From No Free Lunch: “Re: EHR excuses. You seem to be stating that physicians in private practice are looking for a free lunch or free EHR. I think this is off the mark as HIStalk has published at least two analyses that pointed out that the physician ‘stimulus’ dollars are a poor business deal if one is rushing into the fray just to get them. I would not characterize practices as ‘cheap’ but as ‘cautious’.” I agree. My point was that physicians continue to avoid adopting EMR. The biggest barrier appears to be cost, and in some cases, “free” is not cheap enough. As an industry, we need to ask why this is the case. Is it because the ROI is poor/non-existent? That the potential improvements in quality of care do not outweigh the cost of using a time-consuming EHR? In many cases the stimulus money may provide the tipping point, but that’s probably not true across the board.
From Peeving: “Re: additional pet peeves. Add those that take those registrations and put you on everyone’s e-mail list for solicitations! The Everything Channel got my address, signed me up for "everything", and the Unsubscribe link was blocked by my corporate firewall.” The weight loss spam bugs me. Did some ex-boyfriend sign me up as a cruel joke? Or worse, is my mother try to tell me something?
AmeriHealth says that 75% of all claims are now submitted electronically, which is up 50% from three years ago. I was actually surprised that the number is not closer to 90%, so I guess I am out of touch.
Dell announces it will pay $3.9 billion for Perot Systems. The announcement comes less than two weeks after Dell released plans to expand its healthcare offering, starting with an EMR offering for hospital-affiliated physicians. Given that almost 50% of Perot’s business is healthcare-related, it sounds like Dell is trying to further a stake in the healthcare arena. Not a bad move, especially if Dell wants to be known for more than making and selling PCs.
In Clay City, IN, a family physician relies on his practice’s EMR while making house calls to remote areas.
Webahn launches two new iPhone Apps that target physicians. Capzule is an EMR service that allows physician to access to patient records outside of the office. I don’t think I have ever heard of Capzule, but they offer an EMR for $50 a month via a SaaS model. OvernightScribe allows physicians to dictate notes an letters on the iPhone and sent them to OvernightScribe.com for transcription.
If neither of those applications meet your fancy, Keystone Insights has also launched DocWrite. The free application provides mobile dictation and transcription and allows doctor to dictate patient information to add into an EMR.
Navicure adds Heartland Orthopedic Specialists (MN) and Fon du Lac Human Services (MN) to its client roster.
Phytel releases version 5 of its Web-based Proactive Patient Outreach solution, which Phytel CEO Steve Schelhammer says will help physicians to manage the health of their patients while quality for P4P rewards. We published an HIT Moment with Schelhammer back in June, when he explained some of the ins and outs of the product.
If you are wondering how US healthcare compares to the rest of the word, this article includes a number of “real-life” anecdotes from American travelers. For the most part, patients reported care was good and much cheaper than comparable services in the US.
Piedmont Medical Care Corporation (GA) purchases an additional 230 EHR/PM licenses from NextGen. Piedmont says they are purchasing the licenses in pursuit of the financial incentives being offered through ARRA legislation.
This AMA article encourages physicians to not let their EMR get in the way of the patient/physician relationship. Making eye contact and discussing the technology are two key strategies to ensure patients don’t feel the computer is cutting into their time with the physician. The article also quotes Lyle Berkowitz, MD, an occasional HIStalk Practice contributor.
The Social Security Administration is making plans to develop an EHR for deployment across its 30 employee health centers nationwide. The agency recently published a request for quotes for contract services.