A big thanks to L-J Cunningham (@UXforHealth) for tweeting out this really cool time lapse video that shows SoftServe‘s work doing the UX design for the mEMR application. While the process they use is really cool to watch, it’s also interesting to see what a mobile EHR UI could look like.
EHR Post Acquisition, 2014 Certified, ICD-10 and the Amazing Charts Future with John Squire, President and COO
I had the chance to sit down and interview John Squire, President and COO of Amazing Charts. I was interested to learn about the transition Amazing Charts has experienced after being purchased by Pri-Med and the departure of Amazing Charts Founder, Jonathan Bertman. Plus, I wanted to learn why Amazing Charts wasn’t yet 2014 Certified and their plans to make it a reality. We also talk about the value of meaningful use and the ICD-10 delay. Then, we wrap up with a look at where Amazing Charts is headed in the future.
Detroit’s Wayne State University students are pioneering fEMR, a special EMR for pop up clinics. These are transient clinics operating in under served areas with mass medical emergencies.
Beginning after Haiti’s devastating, 2010 earthquake, WSU’s undergraduate, medical students and doctors started staffing several pop ups. Operating with little or no electricity or other basic supports, these clinics often provide residents their only medical services.
Two volunteers, med student Erik Brown, and premed grad Sarah Draugelis, realized the need to create a basic medical record to aid their work and to print out for the patients. They looked at current EHRs, but they were far too complex, as Draugelis told Improvewsu.org,
We needed something that was fitted for high volume short-term clinics,” Draugelis explained. “We don’t have time to scroll and look at all the tabs in the EMR system. We need something very bare bones, very, very basic.” So, they looked into the EMR systems that already existed, but none of them fit the bill.
Last month, Brown and Draugelis told fEMR’s dramatic story on Live in the D TV show,
For help, the two turned to WSU Computer Science professor, Dr. Andrian Marcus, who recruited senior, Kevin Zurek, as technical lead.
fEMR is the result. Built using Play, a fast, light platform for web and mobile apps, fEMR incorporates a simple workflow of three steps: Triage, Medical and Pharmacy. Running on iPads, its tap and touch interface is designed for speed.
I contacted Zurek who gave me a login to their test site running on Chrome. It is, indeed, bare bones and fast. I created a patient, shown in the web shot above, and played with the package. Though a work in progress, it had no surprises, that is, no crashes, mysterious behavior, etc.
I asked Zurek what he sees as fEMR’s future? Are they going to take it commercial, etc.? He told me,
Our target audience generally consists of volunteers, so we have no concrete plans to commercialize fEMR as of right now. The purpose of fEMR is to bring continuity and increase efficiency in transient medical clinics while producing important data that can be used for research purposes.
In terms of the EMR system, we plan on delivering this to the end user in the most intuitive way possible, with as little training as possible. We have come to the conclusion that the best way to approach this is via an open environment that promotes collaboration across the board.
They need help to finish the work. Right now, they have two of six needed iPads. As befits the bootstraps nature of the project, they plan to raise funds with a car wash.
If you know some iPads that are a bit bored and looking for something more interesting to do, drop Zurek a line. He and the WSU team can keep them busy.
To preview this post, start by enjoying this quick 1 minute video preview:
Such a well done video by ChartCapture. Plus, it intrigued me enough to get me interested in what they had to offer. I think I’d actually met them at the Canon booth at HIMSS before, but somehow I did’t capture the full simplicity of their chart scanning solution until I saw this video demonstrating how their solution works:
I love really simple and straightforward appliances and chart capture is the perfect solution for an appliance like this. It’s beautiful to have a plug and play appliance with no server, no setup, and just ready to go without having to get IT to make it a priority.
As I talked to Scott Ferguson from ChartCapture, I asked him when most customers chose to start using their product during an EHR go live. He responded, “Most customers typically drop us in 90 days prior to go live (or as soon as the have the “realization moment”).”
I love the concept of the realization moment and anyone who’s worked on an EHR implementation knows what I’m talking about. It’s that moment during the EHR implementation that the users ask the question “what about the paper charts?” For some reason many people just think that the EHR vendor will somehow magically just deal with the paper charts. The realization moment is when they realize that they’re going to figure out what to do with the paper charts.
I’ve long been a proponent of scanning in your old paper charts. I still love the outsourcing option because some of the quality they can provide in the scanning process. However, that option is cost prohibitive to many. So, an appliance like ChartCapture is a nice alternative solution for scanning your paper charts at a lower cost. Just be sure if you choose to scan in house that you make sure you hire detail oriented people for the job. It’s a monotonous job and requires detailed effort to do it right.
Healthcare Scene sat down with Sean West, VP of Data Conversion at HealthPort, to discuss EHR data conversion. EHR data conversion is quickly becoming a hot topic for many organizations that rushed their initial EHR selection and implementation. In our video discussion embedded below, Sean West offers a number of key insights including the following:
- Convert the Data Close to the EHR Conversion
- Ensure You Have Enough Time to Make the Conversion
- Consider How Much Data Needs to Be Converted
- Look at the Impact on Performance of Converting All EHR Data
- Evaluate Your Legacy EHR Vendors Willingness to Work with You on Data Conversion
Check out the following video for all the details:
We also asked Sean West about when an organization would want to consider a vendor neutral archive for their EHR. While the vendor neutral archive is incredibly popular with PACS systems, we’re just now starting to see the idea crop up with EHR data. In the following video, Sean West provides some good insight into when an organization might want to consider a vendor neutral archive for their EHR data.
I came across this great xtranormal video that looks at meaningful use from a patient’s perspective. I’ve posted some videos like this before. In fact, I’ve started creating a whole YouTube playlist of Funny Healthcare IT Videos. If you’re deep in the trenches of meaningful use, then you’ll enjoy this one (or not depending on how you look at it).
In a recent call with the Collaborative Health Consortium, Mark Blatt, MD, Director of Intel Health made some pretty strong statements as a front end to the Healthcare Unbound conference happening this week. In his comments he essentially predicts the end of Fee-For-Service, calling it a dinosaur that will not survive and saying that “this is like a 30-day eviction notice…and it’s happening faster than anyone thinks.”
I find this really interesting because he’s the second high level leader in healthcare that I’ve heard say that the switch away from Fee for Service is happening faster than any of us realize. I wonder what the consequences will be of us not realizing this change is happening. Plus, the odd thing is that we can all see this change happening. Is is that we’re just not understanding the consequences the change will have on the healthcare business?
I also was really intrigued with Mark Blatt’s list of thing you need for a successful transition from Fee for Service:
1. Patient empowerment
2. Mobilize data
3. Share data
4. Gather and store data
When I first considered this list, I realized that EHR could help to enable all of these things. In many ways it already is working to make many of these things possible in an organization. Without the EHR’s involvement, many of these objectives will fall flat.
Although, I also realize that many of these objectives require something outside of the EHR. Will they eventually integrate with the EHR, that’s the vision of some EHR vendors. However, I believe it will take years for us to get there. Until we get there, I think it’s going to create a really tough integration challenge for organizations.
You can hear all of Mark Blatt’s comments in the video below.
A while back, I suggested that EHR vendors might want to integrate Google Search into their EHR. I still think this is a really interesting idea since I’m sure that many are doing Google Searches regularly as part of the care they provide.
While I’m sure that many doctors use Google searches in their care, I was really intrigued by a demo video I saw of the Blausen Google Chrome extension. Rather than try and explain it, you can watch the video demo:
This is a really fascinating product and a simple way to distribute the content that Blausen has available in their library. While the Google Chrome extension is interesting, I could see something similar easily added to an EHR interface.
Imagine a doctor wanting to show a video demonstrating something to their patient. Straight from their EHR, they could pull up the Blausen video and show the patient in a really rich way something about their condition.
Of course, we’re just at the start of what could be done with great visual education like this. Over time I’m sure we’ll be able to get to very specific parts of a video or pieces of education. We’ll be able to publish the educational information you saw in the office in your patient portal. Not only does that reinforce what was said in the office, but it also provides patients a great way to share what’s going on with their loved ones.
I know Force Therapeutics is doing work like this with videos for Physical Therapists and Orthopedics. I think we’re going to see a lot more video integration into our patient care over the next couple years and that’s a very good thing.
EHR Upcoding, Meaningful Use Stage 2, Interoperability, EHR Consolidation, and ACOs Video – Burning Topics with Dr. Nick
I recently sat down with Dr. Nick van Terheyden, CMIO of Nuance to talk about some of the Burning Health IT topics. In the following video Dr. Nick and I talk about EHR Upcoding, Meaningful Use Stage 2, Interoperability, EHR Consolidation, and ACOs. Enjoy and I hope you’ll extend our conversation in the comments.