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Rohit Nayak, VP of Physician Tech Solutions at Quest Diagnostics – 5 Questions with EHR Vendor Executives at #HIMSS12

Posted on March 1, 2012 I Written By

John Lynn is the Founder of the 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 and John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

It’s time again for the next entry in our series of EHR videos called: 5 Questions with EHR Vendor executives at HIMSS 2012. In this video I ask the 5 questions to Rohit Nayak, VP of Physician Tech Solutions at Quest Diagnostics (makers of the Care360 EHR).

My apologies to Rohit for mispronouncing his name in the intro. I appreciate his good nature and pronouncing it correctly. I don’t think I’ll ever forget the name Rohit again. I appreciate him taking the time to answer the 5 questions.

Be sure to check out all of the 5 Questions with EHR Vendor Executives at HIMSS 2012 videos.

Quest Diagnostics Offers Big Discount On Its EMR-Practice Management System

Posted on February 3, 2012 I Written By

Anne Zieger is veteran healthcare consultant and analyst with 20 years of industry experience. Zieger formerly served as editor-in-chief of and her commentaries have appeared in dozens of international business publications, including Forbes, Business Week and Information Week. She has also contributed content to hundreds of healthcare and health IT organizations, including several Fortune 500 companies. Contact her at @ziegerhealth on Twitter or visit her site at Zieger Healthcare.

In the past, I’ve written volumes about hospital attempts to lock in doctors by offering them access to a free or deeply-discounted EMR. I haven’t heard much about this strategy of late — either the approach was dropped or it’s gone underground — but it seems that other players are still giving it a shot.

This time, in what seems to be a fairly logical step, Quest Diagnostics has kicked off a program offering medical practices a steep 85 percent discount off of the retail price of its Care360 EMR and practice management bundle.  The announcement follows up on its 2011 regional giveaway program, which Quest says attracted thousands of physicians.

The deal, which reduces the physicians’ out of pocket cost to less than $100 per month,  also includes training, hosting, maintenance and 24/7 support for Care360. The lab giant says physicians can get Care360 up and running in about 45 days.

I can’t think of a reason why this wouldn’t make great sense for Quest; if my contacts are to be believed, it has no better reputation than its key competitors when it comes to customer service and follow-through on clinical testing.

On the other hand, if I were a doctor I’d think long and hard before agreeing to a deal like this, even though the software is just about free. There’s simply too much at stake to plunge in.

Yes, Care360 is ONC-ATB certified by CCHIT and, intriguingly, has incorporated the Direct Project specs allowing doctors to share information with patients and hospitals. And yes, it seems to have made efforts to support EMR access via mobile devices. This is all good. And of course, the price is right.

On the other hand, I’m not sure I’d want to make this big of a commitment to any particular service provider, be it a reference lab, a radiology provider or the people who stock my vending machines with sodas.

I’d argue that the more important the service is, the less you want to be beholden to the vendor. After all,what if Care360 isn’t your cup of tea?  Do you really want to disrupt your relationship with a critical provider like Quest?

Not only that, it’s risky to lock in an EMR just because it’s cheap. If Care360 takes 45 days to get installed (activated, configured, trained, etc.), it’s not going to be possible to uninstall it in a day or two, and that could mean misery on wheels if the product doesn’t work for you.

Besides, it’s possible to get Web-based, easy to adopt or drop EMRs for only a couple hundred dollars a month more. It wouldn’t make sense to go for an EMR that might not work just to save that little. (If your margin is tight enough that a savings of $200 or $300 a month is critical, you have worse problems than finding the right EMR!)

I guess I’m saying that even if the EMR is nearly free, caveat emptor. You don’t want to get saddled with an albatross system just because the price was right.

Around Healthcare Scene: ADP AdvancedMD, Care360 EHR/EMR Screenshots, 24/7 Flu Hotline, and Tricorder X Prize

Posted on January 29, 2012 I Written By

Here is a quick look at some of the other articles recently posted on some of the other websites:

EHR and EMR Videos
Software Demo of ADP AdvancedMD + EMA Ophthalmology
This medical billing and EHR software demo presents how medical practices can use ADP AdvancedMD as their practice management to collect more money, faster. EMA for ophthalmology helps doctors utilize an iPad to manage clinical charting and see more patients faster. A software bridge (data integration) has been built to help staff work faster without doing double data entry.

HIMSS Analytics: Data, Research and Consulting for Healthcare IT

Gain a deeper, more vibrant understanding of the HIT space through HIMSS Analytics. Knowing who needs what, when they need it and who to contact will enable you to sell proactively to receptive customers. Our market intelligence will help you optimize your marketing and sales strategies to advance the future of healthcare.

Steve Hinajosa Explains Advantages of DocBook MD 3.0

Travis County Medical Society Membership Director, Steven Hinojosa explains why local county Medical Societies should be interested in DocBookMD 3.0.

EHR and EMR Screenshots

The links below represent screenshots from the Care360 EHR/EMR including images from the EHR, the iPad app, and the mobile app.  Do you think it is necessary for EHRs to use multiple platforms for access, or is it unnecessary vanity?

Screenshots from the Care360 EHR/EMR

iPad App Screenshots from the Care360 EHR/EMR

Care360 EHR/EMR Mobile App Screenshots

Smart Phone Health Care

Consult A Doctor Offers 24/7 Flu Hotline That Costs Less than $40

Flu season is generally miserable for everyone.  Even if you don’t actually get sick you spend half your time avoiding the people who are sick.  Then you start to get symptoms but you wait as long as humanly possible to actually see a doctor because it is so expensive and time-consuming.  Consult A Doctor is releasing a new service designed to change all of that.

Qualcomm Tricorder X Prize Offering $10 Million Prize to Developers

We all remember those awesome little tricorders from the Star Trek series that could analyze a person’s level of health almost immediately.  All the doctor had to do was push a button and he immediately knew exactly what he needed to do to help the person.

Qualcomm and the X Prize Foundation have announced a development competition designed to create just such a device.  The two CEO’s of the respective companies, Dr. Paul Jacobs, Qualcomm Foundation Chair and Qualcomm Incorporated Chairman and CEO, and X PRIZE Foundation Chairman and CEO Dr. Peter Diamandis, announced during the keynote address at CES that the prize would be $10 million dollars.

One Student’s Perspective on Electronic Medical Records

Posted on December 7, 2011 I Written By

As Social Marketing Director at Billian, Jennifer Dennard is responsible for the continuing development and implementation of the company's social media strategies for Billian's HealthDATA and Porter Research. She is a regular contributor to a number of healthcare blogs and currently manages social marketing channels for the Health IT Leadership Summit and Technology Association of Georgia’s Health Society. You can find her on Twitter @JennDennard.

I’ve had the good fortune in the past year or two to watch one of my daughters’ favorite babysitters blossom into a full-time nursing student at the University of West Georgia. Not only do my girls benefit from her great bedside manner, including an infinite amount of patience, but I get an occasional inside glimpse into the world of digital medical record keeping in the greater Atlanta area.

Her training at West Georgia has taken her to Children’s Healthcare of Atlanta – Egleston, Wellstar Cobb and Austell, Fayette Piedmont, Tanner Medical Center and Gentiva Healthfield Hospice. She graciously offered to share her rookie’s perspective on the electronic medical records – including SCM/Quest (Allscripts Sunrise Clinical EHR system) and Meditech – she has used at several of the facilities she has trained in.

How long have your healthcare training facilities had EMRs in place?
All except Gentiva Healthfield Hospice – in-home hospice care, for the most part, sticks with paper charting. If they were to make the switch to an EMR, they would have to have access to a central database from their personal computers/iPads/Blackberries, etc. All others have had some sort of electronic database for at least five years.

How intuitive did you find them to be in your first training sessions/rounds?
Once I had been trained in the first system I encountered, the rest seemed very user-friendly. They have been in use long enough now that they are efficient and fairly self-explanatory.

They all allow an employee to cluster patient care and spend enough time with the patient because the time stamp on documentation can be changed to the time that the intervention was completed. For example, I could complete a full assessment on a patient, bathe them and administer their medications without having to document in the computer every few minutes. I could just open their EMR after completing their care and add the correct time stamp on my documentation.

What were the easiest to use, and what were the most difficult?
Meditech was the most difficult to use, perhaps because I had limited access as a student. It was difficult to find complete admission notes and patient histories.

Speaking from a “rookie’s” perspective, what would you tell vendors of these systems to better their products?
Add a patient verification requirement before each documentation session, i.e. each set of vital signs, medications given, etc. (Something simple, like a box with the patient’s name and DOB and an “Ok” button)

Did your supervisors express any enthusiasm or dissatisfaction with any particular systems?
All expressed enthusiasm, but they also were concerned any time a system was to be updated with even minor changes. Fayette Piedmont uses one EMR system for Labor and Delivery, and a completely different system for the rest of the hospital. This means, for the staff, that a new baby’s records have to be re-entered into a new system once they are discharged from labor and delivery and admitted to the NICU or postpartum unit. It also means the pharmacy has difficulty accessing vital information when, for instance, they need to know a baby’s weight to send the appropriate dose of medication to the NICU.

How aware are you of post-implementation training that goes on with EMRs, based on the facilities you’ve trained at? Do your supervisors ever mention it?
Once an employee is hired, they usually must display proficiency with the charting system within a specified training period. When Fayette Piedmont updated SCM/Quest, they did not retrain each employee, but they did send out a packet with a detailed description of the changes. From what I have seen, the older nurses who may have preferred paper charting at one point do not seem to have any problems with the electronic charting.

Have you been made aware of any increase/decrease in positive clinical outcomes as a result of physicians/nurses using these systems? Any examples you feel comfortable sharing?
The major changes to these systems each time they are updated usually involve the addition of safeguards. For example, the newest version of SCM/Quest has the patient’s name, weight, room number and allergies on every page of the charting system, and in multiple locations on the page.

For the employees who pay attention, this has reduced many documentation errors. There is also an embedded link to drug guides in every electronic medication order with explicit instructions and safe dose ranges. For the employee who knows these features are there, they are a tremendous help, and they do serve to protect the patient. It is still possible to document in the wrong patient’s chart, without realizing it, in any system.

Needless to say, it will be interesting to see how her experience with EMRs changes as she continues her studies and then moves into the professional world of nursing, which will likely coincide with healthcare facilities continuing to move through the various stages of Meaningful Use.

Stay tuned for next week’s post, in which I’ll profile an EMR educator, and find out what other students are facing when it comes to EMR training. In the meantime, what sort of healthcare IT-related challenges will our new workforce face in the coming year? Please share your thoughts in the comments below.

Some Changes to EMR and EHR Advertising

Posted on July 25, 2011 I Written By

John Lynn is the Founder of the 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 and John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

As I like to do every couple months, I like to make mention of some of the new advertisers to EMR and EHR and recognize the previous advertisers that continue to renew. Plus, there have been some interesting changes to advertising on EMR and EHR that are worth highlighting.

The blog network is now 14 blogs strong and EMR and EHR is one of the pillars of the network. EMR and EHR has seen some great growth and recorded its best month ever last month. Woot! Thanks to all of you for reading and participating in the comments as well.

In order to handle the growth of EMR and EHR and the Healthcare Scene Blog network in general, I decided to modify how I handled advertising on the site and start rotating all of the ads on EMR and EHR. That way there would be equal exposure for all advertisers on the site including new advertisers. It would also keep the site fresh for readers. Plus, as part of the change, I implemented an ad server to deliver the ads on the site.

The ad server is really exciting, because it will open up a lot of new options like geo-targeted ads (which many people have wanted) and also possibly delivering ads on a CPC (click) or CPM (impression) basis instead of the flat monthly rate that we do now. That will allow advertisers to work with a more limited budget if they can’t pay the full monthly rate. Not to mention, the ad server will be able to provide advertisers more details stats on their EMR and healthcare IT ad campaigns.

If you have more questions about the changes and EMR and EHR advertising options, you can ask on the EMR and EHR contact us page.

Now on to the new EMR and EHR online advertisers.

Quest-Medplus-Care360 EHR – I’m really excited to have Care360 as an advertiser on EMR and EHR. I’ve written quite a few times about the Care360 EHR by Quest (yes, the big lab company). I find their model and approach really interesting for an EHR company. Plus, I know they are really focused in their EHR marketing efforts and so I’m glad that they saw value in advertising on EMR and EHR. If you’re a Quest customer already, it’s really a simple decision to check out the Care360 EHR. You already have a login, they just have to activate the EHR portion. All the SaaS EHR fans out there will love their completely web based approach as well.

Amazing Charts – I love the story of how Amazing Charts became an advertiser, but I’ll save that for another time. Started by a Family Practice Physician in 2001, they’ve been around for quite a while. I’ve heard many people comment on Amazing Charts being one of the most affordable EHR software out there. Plus, with their Free EHR trial it’s easy for doctors to try it out and see if it fits with their EHR needs.

A big thanks to the slew of advertisers that renewed their ad on EMR and EHR. It’s always an honor when they say they want to renew. Thanks Practice Fusion, MxSecure, Mitochon Systems, Nuesoft, Medical Web Experts, and SequelMed.

Tomorrow I have plans to start a new EMR and EHR series. I think it’s a series that many of you are going to really enjoy!

Quest Launches Care360 EHR

Posted on March 18, 2010 I Written By

John Lynn is the Founder of the 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 and 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 meant to post this a long time ago and never got around to it. Although, I think it was one of the really interesting announcements at HIMSS. Here’s a portion of the press release from Quest about their EHR offering:

“Quest Diagnostics is making broadly available a Web-based EHR that helps physicians embrace digital healthcare one step at a time, connect easily with their peers on patient care, and achieve meaningful use that allows them to qualify for government incentives,” said Richard A. Mahoney, Quest Diagnostics’ vice president of Healthcare Information Solutions and president of its MedPlus healthcare information technology subsidiary. “We value the longstanding trust physicians have in our company, and we are proud to answer physicians’ needs with a modular technology that will truly help drive meaningful improvements in quality of care.” MedPlus develops the technologies that power the Care360 suite of physician offerings.

Each week I’m introduced to another interesting type of organization that’s trying to use their connections and relationships with doctors to sale an EHR. Who’s connections are going to win?

Of course, one question that will be interesting for Quest is how they’ll handle interfaces between their Care360 EHR and other vendors. I assume you’ll have to have a Quest lab interface as part of the deal. Does that mean all other labs are shut out? I can imagine that many doctors will be reticent to go with a Quest EHR if it basically locks them into a relationship with only Quest. It’s going to be interesting to see how this plays out.