it centers on how something looks or feels to them: Which design for a particular screen do they prefer, or which workflow diagram makes more sense for their reality? When you can use images—a screen capture or mockup, a Visio, a chart—you're much more likely to get a response. Try to avoid the tyranny of choice by giving no more than three options per question, and always remind them what the current state looks like alongside the future state options: Physicians are typically visual learners, and they also may not realize what the current state looks like. You'll get a much better response when presenting the status quo and three redesigned options under consideration versus a "Here's the new design for this alert, what do you think?"-type question. Minimum 'free-thinking' allowed: Provide focused and well vetted choices.

3. Screencasts. If a picture is worth a thousand words, how much are short videos worth? Screen recording technology tools such as Camtasia and Snagit are inexpensive and user-friendly ways to showcase and explain EHR changes or proposed changes. Other industries have used this method for years, and it often can replace an in-person meeting. EHR builders and analysts can record themselves actually going through a new screen or workflow in the EHR, as they explain what they are doing and why it was designed this way. Doctors can easily watch the video on any device; the small .mp4 files can be sent via email, and email replies or comments on the video itself (preferably web hosted, but follow the guidelines of your health system and vendor) make it easy and efficient to collect physician feedback. Your technical teams will love it as well.

4. Surveys and polls. I've used tools like Surveymonkey for over a decade to survey physicians across organizations. They can be accessed inside or outside of organization firewalls and can be incredibly effective. For example, you may have an EHR developer or analyst create various options for the physician home screen. By embedding images with clearly written captions in the survey, you can get a clear indicator for which one is preferred. This method also gives you objective feedback, which can often be better than random anecdotal feedback—which is the most common thing heard in meetings with many docs. You can use the survey results as support for critical decisions. I once had a doctor voice concern about the new format of an order set, but when I was able to point out that more than 80 percent of her peers selected it as their top choice, she was more amenable to the decision given that so many of her peers had weighed in favorably, and objectively. I've coined this "evidence based optimization!"

5. Meeting etiquette. If you've tried all of the above, and you just really need an in-person meeting, follow these simple etiquette tips to make doctors more inclined to participate. Depending on the group(s) you're targeting, you may have different optimal meeting times. For example, you'll have the best luck with primary care docs around the lunch hour, but hospital-based docs are usually more available in the early mornings or evenings. No matter when you schedule it, be sure to use the best virtual meeting tools you can afford, so docs have no problem logging on and viewing the deck if they're remote. You can also record the meeting to share with those who couldn't attend. If you can't schedule an exclusive meeting, try to negotiate a bit of time during a meeting already on their calendar, such as a recurring "med exec" (hospital meetings that docs typically attend) or "monthly ambulatory practice management" meeting. Design meetings to cater to "WIIFM" (what's in it for me): Before gathering their input on EHR changes and the like, provide a few tips and tricks that can help streamline their current EHR workflow right now. Once you have the "oohs and ahs," the door will be open for gathering their feedback and their suggestions will be more candid and focused. By continuously showing them the results your EHR optimization efforts are achieving, the more invested they will be in the ongoing process.

Nothing is foolproof, but I'm confident that using a combination of these methods will help you bring doctors to the EHR optimization table at your hospital. The pharma reps may bring the food, but effective EHR optimization efforts using the above methods can engage clinicians and garner candid feedback–and that's a pill that's not hard to swallow.

Technical Dr. Inc.'s insight:
Contact Details : or 877-910-0004

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