Electronic Health Record

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1 Electronic Health Record

2 Number of respondents = 37

3 Are you currently using an EHR in your office? 00% 90% 80% 70% 60% 50% 40% 30% 20% 0% 0% Yes No n=6 n=2

4 Are currently using an EHR n=6 What product are you using? Product Tops Suite (E-MDs) Pulse SoapWare emed IDX and OCS Indian Health Service records RPMS MediNotes Meditech and ChartMaxx Practice Partner Proprietary product # using 3 2 2

5 Are currently using an EHR n=6 Why did you choose it? Tops Suite (E-MDs) Flexibility Various reasons - TNTC - but it was the overall best fit for our small rural practice, and the style of our providers. Also it is a robust program which can be as "point and click" or as user specific as we desire. It did most of what we wanted it to do.

6 Are currently using an EHR n=6 Why did you choose it? emed Recommended by AAFP and multiple similar in the Wichita area, excellent and prompt support, average price, they stand by their guarantee ( I already have to use it)

7 Are currently using an EHR n=6 Why did you choose it? IDX and OCS Clinic chose it. I was not involved in choosing. More functions are being added all the time. Indian Health Service records RPMS Mandatory

8 Are currently using an EHR n=6 Why did you choose it? MediNotes Customization, number of people already using it, compatibility with billing software. Meditech and ChartMaxx Was already in place when I came. Practice Partner Family practice friendly, software written by Family Physician, over 5,000 users, packaged with interface for PDS Business software package, which we already were using. Recommended by AAFP.

9 Are currently using an EHR n=6 Why did you choose it? Pulse Local market leader Marketing Soapware Cheaper product that allowed us to buy segments of it we felt would be useful and to implement it into the practice gradually. I didn't, but agree it's an appropriate choice.

10 Where is it meeting your needs and expectations? Tops Suite (E-MDs) Are currently using an EHR n=6 Standardized notes, EMN coding, easy to pic and click Ease of use, flexable templates.it did most of what we wanted it to do. Good to pretty good

11 Where is it meeting your needs and expectations? Are currently using an EHR n=6 emed Scheduling patients Lab processing and promptly filed results. Billing is wonderful. IDX and OCS Quick acces to patient records, lab, x-rays, demographics, immunization records. Indian Health Service records RPMS Tracking diagnoses and vital signs.

12 Where is it meeting your needs MEDINOTES and expectations? Are currently using an EHR n=6 I am now keeping up with my records. I can now finish the day without 20 charts piled up on my desk. The only notes on hold in the EMR are the ones waiting for the pathology from biopsies. There are less errors regarding prescriptions, since I print them directly from the note.

13 Where is it meeting your needs and expectations? Meditech and ChartMaxx All office and hospital records in one place as well as laboratory Practice Partner Are currently using an EHR n=6 Flexibility to meet 7 physicians and 2 mid levels' needs. Improved access to medical records quickly and from any computer platform. Quick access to ancillary services. Excellent communication via intranetwork . Lessens paperwork and makes workday more efficient

14 Where is it meeting your needs and expectations? Are currently using an EHR n=6 Pulse Medical managment No!! Soapware Health protocols and templates help provide consistent care and save some time Patient records and practice management with access to records from other outlying clinics. We have it in a wide-area network, EMS, Pharmacy, Clinics, Nursing Homes and Hospital all have access but limited by security properties available in program.

15 Are currently using an EHR n=6 Where is it not meeting your needs and expectations? Tops Suite (E-MDs) The learning curve is harder than expected. As flexible as it is, there are still several things we need to modify to make it fit our needs. Our problems have been more implementation based (wi-fi, specific learner curves) more than program related. At times it is slower than what I would like and does not quite process the lab the way I would like.

16 Where is it not meeting your emed needs and expectations? Are currently using an EHR n=6 It crashed so bad in December that it took month to set it back due to a defect in configuration from the server. They stood by the warranty. Indian Health Service records RPMS Difficult data entry, billing, generating reports

17 Where is it not meeting your needs and expectations? MEDINOTES Are currently using an EHR n=6 I don't think an EMR has been made that deals well with the breadth of problems a family doc sees. Trying to complete a history is the toughest part of the note. Also, you have to work pretty hard on your own to create clinically relevant templates. This program is set up to make available all the aspects of coding, so it is straightforward to get a multiple point history. Unfortunately, those points don't make it clinically relevant.

18 Where is it not meeting your needs and expectations? Meditech and ChartMaxx Doesn't have updates on health screening items; have to use ChartMaxx to sign off of records and use Meditech for almost everything else Practice Partner Are currently using an EHR n=6 Expensive software. Requires daily tech supervision. Unable to get real time lab access.

19 Where is it not meeting your needs and expectations? Are currently using an EHR n=6 Pulse Clinical data entry Complex and failed applications Soapware Lack of lab and radiology reports incorporated into EHR currently requires use of paper chart. Not completely paperless. Getting lab, correspondence, x-ray reports, etc. other than just the progress notes and H&P's/Discharge summaries, are not available due to problems with scanner connections with Soapware.

20 Are currently using an EHR n=3 How long have you been using the EHR? 00% 90% 80% 70% 60% 50% 40% 30% 20% 0% 0% 23% 3% 46% 6 months -2 years >2 years

21 Does your EHR interface with EHR systems at the hospital? Are currently using an EHR n=3 Product Tops Suite (E-MDs) emed IDX and OCS Indian Health Service records RPMS MediNotes Meditech and ChartMaxx Practice Partner Proprietary Pulse SoapWare Yes No 2

22 Are currently using an EHR n=3 Does your EHR interface with EHR systems at the lab? Product Tops Suite (E-MDs) emed IDX and OCS Indian Health Service records RPMS MediNotes Meditech and ChartMaxx Practice Partner Proprietary Pulse SoapWare Yes 2 2 No 2

23 Are currently using an EHR n=3 Does your EHR interface with EHR systems at the pharmacy? Product Tops Suite (E-MDs) emed IDX and OCS Indian Health Service records RPMS MediNotes Meditech and ChartMaxx Practice Partner Proprietary Pulse SoapWare Yes 3 2 No

24 Are currently using an EHR n=3 Does your EHR interface with EHR systems at other offices? Product Tops Suite (E-MDs) emed IDX and OCS Indian Health Service records RPMS MediNotes Meditech and ChartMaxx Practice Partner Proprietary Pulse SoapWare Yes 2 No 2

25 Additional Comments Are currently using an EHR n=6 Tops Suite (E-MDs) We have access to this system in our hospital, nursing homes, ER and our own homes. I would never go back to the paper chart system. I can see where this is going to make things much easier once we get the system modified to fit our work flow...but it is a lot more work than I had expected it to be. The learning curve is harder for those without some computer background already. Others in office are off and running wondering why it is taking so long for others. In above question, "interface" is too loosely defined. It does have pre written interface for larger labs such as Quest or Labcorp, but we don't use those services. We can fax lab orders, pharmacy requests etc. but it is not interfacing directly with their database.

26 Are currently using an EHR n=6 Additional Comments emed For an old Dr. like me it has been a blessing to speed and facilitate my practice, not only increasing efficiency and speed but helping immensely in billing and collections, with increase in gross income

27 Are currently using an EHR n=6 Additional Comments MediNotes The program I use has been impressive in there customer support. They just released a new version that is a great improvement. Practice Partner Working on establishing HL7 interface with hospital EHR.

28 Are currently using an EHR n=6 Additional Comments Pulse $$$$$$$$$$ Soapware No one product out there seems to take care of all the areas we need in Family Medicine such as practice management with a good EMR or getting outside lab and reports into the EMR without extra cost for personnel to scan or enter. HOWEVER, access to clinical information for chart surveys, clinical studies and reviews is great and a powerful tool.

29 Are not currently using an EHR n=2 If you have not adopted an EHR, why not? $$$ Expense, also, the benefits are unclear. Cost Cost and waiting to make sure all software is compatible with insurance, hospital, medicare, etc. Cost, expertise, time Cost of implementation Expense Expense and usability of current products Expense, confusion about the best program, inertia of rest.

30 Are not currently using an EHR n=2 If you have not adopted an EHR, why not? I had an EHR in a previous office and loved it. However my last practice was hospital owned and they weren't prepared to invest the money in an EHR. I have been in ER work but am joining a family medicine practice soon. Part of a large multispecialty group which has not figured out how to satisfy all the various specialties Trying to gather more info and find time to begin the process. Work in ER at a hospital and it is not used there.

31 Are not currently using an EHR n=2 If you have not adopted an EHR, why not? In the process of implementing, go live in 2 weeks. Planning to implement EHR by Sept 2006 We are currently negotiating final price for and EHR. We are have been evaluating options and now a product has been choosen but cost of implementation is still an issue. We are in the process of adopting one.

32 Are not currently using an EHR n=2 Are you actively considering adopting an EHR? 00% 90% 80% 70% 60% 50% 40% 30% 20% 0% 0% Yes No n=5 n=6

33 Are not currently using an EHR n=2 Are you actively considering adopting an EHR - Comments e-clinical works Employer is working on one at one site. Have looked at 3 systems. Not in love with anything we have seen. Looking but haven't found an affordable fit The group i am joining already uses Practice Partners, and has for a long time. I hope it works for me, too! Yes, I am shopping for one for my new practice which I hope to have open by September

34 Are not currently using an EHR n=2 What would it take for you and your practice to invest in a system? Under study Fortunately, the hospital in the area to which I am moving is in favor of EHR's. I told the CEO that I wanted to start with an EHR, I do not want to use paper records. He was happy about that. We're looking for a system that he can offer to other doctors in the community too. I don't think that as a solo doctor I could have afforded a good EHR, I'm fortunate to have a hospital helping me set up the practice. Already doing so We are We have already selected a system.

35 Are not currently using an EHR n=2 What would it take for you and your practice to invest in a system? Cost to come down significantly. Low cost system that would interface with our current system and increase our efficiency. Low cost User friendly Proven track record. Money. About $500,000 and more interest. Some way to lower the overall start up cost as we will need to change our practice management system as well to have a totally intergrated system. At this point too much time commitment and too high an investment. Time and a lot of money.

36 Are not currently using an EHR n=2 What would it take for you and your practice to invest in a system? I would need a clear idea of what features are helpful vs. desirable vs. necessary. Clear idea of the benefits. Reasonable cost. Ease of use and completeness. Expertise, time commitment Ability to interface with hospitals, etc.

37 Are not currently using an EHR n=2 What would it take for you and your practice to invest in a system? Assurance that the system will be there over the long haul. User friendly. Reasonably priced. Show some up front returned income on expense of setup. See no slow down in patient load, revenue would cover expense, could seek legal means against insurance companies bundling codes for office visits Would like to see the product in action for a period of time; would rather not be a guinea pig.

38 Are not currently using an EHR n=2 What features will be most important to you? Ease of use and completeness. Ease of operation Ease of use (increased efficiency) Ease of use and affordability Ease of use for someone (me) not very comfortable with computers Ease of use for the physician as far as data entry. Ease of use, comprehensiveness, seamless interface with billing systems, pharmacy connection, etc. Ease of use; clear user interface; integration with ancillary reports w/o paper.

39 Are not currently using an EHR n=2 What features will be most important to you? User friendly User friendly and efficient User friendly, Help us get the work done (not add to the work load), Improve the quality of our care, Hopefully return some additional income to offset the cost on the system. Ability to track patients with regards to various best practice recommendations for preventative and disease/condition specific areas. Recall lab x-ray, old records System with routine health reminders, data tracking and plotting, prescription documentation, queable system

40 Are not currently using an EHR n=2 What features will be most important to you? It needs to promote high quality documentation. Have capability to scan in documents, be able to fax prescriptions directly to the pharmacies, without my employees having to stand over a fax machine. It needs to have an excellent practice management module. Flexible computer scheduling, the ability to leave notes regarding the payments on the individual person's chart so that the receptionist sees those when she keys in the patients' name. It needs to be secure so that no one outside has access to the database. And security features that can prevent or discourage my employees from reading the patients' visits portion of the charts.

41 Are not currently using an EHR n=2 What features will be most important to you? Interface with hospital ability to use dictation Interface between lab, radiology, hospital. Reminders. Interoperability Rapid retrieval of information, and off-site retrieval Ability to order and receive lab results through the EHR. Data management, scheduling, billing highly integrated. Flexibility, portability, coding help as you document, ease of use, doctor and staff friendliness.

42 Are not currently using an EHR n=2 Additional Comments At this time I have found no EMR that is really user friendly for broad FP cares that doesn't take more time to use than a paper chart without any real tangible benefits without paying a HUGE price. Family docs need a national standard record that is flexible enough we all can use the same format so it will transfer easily from one provider to the next via available media or internet, not 50 choices that are often incompatible with each other!!!!!!!!

43 Are not currently using an EHR n=2 Additional Comments I think we will have EMR by year end---we are actively looking at different options at this time In my solo practice the inexpensive EHR I had (Soapware) saved me at least one employee. It got me through Medicare requesting 3-4 notes per week for the first 2 months...i was paid for all the "audited" visits at the level I billed them. I hope my new Low longterm IT support costs would be nice.

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