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

 

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

 

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

 

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

 

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

 

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

 

HARDWARE AND ADDITIONAL IT INVESTMENTS

 

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

 

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

 

SECURITY TOOLS

 

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

 

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

 

EHR TRAINING

 

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

 

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

 

A NEW LEARNING CURVE

 

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

 

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

 

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

Technical Dr. Inc.'s insight:
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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.

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

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

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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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Hardware Basics for Electronic Health Records

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

Basic Terms

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

 

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

 

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

 

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

Desktops

The basics:

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

Advantages:

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

Disadvantages:

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

What your peers have to say:

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

 

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

 

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

Laptops

 The basics:

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

Advantages:

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

Disadvantages:

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

What your peers have to say:

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

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

Tablet PCs

 The basics:

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

 

Advantages:

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

Disadvantages:

  • Writing with a stylus takes getting used to; there is a longer learning curve in adapting to a new way of using a computer.
  • Handwriting recognition dictionaries have not yet fully integrated medical terminology and acronyms, requiring more correction.
  • There is not as much standardized software yet available for tablets.
  • Screens are easily scratched and can become unusable without screen protectors purchased at additional cost.
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What 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
  • Medications
  • Allergies
  • Immunization dates
  • Laboratory test results
  • Radiology images
  • Vital signs
  • Personal data (age and weight)
  • 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 Roles to Support EHR Optimization

3 Roles to Support EHR Optimization | EHR and Health IT Consulting | Scoop.it

Technology should make it easier for Physicians to get their work done, right?  I mean, it seems to work in all other industries and most other aspects of our lives. So, why should healthcare be any different? Well, the fact remains that healthcare is very different. Physicians are trained to be independent thinkers using all available data. Each patient looks for a personalized decision to improve their health and wellbeing.

 

This autonomy of clinical practice is generally not compatible with most of today’s electronic health record (EHR) systems, which has led to a decrease in clinical efficiency and growing frustration for all care team members. While this individualized approach may seem beneficial, advances in medicine and surgery have identified uniform diagnostic and treatment protocols that lead to better patient outcomes in all disease categories.

 

Further, regulatory and payor data collection requirements have added layers of additional burdens to health systems that require the use of standardized technology systems. Optimization is making the best or most effective use of a situation or resource. Within healthcare, this means EHR Optimization.

 

As healthcare systems look to optimize Physician workflows, they should invest in three key supporting roles to help ensure success.

 

1. Process Improvement Specialists - In general, to reliably achieve results, you need a standard approach. A variation in approach leads to a variation of results; this applies to clinical practice as well. Before any new tool, whether it’s a scalpel or an order set, is given to a Physician, all care team members, especially the Physicians, need to understand how that tool will make them more efficient and why it’s effective in driving a particular outcome.

 

If that tool does not enable both tasks, it will likely not be adopted. High performing healthcare organizations understand that concept and intentionally leverage Process Improvement Specialists to focus their efforts on the process before implementing a transformation initiative.

 

They carefully map out the steps for each standardized process and look to understand how technology and insights can provide value along the way. Once a new process is defined, a change management education plan is formulated based on the gap between current and future state.

 

This is an absolute requirement before considering implementing new IT functionality. Otherwise, end-user adoption and optimization will be much more challenging.

 

2. Application Solutions Analysts - As successful organizations design standardized processes, they look to technologists to help them work smarter and not harder.  Typically, Application Solutions Analysts serve in that capacity.

 

These individuals are not only well versed in the functional capabilities of the core EHR system but are also in tune with the industry's best practices for a given process. The “out of the box” functionality promoted by EHR vendors rarely fit ideal workflows and almost always require some amount of configuration to meet the organization’s best practice process.

 

Furthermore, there is often decision support logic or machine learning algorithms that Physicians can leverage to enhance the diagnosis and treatment of patients. To drive innovation, healthcare teams must understand the “art of the possible” from their core systems and incorporate new capabilities into their workflows.

 

3. Insight Engineers - The third leg of the optimization stool is the measurement.  If you can’t measure it, you can’t manage it. Many health systems fall short with the adoption of change simply because they lack the data needed to measure the on-going success (or failure) of their initiatives. Insight Engineers, skilled in measuring lead and lag key performance indicators (KPIs), are valuable participants to the change management process as they bridge the divide between the care delivery teams and the IT analytics/informatics teams.

 

They work with subject matter experts, Applications Solution Analysts, and Process Improvement Specialists to define actionable KPIs that care teams will use to achieve their goals and work with the IT teams to deliver them before go-live.

 

Clinicians and operators need to understand compliance and variation to process in real-time or near-real-time to achieve sustainable clinical outcomes.

 

For example, knowing which Physician is deviating from a specific component of sepsis protocol at the moment is much more impactful to course-correcting behavior than finding out 45 days later in an aggregated report. Without actionable dashboards, leadership will struggle to hold all teams accountable for the care delivered.

Technical Dr. Inc.'s insight:
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www.technicaldr.com

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Why an Integrated EHR Improves Patient Relationships

Why an Integrated EHR Improves Patient Relationships | EHR and Health IT Consulting | Scoop.it

The doctors we know say there are never enough hours in the day. Sound familiar? Well, we’re here to help. As integrated EHR systems are adopted in the industry, doctors seem to peel off a few more hours each day. And more time means a better doctor/patient relationship. Here’s why:


Time is of the essence.

 

It’s no secret that physicians are strapped for time and patients value efficient, yet, thorough appointments. Balancing productivity and quality care is a task, but very manageable with the right tool.

 

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

 

Some integrated EHR systems even have 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 determine how to capitalize on these analytics.


We are living in an on-demand world.

Integrated EHR solutions provide physicians instant access to patient information and billing. They will also be involved in every aspect of a practice without switching between software, which saves them precious time. 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.

 

An integrated EHR also helps enable a transparent process. Patients are now getting answers to their healthcare questions online and on-demand. A recent survey by the Pew Research Center found that 72% of the U.S. adult population looks online for health information. Thankfully, doctors can now meet this new wave of patient behavior in stride.

 

Your patients will appreciate a workflow that allows them to pay any outstanding charges on-demand, and this will help you build trustworthy relationships with your patients.

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

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.

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The EHR and Rage Against the Machine

The EHR and Rage Against the Machine | EHR and Health IT Consulting | Scoop.it

The EHR is the latest focus of our rage against the machine. Case in point: Chrissy Farr’s poke at the EHR in today’s Fast Company. Red meat for angry old doctors.

 

What might be interesting is to take a bunch of millennial doctors and make them work for a month with clipboards, fax machines, mailed letters and emulsion films on view boxes? Then we could write a story about the joy and efficiency of manilla folder medicine.

 

I suspect it would put things in perspective.

We fancy ourselves as victims of our technology. But while EHRs have a long way to go, it’s a long way back to paper.

 

I was in an elevator at Texas Children’s Hospital this weekend where there were a number of people looking at their smartphones.  An older gentleman in the elevator remarked shaking his head, “I remember a time when people used to talk.”

 

Actually, no one talked in elevators.  We’ve always stood the same direction and stared at the numbers at the top of the door.

 

It’s easy to blame technology on our human shortcomings.  It’s been suggested that the adoption of EHR has us ignoring patients.  But in the old days, we scribbled on paper.  Irresponsible resident and medical student conduct with social media are blamed on the platform.  But trainees have always done and said stupid things.

Blame it our chauvinistic human bias:  “It’s not me, it’s the machine.”

 

While there are those of us who share a perverse relationship with our tools, it’s important to remember that the world wasn’t necessarily rainbows and unicorns before [insert technology of choice] appeared.

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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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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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Migrating Old Records to Your EHR

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

Tips on Migrating Old Paper Records to Your EHR

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

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

 

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

 

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

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

 

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

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

 

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

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

 

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

Scan Entire Paper Chart into EHR

 

Advantages:

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

Disadvantages:

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

Nurse Enters Only Allergies and Medications into EHR

Advantage:

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

Disadvantages:

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

Physician Enters Own Data into EHR

Advantages

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

Disadvantages:

  • Doctor has to use his/her time to do this.
  • Not a money generator.
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Things to Think About Before EHR Implementation 

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

Things to Think About Before Going Live with Your EHR

Workstation Setup

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

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

 

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

 

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

Network Setup

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

 

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

 

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

 

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

Power/Operation Issues

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

 

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

 

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

EHR/Practice Management Integration

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

Lab Connectivity

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

 

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

 

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

Dealing With Paper from Outside Sources

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

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

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

 

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

 

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

 

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

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

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

 

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

 

What features should dental providers look for in dental EHR?

 

1. INTEROPERABILITY

 

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

 

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

 

2. DECISION SUPPORT

 

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

 

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

 

3. TREATMENT PLANNER

 

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

 

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

 

4. E-PRESCRIBING

 

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

 

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

 

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

 

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

 

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

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How Small Practices Can Use Software

How Small Practices Can Use Software | EHR and Health IT Consulting | Scoop.it

Dental practices are using EHR systems to organize patient records digitally and improve patient visits.

 

However, smaller dental practices may have a harder time taking advantage of EHR systems, but they can still benefit from EHR by understanding the best systems for their practice.

 

Smaller practices can still transform their health care by leveraging systems that improve key areas.

 

WHAT IS EHR?

 

Before a small practice can utilize an EHR system, they must first understand what EHRs are and how they can improve patient care. Basically, EHRs are digital copies of patient records that can be shared easily with other certified healthcare professionals to provide quick and accurate care to patients.

 

These systems provide up to date information which is easily accessible at the point of care to ensure other doctors and practices have the necessary information to diagnose and treat patients effectively.

 

EHR FOR SMALL PRACTICES

 

Smaller practices can still take advantage of EHR systems by using them to improve certain areas of their operations. Mobile EHR systems are in high demand and can improve prescribing medicine, reviewing medical notes, communication between the doctor & patients, and customizing patients’ charts on mobile devices for quick access.

 

They can use cloud-based EHRs for both long-term and short-term benefits by aligning it with management strategies. Portals enable patients to provide information from outside the clinic saving time and improving patient satisfaction.

 

BENEFITS OF ELECTRONIC HEALTH RECORDS

 

Cloud-based EHR systems remove the burden of maintaining a personal data server and save costs. Software catches mistakes by flagging them, making digital systems less affected by human error. They also help with finding the right treatment plan for each patient, improving engagement with patients.

 

To determine which EHR systems to implement, review the business data to determine which areas need improvement. Make a plan to help meet important goals such as improving patient satisfaction.

 

The bottom line is that small practices can still benefit from EHR systems by implementing mobile systems, cloud-based systems, and patient portals. With these simple systems, smaller practices benefit from improved communication, patient satisfaction, and better information sharing during emergencies.

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Points to Consider for EHR Optimization

Points to Consider for EHR Optimization | EHR and Health IT Consulting | Scoop.it

It is often said that implementing a new electronic health record (EHR) is just the beginning of a journey that will lead to better patient care, greater efficiencies and improved return on investment. It is true that the work will continue, so it is worth pondering how you will approach the post go-live world.  It’s not enough to install EHR software.  

 

It could be argued that tailoring the EHR to your organizational needs and implementing new functionality is where the real work lies.  This much is clear though, EHR optimization is vital to your organization’s successful long-term use of the EHR.  Below are some tips to help you think through the challenges ahead.

 

Plan Early


Start planning for how you will approach and manage your IT investments early.  Putting your plan together even before your implementation begins is not too soon.  Your plan should include an outline of what you will undertake during the implementation and what can wait, or should wait, until after the implementation phase is complete.  For example, it may make sense to wait and deploy some population health tools after go-live.

 

Tie Plans and Programs to Organizational Strategy


IT strategies should mirror the strategies of the organization.  For example, many organizations are actively exploring mergers and acquisitions.  IT leaders should understand the outlook for the organization and any challenges that lie ahead and have a plan to grow the IT environment appropriately when the EHR optimization phase begins.

 

Establish Strong Governance


Having a strong governance structure from the beginning is critical, but tweak the structure as needed during both implementation and post go-live phases.  The decisions that need to be made post go-live will likely be different from those made during the implementation phase.  Adjust the membership on the committee when needed to ensure that the proper stakeholders are represented and engaged.

 

Manage Change


Change management is a necessary activity throughout the implementation and as the EHR evolves post go-live.  Not only will the business practices and workflows change but people’s roles will change as well.  It is important to communicate early and often regarding changes so that employees understand the “why” of the change and “how” the change will affect them.

 

Standardize and Innovate


This topic may seem like an oxymoron – it is not.  Standardizing where it makes sense such as standardizing workflows, project management toolsets and methodologies, will allow for a stable environment post go-live. Stability lends itself to innovation because chaos is contained and a certain amount of predictability occurs.

 

This stability will allow creativity and innovation to thrive.  One area to pay close attention to is enterprise reporting.  Resist the temptation to merely recreate your current reports and instead approach report development and distribution as a way to improve operations and show off the power of your new system.

 

Contain Costs


Once the initial, and substantial, cost of implementation is behind you, the CFO and other executives will look for cost containment, even reductions.  Consider strategies to contain costs such as targeted outsourcing. Explore cost reduction strategies as well, such as consolidation and eliminating legacy systems as quickly as possible.

 

IT Shift


The IT staff will be exhausted after many months of intense pressure to get the system up and running smoothly.  The pressure will continue post go-live as EHR optimization becomes the focus.  Be sensitive to your staff’s needs, both inside and outside of IT, as they refresh and regroup.  Have a plan in place to maintain proper staffing as well as give your teams some much needed time away. 

 

HR departments can help with this plan. Also, added skills such as reporting and analytics, will be in higher demand during the EHR optimization phase as greater emphasis is placed on data and its value in improving patient care and operations.

 

Conversion and Archiving


Have a plan for the method and technology needed to convert data from your legacy systems to the new systems early on.  You need to specify the minimum data set that you will convert.  In addition, some departments, for example, Oncology, may have special conversion requirements.  

 

Also, figure out an archiving solution well ahead of time.  The archiving solution should account for easy access to the data that did not convert to the new system.

 

As with all EHR changes, proper guidance and preparation can be the difference between success and failure.  The outline above can get you started, but also consider outside resources such as those at Optimum Healthcare IT. Experts in the art of EHR Optimization bring insights that can only be gained through experience.

 
 

 

 

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

inquiry@technicaldr.com or 877-910-0004
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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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EHR Features for the Modern Medical Practice

EHR Features for the Modern Medical Practice | EHR and Health IT Consulting | Scoop.it

Keeping up with the changing healthcare landscape can be a challenge for many healthcare providers. There’s been a lot to tackle in 2017, from regulatory changes to new physician reimbursement systems, and changes like these can make it difficult for independent medical practices to stay afloat. Aside from MACRA, one of the biggest challenges we hear from our customers is the increasingly competitive nature of healthcare.

 

With increasing patient expectations and demands causing a consumer-driven healthcare environment, it’s time for medical practices to start considering how they can adapt to stay competitive. Our tip: strive to be the modern medical practice— one you and your patients will love. And leverage your EHR to help in this transition. A good EHR should provide great features to help medical practices stay ahead of the curve and be more successful.

 

What functionality and features should forward-thinking medical practices look for in an EHR? We’ve narrowed it down to three simple categories:

 

  • Features that support patient interactions and engagement. 

Does the EHR have a patient kiosk that will create a more enjoyable check-in experience? Is there a patient portal that allows patients to conveniently schedule appointments, make payments, access their records, download educational resources and securely message the physician? Features similar to those that improve the overall patient experience are necessary in today’s world. They not only help a practice stand out from the competition but also add conveniences for the patient and the entire care team.

 

  • Features that help keep you mobile. 

Medical practices who want greater flexibility should consider a cloud-based EHR. With modern features, like cloud accessibility and applications, physicians can securely access their EHR whenever and from wherever they want, using the device they are most comfortable with (i.e. desktop or iPad). Imagine conducting a patient visit virtually, or getting to choose between documenting using free text and clicks or a voice recognition program. Features like Televisit and voice recognition make these convenient scenarios possible.

 

  • Features that improve practice productivity and efficiency. 

Healthcare is an ever-changing environment and with so much to manage there’s even more reason for medical practices to make sure they run optimally. Your EHR should support that goal. A modern dashboard and a good document management setup that is easy to navigate, allows physicians to find what they need, when they need it, and also improves the amount of time it takes to facilitate care. In addition, medical practices can highly benefit from integrated features like e-prescribing, billing, and reporting. These features support better practice operations all around, such as more timely and accurate reimbursements, improved efficiency, staff communication, and patient experiences.

 

But Not All EHR Systems Are Created Equal

Some EHR solutions don’t offer these modern features and benefits. Practice EHR comes standard with these features.

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Why does EHR customization Matter?

Why does EHR customization Matter? | EHR and Health IT Consulting | Scoop.it

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

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

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

 

Your Practice, Your EHR

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

 

The Impact of EHR Customization

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

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

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

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

 

Configuring the Best EHR

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

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

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

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

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