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DrChrono App Store Illustrates Important Point

Posted on July 16, 2018 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 FierceHealthcare.com 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 a recent post, my colleague John Lynn argued that EHRs won’t survive if they stick to a centralized model.  He contends — I think correctly — that ambulatory practices will need to plug best-of-class apps into their EHR system rather than accepting whatever their vendor has available. If they don’t create a flexible infrastructure, they’ll be forced to switch systems when they hit the wall with their current EHR, he writes.

Demonstrating that John, as usual, has read the writing on the wall correctly, I present you with the following. I think it illustrates John’s point exactly. I’m pointing to EHR vendor DrChrono, which just announced that billing and collections company Collectly would be available for use.

Like its peers, Collectly built on the DrChrono API, and will be available in the DrChrono App Directory on a subscription basis. (The billing company also offers custom pricing for large organizations.)

Other apps featured in the app directory include Calibrater Health, which offers text-based patient surveys; Staple Health, a machine learning platform that providers can use to manage at-risk patients and Genius Video, which sends personalized video via text message to educate patients. Payment services vendor Square is also a featured partner.

Collectly, for its part, digitizes paper bills and sends billing statements and collection notices to patients via text or email. The patient messages include a link to the patient portal which offers a billing FAQ, benefits and insurance info and a live chat feature where experts offer info on patient insurance features and payment policy. The live chat staffers can also help patients create an approved payment schedule on behalf of a practice.

While some of the DrChrono apps offer help with well-understood back-office issues – such as Health eFilings, which help practices submit accurate MIPS data –  those functions may be duplicated or at least partially available elsewhere. However, apps like Collectly offer options that EHRs and practice management platforms seldom do. The number of best of breed apps that an EHR won’t be able to replicate natively is going to continue to increase.

Integrating consumer-facing apps like this acknowledges that neither medical practice technology nor its staff is terribly well-equipped to bring in the cash from patients. It may take outside apps like Collectly, which functions like an RCM tool but talks like a patient, to bring in more patient payments in for DrChrono’s customers. In other words, it took a decentralized model to get this done. John called it.

Ways To Minimize Physicians’ Administrative Burdens

Posted on January 24, 2018 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 FierceHealthcare.com 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.

It’s hardly a secret that physicians are buckling under the weight of their administrative responsibilities. The question is, how do we lessen the load? A new article published on a site backed by technology vendor CDW offers some creative ways for doing so.

One suggestion the article makes is to have patients write and add notes to their personal medical charts.According to the piece, doctors at UCLA Health and Beth Israel Deaconess Medical Center will pilot “OurNotes,” a tool allowing patients to input medical data, in 2018. Patients will use the new tool to add information such as symptoms, emerging health issues and even goals for future visits. OurNotes is an outgrowth of the OpenNotes project, an initiative that encourages clinicians to share their notes with patients.

Will the OurNotes effort actually make things easier for physicians? Dr. John Mafi, assistant professor of medicine in the division of general internal medicine and health services research at the David Geffen School of Medicine at UCLA, believes it can.

“If executed thoughtfully, OurNotes has the potential to reduce documentation demands on clinicians, while having both the patient and clinician focusing on what’s most important to the patient,” Dr. Mafi said in a statement about a research project on the OpenNotes approach. (Mafi was the lead author of a paper on the project’s results.)

Another option is using “remote scribe” services via Google Glass. Yes, you heard me right, Google Glass. Google is relaunching its smart glasses and it’s retooled its approach to serving the healthcare industry. The number of applications for Glass has crept up gradually as well, including an EMR accessible using the smart glasses from vendor DrChrono. DrChrono calls it the “wearable health record,” which is pretty nifty.

San Francisco-based clinical practice Dignity Health has been working with Google Glass startup Augmedix to access offsite scribes. Dignity Health vice president and CMIO Davin Lundquist told MobiHealthNews that after three years of using Glass this way, he’s cut down on time spent administrative tasks from 30% per day to 10% per day. Pretty impressive.

Yet another way for healthcare organizations to reduce adminsitrative overhead is, as always, making sure their EMR is properly configured and supports physician workflow. Of course, duh, but worth mentioning anyway for good measure.

As the CDW piece notes, one way to reduce the administrative time for physicians is to make sure EMRs are integrated with other systems effectively. Again, duh. But it never hurts to bear in mind that making it easy for physicians to search for information is critical. There’s no excuse for making physicians hunt for test results or patient histories, particularly in a crisis.

Of course, these approaches are just a beginning. As interesting as, say, the use of Google Glass is, it doesn’t seem like a mature technology at this point. OurNotes is at the pilot stage. And as we all know, optimizing EMRs for physician use is an endless task with no clear stopping point. I guess it’s still on us to come up with more options.