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Practice Management Changes During EHR Implementation

Posted on October 12, 2012 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.

EHR vendor simplifyMD has a really interesting post up that looks at what happens with Practice Management software when purchasing an EHR. In the post, they look at the results from a survey done by AC Group of 1,447 practices from November 2011 to March 2012. Here are some of the most interesting findings:

86% of Large Practices Keep Their PM When Purchasing a New EHR

88% of Smaller Practices Replace Their PM When Purchasing a New EHR

81% of Smaller Practices Hurt Their Revenue Stream by Implementing a New PM

Only 4% of Large Practices Felt an Impact to Their Revenue Stream

It tells a really interesting story about the impact of replacing your practice management system during an EHR implementation. I’ve seen the difference in choices made by small practices versus large practices first hand.

This issue is a crazy one because in the time I’ve been writing about EMR software, I’ve seen it flip flop multiple times. When I first started blogging about EMR, everyone wanted to keep their practice management software and just integrate it with their new EMR. Then, it quickly became that everyone wanted an integrated Practice Management and EMR. The above survey results seem to indicate that many clinics should consider going back to the old model of keeping their existing PM.

Full Disclosure: simplifyMD is an advertiser on EMR and EHR, but they didn’t ask me to post about it. I just found the data interesting.

Cost of EHR Down Time

Posted on July 19, 2011 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.

Mark Anderson has an interesting article on Sys-con media about the cost of EHR down time. Among other analysis he makes the following assertion:
“One hour of software downtime can cost a practice almost $488.00 per physician”

EHR down time is something that I don’t think most doctors put much thought into when they are selecting an EHR. I think that putting a dollar sign next to it will help many doctors to really consider the impact of EHR down time on their clinic.

I believe it’s incredibly valuable for a clinic to seriously consider the impact of EHR down time will have on their clinic. I worked at one clinic where, while it was rather annoying, the patient care wasn’t terribly impacted by down time. They had to ask a few more questions, but in almost every case they could provide the patient care that was needed whether they had access to the EHR or not. Although, they did still have the cost of entering the data after the fact once the EHR came back. Thankfully, they never had more than a couple minutes down time at any point in the 5 years I worked with them.

The challenge of EHR down time is also greatly impacted by your choice of EHR. If you choose an in house EHR software, you’re down time planning will be very different than if you’re talking about a SaaS EHR. In fact, I think this topic is so important that I’m going to save it for a future post.

I’d be interested to hear if other people have tried to put a number on the cost of EHR down time. Did you get something similar to the $488/physician/hour that Mark Anderson suggests? If you have an EHR, how much down time have you experienced with your EHR? What were the causes of your EHR down time?