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Free EHR Systems

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So you can’t afford a new EHR system but you know it’ll help you achieve Meaningful Use and improve quality. Learn about two "free" systems in marketplace …

So you can’t afford a new EHR system but you know it’ll help you achieve Meaningful Use and improve quality. Learn about two "free" systems in marketplace
(Practice Fusion, Kareo).
Speaker:
Bill Sonnenberg, MD, Titusville

Published in: Economy & Finance, Business

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  • 1. "Free" EHR System Presentation WILLIAM R. SONNENBERG, MD, FAAFP
  • 2. Medicare Incentive Detail First Year EP Receives a Payment 2011 2012 2013 2014 2015+ 2011 $18,000 2012 $12,000 $18,000 2013 $8,000 $12,000 $15,000 2014 $4,000 $8,000 $12,000 $12,000 2015 $2,000 $4,000 $8,000 $8,000 $0 $2,000 $4,000 $4,000 $0 $44,000 $39,000 $24,000 $0 2016 Total $44,000
  • 3. No Cash In Advance “The EHR initiative is that it is like free gas for a year, but only if you buy a Lamborghini to put it in.”
  • 4. Stage 1 MU Requirements CORE - MUST DO ALL MENU – MUST DO FIVE Use CPOE Implement drug-formulary checks ePrescribing Drug-drug, drug allergy checks Incorporate clinical labs as structured data Medication lists Patient lists by condition Allergy lists Problem lists Send reminders for preventive/follow-up care Decision support Patient electronic access Record demographics Smoking status Patient-specific education Vital signs Clinical summaries to patient Electronic exchange Health info to patients Quality measures Protect health information Medication reconciliation Clinical summaries to provider Immunization registry Biosurveillance
  • 5. Practice Fusion
  • 6. Practice Fusion Free, web-based Advertisement supported 150,000 users, 50 million patients Meaning Use Certification June 2011 Level 2 promised for 2014
  • 7. Includes Charting Lab integrations Scheduling Referral letters E-prescribing Training, support Medical billing Personal health record
  • 8. Other Features 220 templates 100 labs connected Online booking Patient access
  • 9. Free?? AdSense recognizes words such as diabetes, Ads appear Pharma, Insurance companies Ad-free for $250/month Redacted patient data
  • 10. Meaningful Use Dashboard Assurance of Meaningful Use 2 in 2014
  • 11. Practice Fusion – Small Practices Fam Pract Manag. 2012 Nov-Dec;19(11):23-30
  • 12. Practice Fusion - Vendor Support Fam Pract Manag. 2012 Nov-Dec;19(11):23-30
  • 13. Practice Fusion – Ease of Use Fam Pract Manag. 2012 Nov-Dec;19(11):23-30
  • 14. Practice Fusion – Productivity Fam Pract Manag. 2012 Nov-Dec;19(11):23-30
  • 15. Practice Fusion – Satisfaction Fam Pract Manag. 2012 Nov-Dec;19(11):23-30
  • 16. Kareo EHR
  • 17. Kareo EHR Developed by Epocrates Small practices, primary care Cloud based 17,000 practices 2011/2012 compliant
  • 18. Kareo Works on iPad or iPad Mini Voice recognition 120 templates
  • 19. Kareo
  • 20. Kareo - Schedule
  • 21. Kareo Features E-Prescribing Lab review and routing Medication history 100 templates Prescribing and interaction checks Template builder Drug and patient education Vital sign trending Dosing schedules Growth charts One click renewals Immunization Registry upload Formularies Demographics US Preventative Task Force Web browser accessible Lab ordering to major labs Patient portal
  • 22. Free? EHR is free Suite with practice management ◦$299 per month per provider 4% billing
  • 23. Comparison Practice Fusion Kareo Experience 2008 2013 Free lunch? Ads Upgrade to Practice Management Level 2 promised 2014 Level 1 $250 adless $299 Practice Management Meaningful use Added cost

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