5 responses

  1. Poly A. Endrasik Jr.
    March 30, 2012

    John, you hit the nail on the head with those sources you mention.

    Just wanted to highlight that healthcare professional discussion lists seem to be a very active area of sharing information / influencing decisions.

    Maybe another source would be other service provider to the practice, if they are well respected, like medical billers. . . (they hear what doctors are raving / complaining about).

    Did want to comment also on why doctors may not sign up with the hospital:
    1: They may also have to subscribe to the hospital’s practice management system (PM), medical billing service. . . and all the dictated fees associated with those.
    2: If they sign up for the hospital system, they may become part of the “HOSPITAL SYSTEM” and therefore may not be eligible for government incentive payment because of the hospital’s sponsorship, support, funding. . .

    Great article!

    Good luck on your selection process and have a blessed day.

    A little free generic advice:

    1) Be wary of “free” – research what sources the vendor is getting their money from.

    2) Support is critical to success – watch where your support is coming from and what other practices are saying about it.

    3) Training and communications are just as critical as support – have plenty of both.

    4) A network / infrastructure review and upgrade plan may insure a smoother implementation success and return to workplace efficiency.

    5) Consider using a professional project manager to develop and maybe execute the implementation plan. Once you have a fumble within your practice, it’s harder to gain trust the next time around.

    6) Consider some of the “fringe” services / products that may be extremely helpful to becoming successful going electronic, ie: strategic medical record scanning, voice recognition s/w. . .

  2. John
    March 30, 2012

    Poly,
    Great additions to the discussion. Thanks for commenting.

  3. Mary Pat Whaley, FACMPE
    March 30, 2012

    Hi John,

    Physicians are influenced primarily by the experiences of other physicians with goods and services. When they demo an EMR, they want to know:

    – who in my local area is using it?
    – who in my specialty is using it?
    – who in my group size is using it?

    They often reject the hospital product not only because they wish to remain independent, but also because they know that practice software made by hospital vendors is not scaled or designed to work the way doctors in practices do. Of course, they are getting better all the time, but the group practice software is an afterthought.

    The real reason the hospital software should be so appealing is the interface between all the parts of the integrated system – in my opinion worth the workarounds of the hospital software to get all the patient’s information when seeing them at any place or at any time in the system.

    Best wishes,

    Mary Pat
    managemypractice.com

  4. Poly A. Endrasik Jr.
    March 30, 2012

    Good comment Mary Pat:
    “The real reason the hospital software should be so appealing is the interface between all the parts of the integrated system – in my opinion worth the workarounds of the hospital software to get all the patient’s information when seeing them at any place or at any time in the system.”
    and it is true if everything remains in the same health system.

    A personal experience I had as a patient just over a year back was I was clearing some heavy snow off a ladder and fell off, I was taken to the local hospital emergency, after some scans / exams they had to transport me to another hospital because they had a neurological ICU.

    The problem was these hospitals belonged to different health systems and had different EMR systems and both those EMR systems were different the my primary physician’s EMR. I ended up collecting CD and paper files from all of the hospitals and eventually providing the information to my primary physician. BTW, the first hospital faxed my scan / exam report to the other hospital while I was transported in the ambulance.

    I know SOMEDAY they will all work together but I wonder if I will live to see it. No permanent brain damage came from the fall so, Lord willing, I amy still be alive a while.

    In the meantime, I am working developing practical PHR solutions.

    Then what happens if a doctor sees patients in different hospitals that have different EMRs?

    Thanks for sharing the comment Mary Pat, I respect you views, subscribe to your newsletters and tweet a lot of your stuff! Keep up the great job.

  5. John
    March 30, 2012

    Mary Pat,
    That is why many end up going with the hospital EHR system – The connection to the hospital system. Although, sometimes even then it doesn’t work quite like they would like it to work.

    Poly,
    Let’s hope it happens in our lifetime. The sad part is that the technology is there to do it. Just money and bureaucracy standing in the way.

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