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Is anyone here on th Electronic Health Records software industry here?

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Is anyone here on th Electronic Health Records software industry here?

Old 04-23-2014, 12:54 PM
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Default Is anyone here on th Electronic Health Records software industry here?

I need to start doing something about EHR for our small clinic and the amount of options and different ones are ridiculously large...

I was wondering if any other fellow THT'er is on that field or has experience (good or bad) with these software to share...

Thanks in advance!!!
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Old 04-23-2014, 01:05 PM
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Last fall I implemented it at my wife's practice. It's cloud based (or at least they state it is, I'm wondering if it's really just remotely hosted). On our end only IE is needed with silverlight (SW that runs in the browser), some decent computers (multi screen on many of the installs) and a good internet connection. I installed business class cable and ATT DSL as a backup with a "smart" router that arbitrates traffic across both connection.

It has a bridge to the scheduling/billing system to exchange data on patients and and back the billing info. She slowed down her schedule for a month or so but now back up to normal speed.... and everyone is glad they did it. Extra work to preload paper chart info before established patient visits. That will go away over time.
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Old 04-23-2014, 01:25 PM
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I am familiar with Epic. Likely too pricey unless they have a SMB SaaS offering.

Have you looked into a Co-Op of medical admin services? Billing, records, etc solutions are usually better when split across a larger group.
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Old 04-23-2014, 01:35 PM
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I am watcha want to know?
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Old 04-23-2014, 07:53 PM
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Originally Posted by ericinmich View Post
Last fall I implemented it at my wife's practice. It's cloud based (or at least they state it is, I'm wondering if it's really just remotely hosted). On our end only IE is needed with silverlight (SW that runs in the browser), some decent computers (multi screen on many of the installs) and a good internet connection. I installed business class cable and ATT DSL as a backup with a "smart" router that arbitrates traffic across both connection.

It has a bridge to the scheduling/billing system to exchange data on patients and and back the billing info. She slowed down her schedule for a month or so but now back up to normal speed.... and everyone is glad they did it. Extra work to preload paper chart info before established patient visits. That will go away over time.
Do you mind sharing what kind of practice?
Which one did you go with?
Is your wife the only practitioner on her practice?
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Old 04-23-2014, 07:57 PM
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Epic is referred to as "epic failure" in our hospitals who have chosen their software. I work at 7 different hospitals and find that allscripts is the easiest to navigate and use, it also has less issues. Just my opinion, epic is a huge system and like someone else mentioned probably quite expensive. My second pick would be McKesson.
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Old 04-23-2014, 08:01 PM
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look into e clinical works
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Old 04-23-2014, 08:38 PM
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Originally Posted by bellsisland View Post
I am watcha want to know?
Our current (and changing) business model prevents me from looking at the pricey ones, but We have a Small Pediatric Rehab clinic. 18-20 therapists, 3-5 front office users.
Need something really cheap to do patient scheduling, tracking payments, and EMR (SOAP progress notes, assessments reports, etc...) but oriented toward therapy services.
I'm also going to be getting in to the geriatric side of the business so Medicare compatibility would be a big plus...

I looked at several free ones (but have not try them), but the reviews I found were not too optimistic... There was one that seems to be good, called Practice Fusion, but they sell the patient info (without personal data) to research groups etc... I'm not sure of the legalities of that

I also looked at Clinicient: awesome with tons of functions, but too expensive...

Clinicsource was the other one I tried, little expensive for what they offer, with some bugs and also some issues that are not addressed like progress notes cloning. over all was the closest one to what i need.

Who do you work for?
Can you point me on the right direction?
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Old 04-23-2014, 10:14 PM
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The company I contract for uses "Credible".
It's real dog!, Not stable at all. stay away!


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Old 04-24-2014, 04:58 AM
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So this is a question I get a lot, I own a software company in the medical space. The mistake a lot of medical practices make are they look for an EMR in the following way:
1 - Price
2 - Brand Name
3 - Price
4 - What their buddy uses

The problem with this approach is it usually ends in failure. What we would need to know are some of the following questions:
1 - What do you want it for? This is a big question that covers everything from meeting compliance to wanting to take advantage of government programs that will allow you to make more money, etc
2 - What other systems in your office will need to interface with new software?
3 - How do you want to access? just in office, from home, mobile?
4 - Will you ever want to build specific reports, because if you go with a hosted solution, you can not build custom reports on your own as you will not get access to the data because it will be commingled. This is not true if you host your own, only if you have say eclinical host it.
5 - Do you need a patient portal? etc.
So as you can see there really is a lot of thought that should go into this decision. Most EMR implementations fail, more then 75%. Because most people don't think it through, don't get the appropriate training, etc.

Let me know if you want to have a quick call to discuss. Or if you have specific questions post here or shoot me a pm.


Originally Posted by emudryj View Post
Our current (and changing) business model prevents me from looking at the pricey ones, but We have a Small Pediatric Rehab clinic. 18-20 therapists, 3-5 front office users.
Need something really cheap to do patient scheduling, tracking payments, and EMR (SOAP progress notes, assessments reports, etc...) but oriented toward therapy services.
I'm also going to be getting in to the geriatric side of the business so Medicare compatibility would be a big plus...

I looked at several free ones (but have not try them), but the reviews I found were not too optimistic... There was one that seems to be good, called Practice Fusion, but they sell the patient info (without personal data) to research groups etc... I'm not sure of the legalities of that

I also looked at Clinicient: awesome with tons of functions, but too expensive...

Clinicsource was the other one I tried, little expensive for what they offer, with some bugs and also some issues that are not addressed like progress notes cloning. over all was the closest one to what i need.

Who do you work for?
Can you point me on the right direction?
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Old 04-24-2014, 07:43 AM
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Originally Posted by sea section View Post
look into e clinical works
This.
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Old 04-24-2014, 07:46 AM
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I've been working at eClinicalWorks for 9 years. It's an amazing software application.

Ask the National Football League.
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Old 04-24-2014, 07:47 AM
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Originally Posted by Chuckster View Post
I've been working at eClinicalWorks for 9 years. It's an amazing software.
Have you started offering a hosted solution yet? When we looked at it back in '09-10, there wasn't a true hosted solution (from ECW) available yet.
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Old 04-24-2014, 07:49 AM
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Yup, eClinicalWorks Private Cloud (SaaS).
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Old 04-24-2014, 08:27 AM
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Originally Posted by bellsisland View Post
So this is a question I get a lot, I own a software company in the medical space. The mistake a lot of medical practices make are they look for an EMR in the following way:
1 - Price
2 - Brand Name
3 - Price
4 - What their buddy uses

The problem with this approach is it usually ends in failure. What we would need to know are some of the following questions:
1 - What do you want it for? This is a big question that covers everything from meeting compliance to wanting to take advantage of government programs that will allow you to make more money, etc
2 - What other systems in your office will need to interface with new software?
3 - How do you want to access? just in office, from home, mobile?
4 - Will you ever want to build specific reports, because if you go with a hosted solution, you can not build custom reports on your own as you will not get access to the data because it will be commingled. This is not true if you host your own, only if you have say eclinical host it.
5 - Do you need a patient portal? etc.
So as you can see there really is a lot of thought that should go into this decision. Most EMR implementations fail, more then 75%. Because most people don't think it through, don't get the appropriate training, etc.

Let me know if you want to have a quick call to discuss. Or if you have specific questions post here or shoot me a pm.
Will never refuse to talk to a fellow THTer!!!!! specially when they are trying to help me!LOL

Sent you a PM... I doubt anyone else here is interested on this particular subject....
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Old 04-24-2014, 08:47 AM
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Originally Posted by Chuckster View Post
I've been working at eClinicalWorks for 9 years. It's an amazing software application.

Ask the National Football League.
It looks as an AWESOME alternative, just the timing on our side may prevent me to going after something like this....

Justification: I'll keep it short, but basically, couple of years ago I started noticing some hints of very small and subtle changes in our industry that would eventually affect our business model at that time.
I could foresee a radical upcoming change in our industry that would change it forever...
I started taking corrective measures but I miscalculated the time frame I had to adapt.
Also dealing heavily with the state and federal government programs, doesn't make things easier...

So, basically I'm just on a transition from a "mom and pop" simplified business model with limited resources and low costs, to something more streamlined with the "big players" type of service (but without the resources the have).

Just from a price perspective, eClinicalWorks will really work for us in a medium term future.
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Old 04-24-2014, 09:00 AM
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In all fairness...it wasn't a big secret. I mean it was wrapped in a $800 billion dollar stimulus program (hi tech part of ARRA)
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Old 04-24-2014, 09:13 AM
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Originally Posted by emudryj View Post
It looks as an AWESOME alternative, just the timing on our side may prevent me to going after something like this....

Justification: I'll keep it short, but basically, couple of years ago I started noticing some hints of very small and subtle changes in our industry that would eventually affect our business model at that time.
I could foresee a radical upcoming change in our industry that would change it forever...
I started taking corrective measures but I miscalculated the time frame I had to adapt.
Also dealing heavily with the state and federal government programs, doesn't make things easier...

So, basically I'm just on a transition from a "mom and pop" simplified business model with limited resources and low costs, to something more streamlined with the "big players" type of service (but without the resources the have).

Just from a price perspective, eClinicalWorks will really work for us in a medium term future.

Hmm.. like which changes? You mean the ones where certain Medicare payment requirements mandate that a companies administrative costs can't exceed a certain % or the ones where your customer survey index (Joint Commission) determine your payout rate?


Times are changing in that industry and fast.
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Old 04-24-2014, 09:17 AM
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I'm always interested.
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Old 04-24-2014, 09:27 AM
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Just that such and such emr is a great product is where the problem lies. See just being a good emr doesn't mean it will work for any practice.
One of the companies I own, provides custom programming to off the shelf emr's. And the company grew from the fact that Dr's and Hospitals would buy such and such emr thinking it was going to do everything they needed and once implemented they realized it had short comings.
I have customer all over the country, and some are the largest in the country, and a primary care practice here in Charleston has different work flows and goals then one say in New York.

One shoe doesn't fit all, thus why I posted above each practice needs to really discuss their goals and direction for the business and then start looking for a software, instead of just saying we need an emr and picking one based on what the sales people say and then realizing it doesn't work in how they want it to work.
emr sales people will say anything and will say their software can do anything, I have cleaned up a bunch of these.
Got the pm will call a little later.
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