EMR Selection from an MD\'s perspective.

1. Searching for an EMR
An Odyssey
A Doctor’s Perspective

2. General Pediatrician
Associates in Pediatrics
Elgin, Illinois
Suburban Chicago
7 Doctors, 2 Nurse Practitioners

3. Overwhelming
Overwhelming
Overwhelming
Overwhelming
Overwhelming
Overwhelming
Overwhelming

4. How do you keep
records now?

5. Multiple office
locations
Data management
Why would I and tracking
want an EMR? Chart availability
Protect records
Access records
from home

6. How can you get started?

7. Some Starting Points
Throw-away journals
AAP News, Pediatric News
Physician practice publications
Physician Practice, Medical Economics,
Modern Physician
Healthcare technology oriented
journals
Healthcare IT News

8. More Starting Points
Websites/Organizations
AAP, AAFP
Certification Commission for Healthcare
Information Technology (CCHIT)
Healthcare Information and Management
Systems Society (HIMSS)
KLAS Research
Meetings
Medical societies, TEPR, HIMSS

9. How can your hospital help?
Discuss EMR with colleagues
Department meeting with EMR as
focus
Small forum with 3-4 vendors presenting
Hospital sponsored EMR conference

10. What do you look for?
Specialty specific needs
Templates v. none
Ease of navigation
how many clicks?
Screen Design
Different methods of entering data
Interoperability
Ability to exchange data with other
programs

11. Pediatric Specific Issues
Pediatric references Questionnaires
Pediatric templates Edinburgh
Phone triage Developmental
templates Autism
Lead
Immunization tracking
ADD/ADHD
School Physical forms
Asthma care plans
BMI tracking
Vaccine info sheets
Immunization
Patient Education
inventory

12. Do you have time to shop
for a house?
Would you buy a $250,000
vacation home without taking a
good look at it?

13. Do you have time
to shop for a car?

14. How can you make time for
a demonstration?
In your office
Approximately 2-3 hour presentation
Internet based meeting with
simultaneous conference telephone
call
Ease of meeting from your own homes
Off hours scheduling

15. Where can I get more information?
Subjective Information from Sales Reps
To: Doc
From:
CF

16. Objective Information
There is bias everywhere…
KLAS Reports
TEPR Conference
Internet

17. What do my colleagues know
that can help me?
Source Practice General overview
Who Implementation
Products in use Support
Quality of use Interoperability
Experience Rx module

18. Other experience colleagues
can share
Out of box v customization
Who customizes?
Who pays for customization?
Day-to-day at ‘Go-live’
‘Success time’
Return on investment
New directions on horizon
Problems/Comments

19. How can I find out about
hardware vendors?

20. Talk with
EMR vendors & practices
Often recommended by EMR vendors
May get referrals from colleagues
Hardwired v Wireless
Work Stations
hardwired terminals v laptops v tablets

21. What do doctors want?
Convenience!

22. What kind of Server do I need?
Application Service Provider (ASP)
Off-site server owned by service provider
Backup located at that site
On-site
Practice owned server
Requires a ‘techie’ to maintain it
Capital outlay to purchase
Backup located on site or other location

23. How can I Secure my network?
Do I need to back-up my data?
Often available from hardware consultants
Critical – a MUST HAVE
The Front Page Headlines
The Chicago Tribune
Your Practice Loses
Patient Records

24. HIPAA Governs All of Us

25. Negotiating a Contract
Do I need help?
Source Code
Warranty period – money back guarantee
Recurring fees tied to Consumer Price
Index
License transferrable
Option to purchase additional licenses
Provider must stay up to date
Payment terms based on project milestones

26. No matter what you do….

27. In Summary
Set goals Check references
Begin searching Plan network
Use resources back-up and
People, Hospitals security
Assess your Explore financing
needs Get help with
Take time to look contracting
and compare

28. Sometimes it’s hard
to change…