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An EHR is like a good pair of shoes – you want them to fit right or you are going to feel the pain. And let’s face it, selecting the right electronic health record (EHR) for your practice is not an easy task – particularly for practitioners who may not have IT expertise. Plus, there are more than 400 providers of EHR/EMR products on the market today. It’s important to exercise caution and perform a thorough due diligence, but where should you start?

Nuesoft Technologies believes we have an amazing product that will truly improve your practice’s efficiencies and profitability, but we only want you to buy our software if it’s the “right fit” for you. We’ve got the insight of nearly 20 years of experience in the field of health information technology. But don’t just take our word for it. We encourage you to follow the suggested outline provided by Dr. Robert Lamberts in the Nov. 2009 issue of Physician’s Practice magazine. Lamberts successfully implemented an EHR in his office. Although he recognizes the fears and concerns of his peers, he also describes the positive impact the software has had on his practice.

Lamberts’ recommends that those considering purchasing an EHR start by first identifying any broken processes in their practice. What causes the most frustration to staff? To patients? Where is the most time wasted? Where is the greatest exposure to malpractice risks? Where is your office losing money? Improperly coded claims? Under-billing? Low volume? Over-staffing? Look at the whole practice – front and back office, not just at the providers.

Next, Lamberts recommends that you visualize what your “fixed” processes would look like. This is where you will develop your shopping list for that perfect pair of shoes! So what were your “fixes”? Never needing to search for lost charts – with an EHR, your charts are always a click away. Answering telephone inquiries – with charts immediately available, response times are much quicker. Improperly coded claims causing a delay in payment – with claim scrubbing capabilities you can get paid more quickly.

Now you are ready to start approaching vendors and looking for the practice management and EHR solution that best fits the needs of your practice. If the vendor does not suit you, cross them off your list and continue to the next vendor. And don’t forget to demo the software. Have a vendor representative walk you through how the software works, and ask lots of questions! Once you have a shortlist of vendors, consider the following and make your decision.

1. What is involved in product implementation?
2. Is the implementation process disruptive to your day-to-day operations?
3. What kind of training is available?
4. What is the response time if you have problems next week or next year?
5. How long has the company been around?
6. What are the hardware requirements – will it require you to buy new systems?
7. Who is responsible for data back-ups?
8. How will the data be securely stored to protect your patients’ privacy?
9. How often will the software/hardware need to be upgraded and what will this cost?
10. Is the solution scalable as your practice grows?

By now, you have a couple of vendors who are standing out from the rest. You like their graphic user interface, the functionality meets the needs of your practice and you are starting to get excited about how the new practice management and EHR solution can help your practice. Now it’s time to get references and ask your peers what they think about the software. Here are some questions you can ask:

1. How smooth was the implementation?
2. How well was training conducted?
3. What do you like best about the software?
4. What do you like least about the software?

Hopefully this has helped to further narrow your selection. The last bit of advice that Lamberts provides is to look at the purchase as a chance to improve your practice rather than an unwelcome expense. Remember that you get what you pay for and you shouldn’t waste your time on products that don’t meet the needs you identified at the beginning of the process. Focusing on cost first could rule out some of the best products and minimize your chance to find the best solution that maximizes your potential gains – giving you a shoe that just doesn’t fit.

Reference Link:
http://www.physicianspractice.com/index/fuseaction/articles.details/articleID/1425.htm

Source: November 2009 issue of Physicians Practice.

While the government’s incentives for adopting an EHR have been cautiously welcomed by many in the health care industry, providers and software vendors alike are struggling to come to grips with one key term: “meaningful use”. A practice must show meaningful use of an EHR before it is eligible to receive the incentives, and finding a definition that applies to all sizes or practices and hospitals seems to be no mean feat . The Medical Group Management Association (MGMA) is one organization hoping to modify the HIT Committee’s definition before it is finalized by the Office of the National Coordinator (ONC). MGMA sent a letter to the ONC at the end of June that recommended that, among other things, a broader set of administrative requirements be included as an integral part of the definition of meaningful use: essentially, that there is a focus on billing and practice management efficiencies as well as EHR efficiencies. In particular, it suggested eligibility verification, real-time claims adjudication and electronic payment remittance, all things that users of robust practice management software are already enjoying.

Additionally, MGMA is concerned that the definition of “meaningful use” as it currently stands has been developed with larger provider groups and hospitals in mind, and will prove too burdensome for smaller practices. In another letter sent last month to the ONC, MGMA listed ten recommendations to combat this.

A recent article in the Washington Post suggests that practices may be more willing to automate their offices if they can find a truly integrated practice management and EHR system. So far, the EHR adoption rate has been only 21 percent, but Nuesoft Technologies CEO Massoud Alibakhsh believes the answer lies in interfaces between what are known as “rich Internet applications”, which allow smaller offices to go paperless without having to invest in hardware for both EHR and practice management systems, or rely on potentially less secure remote applications that use Citrix-based “terminal server” technology.

Read more about the evolution of technology and what makes rich Internet applications different from terminal server-based applications in this fact sheet.