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

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

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

 

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

 

The above Archives study:

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

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

 

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

 

The Health Affairs study:

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

 

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

 

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

 

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

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

Technical Dr. Inc.'s insight:
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5 Strategies to Integrate EHR and Patient Satisfaction Survey Data 

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

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

 

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

 

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

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

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

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

 

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

Technical Dr. Inc.'s insight:
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How are Ehr Systems Beneficial to Both Patients and Healthcare Providers?

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

EHR BENEFITS TO PATIENTS

 

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

 

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

 

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

 

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

 

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

 

EHR BENEFITS TO HEALTHCARE PROVIDERS

 

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

 

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

 

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

 

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

 

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

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Moving from One EHR to the Next: It Is a Transition

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

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

 

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

 

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

 

The free trial is not just for fun.

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

Do your homework.

 

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

 

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

 

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

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Managing the EHR Implementation

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

How to Manage Your Electronic Health Record Implementation

General Implementation Guidelines

 

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

 

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

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

 

Sample Implementation Timeline

 

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

Three to four months before launch

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

Two to three months before launch

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

One to two months before launch

 

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

 

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

 

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

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

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

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

Launch Day and Beyond

 

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

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

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

 

Measuring EHR Success

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

 

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

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

 

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

 

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

 

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

Technical Dr. Inc.'s insight:
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inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

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Electronic Health Records For Solo Practices

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

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

 

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

 

HOW EHR SYSTEMS WORK

 

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

 

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

 

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

 

BEST EHR FOR SOLO PRACTICES

 

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

 

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

 

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

 

BENEFITS OF EHR FOR SOLO PRACTICES

 

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

 

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

 

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

Technical Dr. Inc.'s insight:
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Hardware Basics for Electronic Health Records

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

Basic Terms

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

 

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

 

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

 

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

Desktops

The basics:

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

Advantages:

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

Disadvantages:

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

What your peers have to say:

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

 

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

 

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

Laptops

 The basics:

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

Advantages:

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

Disadvantages:

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

What your peers have to say:

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

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

Tablet PCs

 The basics:

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

 

Advantages:

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

Disadvantages:

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

Getting Your Practice Ready for an EHR  | EHR and Health IT Consulting | Scoop.it

Steps to Readying Your Practice for EHR Implementation

Determine Interest Among Colleagues and Staff

 

It is critical to determine the level of interest and support for an EHR initiative among your colleagues and staff.

 

If you can identify and empower champions, you enhance the likelihood of success. You must also uncover potential resistance. Address individuals' concerns directly and invite them to be involved in the process.

 

Fear of the Unknown

Change makes people feel uneasy. Such is human nature. You will enhance your chance of success (and minimize trauma to your staff) by tackling this fear head-on.

 

Start by making certain your staff and colleagues understand why this change, although difficult, is essential.

 

Don't forget to keep those who are not directly involved in the process updated about its progress.

 

One easy way to do this is to schedule regular meetings to review major decisions and milestones. It's also a good idea to share anticipated timelines with the whole office so they can track the project as it unfolds.

Set Expectations

The amount of work required during the transition (and even after) can be substantial.

Don't let this come as a surprise to anyone. Make sure your colleagues and staff know what is expected of them.

 

For example, explain that a temporary drop in productivity during the implementation phase is expected and acceptable.

Explain Benefits

Communicate the expected benefits of the EHR implementation– not only the benefits to patients and the practice as a whole, but also to individual staff.

 

For example, highlight benefits such as ready access to charts, fewer chart pulls, improved intra-office communication, and more efficient handling of medication refills.

Establish the EHR Team

With any large project, a project team needs to be assembled. There are different roles that need to be filled, but one person may fill more than one role.

Project Manager: This person will manage and oversee all aspects of the EHR project including project administration and resource management.

Clinical Leader: This person will oversee the clinical impact of the project and make decisions about how clinical processes are redesigned.

Business Leader: This person is responsible for overseeing the financial and legal concerns during the project.

Technical Leader: This person is responsible for overseeing the technical aspects of the project. He or she also serves as the technical advisor to the project.

In a small practice, a physician may play all of the roles or they may be split between two physicians.

 

In a medium-sized practice, the champion physician is usually the project manager and the technical leader.

 

Another physician may take the role of clinical leader, and the business manager may take the role of business leader for the project.

 

In a larger practice, the project manager and technical leader may come from outside of the practice.

No matter how these roles are filled, they must be filled. You may want to consider a consultant to fill the role of technical leader and/or project manager.

 

Many EHR vendors can provide consultative services. If a consultant is used, a person in the practice serving in one of the other roles must provide oversight of the consultant.

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Planning for Successful EHR Training

Planning for Successful EHR Training | EHR and Health IT Consulting | Scoop.it

A successful EHR training program is the result of many months of planning and communicating organizational expectations. There is always a myriad of logistical elements that go into the EHR training planning process – identifying training locations, setting up classrooms and determining how registration and completion of courses will be tracked is essential to identify early on, as this will likely be one of the most significant training initiatives the organization has undertaken.

 

Identifying trainers who understand the system and workflows, and how different types of employees may require different types of learning, whether it be web-based, classroom or one-on-one training, is essential. Finally, communicating EHR training expectations for future users of the system will ensure that everyone is trained and ready for the system to go live.

 

Physician Personalization Labs - A key feature within Epic is the ability to personalize the software for each physician’s needs. The modules will be the same for all users, but Epic can be customized to accommodate an individual provider’s preferences when entering clinical documentation and orders, allowing providers to focus on time spent with their patients rather than time spent in the system.

 

In the weeks leading to go-live, personalization labs – an extension of training – should be set up where trainers can work with physicians to make sure their templates and orders are set up; Every step that can be taken to prepare for go-live helps ease the transition, and this is a big one.

 

Technical Dress Rehearsal - The technical dress rehearsal is a planned event where all equipment that will be used during the Epic go-live is checked before the actual event. This includes everything from servers to monitors, scanners and devices, printers, etc.

 

For example, printing is a common issue during Epic implementations, and Technical Dress Rehearsals allow your implementation teams to check and recheck printing processes before they go-live.

 

End-User Dress Rehearsal - Dress rehearsals allow end-users to marry the new EHR technology with what may be newly redefined processes to evaluate how well they are functioning together. End-users are asked to sign on to the EHR system, test their training, validate that they can accomplish what they need to achieve during a typical day’s work, ask questions and continue to learn in a safe environment.

 

It is an extension of training, allowing end-users to build much-needed confidence going into go-live. It is also an opportunity to address any last-minute quirks in the system’s setup. A constant dialogue between end-users, Super Users, application teams and IT is vital to taking advantage of this opportunity.

 
  

SuperUser Preparedness - Super User Preparedness, and to a great extent your Super User Program overall, maybe the most important personnel aspect of a successful go-live and sustained long-term success.

 

When establishing the parameters of a Super User program, organizations must look, think and plan for the long term. If your Super User program is only set up to get you through go-live, you’re doing end-users and your organization a significant disservice.

 

A well thought out and managed the Super User Program should serve as your primary source of knowledge transfer from implementation specialists and go-live consultants to in-house staff and full-time employees.

 

Super Users should be engaged during the planning process, implementation, optimization, and beyond. They should act as the liaison between the application teams and end-users. Super Users are distributors and gatherers of information as they communicate directly with end-users and report issues back to the application teams. When done correctly,

 

it’s one of the most effective ways to check the pulse of the end-users and ensure that you’re addressing the issues that matter to them the most.

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3 Reasons Why Medical Practices Should Embrace the EHR Dashboard

3 Reasons Why Medical Practices Should Embrace the EHR Dashboard | EHR and Health IT Consulting | Scoop.it

The electronic health record (EHR) dashboard is an important tool for medical practices. It is often overlooked, but the dashboard provides valuable insights that can benefit your practice in many ways.

 

An EHR collects so much data, but it’s what you do with that data that will make the biggest impact. The dashboard provides a quick glance at information that can be used to improve your practice. Here are three reasons why medical practices should utilize the EHR dashboard:

 

1. It provides a holistic view of a practice in a way that’s easy to understand.

 

Dashboards give medical practices an accessible, easy-to-understand view of how their practice is performing in real-time. A dashboard enables a practice to quickly understand practice performance, uncover areas for improvement and make decisions based on real data, instead of assumptions.

 

2. Provides key insights for clinical, operational and financial success.

 

Dashboards provide insight that is instrumental to your practice’s success. A good dashboard will provide a consolidated view of clinical, operational and financial information. This allows practices to easily keep track of three key areas that need to be running smoothly in medical practice.

 

3. Improves productivity and efficiency.

 

Dashboards provide high-level information in real-time that helps practice managers, billers and physicians be more productive day-to-day and long-term. A dashboard should include information on practice financials, patient flow, and tasks that need to be completed so that everyone in a practice can do their jobs effectively. Here’s some of the information the Practice EHR dashboard provides to help optimize the practice workflow:

  • Appointment status provides an overview of which patients have been seen, no shows and canceled as well as how many have rescheduled.
  • Copay status: provides an overview of how many copays have been collected on a weekly, monthly and yearly basis.
  • Visit counts: provides the total number of patient visits and visits by payer types.
  • Key performance trends: provides an overview of important practice financial information such as charges, payments, and account receivables.
  • Aging by practice: provides an overview of account receivables that are current, 30, 60 and 120 days out.
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3 Key Areas to Address During EHR Optimization

3 Key Areas to Address During EHR Optimization | EHR and Health IT Consulting | Scoop.it

If you have ever purchased a new home, you are rarely 100% satisfied when you move in. You may want to add some new furniture, paint a few walls, update the flooring or even do a complete remodel. When implementing a new Electronic Health Record (EHR), many times the need to “get the system live” as soon as possible, results in a rushed implementation of basic functionality and “out of the box” workflows.

 

There is not always time to look at current issues and identify ways to improve processes. Many times the current problems are merely transferred into the new system. Even if you love everything about your new EHR, Optimization of the system will always be necessary due to factors such as advances in medical treatment, compliance & regulatory changes, adding of new specialties and more.

 

Whether it is your existing EHR or a new system, for optimization to be effective, experts with clinical, operational and technical experience will need to look at how the system is working. You may have such experts employed, or you may need to bring in consultants. Either way, these experts will assess how users are interacting with the EHR and if they are having functionality and/or workflow issues. Sometimes, problems can be addressed by merely providing additional training, especially if new features and functionality have been deployed.

 

By taking a thorough look at the system and its users, experts can determine what improvements need to be made.

Below are three areas to take into consideration: 

  1. Governance: A strong governance structure is critical to having a successful optimization plan. Requests for changes to the EHR must be prioritized and evaluated.  An agile governance group made up of the right members, should meet monthly to review all requests and prioritize according to the overall needs of the organization.
  2. Training:  A comprehensive training program is a critical factor that impacts the usability of the EHR. Many times organizations provide new employee training but do not offer any “ongoing” or “refresher” training. Supplemental training can increase basic and advanced knowledge of the system and improve efficiency. As system upgrades and new functionality are implemented, users should have an option to attend classroom training. eLearning can be helpful, but there is no substitute for hands-on classroom training where the user can ask questions and get answers.
  3. Communication: Organizations should have effective and comprehensive communications regarding training, new functionality, and any other changes to the EHR. The creation of a formal enterprise-wide communication plan using a variety of forums and a broad spectrum of communications resources is essential. Being proactive versus reactive such as having the EHR topic as a standing agenda item at a section and other scheduled MD meetings can be very useful.
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5 Common Misconceptions About Implementing an EHR Platform

5 Common Misconceptions About Implementing an EHR Platform | EHR and Health IT Consulting | Scoop.it

As manager of the front office of a small healthcare practice, it’s your responsibility to do your research. Since 2009, when the HITECH Act mandated the adoption of EHR and supporting technology, administrators have been tasked with finding the best EHR solution for their practice. It’s important to note that if you have formed preconceived opinions about EHR features and functionality, you may end up with a platform that doesn’t actually meet your needs as well as one could.


In an effort to avoid patient record errors and keep costs down, here are five common misconceptions about implementing an EHR, which will help your small practice remain as efficient as possible.


1. EHRs aren’t easy for an entire practice to adopt.

A common pushback of implementing an EHR solution is that it will be too complicated, time-consuming, and counterproductive for all of the practice staff to adopt a new technology and process.

The good news is, you’ve got options. There are flexible EHR platforms that will actually make your job a lot easier, fast. Furthermore, specialty specific EHRs will automatically adapt to your practice specialty and ensure an accurate workflow.


2. An EHR solution will be myopic.

While people may think that whichever EHR you choose will serve one function, comprehensiveness is actually a major benefit that you can take advantage of.

Comprehensive EHR platforms will enable you to perform a number of activities — like scheduling, charting, and E-prescribing — from one central location. Not only will this allow you to fulfill all of your practice’s needs from a single place, but it’ll help you avoid using disparate systems and keep costs down.


3. Your process will not improve.

If you think that implementing an EHR platform will decrease the efficiency of your workflow and your practice’s profitability, think again. Using a comprehensive, closed-loop system will actually enhance communication and transparency among your staff, boost productivity, minimize risk for error, and ultimately ensure better patient outcomes. The right EHR solution will simplify and streamline your process.


4. You will see no ROI.

If you’re hesitant to adopt an EHR because you don’t think you’ll see a return, know that this route can actually save you significant time and money. Improving your workflow efficiency with an adaptable EHR will allow you to optimize your resources and run a much more productive practice.

Remember that a cost-efficient EHR is an option. Also, some platforms even include practice management, which can help enhance transparency in your practice and measure ROI instantly.


5. EHR implementation will take away from the patient experience.

Your patients require your utmost attention — and an EHR can help you ensure your patient relationships are strong. Flexible, cloud-based, specialty-specific EHRs will help you uphold the level of personalization and comprehensiveness that your patients expect, and also minimize errors and improve patient satisfaction.

Understanding that an EHR solution with these capabilities is step one; opening the door to a brand new solution is step two. If you’re ready and willing to see how an EHR platform can benefit your practice, start your free trial of Practice EHR by clicking below!

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Vignard Sophia's curator insight, August 23, 2019 9:36 AM
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Speed Up Healthcare Practice Office Management Using an EHR Solution

Speed Up Healthcare Practice Office Management Using an EHR Solution | EHR and Health IT Consulting | Scoop.it

If it hasn’t happened already, your practice will probably be adopting an EHR system soon, due to the mandated HITECH Act of 2009. While this may seem daunting and laborious now, we promise there are many benefits to integrating an EHR-PM system -- it will prove to be a great decision that will boost patient satisfaction and your practice’s overall efficiency and interoperability. Here are 5 ways it will do just that:


          1.  Automatic Appointment Reminders

Office managers have a lot to do, that’s obvious, so placing calls to confirm appointments sometimes falls by the wayside. This tends to result in missed appointments and scheduling errors. EHR systems are the solution to this problem: Practices are now able to send automatic phone calls and auto-messages to patients’ phones. Plus, EHR systems allow you to easily send a text to your patient, enabling you to connect with your patients where they are in 2016: on their cell phones.


          2.  One Screen to Rule Them All

Gone are the days when office managers and doctors were inundated with organizing and systematizing thousands of patients’ confidential records. Today, EHR systems allow for all of a patient’s historical medical records to be easily navigable from one screen. Worried about form field restrictions? No problem -- User-friendly EHRs offer progress notes and freehand fields throughout, so you will always have the most prudent information right at your fingertips.


           3.  Automatic Claim Management

If there’s one vexation we’ve heard from doctors over and over again, it’s the constant headaches and lost revenue associated with poor claim management. The reality is, insurance companies don’t always make it easy to settle their claims. An integrated EHR system will speed up this process by leveraging Revenue Cycle Management to automatically scrub claims clean, so there’s less chasing down records and insurance policies for doctors and staff.


          4.  Integrated Clearinghouses

Once these claims are scrubbed clean, 99% of them can then be submitted to clearinghouses. Some EHR software comes standard with a fully integrated clearinghouse, making the claims process easier and faster than it’s ever been. According to the Centers for Medicare and Medicaid Services, 30% of claims are denied/ignored on the first submission to insurers and 60% of those are never resubmitted. An EHR system is a solution to this problem. The right one can increase your practice’s revenue, decrease time spent on resubmissions and save you countless headaches!


           5.  Patient Portal

The best EHR systems save office managers time by enabling patients to pay bills and securely communicate with their doctors from the comfort of their own homes, on the train or even from the waiting room. These cloud-based features will directly affect the patient-doctor relationship, resulting in more organized communication, higher retention rates, and happier patients! Thanks to this intuitive patient portal, patients will love the new accessibility of their doctors.

 

Of course, not every integrated EHR-PM system supports all of these features because not all EHR software is created equal. Practice EHR is perfectly priced and cost-efficient for practices of 1-3 doctors. It’s built by doctors for doctors, which makes it uniquely positioned to address all of the doctors and office manager’s day-to-day concerns.

 

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What's Really Driving EHR Implementations?

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

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

 

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

 

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

 

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

 

The study included:

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

 

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

 

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

 

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

 

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

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4 Factors That Affect the Total Costs of Implementing EHR

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

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

 

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

 

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

 

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

 

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

 

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

 

HARDWARE AND ADDITIONAL IT INVESTMENTS

 

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

 

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

 

SECURITY TOOLS

 

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

 

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

 

EHR TRAINING

 

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

 

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

 

A NEW LEARNING CURVE

 

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

 

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

 

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

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

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

 

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

 

scheduling, prescribing medications, and managing patient records.

 

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

 

NOT KNOWING WHAT YOU NEED IN EHR SOFTWARE

 

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

 

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

 

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

 

CHOOSING THE WRONG EHR SOFTWARE VENDOR

 

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

 

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

 

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

 

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

 

NOT INVESTING IN EHR SOFTWARE FOR THE LONG-TERM

 

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

 

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

 

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

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Top 4 Benefits Software For Small And Medium-Sized Practices

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

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

 

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

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

 

1. LESS CLUTTER

 

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

 

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

 

2. FEWER ERRORS

 

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

 

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

 

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

 

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

 

3. BETTER PATIENT CARE

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

 

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

 

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

 

4. GET EVERYONE ON THE SAME PAGE

 

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

 

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

 

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

 

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

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Cloud-based EHR vs Server-based EHR

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

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

 

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

 

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

 

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

Cloud-Based EHR

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

Server-Based EHR

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

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Is Your Practice Ready for E-Prescribing Mandates?

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

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

 

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

 

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

 

States who have current laws in place are:

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

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

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

States with pending legislation on e-prescribing are:

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

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

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Electronic Health Records Software For Patient Peace Of Mind

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

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

 

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

 

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

 

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

 

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

 

TIME IS OF THE ESSENCE

 

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

 

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

 

QUICKER DIAGNOSIS AND RECOVERY

 

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

 

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

 

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

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TOP 4 MYTHS ON EHR DEBUNKED

TOP 4 MYTHS ON EHR DEBUNKED | EHR and Health IT Consulting | Scoop.it

Electronic health records have gained popularity over the last few years as more practices use them to increase efficiency, reduce medical errors, and improve patient care. Regrettably, as with most new technology, numerous myths and misconceptions surround EHR and need to be debunked.

 

Below are common myths about EHR software and its implementation.

 

1. EHR PRESENTS A SECURITY RISK

 

Some people believe that the digitization of patient documentation poses a security risk because it is vulnerable to unauthorized access. However, this is not the case because patient data is protected under the Health Insurance Portability and Accountability Act (HIPAA).

 

As compared to paper documents, EHRs are more secure and data cannot be lost. EHR software has login permissions that protect patient information from unauthorized access.

 

2. ALL EHR SYSTEMS ARE THE SAME

 

Although many EHR systems are more of a one-size-fits-all solution, you don’t have to go for them if they do not meet your practice’s needs.

 

You can request your EHR vendor to design EHR software that meets your practice’s structure and needs.

 

3. EHR INTERFERES WITH PATIENT INTERACTIONS

 

Some people assume that entering patient information in the computer during an appointment eliminates the time physicians spend with patients. However, the opposite is true.

 

When medical providers have patient medical data readily available in the EHR software, they spend more time listening and talking to patients rather than sorting through paperwork.

 

4. ONLY HOSPITALS USE EHR

 

Although EHR systems are common in large medical facilities like hospitals, they can also be used outside hospitals. Small private practices can use EHR and reap its numerous benefits.

 

Private practice physicians provide healthcare to many uninsured patients and using health technology can benefit them substantially.

 

EHR systems are extremely beneficial for practices and have positive outcomes for physicians and patients.

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How an Integrated EHR Enables Ease of Use For Doctors

How an Integrated EHR Enables Ease of Use For Doctors | EHR and Health IT Consulting | Scoop.it

As a physician in small healthcare practice, you value your time, your practice’s profitability, and, of course, your patient relationships. Success in these areas ultimately stems back to the efficiency of your processes — and the technology you’re leveraging to enable a simplified workflow.

 

When determining which type of EHR system would make the most sense for you and your staff, consider an integrated solution that will be easy for your entire practice to quickly adopt. According to a report on doctors and their EHRs recently released by Software Advice, 89 percent of doctors said that integration is an important feature in their decision-making process.

 

If you’re worried that implementing a new EHR system in your practice will hinder productivity, you’re not alone. An anticipated loss of productivity continues to concern physicians considering a transition to an EHR system. In fact, 59 percent of office-based physicians who haven’t yet adopted an EHR say the loss of productivity is one of the biggest barriers, according to a 2014 report published by the Office of the National Coordinator (ONC).

While this fear is understandable, the benefits associated with having connected and interoperable software in your practice outweigh the risks. Here are key reasons why implementing an integrated EHR will allow your practice to run more smoothly and increase efficiency with ease.

Quick and Accurate Data Entry

When doctors have software that combines their EHRs, Practice Management (PM), and billing into one comprehensive process, they can save time on repeatedly inputting the same data. Not only does this increase time savings and boost productivity, but it also minimizes the risk for error when transferring data.

Stronger Practice Management and Visibility

An integrated EHR solution can enable physicians and medical administrators to better oversee their practice. Integrated software provides doctors and office managers visibility into every step of an interaction with a patient. EHR platforms can help patients schedule their appointment, help doctors fill out the patient’s chart, and help accounts receivable track the claim being submitted and paid. Integrated software allows practices to submit cleaner claims and more easily schedule appointments.

Many EHR software even has a dashboard function that can report metrics, including revenue and the number of patients seen. This allows doctors to better understand the strengths and weaknesses of their practice and how best to improve and capitalize on these analytics.

Consistency and Accessibility

Integrated EHR solutions allow doctors to be involved in every aspect of practice without switching between software. When the solution is cloud-based, physicians can help manage their staff and deal with any claim issues, even when working from another clinic or office.

Meaningful Use Time Savings

According to a recent National Ambulatory Medical Care Survey, EHR systems that meet Meaningful Use (MU) criteria are more likely to save physicians time on certain tasks. Specifically:

  • 82 percent of physicians with an EHR system that meets MU criteria agree that E-prescribing saves them time, compared to 67 percent of physicians whose EHR system does not meet MU criteria.
  • 75 percent of physicians with an EHR system that meets MU criteria agree that their practice receives lab results faster, compared to 61 percent of physicians whose EHR system does not meet MU criteria.

If you are looking for a reliable way to save time and improve your practice simply and efficiently, a Meaningful Use certified, integrated EHR system could be the cure.

Technical Dr. Inc.'s insight:
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Reduce the Pain of Switching EHR Software with These Four Steps

Reduce the Pain of Switching EHR Software with These Four Steps | EHR and Health IT Consulting | Scoop.it

There are days when you have to face that monster behind the screen. EHR replacement can be a significant challenge for any healthcare executive or IT administrator. The reasons vary—from performance issues to software being discontinued by the vendor.

 

Seeking the right EMR software solution to overcome these problems is becoming more difficult as companies innovate and evolve to meet the demands of an increasingly complex healthcare environment. The whirlwind of options can be confusing as you seek the best EHR software to improve physician productivity, financial outcomes, and patient satisfaction.The following tips will help you find the solution you need to achieve your organization’s goals.

Start your search for a new EHR vendor with these steps

Here are the top recommendations for choosing an EHR vendor to make this change something you only have to do once.

Step 1: Develop a Request for Proposal (RFP)

An RFP allows you to compare potential partners. It provides a framework for providing detailed information about your practice and listing specific requirements. It’s well worth the effort in making sure prospective vendors have guidelines to prepare a proposal that clearly addresses your needs.

Step 2: Give them a wish list

A wish list of key features, functions, and reporting needs gives prospective vendors a full picture of what you expect from a partner. When they respond, you’ll have a better understanding of how their services will fulfill your goals.

Step 3: Research, research, and more research

Go online to read blogs, customer comments, and third-party review sites. Talk with your clinicians and staff to get more details about what works and doesn’t work with the current EHR system. Reach out to peers in professional organizations to learn more from their experiences.

Step 4: Go beyond the sales pitch and get to know the vendor

An EHR solution goes beyond the software. EHR replacement involves the personalities that you’ll be working with on a regular basis. You need to take time to get to know the vendors and make sure they’ll be a good fit for your practice.

Have questions ready

Similar to how a business develops interview questions for to ask a candidate for an important position, your practice needs to prepare a list of specific questions for your potential EHR partner. Here are a few questions to consider:

  • Does the EHR provide robust, specialty content out of the box?
  • Will the partner be able to meet the demands as my practice grows?
  • Does the EHR vendor offer the full end-to-end solution from when the patient arrives to when the payment is collected?
  • Does the EHR vendor ensure a true continuum of care?

A partnership built on trust every step of the way

Switching to the right EHR software to yield better results requires a partner you can trust. Managing the complexity and difficulty in keeping up with workflow demand is possible with a partner who will be there every step of the way. It’s essential that they share the same amount of passion and commitment you have in serving your clinicians, staff, and patients.

Technical Dr. Inc.'s insight:
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

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Benefits of an EPCS Certified EHR

Benefits of an EPCS Certified EHR | EHR and Health IT Consulting | Scoop.it

In response to the nation’s climbing prescription drug abuse problem, the Drug Enforcement Administration (DEA) finalized a rule in 2010, permitting electronic prescriptions for controlled substances (EPCS). Today, e-prescribing is legal in all 50 states, and becoming increasingly popular. According to SureScripts’ 2015 National Report, the number of e-prescriptions have doubled since 2012.

 

So why is EPCS becoming more and more of a standard practice? EPCS is a step in the right direction to fighting fraud and abuse of controlled substances and provides numerous benefits for physicians and their patients, outlined below.

 

Benefits of EPCS for Small Practices

  • Makes prescribing more efficient and secure - With EPCS, physicians can send prescriptions for patients directly to the pharmacy from within the EHR at the point of care, instead of having to handwrite a prescription that could potentially get lost or stolen or prompt a phone call from a pharmacist needing further clarification.

 

  • Reduces medication errors, fraud and abuse - By eliminating the need for paper prescription pads, EPCS ensures prescriptions are getting into the right hands. EPCS has also been proven to improve prescription accuracy by preventing drug to allergy interactions, incorrect dosing, illegible prescriptions, etc. With EPCS, long gone are the days pharmacies receive scripts they can’t read.

 

  • Added convenience and safety, for physicians and patients - With EPCS, physicians can confidently and seamlessly e-prescribe controlled substances to their patient’s pharmacy. EPCS ensures the prescription reaches the pharmacy and the patient can easily pick up their medication, also improving patient medication adherence.

 

EPCS has proven to be beneficial for physicians and although legal, EPCS has not been mandated nationwide with the exception of four states. The following have passed legislation, mandating electronic prescriptions for controlled substances:

 

  • Virginia
  • New York
  • Minnesota
  • Maine


Interested in EPCS?

Many small practices realize the benefits of EPCS and want to partake, even if not required by their state. To begin e-prescribing for controlled substances there are a few initial steps: (1) use an EPCS certified application (EPCS certified means the application has completed testing and certification through a third party auditor, required by the DEA) and (2) complete the provider authentication process.

Technical Dr. Inc.'s insight:
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inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

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Why Are Some EHR Systems Confusing and Inefficient?

Why Are Some EHR Systems Confusing and Inefficient? | EHR and Health IT Consulting | Scoop.it

In theory, EHR systems can alleviate informational errors, increase efficiency and allow doctors to spend more time with patients. The reality, however, is that many EHR solutions can talk the talk, but they can hardly walk the walk.

 

Why is this?

Some EHR companies in the marketplace have produced software without doing their due diligence to completely understand what a doctor’s real day looks and feels like -- they’ve produced generic platforms that don’t address doctors’ real concerns.


Any EHR System Must:

  • Be Scalable
  • Integrate Seamlessly with Other Software
  • Have a Simple User Experience
  • Priced Fairly for the Practice

The third bullet, ‘Have a Simple User Experience,’ is the benefit we’re going to be discussing today because it’s often taken for granted. 

A Simple User Experience

Inputting data into a computer is easy, but the problem arises when EHR solutions can’t correctly identify a doctor’s workflow. Doctors have hundreds of patients, and since no two are alike, thousands of records of unique data are created. This data demands distinct form fields to capture a patient’s specific information. EHR systems must be prepared to capture, organize and file this data away so that a doctor can easily recall it when needed. And when it is recalled, this information must be easily understood by the doctor who may have forgotten exactly how he inputted it.

The solution is intuitive form fields and workflows.

EHR systems should allow for any doctor or office manager to easily understand where to input the right data into the right field. This may sound simple, but most EHR systems just do not comprehend the gravity of proper user experience.

When form fields are misunderstood and unobvious, data finds itself into the wrong reports. In the healthcare industry, this is alarming. Not only does this open up practices and doctors to lawsuits, but before you know it, the EHR system that was supposed to save your practice time and money is now doing the exact opposite.

The Power of Practice EHR
Next-generation, cloud-based software can and will improve a doctor’s day, but not every EHR system is created equal. The Practice EHR team was frustrated by the poor quality of the very EHR systems that were supposed to be improving doctors’ day-to-day lives. So we went and built a better one.

Practice EHR is a solution built by doctors for doctors. It’s specialty-specific, meaning it comes out of the box purpose-built for your specialty practice. It’s also the perfect system for smaller practices of about 1-3 doctors and it was made to alleviate time and hassle in doctors’ busy schedules.

Technical Dr. Inc.'s insight:
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

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