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What are the Benefits of EMR?

Posted on December 31, 2010 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

I’ve always loved the discussion on benefits of an EMR. There are a lot of interesting possibilities. It’s certainly a hard thing to measure since you’re often comparing apples and organes, but there’s certainly some interesting possible benefits. Looks like the video got most of my list of EMR benefits. Enjoy!

EMR and EHR Summary of 2010

Posted on I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

I found a really neat plugin for WordPress that summarizes a blog’s activity for the past year. Seems fitting to share the results of it on this New Years Eve. I honestly can’t believe that I did 176 posts on EMR and EHR. For some reason it feels like much less. I find it interesting that the list of top commenters has some people from my EMR and HIPAA summary post, but also a number of other people as well. I’m glad to know that each site has some readership, but also some that don’t cross over.

Looks like people had a lot to say about the iPad EMR and EHR software too since it dominates the top commented posts in 2010. The rest is basically EMR stimulus and meaningful use related posts which isn’t that surprising. Thanks to everyone for reading and commenting.

Happy New Year!

In 2010 I wrote 176 posts.

The number of posts in each month:

January:

  24 (13.64%)

February:

  26 (14.77%)

March:

  25 (14.2%)

April:

  12 (6.82%)

May:

  21 (11.93%)

June:

  16 (9.09%)

July:

  16 (9.09%)

August:

  17 (9.66%)

September:

  19 (10.8%)

October:

  21 (11.93%)

November:

  17 (9.66%)

December:

  29 (16.48%)

The number of posts in each day of week:

Sunday:

  12 (6.82%)

Monday:

  45 (25.57%)

Tuesday:

  47 (26.7%)

Wednesday:

  48 (27.27%)

Thursday:

  45 (25.57%)

Friday:

  36 (20.45%)

Saturday:

  10 (5.68%)

At what hours I publish new posts:

0:

  8 (4.55%)

1:

  1 (0.57%)

3:

  1 (0.57%)

5:

  1 (0.57%)

6:

  3 (1.7%)

7:

  12 (6.82%)

8:

  26 (14.77%)

9:

  37 (21.02%)

10:

  27 (15.34%)

11:

  19 (10.8%)

12:

  15 (8.52%)

13:

  6 (3.41%)

14:

  6 (3.41%)

15:

  10 (5.68%)

16:

  11 (6.25%)

17:

  8 (4.55%)

18:

  1 (0.57%)

19:

  8 (4.55%)

20:

  5 (2.84%)

21:

  11 (6.25%)

22:

  13 (7.39%)

23:

  14 (7.95%)

In 2010 the posts were commented 720 times, from which 189 comments (26.25 percent) were written by registered users/authors.

TOP 10 commenters in 2010:

  • Michelle W: 37 comments
  • Don B: 29 comments
  • BobbyG: 28 comments
  • Bill Karmis: 24 comments
  • Brian: 19 comments
  • David Lee: 18 comments
  • Anthony Subbiah: 15 comments
  • Bob: 8 comments
  • Jenny: 7 comments
  • Frank MD: 7 comments

TOP 10 most commented posts in 2010:

The number of comments in each month:

January:

  26 (3.61%)

February:

  38 (5.28%)

March:

  49 (6.81%)

April:

  101 (14.03%)

May:

  36 (5%)

June:

  68 (9.44%)

July:

  43 (5.97%)

August:

  45 (6.25%)

September:

  62 (8.61%)

October:

  89 (12.36%)

November:

  72 (10%)

December:

  91 (12.64%)

On what days people comment:

Sunday:

  28 (3.89%)

Monday:

  95 (13.19%)

Tuesday:

  151 (20.97%)

Wednesday:

  131 (18.19%)

Thursday:

  146 (20.28%)

Friday:

  123 (17.08%)

Saturday:

  46 (6.39%)

At what hours people comment:

0:

  11 (1.53%)

1:

  5 (0.69%)

2:

  2 (0.28%)

3:

  4 (0.56%)

4:

  11 (1.53%)

5:

  25 (3.47%)

6:

  28 (3.89%)

7:

  43 (5.97%)

8:

  63 (8.75%)

9:

  52 (7.22%)

10:

  69 (9.58%)

11:

  56 (7.78%)

12:

  53 (7.36%)

13:

  41 (5.69%)

14:

  36 (5%)

15:

  29 (4.03%)

16:

  27 (3.75%)

17:

  20 (2.78%)

18:

  26 (3.61%)

19:

  26 (3.61%)

20:

  12 (1.67%)

21:

  30 (4.17%)

22:

  27 (3.75%)

23:

  24 (3.33%)

The Pros and Cons of Web Based SaaS EMR Systems

Posted on December 30, 2010 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

In the ongoing series of videos (I hope you like them), this video talks about the pros and cons of web based (often called SaaS) EMR systems. I’m sure this video will be a bit controversial. There’s just a lot of passion for SaaS EHR software.

One of the relatively controversial, or at least scary, ideas talked about in the video is the idea of your SaaS based EMR vendor going out of business and you losing your data. First, this situation would be pretty rare. In most cases, they won’t go out of business and just turn the servers off and flee the country (although, I’m sure something like this has happened before). In most cases, the EMR vendor is going to sell off to another EMR vendor or something like that. Still not a pretty situation, but 100 times better than just having them disappear.

Of course, check out the section on EMR contracts in this EMR selection e-Book and you’ll have made sure that in your contract with your EMR vendor you’ve worked through what will happen if they go under and you’ll have gotten regular backups of your EMR data and the EMR datbase schema.

Enough of that, check out the video on Pros and Cons of Web Based SaaS EMR Systems.

Health Care IT 2011 Predictions

Posted on December 29, 2010 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

The end of 2010 is at hand and the beginning of 2011 will shortly be upon us. So, the litany of people making projections for health care IT in 2011 has started. I actually love reading people’s projections. They definitely give me something to think about.

I’ll personally be saving my predictions for a New Years post on EMR and HIPAA. So, watch for it over there.

Today I came across eWeek’s 2011 Health Care IT predictions article. In the article, Shahid Shah, CEO of IT consulting firm Netspective Communications and author of the Healthcare IT Guy blog makes five predictions for health care IT in 2011 (with my comments on each prediction):

1: Health care IT departments will increasingly adopt virtualization
I personally see virtualization being huge in hospitals, but not so much in small doctors offices. Unless their IT vendor is providing some sort of back end virtualization. Although the doctor will barely even know if they are or not.

2: Stand-alone medical devices will become more integrated in IT strategy and priorities
We’ve been moving this direction for quite a while. Unfortunately, I still don’t see the standards for medical device connectivity that will really make this explode. Plus, it’s expensive to replace existing equipment and a lot of the money is going to be going to EMR software and not new equipment.

3: Identity and access management will be essential tools in fighting data breaches
You can certainly make the case that single sign on solutions actually make fighting breaches harder and easier to occur. Everyone has always wanted single sign on (for obvious reasons). There are some vendors that are doing much better at this now. So, watch for it.

4: Health information exchange standards will become clearer
The HIE market has been really hot in 2009. The stimulus money for it will still be there and the need for it to happen to facilitate meaningful use stage 2 will push it along as well. I agree that NHIN and other government projects will move this along more than we’ve ever seen before.

5: Mobile health players will seek a business model
I still see mHealth as an extension of existing businesses and healthcare IT. I don’t believe we’ll see all that many pure mHealth companies find a business model. Although, there will be some in the consumer space that will do very well. I also see many mHealth initiatives in underdeveloped countries seeing some amazing results.

If you know of other articles predicting things in 2011, I’d love to see them.

The Pros and Cons of Server-Based EMR Systems

Posted on December 28, 2010 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

This is a short little video that looks at the pros and cons of Server-Based EMR Systems. It gives a pretty good short summary of the pros and cons. One pro is they say that server based EMR systems are faster than SaaS (web) based EMR systems. I think this is becoming less and less of an issue. Both the SaaS EMR systems themselves have become highly optimized and our network connections are much faster. This isn’t a comprehensive list of pros and cons, but it’s a good starting place for those who don’t know much about server based EMR versus hosted or web based EMR.

You might also look at this free e-Book on EMR selection which has a section which talks about server based EMR versus web based EMR.

What is EMR?

Posted on December 27, 2010 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Today I came across a great series of videos talking about EMR. The coolest part is the way that they’re presenting the EMR info using a whiteboard. I’ve always loved this type of video. In fact, there’s a whole series of these videos and so I’m going to post a new one each day this week for your enjoyment. Plus, I have a feeling that they’re going to drive some interesting conversation as we head towards the new year.

The first video tries to answer the question “What is EMR?” Pretty basic, but it’s only 2 minutes and may be needed in some situations (ie. older doctors and EMR). If nothing else, it’s fun to watch the drawing.

More of these videos to come. Too bad they don’t have one about the popular topic, the difference between EMR and EHR.

EMR and Health Care IT Advertising

Posted on December 24, 2010 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

I’d been meaning to do a post thanking all of the wonderful advertisers on EMR and EHR for a while now. I knew it had been a while. I checked today and I hadn’t really thanked my advertisers on this site since February just before HIMSS. How ironic that just yesterday I purchased my plane ticket and hotel for HIMSS in Orlando (BTW, I hope to meet many of you at HIMSS).

It seems fitting then on this Christmas Eve to thank all of my EMR and EHR advertisers for making 2010 a wonderful year for the site. In that regard, I’ll go through each advertiser and add a few comments about each. Feel free to click through to the following EMR and HIPAA sponsors and take a look at what they have to offer. They do after all keep the lights on here at EMR and EHR.

MD-IT – MD-IT has been an advertiser for a good while on both this site and EMR and EHR. I also had a great chance to meet Robin from MD-IT at HIMSS last year and it was a real pleasure. She’s a dynamic individual with a fantastic energy about her. I think that’s also reflected in MD-IT the company. Take a look at their EMR offering (especially if you’re a doctor who wants to still use transcription with their EMR).

Practice Fusion – The first Free EMR that I found. I’ve often called them the most Web 2.0 EMR company that I found. I say that from a technology perspective, but also from a company culture and marketing approach as well. It’s pretty much a no brainer decision to try out Practice Fusion if you’re looking at EMR software (or see my Practice Fusion EMR review). It’s free to sign up and you can test drive the product all you want. The best way to truly demo an EMR software is to use it.

Ambir – Ambir has a bunch of scanner solutions for healthcare. For some reason, they’re one of the only health care IT device companies that’s advertised on EMR and EHR. Not sure exactly why, because Ambir’s been advertising on here and EMR and HIPAA for a long time. Check out their duplex professional grade ID card scanner. Perfect for front desk scanning. If you’ve ever used a cheap scanner, you know why you need one that’s professional grade. Otherwise, you’ll be buying a new one a few months later.

Sfax – I’ve been happy to have Sfax advertising on both of my EMR sites for a long time. I recently did a review of Sfax’s secure fax service. Let’s just say that I was really pleasantly surprised by Sfax’s secure fax implementation. As I said in that post, “If I was an EMR vendor and didn’t have an integrated faxing service yet, I’d be on the phone to Sfax to talk about leveraging their API so I could worry about other EMR features.”

MxSecure – Another long term advertiser on both EMR sites. MxSecure has a nice transcription business, but has also launched an EMR software for small practices. Obviously, with a transcription background, they work to integrate EMR, Transcription and Speech Recognition into the EMR experience.

MDCare – An ONC-ATCB 2011-2012 EMR vendor that is handwriting enabled. They’re a web based EMR which many of my readers really like. They’re surescripts certified as well. They offer practice specific customizations for an affordable price. Plus, the feature that I like most is that you can try it for free. Nothing like a hands on test drive.

SOAPware – One of the oldest EMR software that I know of. They’ve been doing EMR software for a long time. This year they finally added a true integrated PM software to their EMR offering. A smart move since almost every practice wants the PMS and EMR from one company (one neck to ring). Dr. Randall Oates that started SOAPware is one of the most sincere and thoughtful individuals I’ve met in the EMR world. It’s no wonder that SOAPware has done so well.

Enterprise Software Deployment (ESD) – ESD is an EHR consulting company. Over 90% of their consultants come from a clinical background. The other 10% have IT experience in healthcare settings with Allscripts, Cerner, Eclipsys, Epic, McKesson, Meditech and Seimens EHR systems. So, if you’re looking for some consulting help, take a look at what they have to offer. Not to mention if you have experience with these systems and are looking for a job, check out their website for the EMR job opportunities they have available.

Thanks to all of these advertisers. It’s amazing to go through the list and see how many of the advertisers have been advertising for so long. Makes me feel good to know that they’ve seen value from advertising and continue to renew their ads.

If you’re interested in advertising, you can find more details on our EMR and EHR advertising page. You can also check out similar advertising opportunities on our EMR and HIPAA advertising page.

Thanks to all!! I hope everyone is enjoying this Holiday season!

ONC Tiger Teams Working on Meaningful Use Stage 1 and 2

Posted on December 23, 2010 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

I saw this a little late (which to me says something about the legislative process), but today’s the last day to provide feedback to the HIT Policy Committee’s Quality Measure Workgroup for Stage 2 and Stage 3 meaningful use. Here’s some information about it from this Health Care IT News article.

The tiger teams have already proposed measure concepts for each of the domain areas, Lansky said. After reviewing the teams’ recommendations, the workgroup revised and consolidated the measure concepts and now requests public comment on the proposed concepts.

Lansky said the workgroup is requesting general comments and specific examples of measures for each measure concept that fit the following criteria:

  • HIT-sensitive – Capable of being built into electronic health record (EHR) systems with implementation of relevant health IT functions (e.g., clinical decision support) that result in improved outcomes and/or clinical performance
  • Parsimonious – Applies across multiple types of providers, care settings and conditions
  • Demonstrates preventable burden – Supports potential improvements in population health and reduces burden of illness
  • Assesses health risk status and outcomes – Supports assessment of patient health risks that can be used for risk adjusting other measures, and assessing changes in outcomes, including general cross-cutting measures of risk status and functional status and condition-specific measures
  • Longitudinal – Enables assessment of longitudinal, condition-specific, patient-focused episodes of care

Comments to the workgroup can be submitted online here.

EMR and Marriage

Posted on December 21, 2010 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Back in 2006, I wrote a post on EMR and HIPAA comparing EMR and Marriage. I think anyone who’s been through an EMR implementation and is married can see the similarities.

Today marks the 8th year of marriage to my sweet wife. Since today’s our anniversary, I find it fitting to again consider EMR and marriage. My wife exhibits so many great qualities that people would love to find in an EMR and EMR vendor.

My wife is flexible.
My wife cares about me.
My wife worries more about me than her own well being.
My wife goes the extra mile to make my life easy.
My wife is easy on the eyes.
My wife understands my needs and does everything in her power to satisfy those needs.
My wife trusts me and I trust her.

Needless to say, if more EMR implementations were as great as my marriage, we’d have a much higher EMR install rate.

EMR Doctor’s Blog: Ways to Save Money in a Modern Electronic Medical Practice: Part One

Posted on December 20, 2010 I Written By

As we all know from our efforts to save money and run a more efficient business, there are great ideas out there that we just haven’t discovered yet. With this in mind, I thought it would be fun and possibly helpful to discuss some tips I learned over the first year in private practice that have really added efficiency and productivity to my office.  I’m going to roll these out one at a time to keep the blog post size in check.

Tip #1. Use an electronic fax service tied to a dedicated fax email (electronic fax) account.

This allows you to download and attach any incoming old medical records that are faxed over ahead of time for an upcoming patient’s visit.  Any new studies that come in, such as labs or radiology study reports, can be treated in the same way.   It takes a few keystrokes and clicks of the mouse to get these into the patient records, and this saves all that paper and ink that used to go into paper charts.  We use a service called Metrofax.com, but there are a wide variety of services on the e-market, with different plans, bells and whistles, depending on what you need as the end user.  The baseline cost for Metrofax, which includes 1000 pages, is between $13-$15 per month, depending on whether you decide to have a local number or a toll-free fax number.  After the first 1000 pages, the cost is 3 cents per page.  Since we use about 2000 pages per month, the cost is somewhere around $35-40 per month.  Much better than paying for a fax machine that can eventually break and has ongoing service, paper and ink costs.

Dr. West is an endocrinologist in private practice in Washington, DC. He completed fellowship training in Endocrinology and Metabolism at the Johns Hopkins University School of Medicine. Dr. West opened The Washington Endocrine Clinic, PLLC, as a solo practice in 2009.

John’s Comment: You need to be careful about which electronic fax service you use. I haven’t done a thorough study of Metro Fax, but many of the fax services out there aren’t HIPAA compliant. This said, when done right, an electronic fax service is a great solution and saves a lot of time and money. See this review I did of sFax’s electronic fax service.