Comments on: MGMA Confirms Productivity Loss with Government’s EMR Program http://blog.srssoft.com/2010/03/mgma-confirms-productivity-loss-with-government%e2%80%99s-emr-program/ From Evan Steele, CEO SRSsoft Sun, 05 Feb 2012 06:12:33 +0000 hourly 1 http://wordpress.org/?v=3.0.4 By: Thomas Henderson, MD http://blog.srssoft.com/2010/03/mgma-confirms-productivity-loss-with-government%e2%80%99s-emr-program/comment-page-1/#comment-15074 Thomas Henderson, MD Sat, 21 May 2011 20:25:23 +0000 http://blog.srssoft.com/?p=895#comment-15074 I went through EMR startup in December 2010. The result was a 50% decrease in collections for 1 month and slower patient progress through our practice still at 6 months. I have always used a scribe to enable me to focus directly on the patient, and the EMR has shifted more work onto them from other clerical workers in the office. We remain about 5% less efficient now 6 months later. For new offices adopting EHR, I would recommend, based upon my experience that full loads be maintained, but that EHR be introduced on NEW PTS ONLY for 1 or 2 months until all kinks are worked out and apopropriate adjustments are made, before expanding to a larger percentage of patients. At this time I am not sure that we will ever exceed our previous productivity; however, I still believe that in the long term there will be non governmental pay-offs that exceed our 100K$ investment and similar short term loss of productivity. I went through EMR startup in December 2010. The result was a 50% decrease in collections for 1 month and slower patient progress through our practice still at 6 months. I have always used a scribe to enable me to focus directly on the patient, and the EMR has shifted more work onto them from other clerical workers in the office. We remain about 5% less efficient now 6 months later. For new offices adopting EHR, I would recommend, based upon my experience that full loads be maintained, but that EHR be introduced on NEW PTS ONLY for 1 or 2 months until all kinks are worked out and apopropriate adjustments are made, before expanding to a larger percentage of patients. At this time I am not sure that we will ever exceed our previous productivity; however, I still believe that in the long term there will be non governmental pay-offs that exceed our 100K$ investment and similar short term loss of productivity.

]]> By: bionic http://blog.srssoft.com/2010/03/mgma-confirms-productivity-loss-with-government%e2%80%99s-emr-program/comment-page-1/#comment-14995 bionic Sun, 24 Apr 2011 23:20:07 +0000 http://blog.srssoft.com/?p=895#comment-14995 I don't know much about the HIMSS, but I do know that most higher ups who are making decisions that affect the medical world are hardly ever doctors. Which would explain the backwards world we live in. I don’t know much about the HIMSS, but I do know that most higher ups who are making decisions that affect the medical world are hardly ever doctors. Which would explain the backwards world we live in.

]]> By: jeff http://blog.srssoft.com/2010/03/mgma-confirms-productivity-loss-with-government%e2%80%99s-emr-program/comment-page-1/#comment-5550 jeff Wed, 10 Mar 2010 21:01:00 +0000 http://blog.srssoft.com/?p=895#comment-5550 In all this, no mention of the lack of quality of the note. We are a specialty practice, and EMR notes for referrals tend to be many multiple pages of nothing relevant. When you send a referral it helps for the doctor to know why you are referring a patient. These EMR notes tend to forget the reason for a note, it's a statement of the problem and what's being done, not an entire recent history of health status and temperature readings. These notes in themselves are a waste of a specialists' time. jeff In all this, no mention of the lack of quality of the note. We are a specialty practice, and EMR notes for referrals tend to be many multiple pages of nothing relevant. When you send a referral it helps for the doctor to know why you are referring a patient. These EMR notes tend to forget the reason for a note, it’s a statement of the problem and what’s being done, not an entire recent history of health status and temperature readings. These notes in themselves are a waste of a specialists’ time.

jeff

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