I think the portal concept has been proven to work for offices and I also think websites are now part of many practices. What I have not seen much of is a website/portal combo that is smooth and clean. Attempts at marrying the two appear clunky and disconnected to me.
There are so many website companies out there that offer templates I wonder why vendors do not offer this feature in a way that includes their portals. Would you consider purchasing a combo web/portal feature from your vendor?
Lowell
Lowell Kleinman, MD www.drkleinman.com www.old-fashionedhousecalls.com
For sure.
Wouldn't want it any other way.
My EMR has both, for free.
Web 2.0 - Work in progress....
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what's web 2.0?
I expect web 2.0 technologies help for tackling many technical issues, for now I am keeping things simple.
Technotic LLC is a company in the mid-west supporting PatientOS for a physician with whom patient communication plays a big piece. As part of 0.40 I have a sample form which on the face of it seems boring:
But it is quick (and cheap) and easy to simply integrate it into the existing website. So in your case for instance:
The same is done for the secure login. After the patient has a SSL connection they submit the form which writes to their chart.
It also updates a 'communication order' which will otherwise email each month a reminder to submit the form to communicate how they are doing.
Greg
http://www.patientos.org
Coming to a clinic near you March 2008
At HIMMS,also known as Health 2.0, healthcare's part of Web 2.0.
http://www.countdowntohimss.com/himss08-previews/health-20-expected-to-be-contagious-topic-at-schmidt-keynote/
Web 2.0 is the current movement in running Software as a Service, in other words web based software integrated with some desktop software and some purely from the web. Healthcare is big for integration, as there's so much desktop software in use, and for some things you want may desktop software, big issue is security and what lives in harmony with each other so data communicates, to somewhat put it in layman's terms. Theres posts all over here about integration, it now has a name.
http://en.wikipedia.org/wiki/Web_2
I don't see Web 2.0 as a powerful force in Outpatient Medicine. Forinstance, I dont see doctors having their own FaceBook pages.
DrMurdoch: I don't see Web 2.0 as a powerful force in Outpatient Medicine. Forinstance, I dont see doctors having their own FaceBook pages.
Dr. M,
I think you are missing the point a bit on the capabilities and promises of Web 2.0. It is not a specific standard, but rather a methodology and style that is rapidly being adopted by software and service providers in many industries. The basic fundamentals of Web 2.0 are a rich client experience along with an infrastructure that is designed from the ground up with integration and information sharing at its core.
This will allow application/service developers to integrate with other application/services and provide a single cohesive solution to the end user. Here is a simple example that might illustrate some usefulness of Web 2.0 promises. Most PM systems currently deal only with AR processing. However, much of the financial information needs to be journaled into some sort of Accounting software in order to produce financial statements. Now let's say that your PM system has the ability to leverage Web Services of your Accounting Service and automatically flow the data to that system. You then have an integrated solution that allows your business to run with seamless continuity.
SaaS providers, such as SalesForce.com, offer a rich set of Web Services that can be leveraged by other application to enhance the functionality of a solution to a end user. This will eventually flow down into the healthcare software marketplace. Think about all the different partners you have. You have an EMR vendor, a clearinghouse, a print service company, a electronic script company, etc. It does not make sense for an EMR software company to build all this stuff into the product from scratch. I think a wiser choice is to design the applications in such a way that they leverage the hard work and expertise of other vendors who have nailed a particular solution.
The world is changing as we speak. I truly believe that the next generation of software products that we have been teased with on this site, e-MDs included, will open up a lot of eyes. Things we struggle with today like integration, data passing, compatibility, etc ... will become less of a threatening concept and more of one that promotes better EMR systems ... and thus better medical care ...
Chuck.
Hey - I am the first one to say that things are changing rapidly and all current EMRs are essentially legacy products.
I also use a Rich GUI EMR which has AJAX-like speeds - it is the fastest rich-GUI EMR that is Accessible from any PC you can put your hands on. Some EMRs might look as nice, but they aren't accessible from any PC, and most browser based EMR with good accessiblity are ugly and slow as molasses.
My EMR is seemingly faster using my Tablet PC from couch at home (watching Dora the Explorer with my son) than it is in the office.
With a simple upload I can convert my office from my Client/Server/VPN setup to a Hosted service. My EMR also has a portal for patients to log in and access my office from wherever they are.
Synapse is short of perfection, but we're working on it !
Chris Wilkerson, D.C. Carson Doctors Group TabletPCs in Medicine Editor-in-Chief www.MedicalTabletPC.com Home: www.Digital-Doc.com
digital-doc:Would you be able to rapidly use Synapse, with your TPC, in slate mode only?
Everyday !
I use my Toshiba M200 in the office with Synapse everyday.
But, I am using a modified version of Synapse where I document some visits in INK. Essentially I choose for a particular visit if I am going to write the note or type/dictate/macro/tempate it in Synapse. I am using an unreleased INK application that is directed for business use. It is currently on it's ?last? beta. Hopefully will go 1.0 soon. I really like it and have some killer suggestions for the next version. I signed a hefty gag order to get an early version.
Synapse is mostly Tablet PC friendly. About average amongst EMRs. With the new daisy-chaining templates (Suggestion from new Synapser Jerry)(who is VERY EMR knowledgeable I might add) I think true slate tablet functionality is coming. I don't believe ANY EMR that I like is good for slate tablets. The keyboard reigns supreme - fast and flexible.
SaaS providers, such as SalesForce.com, offer a rich set of Web Services that can be leveraged by other application to enhance the functionality of a solution to a end user. This will eventually flow down into the health care software marketplace. Think about all the different partners you have. You have an EMR vendor, a clearinghouse, a print service company, a electronic script company, etc. It does not make sense for an EMR software company to build all this stuff into the product from scratch. I think a wiser choice is to design the applications in such a way that they leverage the hard work and expertise of other vendors who have nailed a particular solution.
Great explanation. Web based CRM (Customer relations management) is on the move as well and when brought in to the medical side of the world will offer the the ability of a rich client to be able to access information in user friendly method, basically the same issues we are discussing here, but change the word "contact" to "patient" and you have pretty much the same concept. To grow the next step is to move into the Business Intelligence area with CRM where you will be able to create reporting functions with a few clicks to view and evaluate the status or numbers on a dashboard with various levels of access, taking advantage of the full spectrum of the established infrastructure.
With utilizing Web 2.0 and graphic rich software, such as Silverlight with Expression for example, which is designed to work wtih many other web applications such as dot net, java, ruby on rails, etc. eventually you will see some much better looking portals too, allowing you to drag and drop and basically arrange the information in the visual fashion you desire and some nice 3 D effects along the line too. There are even a few inking examples that have been developed with Silverlight and Microsoft has created a SDK to take a Windows Journal file and convert it to a Silverlight application. We're not there yet, but that is the direction we are headed.
Ducknet:and Microsoft has created a SDK to take a Windows Journal file and convert it to a Silverlight application. We're not there yet, but that is the direction we are headed.
Anywhere I could read about this ?
I'm always on the hunt for better ink documents.
You can read about it here...I created one but want to improve upon it a bit..
http://blogs.msdn.com/gavingear/archive/2007/10/08/silverlight-ink-sdk-sample-available-on-microsoft-downloads.aspx
And download here....
http://www.microsoft.com/downloads/details.aspx?FamilyID=894980A3-C8D5-4ABB-AE62-C3965A27AB14&displaylang=en
Tafiti is one of my favorite examples...I think it would be nice to have an EMR open in this fashion some day as well. I have posted a couple other inking sample links on here in the past you can dig through and find. Make sure you download and install Silverlight first before going here.
Ink in a browser won't meet my needs.