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Practice Transformation: A Personal History

Practice Transformation: A Personal History. eHealth Initiative: Connected Communities Learning Forum April 10, 2006 Joe Heyman, MD Secretary, American Medical Association. Influences. Bridges to Excellence (Employers, “Providers”, Plans) P4P DOQ-IT AHRQ

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Practice Transformation: A Personal History

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  1. Practice Transformation:A Personal History eHealth Initiative: Connected Communities Learning Forum April 10, 2006 Joe Heyman, MD Secretary, American Medical Association

  2. Influences • Bridges to Excellence (Employers, “Providers”, Plans) • P4P • DOQ-IT • AHRQ • Massachusetts eHealth Collaborative

  3. Progress • Great software and hardware • Clinician comfort with computers and internet • Easy set up of hard wired and wireless networks

  4. Paper Problems • Phone calls • Appointments • Changing Demographics • Problem Lists

  5. Paper Problems • Medication Lists • Record Requests • Reports • Prescriptions by phone and in office • Checkout and billing

  6. Paper Problems • Unreadable • Tiny writing on charts • Lost and scattered data • Wrong office

  7. Think about this!

  8. Paper Problems • As much as $16 per chart pull?

  9. Disturbing Concerns • Our experiences in practice include • Incomplete information • Alarming error rates • Expense of time, energy, and money seemingly way out of proportion to benefits • Decisions based on gut or tradition • Malpractice claims that are related to documentation some 90% of the time

  10. HIT Happens! • January 2001 • April 2001 • Fear • Courage

  11. Why EMR a must for me • Cost • Efficiency • Image

  12. When? • Immediately!

  13. Why? • Cost • Office Equipment • Rent • Employees • Patient notification • Reassurance to patients • Up to date • Unique

  14. Who? • Google • Tom Sullivan • Jeannie Marcus • Massachusetts Medical Society • Michael Kelly • PIAM

  15. What? • My Software • Desktops • Scanner • Laser Printer • Medem • Library of info • Encrypted email • PC Anywhere

  16. How? • Bo! • Network Router • DSL • Clearinghouse

  17. Disaster! • March 5, 2002 • A day that shall live in infamy! • The Agony • Paper . . . yuch! • A hard day’s night • Cynthia • ActionFront.com • The Cuban Missile Crisis, October 26 and 27, 1962 • Office Insurance • The Ecstasy

  18. More recent major setback • Hard Drive Failure in a RAID system 2/06 • What happens with your service contract • Next steps

  19. This Weekend!!!! • Laptop drive failure • No Medem • No way to contact my office computer • No way to write this speech

  20. My System • Digital filing of everything • EOBs • Contracts • Invoices • Receipts • Correspondence • CME certificates • Fee Schedules

  21. My System • E-prescribing

  22. My System • Website (Medem) • Interactive Health Record • Appointments • Prescription refills • Online Consultations

  23. My System • Banking and Paying Bills

  24. My System • Payroll

  25. My System • Scheduling

  26. My System • Medical Record

  27. My System • Billing

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