Electronic Medical Record Making the Most of Your Selection Chris Tonozzi, MD
Objectives: Arguments for going electronic
Objectives: Arguments for going electronic Assessing organizational readiness
Objectives: Arguments for going electronic Assessing organizational readiness EMR Assessment tools
Objectives: Arguments for going electronic Assessing organizational readiness EMR Assessment tools Hardware options
Objectives: Arguments for going electronic Assessing organizational readiness EMR Assessment tools Hardware options Contracting issues
Why an EMR?
Why an EMR? Return on Investment
Why an EMR? Efficiency Chart chasing Multiple users Multiple media
Why an EMR? External Pressure Medicare E-prescribing
Why an EMR? External Pressure Medicare E-prescribing Computerized Order Entry Presidential Initiative
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
Organizational Readiness Acceptance of change, work flow flexibility, adaptability, stress level
Organizational Readiness Acceptance of change, work flow flexibility, adaptability, stress level Top to bottom support
Organizational Readiness Acceptance of change, work flow flexibility, adaptability, stress level Top to bottom support Leadership
Organizational Readiness Acceptance of change, work flow flexibility, adaptability, stress level Top to bottom support Leadership Financial plan
Organizational Readiness Acceptance of change, work flow flexibility, adaptability, stress level Top to bottom support Leadership Financial plan Physician support
EMR Software Assessment Tools
EMR Software Assessment Tools AAFP Review
http://www.aafp.org/fpm/20010100/45elec.html
EMR Software Assessment Tools AAFP Review KLAS Reports
www.healthcomputing.com/site/v2/
EMR Software Assessment Tools AAFP Review KLAS Reports AC Group Reports
www.acgroup.org
EMR Software Assessment Tools AAFP Review KLAS Reports AC Group Reports Specialty Society reports
www.rheumatology.org
EMR Software Assessment Tools AAFP Review KLAS Reports AC Group Reports Specialty Society reports BPHC assessment tools
EMR Software Assessment Tools AAFP Review KLAS Reports AC Group Reports Specialty Society reports BPHC assessment tools TEPR conference
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
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
Selection Criteria Which one will fit my practice?
Selection Criteria Specialty experience
Selection Criteria Specialty experience Amount of time in business
Selection Criteria Specialty experience Amount of time in business EMR +/- Practice Management
Selection Criteria Specialty experience Amount of time in business EMR +/- Practice Management Size of Practice
Criteria Specialty experience Amount of time in business EMR +/- Practice Management Size of Practice ASP (Web based) vs Server based
Criteria Specialty experience Amount of time in business EMR +/- Practice Management Size of Practice ASP (Web based) vs Server based Functionality of Software
Criteria Specialty experience Amount of time in business EMR +/- Practice Management Size of Practice ASP (Web based) vs Server based Functionality of Software Cost
Cost Based on Concurrent user or Provider (Physician vs MLP) Software EMR with or without PM Install Hardware Support
Cost Very general estimates: $15-50k/provider install (hardware and software) $1-2k/provider/month support
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
Hardware Options Desktop
Hardware Options Desktop Mobile Wireless Laptop on cart or carried
Hardware Options Desktop Mobile Wireless Laptop on cart or carried Tablet PC
Hardware Options Desktop Mobile Wireless Laptop on cart or carried Tablet PC PDA
Input Methods Keyboard
Input Methods Keyboard Dictation
Input Methods Keyboard Dictation Voice Recognition
Input Methods Keyboard Dictation Voice Recognition Back end Voice Recognition
Input Methods Keyboard Dictation Voice Recognition Back end Voice Recognition Digital images
Input Methods Keyboard Dictation Voice Recognition Back end Voice Recognition Digital images Scanning
Input Methods Keyboard Dictation Voice Recognition Back end Voice Recognition Digital images Scanning Transfer of Electronic files
Contracting with EMR Vendor
Contracting with EMR Vendor Detailed specifications
Contracting with EMR Vendor Detailed specifications Payments tied to milestones
Contracting with EMR Vendor Detailed specifications Payments tied to milestones Final payment tied to completion including real world testing
Contracting with EMR Vendor Detailed specifications Payments tied to milestones Final payment tied to completion including real world testing Vendor staff identified by name
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
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
Electronic Medical Record Time to Jump In!
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.