Webinar selecting-hardware-medical-practice

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When implementing an EMR, there are multiple options available in terms of computers and hardware. How do you select the right devices for your examination rooms, front office, back office and office staff? What should you choose for small spaces? Are wireless networks an option? What are the pros and cons of tablets, laptops or desktop computers and which form factor is best for each practice setting?

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Webinar selecting-hardware-medical-practice

  1. 1. Webinar – How to Select the RightHardware for an EMR-based PracticeDecember 6, 2011Funding to support this Webinar has been provided by Hewlett-Packard
  2. 2. Webinar – How to Select the RightHardware for an EMR-based PracticeDecember 6, 2011Funding to support this Webinar has been provided by Hewlett-Packard
  3. 3. Background• With the growth in range of computers and additional hardware, how should you select the right devices for front office, back office and clinicians?• Are you adapting an existing medical office to an EMR or building a new office?
  4. 4. Questions to Consider• Understanding the pros and cons of tablets, laptops and desktop computers. – What is available? – which form factor is best for each practice setting?• Dealing with small spaces – what solutions work best?• Are wireless devices an option in a small medical practice?• Managing printers and scanners. – Should you centralize printers or have a printer in each examination room? – How many scanners are sufficient and what are the minimum specifications one should expect?
  5. 5. Dr. Mark Dermer
  6. 6. Central OttawaFamily Health Organization• 11 family physicians, 5.9 FTE• 4 nurses, 3.1 FTE• Full Electronic Medical Record (EMR) since 2002• 4,300 sq ft office – 12 exam rooms – 16 healthcare provider desks – 8 administrative workstations
  7. 7. Hardware Configuration• Local server – Redundant array of independent disks (RAID) – Uninterruptible power supply (UPS) – External backup with cartridges taken off-site daily – 3 “switches”, 60 ports, to distribute data to stations• 36 workstations, all desktops – 22” monitors mounted on full ergonomic arms – Exam room and provider stations have laser printers – Washable keyboards and mice• One network printer (50 page/minute)• Two scanners• Internet firewall with virtual private network (VPN)
  8. 8. Avoiding Downtime• RAID disks in server – 4 disks, each simultaneously storing all data• Spares – Workstation – Printers – Hard drives – Switch – Firewall – Monitors, keyboards, mice• UPS – Server – Phone system – Single workstation with inkjet printer
  9. 9. What We Don’t Have and Why • Laptops – Twice the price of equal-powered desktops – Small screens and keyboards – Poor pointing devices • Tablets – Tiny screens – Terrible keyboards • Wireless networks – Security risk • Inkjet printers – Total cost of ownership higher than laser© Mark Dermer, 2003
  10. 10. Recommended Approachto Hardware Purchasing• Recognize the value of physician time• View the purchase as an investment in productivity, not an office supply expense• Err on the side of overpowering the computer• Never compromise on the user interface – Monitor and arm – Keyboard and drawer – Mouse or other pointing device – Chair• Use lease financing to turn a large purchase into a stable monthly expense
  11. 11. Common Pitfalls• Technical instead of functional specifications – Don’t get bogged down in GHz and GB – Focus on speed of user experience• Blind acceptance of software vendor specifications – Vendors motivated to avoid “sticker shock” by suggesting lower cost/lower performance hardware – Also may suggest inefficient sharing of workstations and peripherals• Confusing ease of initial use with ease of durable use• False economizing – Cheap but inefficient – Cheap but costly consummables
  12. 12. Hardware Wish List • Check-in and checkout kiosks • Interfaces to medical devices – Digital thermometer – BP machines – Scale – PFT machine • Tablets for patients to view and verify data • Proximity IDs to ease sign-in/sign-out • Digital voice infrastructure for transcription© Mark Dermer, 2003
  13. 13. Chris Mertens
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  19. 19. Questions & Discussion
  20. 20. Webinar – How to Select the RightHardware for an EMR-based PracticeDecember 6, 2011Funding to support this Webinar has been provided by Hewlett-Packard

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