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	<title>Comments on: The Elephant in the Room</title>
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	<link>http://blog.srssoft.com/2009/10/the-elephant-in-the-room/</link>
	<description>From Evan Steele, CEO SRSsoft</description>
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		<title>By: Evan Steele, CEO SRSsoft</title>
		<link>http://blog.srssoft.com/2009/10/the-elephant-in-the-room/comment-page-1/#comment-2355</link>
		<dc:creator>Evan Steele, CEO SRSsoft</dc:creator>
		<pubDate>Sun, 22 Nov 2009 03:17:58 +0000</pubDate>
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		<description>Dr. Aldinger:

Regarding the CMS penalties, they start 6 years from now in 2015 at 1% of Medicare Part B reimbursements followed by 2% in 2016 and 3% in 2017.  They can reach 5% in subsequent years, but 8 years from now there will be a different administration and the penalties could very well be eliminated.  Also, one can only wonder what will happen when the current administration realizes that the EMR offerings in the marketplace today are impossible implement / adopt on a national scale.</description>
		<content:encoded><![CDATA[<p>Dr. Aldinger:</p>
<p>Regarding the CMS penalties, they start 6 years from now in 2015 at 1% of Medicare Part B reimbursements followed by 2% in 2016 and 3% in 2017.  They can reach 5% in subsequent years, but 8 years from now there will be a different administration and the penalties could very well be eliminated.  Also, one can only wonder what will happen when the current administration realizes that the EMR offerings in the marketplace today are impossible implement / adopt on a national scale.</p>
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		<title>By: Keith Aldinger  MD</title>
		<link>http://blog.srssoft.com/2009/10/the-elephant-in-the-room/comment-page-1/#comment-2354</link>
		<dc:creator>Keith Aldinger  MD</dc:creator>
		<pubDate>Sun, 22 Nov 2009 02:51:34 +0000</pubDate>
		<guid isPermaLink="false">http://blog.srssoft.com/?p=641#comment-2354</guid>
		<description>Bravo! Well stated! The present state of the EMR is such that even in the hands of the most computer savy physician, he or she spends more time with the computer than the patient. Last time I looked we were treating patients, not computers. There seems to be a misconception that anything done by computer is faster and better. Sorry, last time I checked, human emotions, symptoms, and complaints are not a linear function. In the near future it appears the government will be giving a 5% penalty to those physicians who treat Medicare patients and don&#039;t use an approved EMR. This is laughable in that physician productivity probably drops by at least 20%, i.e., seeing 20% less patients per day. It doesn&#039;t take Quantum Mechanics to do the math here. Then, again, this may simply be consistent with federal deficit thinking. Another consideration is that when physicians, either by force or choice, spend less time than needed with a patient, they tend to order more tests to make up for what is lacking in the history or physical exam. We all know what that does to medical costs. Yes,  physician productivity must be addressed! By the way, have you ever ventured a pronunciation of CCHIT. Perhaps there is some subliminal message here.</description>
		<content:encoded><![CDATA[<p>Bravo! Well stated! The present state of the EMR is such that even in the hands of the most computer savy physician, he or she spends more time with the computer than the patient. Last time I looked we were treating patients, not computers. There seems to be a misconception that anything done by computer is faster and better. Sorry, last time I checked, human emotions, symptoms, and complaints are not a linear function. In the near future it appears the government will be giving a 5% penalty to those physicians who treat Medicare patients and don&#8217;t use an approved EMR. This is laughable in that physician productivity probably drops by at least 20%, i.e., seeing 20% less patients per day. It doesn&#8217;t take Quantum Mechanics to do the math here. Then, again, this may simply be consistent with federal deficit thinking. Another consideration is that when physicians, either by force or choice, spend less time than needed with a patient, they tend to order more tests to make up for what is lacking in the history or physical exam. We all know what that does to medical costs. Yes,  physician productivity must be addressed! By the way, have you ever ventured a pronunciation of CCHIT. Perhaps there is some subliminal message here.</p>
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		<title>By: Mike Moore</title>
		<link>http://blog.srssoft.com/2009/10/the-elephant-in-the-room/comment-page-1/#comment-2067</link>
		<dc:creator>Mike Moore</dc:creator>
		<pubDate>Wed, 28 Oct 2009 13:56:17 +0000</pubDate>
		<guid isPermaLink="false">http://blog.srssoft.com/?p=641#comment-2067</guid>
		<description>Just found your blog today, how refreshing.  I work for another vendor in the HIT space and we are completely focused on making our solution a performance improvement tool...its productivity that matters!!!

Keep up the good work and I will be checking back with you often,

Mike Moore
GetWellNetwork</description>
		<content:encoded><![CDATA[<p>Just found your blog today, how refreshing.  I work for another vendor in the HIT space and we are completely focused on making our solution a performance improvement tool&#8230;its productivity that matters!!!</p>
<p>Keep up the good work and I will be checking back with you often,</p>
<p>Mike Moore<br />
GetWellNetwork</p>
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		<title>By: Evan Steele, CEO SRSsoft</title>
		<link>http://blog.srssoft.com/2009/10/the-elephant-in-the-room/comment-page-1/#comment-1965</link>
		<dc:creator>Evan Steele, CEO SRSsoft</dc:creator>
		<pubDate>Thu, 22 Oct 2009 16:00:56 +0000</pubDate>
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		<description>Dr. Epstein,
Thanks for the complimentary comments about SRS. Although our EMR did start as a document management system 12 years ago, it has evolved since then to its current status as a productivity-focused, robust EMR through the devotion of significant development resources. In addition to the two capabilities you mentioned—ePrescribing and order management—it also incorporates data capture and reporting, lab management, robust messaging, templating as desired, facilitation of transcription through tight integration with Dragon, and an efficient clinical summary, all of which contribute to physician productivity.</description>
		<content:encoded><![CDATA[<p>Dr. Epstein,<br />
Thanks for the complimentary comments about SRS. Although our EMR did start as a document management system 12 years ago, it has evolved since then to its current status as a productivity-focused, robust EMR through the devotion of significant development resources. In addition to the two capabilities you mentioned—ePrescribing and order management—it also incorporates data capture and reporting, lab management, robust messaging, templating as desired, facilitation of transcription through tight integration with Dragon, and an efficient clinical summary, all of which contribute to physician productivity.</p>
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		<title>By: Jeffrey E. Epstein, MD</title>
		<link>http://blog.srssoft.com/2009/10/the-elephant-in-the-room/comment-page-1/#comment-1953</link>
		<dc:creator>Jeffrey E. Epstein, MD</dc:creator>
		<pubDate>Thu, 22 Oct 2009 00:04:27 +0000</pubDate>
		<guid isPermaLink="false">http://blog.srssoft.com/?p=641#comment-1953</guid>
		<description>Physician Productivity is the key!
I demoed SRSsoft and it is an excellent system.
Even though they are a Document Based System Scanning System, they capture all the critical information in a granular manner using their prescription writing module and their order entry and tracking module.

You have to do a demo to understand how it works, but it is very ingenious.</description>
		<content:encoded><![CDATA[<p>Physician Productivity is the key!<br />
I demoed SRSsoft and it is an excellent system.<br />
Even though they are a Document Based System Scanning System, they capture all the critical information in a granular manner using their prescription writing module and their order entry and tracking module.</p>
<p>You have to do a demo to understand how it works, but it is very ingenious.</p>
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