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  • 1. Toys and Technology for the Medical Practice Dr. Neil Baum New Orleans, Louisiana
  • 2. Why Technology?
    • Have improved medical care by using technology to diagnose and treat medical conditions-now needed in the office practice
    • Demonstrates you are on the “cutting edge” if your practice has the latest electronic equipment
    • Improves the efficiency of your practice
    • Patients are more electronically sophisticated and expect that you are, too
  • 3. Technology Used to Reduce Overhead Expenses
    • Cannot increase reimbursements
    • Can decrease overhead expenses
    • Result is improvement in net profit
  • 4. Voice Recognition Software
    • 65,000 word active vocabulary can be recognized (college graduate vocab. <5K)
    • Contains complete, current urologic vocabulary
    • Vocabulary can be customized and updated
  • 5. Voice Recognition Software
    • Can speak at rate of 150-250 wpm
    • Can FAX referral letters from computer directly to referring physician and MCPs
    • Supports CPT and ICD-9-CM codes
  • 6. Voice Recognition Software
    • 95% accuracy
    • Can use templates for most common letters and forms
    • Can dictate from remote locations
    • Can dictate real time using hands-free technology
  • 7. Voice Recognition Software
    • Can FAX prescriptions directly to pharmacy
    • Electronic signature applied to the prescription
    • Personalized precaution and interaction information for medication.
  • 8. Voice Recognition Software
    • Can incorporate x-rays, ultrasounds or other images within the note.
    • Can insert a graphic or diagram of an organ, or system and then annotate it to show areas of treatment or pathology
  • 9. Voice Recognition Software
    • Will print a hard copy of the note for the chart
    • Can upload the note to EMR
  • 10. Voice Recognition Software
    • Can audit the note to ensure compliance with the coding requirements
    • Identifies missing information (e.g. review of systems) or to up code the visit if that is more appropriate
    • Insures consistency between dictated notes and service level of each visit-can pass a HCFA audit
  • 11. Requirements for VRS
    • Microsoft Windows 95, 98 & Windows NT
    • CPU-Minimum Pentium II
    • 64-128* MB RAM
    • Laser or high quality ink-jet printer
  • 12. VRS-User Friendly
    • Fast training
    • Initially requires 30 minutes
    • Several hours to be familiar with the program
  • 13. VRS-User Friendly
    • On-site installation
    • Personalized training for each physician
    • Complete customization for each physician.
    • 1-800 and e-mail technical support
    • Follow-up on-site training
    • Updates are available through WWW
  • 14. Advantages of VRS
    • Reduces overhead costs $500-$1000MDmonth
    • Referral letters reach the referring physicians within minutes
  • 15. Voice Recognition Software
    • Medical Dictation Systems
    • 502 827 8522
    • www.medical-dictation.com
  • 16. Are you playing phone tag with your patients? Solution: Automated patient call-back program P atient R esponse N etwork (PRN)
  • 17. Improving the Efficiency of Your Practice
    • Patient Response Network (PRN)
    • Every time some one in your office touches a chart it costs $3.00
    • Telephone tag is an expen$ive game
  • 18. Patient Response Network (PRN)
    • Average physician sees 100 patients a week
    • 66 need a call back to report results of tests
    • 70% of calls are for normal results
    • Each call takes 3-5 minutes of M.D. time
    • Automated call back program takes 25-35 seconds a call
    • Saves each physician 8.6 hours a month!
  • 19. Here’s How It Works 1. Patient receives 1-800 number and patient identification code 2. Patient calls in 3-5 days 3. Patient can call 24 hours a day, 7 days a week 4. Receives NORMAL report from physician in physician’s own voice 5. Physician receives weekly report on patients that have accessed the system
  • 20. Patient Results Network PRN (800) 613-9050
  • 21. Too Many No-Shows? Solution:
    • HouseCalls by TeleVox
    • Automated patient reminder program
    • Interfaces with your scheduling program and contacts your patient the day before their office visit
  • 22. HouseCalls by TeleVox
    • Regular telephone line and normal voice
    • Response options: 1. To confirm appointment 2. To replay message 3. Leave voice message
  • 23. HouseCalls
    • Includes daily call results report
    • Can adjust start and stop calling times
    • Best is 5-9 P.M.
  • 24. HouseCalls
    • Advantages
    • Reduces no-shows
    • Improves staff productivity
    • Improves bottom line
  • 25. HouseCalls TeleVox 800 426-6184
  • 26. Marketing the “Hold Button ”
    • The telephone - educate during the hold time
    • Prerecorded messages related to your practice
    • Do-it-yourself
    • “ Marketing on Hold” (713-522- 4333)
  • 27. Patient Education
    • Dialog Medical DISCussion Software ( www.dialogmedical.com)
    • MDConsult™(Lippencott-Raven Mosby-Yearbook)
    • Mdconsult (www.mdconsult.com)
    • Clinical Reference Systems (www.patienteducation.com)
    • Medifor (www.medifor.com)
  • 28. Discussion TM Program
    • Educates existing patients
    • Improves efficiency of the practice
    • Prevents malpractice cases
    • Improves staff morale
    • Provides value-added service to patients
    • (May reduce overhead expenses)
  • 29. Discussion TM Software Program
    • Consents for all speciality procedure in urology, orthopedics, dermatology, cardiology, gastroenterology, invasive radiology, and radiotherapy
    • Instructions for the most commonly ordered tests
    • Drug information
    • Patient education
    • Patient instructions
    • Commonly used forms
  • 30. Discussion TM Software Program
    • Easily customized for every practice
    • Can be operational in 15 minutes
    • Short learning curve
    • 1-800 support available
    • Updates to include new files on an annual basis
  • 31. Discussion TM Software Program Available at Dialog Medical 1 800 482-7963
  • 32. Internet and the World Wide Web
  • 33. Wants of Our Patients
    • Want access to information- quick, accurate, customized and NOW!
    • Want well-written educational materials-appropriate font size
    • Welcome to marketing on the Web
  • 34. World Wide Web
    • Demonstrates you are on the cutting edge of technology
    • Opportunity to provide useful information to your patients
    • Showcases your practice
    • Allows you to conveniently communicate with your patients
    • Serves as an electronic brochure
  • 35. World Wide Web
    • A segment of your patients have access to the WWW
    • Indicates your cutting edge technology
    • MAY have the ability to attract new patients to your practice
    • Capture the trend that patients are thirsty for information
  • 36. World Wide Web
    • Put Sparkle Into Your Web Site
    • Make it interactive
    • Read Designing Multimedia Web Sites by Stella Gassaway, Hayden Books
    • Offer freebies
    • Provide connections to other useful Web sites
    • Online newsletter
  • 37. Web Content
    • Photos of the doctors and the staff
    • C.V. of the doctors
    • Evidence of C.M.E. attended by the physicians
    • Honors and accomplishments received by the physicians
    • Articles written by the doctors, both journal and lay articles
  • 38. Web Content
    • Articles written about the doctors and the practice
    • Information on the areas of interest and expertise of the practice-this is where you make an effort to differentiate your practice from other practices in the community
    • The office logo
  • 39. Web Content
    • Interesting articles and useful information about your practice and your specialty
    • A map to your practice
    • Names of managed care plans and health care plans
  • 40. Web Content
    • A history of the practice
    • Online consulting with the practice
    • Ability for patients to ask the doctor a health care question(s)
    • Other useful web sites
  • 41. Web Content
    • Testimonials
    • E-Mail address for feed back
    • Last time the site was updated
    • A count of the number of previous visitors
  • 42. Web Content
    • Ability to make an online appointment with the practice
    • Online reporting of tests and studies using codes to ensure security and privacy
    • Ability to conduct online chats
  • 43. Web Site Creation www.urologychannel.com/neilbaum Urology Channel
  • 44. Internet and Web Site Development
    • Survey of 2000 M.D.s
      • 1101 don’t use computers (58%)
      • 414 use computers, not WWW (22%)
      • 390 use WWW (20%)
      • own a Web site ( ?%)
  • 45. Patient Tracking
    • Tracker Software Program
    • AMS
  • 46. Why is Tracking Important?
    • Patients often do not receive effective treatment the first time
    • Patients abandon treatment
      • Ineffective
      • Painful
      • Expensive
  • 47. Facts on Patients Abandoning Treatment
    • Sildenafil is ineffective in 35% of patients with E.D.
    • 90% of patients with BPH on alpha- blockers will abandon therapy after three years
    • 50% of patients on finasteride will abandon treatment at 5 years
    • Incontinence- ?%
    • CaP-?%
  • 48. Areas Covered
    • E.D.
    • BPH
    • Incontinence
    • CaP
    • Other modules under development
  • 49. What Does the Tracker Program Accomplish?
    • Creates a data base of patients with ED, BPH, incontinence, and CaP
    • Enhances communication with patients and referring physicians using existing letters or customized letters
  • 50. What does the Tracker Program Accomplish?
    • Use a dozen template newsletters
    • Permits the creation of newsletters that are customized for the practice that can be sent to existing patients, new patients, and referring physicians
    • Provides dozens of patient information and education handouts
    • Managed care friendly
  • 51.
    • Large impotence practice
    • Large incontinence practice
    • Large CaP practices
    • Practices that have large numbers of patients on medical therapy for BPH
    Urologists That Benefit From the Tracker Program
  • 52. Electronic Medical Records
  • 53. Electronic Medical Records Logician by MedicaLogic 503 531 7000 www.medicalogic.com
  • 54. Electronic Medical Records
        • Current Obstacles
        • Most are too rigid and not flexible for modification
        • Software does not combine office computer with hospital, lab, pharmacies and radiology
  • 55. Electronic Medical Records
    • Best guess
    • “ A true (practical and affordable) electronic medical record for most physicians’ practices is at least five years away.”*
    • * Wall Street Journal, 10/19/98
  • 56. Transition to EMR Cross Pad
  • 57. Summary The Chinese symbol for crisis is the same as the symbol for opportunity Do we see the glass of milk as half full or half empty?