Electronic Medical Record
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1 Electronic Medical Record Making the Most of Your Selection Chris Tonozzi, MD
2 Objectives: Arguments for going electronic
3 Objectives: Arguments for going electronic Assessing organizational readiness
4 Objectives: Arguments for going electronic Assessing organizational readiness EMR Assessment tools
5 Objectives: Arguments for going electronic Assessing organizational readiness EMR Assessment tools Hardware options
6 Objectives: Arguments for going electronic Assessing organizational readiness EMR Assessment tools Hardware options Contracting issues
7 Why an EMR?
8 Why an EMR? Return on Investment
9 Why an EMR? Efficiency Chart chasing Multiple users Multiple media
10 Why an EMR? External Pressure Medicare E-prescribing
11 Why an EMR? External Pressure Medicare E-prescribing Computerized Order Entry Presidential Initiative
12
13 Why an EMR? Safety 44,000-98,000 deaths per year in US are iatrogenic. 7,000 year are medication errors. Software intelligence Eliminate Handwriting Problem tracking/follow-up
14 Organizational Readiness Acceptance of change, work flow flexibility, adaptability, stress level
15 Organizational Readiness Acceptance of change, work flow flexibility, adaptability, stress level Top to bottom support
16 Organizational Readiness Acceptance of change, work flow flexibility, adaptability, stress level Top to bottom support Leadership
17 Organizational Readiness Acceptance of change, work flow flexibility, adaptability, stress level Top to bottom support Leadership Financial plan
18 Organizational Readiness Acceptance of change, work flow flexibility, adaptability, stress level Top to bottom support Leadership Financial plan Physician support
19 EMR Software Assessment Tools
20 EMR Software Assessment Tools AAFP Review
21
22 EMR Software Assessment Tools AAFP Review KLAS Reports
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24 EMR Software Assessment Tools AAFP Review KLAS Reports AC Group Reports
25
26 EMR Software Assessment Tools AAFP Review KLAS Reports AC Group Reports Specialty Society reports
27
28 EMR Software Assessment Tools AAFP Review KLAS Reports AC Group Reports Specialty Society reports BPHC assessment tools
29
30 EMR Software Assessment Tools AAFP Review KLAS Reports AC Group Reports Specialty Society reports BPHC assessment tools TEPR conference
31
32 EMR Software Assessment Tools AAFP Review KLAS Reports AC Group Reports Specialty Society reports BPHC assessment tools TEPR conference On-line or in-person demos
33 EMR Software Assessment Tools AAFP Review KLAS Reports AC Group Reports Specialty Society reports BPHC assessment tools TEPR conference On-line or in-person demos Site Visits
34 Selection Criteria Which one will fit my practice?
35 Selection Criteria Specialty experience
36 Selection Criteria Specialty experience Amount of time in business
37 Selection Criteria Specialty experience Amount of time in business EMR +/- Practice Management
38 Selection Criteria Specialty experience Amount of time in business EMR +/- Practice Management Size of Practice
39 Criteria Specialty experience Amount of time in business EMR +/- Practice Management Size of Practice ASP (Web based) vs Server based
40 Criteria Specialty experience Amount of time in business EMR +/- Practice Management Size of Practice ASP (Web based) vs Server based Functionality of Software
41 Criteria Specialty experience Amount of time in business EMR +/- Practice Management Size of Practice ASP (Web based) vs Server based Functionality of Software Cost
42 Cost Based on Concurrent user or Provider (Physician vs MLP) Software EMR with or without PM Install Hardware Support
43 Cost Very general estimates: $15-50k/provider install (hardware and software) $1-2k/provider/month support
44 Criteria Specialty experience Amount of time in business EMR +/- Practice Management Size of Practice ASP (Web based) vs Server based Functionality of Software Cost Format of software
45
46
47
48
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50 Hardware Options Desktop
51 Hardware Options Desktop Mobile Wireless Laptop on cart or carried
52
53 Hardware Options Desktop Mobile Wireless Laptop on cart or carried Tablet PC
54 Hardware Options Desktop Mobile Wireless Laptop on cart or carried Tablet PC PDA
55 Input Methods Keyboard
56 Input Methods Keyboard Dictation
57 Input Methods Keyboard Dictation Voice Recognition
58 Input Methods Keyboard Dictation Voice Recognition Back end Voice Recognition
59 Input Methods Keyboard Dictation Voice Recognition Back end Voice Recognition Digital images
60
61 Input Methods Keyboard Dictation Voice Recognition Back end Voice Recognition Digital images Scanning
62 Input Methods Keyboard Dictation Voice Recognition Back end Voice Recognition Digital images Scanning Transfer of Electronic files
63 Contracting with EMR Vendor
64 Contracting with EMR Vendor Detailed specifications
65 Contracting with EMR Vendor Detailed specifications Payments tied to milestones
66 Contracting with EMR Vendor Detailed specifications Payments tied to milestones Final payment tied to completion including real world testing
67 Contracting with EMR Vendor Detailed specifications Payments tied to milestones Final payment tied to completion including real world testing Vendor staff identified by name
68 Contracting with EMR Vendor Detailed specifications Payments tied to milestones Final payment tied to completion including real world testing Vendor staff identified by name Vendor guarantee that system will be interoperable with specific hardware/software
69 Contracting with EMR Vendor Detailed specifications Payments tied to milestones Final payment tied to completion including real world testing Vendor staff identified by name Vendor guarantee that system will be interoperable with specific hardware/software Availability of data if vendor dissolves or if practice migrates to other software
70 Electronic Medical Record Time to Jump In!
71 Chris Tonozzi, MD Chris Tonozzi, MD has been a practicing physician at Mountain Family Health Center in Glenwood Springs, CO since 1999 and is the physician lead of the Electronic Health Record Task Force at Mountain Family. He has been involved in a number of community activities and is currently a member of the Electronic Health Record Committee at Valley View Hospital. Dr. Tonozzi is also a clinical instructor for the University of Colorado Department of Family Medicine. He received his M.D. from the University of Colorado School of Medicine in 1991.
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