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Technical Doctor's insights and information collated from various sources on EHR selection, EHR implementation, EMR relevance for providers and decision makers
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The Top 4 Risks and Limitations of EHR Software in 2020

The Top 4 Risks and Limitations of EHR Software in 2020 | EHR and Health IT Consulting | Scoop.it

Electronic Health Records (EHRs) are a vital component of most medical practices in today’s digital age. Making the transition from a paper-based system to digital can improve not only the quality of work for your employees but the experience of your patients. However, EHRs are not always perfect.

 

If you are currently using EHR software, it is likely that you have experienced problems or issues along the way. These problems could include data bottlenecks, a need for additional staff training, and skills mismatches.

 

While there are potential solutions to these problems, EHRs still have inherent risks and limitations, especially moving forward into 2020. These risks and limitations are discussed below, along with recommendations on what should be done. 

1. EHRs Are Cumbersome

In an article on EHRs, Computer World notes that technology has become increasingly burdensome for doctors. "Right now, it feels like physicians are a slave to their EHRs,” said Dr. Alain Chaoui, the former president of the Massachusetts Medical Society.

 

“There's a high amount of burnout — emotional burnout, depersonalization, and a low sense of professional accomplishment." This is due to the intricacies of using the system. 

 

At the moment, entering data into an EHR requires a doctor to spend a lot of time doing so. As a result, doctors are putting too much time into this cumbersome process rather than helping more patients.

 

Moreover, approximately 50%–70% of physicians experience burnout symptoms due to EMR-related workloads. This underscores the need to simplify EHRs in 2020 so that they are easier to use moving forward. 

2. EHRs Are Generally Not Interoperable

Most of the time, electronic records aren’t shared across EHRs. This means the heavy process of inputting data is usually repeated whenever a patient transfers to a different facility. This has been a longstanding problem, and it might be trickier to solve due to regulations on Medicare and Medicaid reimbursement procedures. 

 

Luckily, there are promising industry initiatives to make the sharing of data between facilities more seamless. Notably, there are the CommonWell Health Alliance and Carequality, which are advocating vendor-neutral interoperability.

 

There is also the Argonaut Project, an HL7 FHIR initiative pushing for the implementation of interoperability standards in the healthcare industry.

 

This implementation will be an ongoing challenge for 2020, and likely beyond. But with EHR offerings built for innovation, sharing patient information electronically will soon be easier and more convenient.

3. EHRs Are at Risk of Cyber Attacks

In August an EHR database fell victim to a ransomware attack. Becker’s Hospital Review reports that the attack locked doctors out of the CHI Health Lakeside Hospital’s EHRs.

 

The breach, in turn, may have exposed patient names and personal details, such as their address and medical history. At the moment the incident seems to have caused no harm, but this case illustrates why enhanced cybersecurity is a challenge for EHRs. 

 

Based on data compiled by the HIPAA Journal in 2018, one of the most popular methods for stealing healthcare information is a phishing scam.

 

These data breaches mean that cybercriminals can use the stolen data and commit fraud. Phishing hackers will often try to contact users in an attempt to acquire financial information. They can then use this information to purchase items illegally or to receive and pay for medical care. 

 

Regardless of how cybercriminals use this stolen data, patients will ultimately be affected, or even burdened by the consequences (e.g. increased credit card bills, the inconvenience of fixing records or locked out of cards). Thus, it is imperative that EHR cybersecurity is improved as soon as possible, and enhanced even more in the future. Especially as technology will continue to evolve in 2020 and become more connected. 

4. EHRs Are Prone to Timing Discrepancies

Recently, the ECRI Institute ranked the safety issues healthcare facilities must address for 2020. One of them involves the medication error caused by dose timing discrepancies in EHR systems. “A combination of configuration and usability issues within the electronic health record can contribute to such discrepancies,” explained the report. 

 

These errors, however, can be minimized "if an EHR order-entry system prominently displays the scheduled medication administration time, allows prescribers to easily modify that time, and includes a ‘now’ option for medications that need to be administered as soon as possible.” These deviations need to be addressed in 2020, as they can result in serious errors that could put patients in danger. And a good starting point is the suggestions outlined in the ECRI Institute report.

 

While these risks and limitations will remain in 2020, Electronic Health Records software providers must continue to adapt and support the changing needs of their users. 

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5 Reasons Behavioral Health Practices Need EHR Software

5 Reasons Behavioral Health Practices Need EHR Software | EHR and Health IT Consulting | Scoop.it

 

In this article, we cover the 5 major reasons why your behavioral health practice needs EHR software. 

1. Increased Productivity

When you integrate EHR with practice management software, your team can now automate calls to patients, which helps to reduce the number of no-shows.

 

Recording these calls in the voice of your staffers can even make it reassuring to patients with behavioral health issues, as they will be hearing about their appointment from a voice they are already familiar with.

 

What’s more, the EHR software facilitates determining which patients need to come in for follow-up appointments, serving to fill empty appointment times now rather than later when there are fewer slots available.

2. Reduced Recoupments and Denial of Claims

You have undoubtedly noticed that third-party payers are growing more stringent in the documents they require for rendered services.

 

If your organization fails to provide the needed information, you face delayed claims, denials of claims, or payments recouped by payers following audits. 

 

A major benefit of deploying electronic health record software in your behavioral health practice is that you can count on the documentation always being completed with all necessary details.

 

This helps you avoid billing and reimbursement issues and improve the flow of revenue in your practice.

3. Prescription Tracking

It’s a sad fact of modern life that many prescriptions for psychotropic medications designed to help patients are vulnerable to abuse. This is why behavioral health professionals are coming to rely on the prescription tracking capabilities of their EHR. 

 

Tracking prescriptions electronically ensures that patients are only receiving medication from a single provider. Otherwise, patients can abuse the system, obtaining multiple prescriptions for the same controlled substance from numerous doctors using different pharmacies.

 

Tracking also helps doctors verify that their patients are getting the prescriptions filled on a regular basis.

 

Healthcare providers need to make sure that they are complying with government regulations affecting behavioral health.

 

Keep in mind that in 2018, Congress passed the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act, which is designed to tackle the growing opioids abuse crisis in the United States. 

 

As the Office of the National Coordinator for Health Information Technology put it, “This legislation mandated that all Medicare Part D providers electronically prescribe controlled substances (EPCS) by 2021.” So there is growing support to phase out old fashioned handwritten prescriptions and to switch to a more modern approach with e-prescribing.

 

 

Not only will you ensure compliance with the country’s anti-opioid abuse efforts, but you will also save your staff time because it is more efficient to issue electronic prescriptions.

 

An added bonus is that it saves your patients time too, since the prescription can be filled while they travel from your office to the pharmacy.

4. Improved Coordination of Services

The nature of behavioral health disorders means that patients typically will be seeing multiple providers as well as receive a broad range of services. 

 

With more moving parts to juggle, it’s beneficial for behavioral health practices to deploy EHR software, as this facilitates communication among providers, helping to avoid wasteful duplication of services.

 

After all, a patient may not be in a position to judge whether he or she is receiving redundant care, relying on the professionals to see to it that services are being provided efficiently.

5. Authorization Tracking

How much time does staff in your behavioral practice spend on the phone trying to verify the patient’s insurance authorization for services? You certainly want it to be a smooth process as workers determine how many units a patient has left for authorization. If not, you jeopardize the patient’s continuity of care as well as avoid accumulating denied claims.

 

Medicare, Medicaid and insurance companies along with accrediting agencies must contend with increasingly growing requirements surrounding the offering of service, which demonstrates the need of behavioral health providers to communicate the details to them with the help of electronic health record software. An EHR becomes a crucial tool in ensuring high-quality care for each patient.

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Apple’s EHR: Why Health Records on Your iPhone is Just the Beginning 

Apple’s EHR: Why Health Records on Your iPhone is Just the Beginning  | EHR and Health IT Consulting | Scoop.it

Americans on average will visit a care provider about 300 times over the course of their lives.

 

That’s hundreds of blood pressure readings, numerous diagnoses, and hundreds of entries into a patient’s medical record—and that’s potentially with dozens of different doctors.

 

So it’s understandable, inevitable even, that patients would struggle to keep every provider up-to-date on their medical history.

 

This issue is compounded by much of our healthcare information being fragmented among multiple, incompatible health systems’ electronic health records.

 

The majority of these systems store and exchange health information in unique, often proprietary ways—and thus don’t effectively talk with one another.

 

Fortunately, recent news from Apple points to a reprieve for patients struggling to keep all of their providers up-to-date. Apple has teamed with roughly a dozen hospitals across the country, including the likes of Geisinger Health, Johns Hopkins Medicine, and Cedars-Sinai Medical Center, to make patient’s medical history available to them on their phone.

 

Patients can bring their phone with them to participating health systems and provide caregivers with an up-to-date medical history.

Empowering patients with the ability to carry their health records on their phone is great, and will surely help them overcome the issue of fragmented healthcare records.

 

Yet the underlying standardization of how healthcare data is exchanged that has made this possible is the real feat. In fact, this standardization may potentially pave the way for innovation and rapid expansion of the health information technology (HIT) industry.

 

Growing agreement upon a standard way to store and exchange electronic healthcare information is what made Apple’s foray into health records possible in the first place.

 

Fast Healthcare Interoperability Resources (FHIR) emerged four years ago as an interoperability standard for electronic exchange of healthcare information.

 

It is a standard framework for the sharing, integration, and retrieval of clinical health data and other electronic health information. Enough agreement upon such a standard for health information exchange has promoted modularity.

 

How modularity fast-tracks innovation

 

A system is modular when all its components fit together in a standardized way, whether physically, mechanically, chemically or in this case digitally. This standardization enables people to design one component without having to know how everything else in the system works.

 

An everyday example of this is the USB port. It is a standard cable connection interface upon which any number of products can connect—whether it be a keyboard, a charger, external memory, or any other device that can meet the specification.

 

This differs from interdependent systems, in which the design of parts are customized, nuanced, and how they work together is not widely-known. Thus, a designer has to know how the whole system works to be able to design any part of it.

 

In the case of the FHIR standard, the manner in which digital healthcare information is exchanged is modularized—the rules of the road are established and easy to follow.

 

Adoption of this bit of digital standardization, by an influential group of healthcare providers, is what allowed the third-party giant, Apple, entry into the modular electronic health records game. Even though their experience in healthcare is limited, the standard lays out the rules well enough for them (and other third parties) to participate in the HIT market.

 

We’ve learned in the past that the creation of and agreement upon standards can expand industries by creating a new ecosystem in which third-party players can add value. In fact, the preeminent example of this type of ecosystem creation is Apple itself, and their AppStore.

 

Along with their AppStore, Apple created a set of standards that specified how third-parties (from companies to individual hobbyists) can more easily create applications that make use of the information on their phone and the Internet.

 

These apps were made available to Apple’s network of users and developers were paid according to the amount of revenue the app generated Apple (based on usage).

 

Over the span of 10 years Apple has paid AppStore developers $86.5 billion (paying out $26.5 billion in 2017). The rapid expansion of the market for creating substitutable apps in return gave everyday users the ability to harness information in any number of more convenient, simple, and potentially meaningful new ways.

 

What does this relatively recent and still unfolding story mean for HIT? It means that as opposed to merely viewing your health record, standardization may also allow for the creation of new tools that actually make use of your health record in new, meaningful ways.

 

In this way, not only does modularity stand to make healthcare data more accessible to providers, researchers, and public health organizations (current consumers of health data), but to a new market—the patient. Standardization mediated by the adoption of FHIR opens up the market for innovators outside of the traditional health IT industry.

 

These new players can then compete to reach everyday people (just as app creators did on Apple’s AppStore platform), with useful tools that empower them in their struggle for health.

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5 Important Features of EHR Software for Every Healthcare Worker

5 Important Features of EHR Software for Every Healthcare Worker | EHR and Health IT Consulting | Scoop.it

5 Essential Features to Look While Choosing EHR Software

Now, we will discuss 5 important features of EHR software that should be considered while choosing the right electronic health record software for your practice that will help you to avail the benefits of this technology without reducing the performance of your staff.

  1. Integrated Billing System

Integrated billing system can streamline the cash flow of your practice. It makes the transactions easier and less chaotic while it also gives you the complete financial report of your practice, so you take the right actions on time by relying on the collected facts.

  1. Automation

Extra clicks and data entry fields can consume a lot of staff’s time, so it is pertinent to go for the EHR software option that offers automated processes to a larger extent. The automations will cut off the unnecessary clicking and data entry time so your staff would be able to entertain more patients in a shorter time.

  1. Security Measures

EHR software has to save confidential patient health information that is duly protected by HIPAA privacy rule so you should strictly analyze the security measures of the technology that you are going to use in your practice.

 

Make sure the electronic health record software meets the government standards and regulatory requirements of information security. An EHR system that comes with strict security checks will keep you away from the hackers and legal matters regarding patient data breach.

  1. System Updates

System updates are necessary to keep your EHR technology updated with the modern standards of the industry. You should ask about the help & support your EHR vendor is providing along with that software and also ask about the system down time that is required to update the system.

 

Some EHR vendors provide updates on the run while others may take down the system at whole for several hours to update the program. The system down-time cause huge delays in the workplace so you should not underestimate this point and precisely ask about their system update procedure.

  1. Company Stability

Last but not least, you should choose EHR software of a stable company as you are going to use this software for a long time and you will never want that your EHR vendor goes out of the business that will eliminate the regular software support & updates. While at that time if you go to implement some other software, then its implementation and training will adversely affect the performance of your staff & practice.

 

Research is valuable when choosing or transitioning to any health information technology. By looking out the above points, you can select the right HIT technology for your practice that will save you time, money and enables you to get maximum benefits of this modern technology.

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

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

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

 

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

 

The above Archives study:

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

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

 

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

 

The Health Affairs study:

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

 

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

 

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

 

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

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

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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.

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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.

Technical Dr. Inc.s insight:
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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.

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

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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.

Technical Dr. Inc.s insight:
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inquiry@technicaldr.com or 877-910-0004
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5 Key Features for Streamlined Lab Processing

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

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

 

1. Interoperability with EHR

 

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

 

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

 

2. Patient Portal Access to Results

 

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

 

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

 

3. Provider Access

 

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

 

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

 

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

 

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

 

5. Intuitive Workflow

 

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

 

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

Technical Dr. Inc.s insight:
Contact Details :

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

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4 Reasons To Utilize Dental EHR

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

4 REASONS TO UTILIZE DENTAL EHR

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

 

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

 

1. INCENTIVE ELIGIBILITY & COMPLIANCE

 

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

 

2. INTEROPERABILITY

 

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

 

3. TECHNICAL ASSISTANCE

 

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

 

4. MANAGEMENT OF POPULATION HEALTH

 

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

 

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

 

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

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

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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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4 Ways To Automate Your Practice And Improve Productivity

4 Ways To Automate Your Practice And Improve Productivity | EHR and Health IT Consulting | Scoop.it

There’s a lot of work that goes into running a medical practice. From scheduling to phone calls to seeing patients, there’s most likely not a lot of downtimes. In order for medical practices to operate smoothly, it truly takes a team effort and the right technology.

 

There are many ways to streamline operations and improve productivity by using automation. And it doesn’t have to be costly or complicated. With the help of an electronic health record (EHR) practices can automate some of the daily processes that slow them down.

Here are four ways practices are automating their practice with Practice EHR:

 

  • Appointment Reminders - Appointment reminders eliminate the inefficiencies that come with calling every patient to remind them about their appointment. Most likely, you don’t get them on the first ring anyway and are leaving a voicemail. With appointment reminders, you can improve this whole process and remind patients about their appointment with an automated, customized message.

 

  • Eligibility Checks - Automated eligibility verification improves productivity for your front desk staff, while saving your practice time and money. Automated eligibility allows you to verify patient coverage more efficiently, without having to call to verify by phone. Instead, the system will automatically pull a patient’s insurance status 24 hours before a scheduled appointment, freeing up your phone lines and your staff.

 

  • Patient Portals - Patient portals are great for your patients and great for your practice, and they are gaining popularity. Patient portals improve productivity for the entire team by automating tasks like scheduling, check-in paperwork and sharing of health records and patient results. This gives your staff the ability to make better use of their time and dedicate resources to other activities that need more attention. Portals give patients more ownership and at the same time reduce the workload of the practice by eliminating a lot of unnecessary phone calls and time spent on activities that can ultimately be handled more efficiently through the portal.

 

  • Claim Scrubbing - Claim scrubbing is a win-win for physicians and billers. Using an integrated clearinghouse, codes are automatically checked for errors and warnings, before it gets sent to be billed. With automated claim scrubbing, physicians code with more confidence and spend less time on the phone with their biller, while simultaneously reducing denials and ensuring quick payment.

 

From the front office staff to the physician, every team member is busy with daily responsibilities within a medical practice. There’s no need to sacrifice any more time, productivity and profitability than necessary. As you look for ways to improve productivity and efficiency in your practice, consider the benefits of an EHR that can provide automation.

Technical Dr. Inc.s insight:
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inquiry@technicaldr.com or 877-910-0004
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5 Reasons Why Electronic Health Records are Better than Paper Records

5 Reasons Why Electronic Health Records are Better than Paper Records | EHR and Health IT Consulting | Scoop.it

By now, leadership in your medical organization is starting to conclude that there are more problems than benefits in continuing to use paper-based records and it is time to make the switch to electronic health records.

 

While some practices can manage to get by using old-fashioned paper, the drawbacks can no longer be ignored. Paper records are simply too insecure and it is becoming increasingly difficult to justify using this outdated method of maintaining patient files.

 

In fact, using an electronic health record or EHR system offers you much better control over information security. To help you make the case to your team for going forward with an EHR, here are five reasons why electronic health records are more secure than paper records.

1. Grant Access Only to Authorized Users

A paper-based system for your patients’ medical records makes it easier for an unauthorized person to access them without your knowledge. During the course of a busy day, an employee might leave a patient’s file out instead of putting it back in the filing cabinet, for example. Or someone misfiles the information, which is even worse for the patients in question.

 

If you’ve ever been photocopying important documents and then became distracted by a phone call or other diversion of your attention, you know how easy it is to leave a document behind for someone else to view. With an EHR system, you can control precisely who has access to patient information and when. 

 

What’s more, the electronic version of the patient’s chart is now more convenient to share with other concerned parties. This includes, for example, providing a follow-up report to the physician who sent a patient to see one of your specialists. You can send it electronically instantly instead of arranging for a courier or overnight mail, and the information you transmit will be protected from end-to-end, keeping patient information secure yet more convenient to use.

2. Encryption Keeps Information Secure

A paper record is easily exposed, letting anyone see it, transcribe details, make a copy or even scan or fax the information to a third party. In contrast, electronic records can be protected with robust encryption methods to keep crucial patient information secure from prying eyes.

 

Your organization already must do everything possible to comply with HIPAA and other privacy regulations, and electronic health records make it easier to maintain confidentiality over paper records in this respect.

 

In a striking example of an organization failing to protect patients’ information in paper records, the U.S. Health and Human Services reported that its Office for Civil Rights levied a fine of $2.15 million to Jackson Health Systems because it had lost paper records storing protected health information or PHI of 756 of its patients. Paper records do not provide you and your patients the robust security that automatically comes with an EHR.

3. Paper Records Subject to Tampering

Paper records can be altered in a manner that can be difficult to detect. Someone can remove papers from a report, for example, or produce an altered copy to substitute for the real information.

 

Electronic health records are protected by encryption and strong login and password systems that make it much more difficult for someone to make unauthorized adjustments to the patient’s chart and other information. Using an EHR clearly helps you maintain pristine records.

4. Audit Trails

Electronic health record or EHR systems give medical organizations enhanced security because they let you do audit trails. Typically, there is no foolproof method for doing audit trails on paper records. How would you know who was the last person to explore a patient’s chart, or if they altered the records?

 

With an EHR system, you can quickly determine which people have accessed a patient’s records when they did so and whether the access was authorized.

 

In the event that someone accesses information that they shouldn’t be seeing, an audit will shine a light on the situation, unlike paper records, which can be problematic to control. Of course, your properly trained employees will be aware of these safeguards and this can be an incentive to mind their own business.

5. Data Backup after Disasters

Keeping your patients’ records secure involves much more than controlling access to confidential information. You also need to make sure that the data will be available under worst-case scenarios. For example, in the event of criminal trespass or vandalism or natural disasters such as a fire, flood or earthquake, you will be able to restore your confidential patient data from an offsite backup and get back up and running much more quickly than if your organization was relying on a paper-based system.

 

Consider the fact that criminal hackers are increasingly turning their attention to the gold mine of data contained in unsecured patient health records. According to a report on data breaches from CISO Magazine for computer information security professionals, “The financial health of the healthcare industry might get even worse with data breaches expected to cost US$ 4 billion by the end of the year.”

 

So if your organization is hit by a ransomware attack that attempts to freeze patient data until you pay a large sum in bitcoin, you can disregard the hackers. Instead, your IT department wipes the system and updates it with the backup data and you can go about your business of diagnosing and treating patients.

 

As you can see, switching over to electronic health records will provide your organization with more safety and security for your patients’ confidential data. An EHR system also provides you with a number of other benefits, including increased staff efficiency and reduced errors while helping you become more profitable. 

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The IT Benefits of Cloud Based EHRs

The IT Benefits of Cloud Based EHRs | EHR and Health IT Consulting | Scoop.it

If you’re in the healthcare field, you know that when choosing an electronic health record(EHR) system, providers have two choices. The first one is to host the software on their own network(client-server).

The second is to have an EHR system where the software is hosted on a remote server that is accessed through the internet(cloud-based).

 

While both of these systems have several, insurmountable advantages over paper records, cloud based EHR systems are superior, because they offer significantly more benefits to small practices over the client-server model.

 

Let’s examine some of the IT advantages that cloud based EHRs bring to the table.

REDUCED STARTUP COSTS WITH CLOUD BASED EHR

The cost of setting up a client-server EHR system is a significant hurdle to a small practice. The startup costs can range upward of $40,000 and that is just for a single practice. For an average three doctor practice, that is a huge chunk of their revenue. Losing that could cripple the practice and might even cause it to go out of business. 

 

With a cloud based EHR system, this would not be a problem, as practices would benefit from economies of scale.

 

Along with that, since the providers and workflows are being added on to the cloud, instead of the client-server(which would require having to be on location), the process is simple and easy, which means that redundant costs would be minimized or eliminated. 

LOWER INFRASTRUCTURE AND IT COSTS

Client server EHRs would require the practice to purchase or lease expensive hardware. Hardware that must be constantly monitored and kept up with.

 

So then practices would now have to hire IT staff, or pay for the services of IT personnel to do the set up, run tests, maintain functions and upgrade the hardware and software, so that it doesn’t fall behind current standards and cause possible issues. 

 

With a cloud-based EHR, all of the costs of running the system are covered by the EHR vendor or hosting company. There is no hardware, no network or maintenance costs to the practice, other than the typical equipment setup required to run a medical care business.

EASY COST PREDICTABILITY WITH CLOUD BASED EHR

The costs of a client-server system can lead to unpredictable costs. As we briefly mentioned, if the server crashes or an upgrade goes wrong, this would mean that the practice’s emergency fund would take a hit, or worse, patients could lose their data and this could have a severe negative impact on them.

 

For an example of how lack of unified patient records can cause catastrophe, take a look at this blog: (link). 

 

Cloud based EHR systems have consistent costs, which allows the practice and its decision makers to feel confident in their financial projections.

 

The practice would not have to suffer with a see saw pay model, they would simply pay a monthly or quarterly access fee, much like the fees for Netflix or AMC A-list. 

SIMPLER IMPLEMENTATION AND SCALABILITY

Just like the maintenance process mentioned above, the process of setting up and testing a client-server EHR is also complex, much more than cloud-based systems, and the process of scaling up as your practice grows usually requires additional equipment or licensing costs. 

 

Under a cloud-based EHR, all that is required is that the practice personnel access the system through a secure web site, or client software installed on their computer.

 

Adding more users is simply a matter of contacting the EHR vendor and requesting that the process be done.

BETTER PATIENT DATA SECURITY

If your practice currently relies on paper records for storing patient data, imagine what could happen if you had a fire, flood or other disaster. Insurance would cover new equipment, but as we have emphasized, patient data is irreplaceable.

 

While practices with client-server EHRs generally have off-site backups, the data is still vulnerable during transport and the practice must pay extra for storage costs. 

 

Cloud based EHR records are transferred using secure encryption and they are backed up in multiple locations automatically, all at no extra cost. This means that the patient data is kept safe, away from prying eyes.

 

The patient data is not going to be lost, as they’re backed up in the cloud. Fire, flood or other disaster does not make an impact on patient data. 

 

Overall, there isn’t a negative point that can be made about cloud based EHRs. There aren’t any good points that can be made as to why paper records or client-server EHRs are better than cloud based EHRs.

 

The method has proven effective and is used for our blueEHR system, which is implemented all over the world.  

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How Direct Digital Faxing Can Improve System Usability for EHRs

How Direct Digital Faxing Can Improve System Usability for EHRs | EHR and Health IT Consulting | Scoop.it

The lack of EHR usability is a huge concern for the healthcare industry. According to a study conducted by Mayo Clinic researchers, modern electronic health records (EHR) are less user-friendly than Microsoft Excel, Microsoft Excel, and Google. Using the System Usability Scale (SUS), Electronic Health Records were marked with an unsettling “F” and a SUS score of 45 while Excel received a SUS score of 57 and Microsoft Word received a SUS score of 76. Google search came in on top with an “A” and a SUS score of 93. 

 

The results were then measured using the Maslach Burnout Inventory (MBI) and cross-referenced with physician burnout. The study clearly showed that SUS scores have a direct impact on emotional exhaustion, depersonalization, and overall burnout within the healthcare sector. As system usability decreased, emotional exhaustion and depersonalization scores increased, as did the risk of burnout. 

 

It’s important to keep in mind that poor EHR usability not only affects physicians, it can ultimately affect patient care. If physicians are unable to perform to the best of their abilities, the quality of care that a patient receives will drastically decrease. Mental and physical exhaustion can also lead to medical errors, delayed treatment, and misdiagnoses. Research published in the Journal of Patient Safety estimates that over 400,000 people die every year from hospital errors that could have been prevented. 

 

Applications and workflow have a symbiotic relationship. The former captures data and the latter passes it along to inform other processes and procedures. Sending and receiving patient information is critical to delivering quality care. If either is impeded by usability, this can have a ripple effect throughout the patient lifecycle.  

 

Direct Digital Fax

 

To improve system usability, physician health, and patient care, organizations need a direct document delivery system that streamlines communications and simplifies the transfer of protect health information (PHI). Utilizing a hybrid-cloud network with direct digital faxing can solve a huge problem within the healthcare industry – the ability to easily and securely transmit EHRs and other unstructured data. Direct digital faxing is the key to ensuring communications never traverse an external telephone network. Black and White lists can also be leveraged to place further restrictions on the exchange of sensitive information. 

 

Security and Scalability 

 

The accessibility of fax combined with the scalability of the cloud enables organizations to exchange sensitive information fast and securely. To fully protect the transfer of information between two endpoints, the ideal digital fax solution should leverage well-defined end-to-end encryption methods, such as those defined in the Elliptic Curve Integrated Encryption Scheme (ECIES). This hybrid encryption scheme uses Elliptic Curve Cryptography to generate a shared secret between peers to seed the encryption process with unique keying material while signing and authentication mechanisms assure the validity of the data in transit. 

To fill in security gaps, two-factor authentication (2FA) should also be utilized on every device that sends and receives PHI. Two-factor authentication can protect healthcare data by requesting a combination of credentials at access points that only the actual patient, doctor, billing operator, or pharmacist would know. The combination of credentials can be a strong password accompanied by a personal PIN or a smart card that is supported by a fingerprint. 

 

Improving Patient Care

 

Overall, the lack of EHR usability can have an adverse effect on patient care and patient safety. The ability to securely transmit all types of healthcare-critical data will enable the healthcare industry to start moving towards a more progressive business – one where patients receive fast and customized healthcare. Most importantly, hybrid-cloud fax solutions give physicians peace of mind knowing that EHRs can be easily shared, accessed, and analyzed. 

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

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

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

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Is your EHR due for its check up? | EHR and Health IT Consulting | Scoop.it

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

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    • Testing methodologies
    • Business continuity planning
  • Actionable recommendations to maximize the EHR investment.

 

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

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3 Ways EHR Systems Have Changed the Healthcare Industry

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

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

 

1. IMPROVED PATIENT OUTCOMES

 

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

 

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

 

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

 

2. CARE DELIVERY

 

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

 

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

 

3. HEALTHCARE IS NOW MOBILE

 

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

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

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

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

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Why Your Practice Needs EHR Software

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

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

 

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

 

ACCESS PATIENT RECORDS MORE EASILY

 

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

 

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

 

VIEW MORE DATA

 

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

 

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

 

STREAMLINED SERVICES

 

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

 

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

 

BETTER CARE

 

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

 

This cuts out time spent during appointments updating records.

 

PATIENT PORTALS

 

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

 

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

 

LEARN MORE

 

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

 

Streamline patient record keeping and appointments with electronic health records.

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

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

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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

 

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Technical Dr. Inc.s insight:
Contact Details :

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What is EHR? And Must-Have Features to Make EHR Software Successful

What is EHR? And Must-Have Features to Make EHR Software Successful | EHR and Health IT Consulting | Scoop.it

What is EHR?

An EHR or electronic health record is a documentation software where patient’s data is stored digitally aimed to make it available to the authorized users and across different healthcare entities (such as doctors, nurses, laboratories, clinics and hospitals) whenever needed.

 

The data included in EHR must facilitate the practitioner to effectively treat the patient and even simplify the administrative and billing process. Usually, an EHR may include information such as:

 

  • Patient’s demographic data
  • Medical history
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  • Allergies
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  • Billing data

 

Traditionally, all these data were collected and stored in the form of papers and charts in a folder with the patient’s name on it. This traditional way of collecting and storing the patient’s data had many downsides including clunky management and ineffective interoperability. But EHR makes things easier.

 

As per the 2018 Medical Economy Survey, 86% of the physicians surveyed use EHR system in their practice and the average length of EHR use was around 7 years. Another report by Statista predicts that the global EHR market will reach $40 billion in 2024 which is almost double the size in 2015.

 

Essential Features of an EHR Solution

1. Privacy and Security

Essentially the key feature that you must consider while developing an EHR Application is its security.

 

The app stores and transmits the patient’s confidential health information known as PHI (protected health information) that must be safeguarded at all cost. And to do that EHR applications must adhere to the guidelines mentioned in the Health Insurance Portability and Accountability Act (HIPAA).

 

HIPAA states down a long summary of rules and regulation for varied entities but the technical requirements are mentioned in paragraph 164.312 of the document. Any health application that gets covered in HIPAA healthcare entity must follow the best practices mentioned in the law.

2. 24/7 Access from Anywhere

The EHR solution must be accessible to users anytime and anywhere. That makes it inevitable to ensure your EHR is compatible across different browsers, operating systems and devices.

 

Most of the productivity software like EHR are web-based applications. This means while developing EHR, ensure that the solution supports the popular browsers — from Chrome and Safari to Internet Explorer.

 

Further, the user experience must not be limited to certain devices. Make sure that the EHR adapts to the screen size of the device, whether it be a PC, tablet or mobile.

3. Effective Charting

A survey by Deloitte reveals the majority of the physicians considers the document related work as their least favorite and suggested that it can be done more efficiently. That’s why an EHR solution must provide a hassle-free and efficient way of documentation and charting.

 

4. Billing Integration

A good EMR facilitates hassle-free and fast billing system — for both practitioners and patients. It reduces the manual and time-consuming data entry, lessens any typing error and even facilities one centralized system by eliminating the need for other billing software.

 

Even transparency can be maintained for both patient — as they can access the billing history — as well as practitioners as they can check the number of patients, claims paid and unpaid claims all at one place.

5. Patient Portal

EHR must not only provide utility to doctors and clinics but also to patients. That’s why a dedicated patient portal with some sophisticated features is necessary.

6. Lab Integration

The gravity of laboratory reports is quite substantial as diagnosing the disease and treatment depends on it. Integration of EHR with labs makes the process quicker. The doctors and practitioners can review the lab tests directly from the EHR software and take steps to treat the patients.

 

Lab integration feature offers interoperability with other software facilitating to send and receive the reports electronically for a faster decision.

7. Clinical Templates

Apart from treating the patients, doctors have to create notes for each individual. Sometimes they treat patients with the same conditions and have to make the same notes over and over again.

 

A good EHR system should allow doctors and practitioners to create templates that can be reused while seeing patients with similar conditions. This can save a lot of time by reducing repetitive work and allows doctors to focus on seeing more patients.

8. E-Prescription

E-prescription is the technology that allows doctors to write and send prescriptions electronically to patients or pharmacy instead of handwritten notes.

 

Implementing e-prescription feature in EHR has several benefits such as a reduction in errors, saved record of prescribed medicines and even timely reminders for a refill. As per the Department of Health and Human Services, e-prescriptions reduce errors as they are more legible than handwritten notes which sometimes are misinterpreted while reading.

9. Simple User Interface

A simple and intuitive user interface is not only a need but must-have when the doctors will spend most of their time on the software.

The design should be simple and easy on the eyes that allows them to check the information at a glance, provides intuitive workflow and quick retrieval of information.

 

There are some principles laid down for designing an effective EHR user interface that takes care of: cognition, functionality, interaction, navigation and display must be considered while designing.

 

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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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