Showing posts with label Practice Management. Show all posts
Showing posts with label Practice Management. Show all posts

Wednesday, July 27, 2011

What Is The Average Time Before A Practice Is Comfortable With Their EMR?

Making the shift to an EMR-based practice is sure to impact your work-method in more ways than you can count. This impact recoils with a significant amount of change that practitioners are known to dislike as it brings them to a rather discomforting and unfamiliar territory. In fact, a research by evitontest.info suggests that the biggest obstacles to EMR implementation have been physician resistance and lack of useful information or not knowing where to start.

It does not take much to realize that the manner in which you approach these obstacles will determine the time it will take your practice to get comfortable with the EMR. Therefore, the real challenge resides in adopting realistic measures to help your staff internalize the new technology and utilize it to its maximum potential.


EMR Training and Change Management

As a practitioner, your goal is not just to accommodate the EMR in the daily work life of your practice but to have it used in a way that contributes to your productivity and Meaningful Use objectives. This process can stretch from a few months to even more than a year depending on the quality and effectiveness of EMR and IT training that is imparted to all levels of the practice. To begin with, all EMR users must be equipped with basic IT and computer skills to help them understand and efficiently execute the more advanced EMR processes. Only when they are comfortable with routine activities like using the mouse, printing, scanning, working with files and basic graphical user interface, should they be put onto working with the EMR. Sure, you want to take the system live as soon as possible, but you must allow for a learning curve, not expecting them to construct a whole sentence when they still haven’t been taught the alphabet!


EMR Implementation - One Step at A time

You must keep in mind that your staff is already resistant to this new technology. Overwhelming them with a load of new information to save on training time will only demoralize them and there is a strong possibility that going too fast may have them give up on it altogether. Taking one step at a time is a good idea to help your employees feel comfortable and confident about the software. Opt for a gradual and progressive training module that steadily moves from feature to feature instead of bombarding them with a whole new world of technical jargon and processes they are not likely to befriend.
Also, if an EMR feature is to be used only by a certain set of employees, training the whole staff on that feature will only eat into their grasping ability for the features they truly require. Hence, you must ensure that your training plan takes this redundancy into account and focuses on relevant function-based features.


Motivation Boosters

Without a doubt, for effective and expeditious EMR implementation, the motivation has to come right from the top. Physicians must convey the importance of incorporating the EMR into the practice and leading by example, should display the dedication and commitment they expect from their staff. In order to get employees to accept the new technology without feeling like they’re being punished, physicians must involve them in decision-making processes for training programs, schedules, time lines and so on.

To put a number on how long it takes for a practice to get comfortable with their EMR, one has to take the above factors into consideration. Instead of intimidating your staff by rushing in, focus on building a strong base and steadily look to capitalize on it. This might take you an additional few months to completely ‘go live’ and use it like second nature, but it is an investment that is bound to reap long term benefits of productivity and improved quality of care.


References:

1.    http://evitontest.info/tag/emr-implementation/
2.    http://www.healthcareguy.com/2011/03/12/waiting-until-2012-on-attestation-for-meaningful-use-doesnt-mean-you-shouldnt-buy-an-ehr-in-2011/
3.    http://hubpages.com/hub/Meaningful-Use-Made-Easy-Understanding-Core-Objectives
4.    http://www.revenuexl.com/blog/bid/23066/8-Cardinal-Sins-of-Electronic-Medical-Records-EMR-Training
5.    http://www.ctsguides.com/Training-makes-EMR-Software-Investment-Succeed.asp

Friday, July 15, 2011

Choosing the Right EMR for Your Practice

Converting your practice into an EMR-based one has the potential to change the entire working of your practice. It is a decision that requires you to carefully review a number of factors that will help you pick an EMR that best suits your goals and vision for the software.

Your EMR Must Understand Your Practice
 
In order to pick an EMR that best understands your practice, it is important that you understand it first. Before embarking on the selection process, you must make a note of the specific requirements of your specialization that must be supported by your EMR. Workflow and processes, customized templates, Meaningful Use objectives differ from one specialization to another. Your EMR must adapt to these parameters in order to maximize its usability and usefulness. You must also be aware of your reasons behind switching to an EMR. Whether it is improving the quality of care, your practice’s productivity, making more money, meeting Meaningful Use or simplification of workflow; to know what is driving you towards conversion will help you pick an EMR that suits your needs, goals and requirements.

User-friendly and Easy to Use EMR

A user-friendly and easy to use EMR helps lower the resistance most staff personnel display towards adopting new technology in their daily work lives. An EMR may be laden with stunning features and customizations, but a complicated interface will not allow your staff to be able to use the software to its full potential, rendering it useless. A handy, convenient to use EMR will help you achieve maximum productivity without wasting time on training and implementation.

EMR Features
 
Your EMR must provide features that serve the unique requirements of your specialization and enable you to achieve Meaningful Use. A lot of EMR systems are stuffed with redundant features that your practice will never need. It is important that you keep it simple by getting only the bare necessities incorporated, at least to begin with. Later, if you feel that a certain EMR feature can help you improve a certain aspect of your practice, you can always build on it by asking your vendor to provide you the required update.

Client-Server vs. Web Based EMR
 
Depending on the size, location and nature of your practice, you can choose between client-server EMR systems and web-based EMR systems. Client-server EMRs are locally installed in your system whereas web-based EMRs are remotely hosted and accessible over a secure web connection. While a number of very good and highly recommended web-based EMRs are available free of charge, client-server EMRs carry installation, training and maintenance costs. Regular, free updates, suggested by practitioners make web-based EMRs more flexible and dynamic as compared to client-server systems that require you to pay for such services.

EMR Training and Customer Support
 
While most EMRs sell on features, they lose out on their customer support. You must ensure that your EMR vendor has an efficient and responsive customer support platform. Technical and programming support must be provided with the least possible response time. They should also be willing to extend training and staff counseling services to help your team adopt the technology and get comfortable with the whole conversion process.  

Involve Yourself in the EMR Selection Process
 
As the key stakeholder in your practice, you must involve yourself in every step of the selection and conversion processes. Ask questions. Tell the vendors exactly what you want from your EMR. Help them understand your practice and your EMR requirements. Be aware of the preparedness and general attitude of your staff towards the conversion. Involve them in the selection process and be open to their suggestions as they are the eventual users of the system. Let them know how determined you are to execute the conversion and motivate them to identify with the approach.

Credibility of your EMR vendor

You must review the credibility and reliability of the vendors you have book-marked for consideration. Some points to keep in mind while making the final selection are the cost per license, experience in your specialization, customization and templates for your specialty, features, updates, out-of-pocket costs, customer support and training. Conduct a thorough research online and among other practitioners in your specialization who have purchased their EMRs from the same vendor. CCHIT Certification is a good benchmark to begin with. It does not guarantee performance and quality, but it is always safer to go in for a CCHIT certified EMR than to invest in one that is not.

Cost of the EMR
 
Cost is one of the prime factors that will influence your decision. Conduct a detailed cost-benefit and ROI analysis before signing up for an EMR. However, don’t go about searching for the cheapest EMR in the market that will not help you or your practice meet its goals and the desired level of productivity. This said, ‘costlier the EMR, the better it is’ also does not stand true. A good EMR will satisfy the various criteria discussed above and round it off with a reasonable price to match. Call for proposals and quotes from vendors that are good on your checklist, compare their terms and conditions, provisions and prices and only then make a decision. Finally, do not proceed until everything that has been discussed and agreed to, is taken down, written and duly signed.


References:

1. http://technology4doctors.blogspot.com/2009/11/top-10-mistakes-that-doctors-make-in.html
2. http://www.binaryspectrum.com/electronicmedicalrecord/how-to-choose-the-right-EMR-for-your-practice.html
3. http://www.morefreeinformation.com/Art/171972/24/How-to-Choose-the-Right-EMR-Software-for-Your-Medical-Practice.html
4. http://emrguy.com/ehr-software-how-to-choose-the-right-system/

Friday, July 8, 2011

Can FREE EMRs get your practice through Meaningful Use?

With the federal government pushing EMR implementations by incentivizing their Meaningful Use, providers of Healthcare Information Systems are all rushing in to get a bite of that booming business pie. As a result, doctors and practitioners find themselves lost in a sea of information and complicated jargon about the various types of EMRs and EHRs available, each claiming to be the best for your Meaningful Use objectives.

Traditional EMR business-models have priced EMR systems for tens of thousands of dollars, making it prohibitive for practices to adopt them. However, with EMRs now being a statutory requirement, an increasing number of Healthcare IT providers are starting to work on revenue models that enable them to provide practitioners with outstandingly efficient EMR systems, absolutely free of cost.

Advantages of FREE EMRs over Locally-Hosted Priced EMRs

It is easy to assume that a free EMR may be inferior in terms of quality or has limited number of features and will hinder your practice from qualifying for the $44,000 incentive pay. The fact is that most free EMRs are web-based systems built with inherent technological features that not only allow them to be provided for free but also lend them a number of advantages over costly, locally hosted EMR systems.

FREE EMRs Cost Nothing

Being web-based, free EMRs can save you the cost of purchasing, installing and maintaining a private, local server which is a primary requirement for traditional, locally-hosted EMR systems. All you need to have, to get a free EMR up and running is a computer and a secure Internet connection. For smaller practices as well as for practices that lack the capital to invest in client-server systems and additional I.T staff to maintain local EMRs, free, web-based EMRs are an ideal choice. Because they are absolutely free, they carry no out-of-pocket, hidden charges that come to the fore after you have subscribed. With free EMRs, you can direct the $44,000 incentive pay to improve and develop your practice, instead of using it to pay for a local EMR.

Convenient and Easy to Use

Remotely hosted or web-based free EMRs are typically more user-friendly and easy to use as compared to other complicated EMR systems that take months of getting used to. Infact, free EMRs that are available in the market today, take only minutes to activate, saving you from all the lengthy, time-consuming installation processes that accompany local EMRs.

Data Security and Accessibility

Free EMRs, contrary to popular perception, are highly secure and protect your data by functioning under stringent confidentiality protocols. Remote hosting of free EMRs allows data to be accessed from any computer, anywhere, over a secure Internet connection. To add to that, your data is backed up on the remove server, completely discarding the possibility of data loss or system breakdowns. On the other hand, local systems are susceptible to hardware breakdowns, power cuts and system failures that bring your practice to a halt until someone arrives to restore it.

Features Required for Meaningful Use

Most local EMR systems contain a limited set of features that help you meet only a few of the required number of Meaningful Use objectives. You are thus forced to install supplementary systems to fulfil other objectives, amounting to additional cost, time and effort. One of the main reasons why free EMRs are so popular with practitioners today is because most of them are equipped to deal with feature requirements for all of the 20 objectives.


Feedback and Interaction with Users

Many Free EMRs make their money through the ads they place at the bottom of the system page. The success of an ad-based model such as this lies in how well and how much its users are able to employ it. Thus, free EMR providers take continual feedback and suggestions from the user community and incorporate them in the system. Free EMRs keep evolving with newer practices and suggestions, giving you immediate and regular updates of the software without having to install anything locally. On the other hand, local EMRs once sold are rarely updated, with each update requiring the EMR vendor to personally install it.


References:

1.   http://www.revenuexl.com/blog/bid/19051/Top-10-Electronic-Medical-Record-Software-Features-for-every-Physician
2.    http://digital-medicine.posterous.com/what-are-the-advantages-of-using-web-based-em
3.   http://www.binaryspectrum.com/electronicmedicalrecord/which-is-better-web-based-EMR-system-or-client-server-EMR-system.html
4.   http://emrguy.com/what-are-the-advantages-of-using-web-based-emr-software/
5.   http://www.practicefusion.com/pages/free_ehr.html