Showing posts with label Technical Dr. Show all posts
Showing posts with label Technical Dr. Show all posts

Thursday, September 8, 2011

How Technology Can Improve The Work Life Balance For A Physician

Doctors and healthcare professionals are not strangers to poor work life balance. A very strong culture surrounds this industry that perceives a doctor wishing to lead a healthy personal life as a sign of weakness. 

It is not uncommon to see doctors resign to the demands of the job and the medical culture system, leading to unhealthy suppression of their personal goals and requirements. No doubt that for some medical professionals, the passion for work overrides the stress and the burning out, but for others, constantly trying to cope with the unwritten but powerful psychological contract of “if you cannot work 18 hours a day and seven days a week, you don’t belong here” can be very overwhelming.

It’s usually only a matter of time until physicians begin to deal with ill health, depression, reduced efficiency and quality of work, lack of focus, fatigue-related medical errors, struggling personal and professional relationships and severe job dissatisfaction to the extent that many end up reconsidering their decision of being in the medical profession submitting to “maybe I’m not wired for this!”

Yes, there are caps on the number of duty hours for doctors. However, the increasing influence of consumerism on the national healthcare system and the growing demands of federal policies call in for greater accountability, increased bureaucracy and a ton of paperwork and administrative chores left to be performed by physicians themselves. This corporatization of work structure compels them to digress from their primary job of providing healthcare to completing clerical and managerial work that now ends up taking the best of their time and productivity, defeating the very idea of Meaningful Work.

In such a situation and keeping in mind the perfectionists that doctors are, one way for them to strike a healthy work life balance without compromising on their productivity or performance would be to focus the best part of their energy and work day on their actual job – that of being good clinicians and reduce the amount of time, effort and personal attention they put into peripherals like paperwork, clinic management and other administrative functions. 

This article aims to suggest help on how physicians may save time on these subordinate activities by using technological tools that will enable them to complete the same tasks quickly and efficiently, leaving them more personal time and a better organized work day.

7 Must-Use Technological Tools for Physicians

1.) Email
Physicians must leverage the power of this simple tool to reach out and connect to their patients without having to extend their workday. Communicating via email can be less intrusive and time consuming as opposed to personal telephone calls as it allows for multitasking, automation, bulk mailing and standardization of regularly used content.

Appointment reminders, medication alarms, direction maps and instructions can be sent out to patients through an automated, pre-programmed system that monitors all your email communication.

2.) Medical Website

In a world where people turn to the Internet for nearly everything, having a web presence not only helps you reach out to a global audience but is also a time saver for functions like briefing new patients about your practice, answering FAQs, providing critical information, clinic details, directions and patient support. For physicians looking to set up a website, a good place to begin would be http://www.websitesordoctors.in

3.) Spreadsheet programs like Microsoft Excel

If you haven’t already discovered the treasures of Ms Excel and still go the old pen and paper way to record your administrative activities, insurance, tax, bank and financial details, stocks, inventories and everything that makes up your practice, you are missing out on a tool that can transform your work day and save you a ton of time and trouble. Ms Excel is simple to learn, easy to use and will spoil you for convenience once you’re in the habit of using it. For free online training in Ms Excel, visit http://office.microsoft.com/en-us/excel-help/CH010369467.aspx.

4.) PDAs and Smartphones 

A personal digital or data assistant (PDA) can be used to save all your information paperlessly, in one single place. This information is portable and can be made available on your laptop, phone and other devices. PDAs can be used to store patient contacts, records, medical and other information, drug databases, crucial spontaneous notes, treatment information etc. E-books, medical databases, research and information can also be stored and accessed. You can use them to schedule your day, post reminders for important tasks and have all the information you need in the palm of your hand whenever you need it.

5.) Medical Software such as an Electronic Medical Record(EMR)

EMRs collect and consolidate all patient information into a single integrated system that can be accessed at the click of a mouse. Without having to look through heaps of paper files, EMRs allow for quick and convenient access to the patient's medical history, list of medications, drug allergies, test results and information, helping physicians make faster, accurate and more informed medical decisions, diagnoses and treatments. They also enable instant and simultaneous EMR sharing with other care providers, saving on a whole lot of time that would otherwise be spent in viewing, reviewing and communicating results with other practitioners.

6.) Smartphones/Tablet PCs 

Smartphones are poised to be the next big thing in Healthcare IT. The power of portable information and being connected on the go is sure to lend physicians greater autonomy and flexibility of work schedules. Smartphones and tablets can be synchronized with your office and home computers, PDAs etc and can be used to access this and other medical information from any place in the world. You can effectively use them to do your day’s reading or wrap up pending documentation and record work while commuting or even at home. A good article on using smartphones to improve your practice can be read at http://emrmeaningfuluse.blogspot.com/2011/08/how-can-smartphone-help-you-in-your.html

7.) Videoconferencing and Tele-consultations

Physicians can use videoconferencing tools like Skype to provide tele-consultations to patients based in remote locations. They can also carry out pre-appointment screenings, post-appointment follow ups and monitoring from home, saving themselves and their patients commuting time and making for a shorter work day. To learn more about videoconferencing and Skype, visit http://emrmeaningfuluse.blogspot.com/2011/09/using-skype-to-help-your-practice.html

These technological tools can be used to reduce the time and effort spent on administrative functions (and certain clinical functions too!). If a routine break up of your day is say 70% of seeing patients and 30% of filing paperwork and records, you can use these tools to work on bringing down the 30% average or even taking it home (easier for solo practitioners) as all the information is digitally available to you, wherever (and whenever) you choose to use it. 

Yes, taking work home is a debatable idea for many families but for physicians, it is really a case of being home at a good hour at least physically vs not being there at all. The trick here is to not get into a habit of “staying connected” all the time, using technology to only accomplish what is required for the day and switch off once you’re done.

References:


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/

Wednesday, July 6, 2011

America’s Top CCHIT Certified EMR Systems

With an estimated 300-400 companies peddling to sell their EMR systems in the country, medical practitioners find it overwhelmingly difficult to choose an EMR system that is best suited to their practice and specialization. In order to narrow down the multitude of options available in the market today, a good idea would be to start by reviewing America’s top CCHIT Certified EMR systems.

What is CCHIT Certification? Does it guarantee EMR quality and performance?

CCHIT is an independent, non-profit organization that develops criteria for its CCHIT Certified® program based on nationally recognized standards to certify EHRs. These certification criteria are developed by your peers – work groups of practicing clinicians and health information technology experts – taking into account the state of the art of EHRs and your complex needs.

CCHIT has been certifying EHRs since 2006.  For more information, visit http://www.cchit.org

CCHIT Certification is a good initial requirement that can help you limit the range of your search to a realistic number. However, it does not guarantee EMR quality and performance and should not have the final say in your decision. Because an EMR is CCHIT Certified, it does not imply that its features will help you meet Meaningful Use objectives.

Once, you have zeroed in on a list of CCHIT Certified EMR systems with the best reviews and recommendations in the market, it is your prerogative to determine which one of these systems has features that will help your practice function efficiently and meet Meaningful Use objectives.

Features of a good CCHIT Certified EMR System

Besides being CCHIT Certified, a good EMR system must provide you with the following features:
  • It must be user-friendly and easy to understand.
  • It should be low on maintenance and should be easy to update.
  • System updates should be free and regular.
  • It must include features that are required to manage workflow and functions specific to your specialization.
  • Features must be customizable and easy to use.
  • It should have a feedback and interaction channel connecting you to the vendors in case of feature requests, suggestions, complaints and grievances.
  • The EMR provider must commit to customer support service, user-guidance and quick response time to complaints. 

CCHIT Certified EMRs – America’s Most Recommended EMR Systems  

SoftwareAdvice puts together a list of top CCHIT Certified EMRs in the country. The most recommended systems on their list are given below:

1. Allscripts EHR
2. ADP AdvancedMD EHR Software
3. eClinicalWorks
4. NueMD Complete
5. Aprima EHR (formerly iMedica)
6. Greenway PrimeSUITE 2011
7. MedLedger
8. CareTracker
9. SuiteMed IMS
10. Intivia’s InSync®

You may also take a look at a host of other EMR systems they recommend for consideration at http://www.softwareadvice.com/medical/cchit-certified-emr-software-comparison/

References:

1.    http://www.encounternotes.com/index.php?/before-getting-emr/cchit-certified-emr-software-worst-nightmare.html
2.    http://wirelysis.blogspot.com/2011/04/want-to-acquire-emr-vendor-look-out-for.html
3.    http://www.revenuexl.com/blog/bid/25572/Selecting-EMR-Software-life-beyond-CCHIT-Certification
4.    http://www.cchit.org/sites/all/files/cchit10Reasons.pdf
5.    http://www.himssanalytics.org/docs/Essentials/5thEditionEssentialsIntroduction.pdf
6.    http://www.articledashboard.net/Article/EMR-Software-Features-to-Look-Out-For/7531
7.    http://www.webpt.com/resources/practices/4-things-look-any-emr-system