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Please recommend an EMR for my specific needs.

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ArcticInferno Posted: 04-14-2008 5:25 PM

These are my needs.
Creation of custom templates that allows free entry of text and check boxes.
Scanning of documents, such as EOB, radiographic reports, etc.
Allows excel-like spread sheet (or import and subsequent edit of excel files).
Optionally, create print-image files to upload to OfficeAlly (billing).
I already have MediSoft, but if I could do everything in one software, that would be better.
Of course, affordability is key.  Under $2000, maybe,...
Thanx in advance.

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2k is tough, not sure what Synapse is doing but check out Amazing Charts, Medinotes - I think it interfaces with your billing but not certain, SOAP notes as well.

Why 2k?

Lowell Kleinman, MD www.drkleinman.com www.old-fashionedhousecalls.com

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Rather than starting by focusing on the processing tasks involved in running your office (scanning, text entry, spreadsheets) , I would start by looking at what actions/results you desire.

Smooth patient flow, control over prescriptions, improved patient communication, enhanced patient education, etc.....

You are asking a question analogous to 'what computer should I buy', and the answer would be 'what do you want to do with it?'

Now, at a deeper level, what you hope to acheive by adopting an EMR ?

Then what is your speciality, how many docs, how many staff?

IMHO the price tag is often the wrong focus. Having an efficient, well run, high quality, patient friendly office will pay you big dividends, regardless of the price of the software.


Reddy

 

William "Reddy" Biggs, MD Endocrinology Amarillo, Texas

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"Live on eClinicalWorks since 2/1/2007" http://tinyurl.com/ywqd49

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ArcticInferno:

These are my needs.
Creation of custom templates that allows free entry of text and check boxes.

DescriptMED can help here since most everything is customizable and can be presented alphabetically or as you prioritize

 

Scanning of documents, such as EOB, radiographic reports, etc.  - this as well see these Demos

ArcticInferno:

 


Allows excel-like spread sheet (or import and subsequent edit of excel files).
Optionally, create print-image files to upload to OfficeAlly (billing).

 

You can code within DescriptMED's product and export as text or csv (read by Excel) 

ArcticInferno:


I already have MediSoft, but if I could do everything in one software, that would be better.
Of course, affordability is key.  Under $2000, maybe,...
Thanx in advance.

 

Under $2000 may be a problem.  

You could download and try it for 90 days and see just what it can do for you. 

 

 

Here is a more complete feature list:

  • MySQL Server Database Manager
  • MS SQL Server Compatible
  • Password protected Login
  • HIPAA Logging
  • Provider & Non-Provider User Levels
  • Create Templates for H&P and SOAP Notes
  • Multiple Documentation Routes
  • Rx Pad
  • Rx History
  • Fully customizable
  • Multi-specialty use
  • Multi-practitioner use
  • Appointment Scheduler with Block Time
  • Compatible with Dragon Naturally Speaking
  • Office Mail
  • Reminders & "Sticky" Notes
  • Patient Contact Notes
  • X-Ray Viewer including PDF
  • Scanning Interface for  bmp, jpeg, tiff & png files
  • Scanned Document Viewer including PDF
  • Phone Book
  • Referral Reports
  • Problem Lists
  • Cover Sheet - Health Maintenance Tracking
  • Vital Sign Tracking
  • Immunization Tracking
  • Echocardiogram Report
  • Locked Entries
  • Basic Lab Entry
  • Consult Writing
  • Response Letter Writing
  • Correspondence Template
  • Operative Report Builder for In-Office Surgery
  • Carry Database Home on Laptop
  • Patient Interface
  • Advanced Search Functions
  • Screen Lock
  • Personalize Appearance
  • Choice of One Screen Entry
  • Lab, Radiograph, PT/OT Order Screen
  • Operative Report Templates
  • Export data as XML or comma delimited text
  • Limited "inking" ability
  • BSA and BMI calculations
  • Local Anesthesia Calculator
  • Letterhead/Footer Printing
  • View/Import Word documents
  • Code & Export Billing Information as csv or text
  • Interactive VersionChecker

 

R Terry Ellis

DescriptMED, LLC

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Hello there. You may want to look into a company that is an EMR company that has existing interfaces with Medisoft as well as a robust document manager; there are several of them out there.  One thing about EMR implementation is training and if your staff is doing well with Medisoft, why change it unless you want to (training on a new system is costly).  If you choose a company with EMR and PM system in one, you will definitely pay more than $2000 for it. 

If you would like, my company consults on this, no charge to you (EMR companies pay us for referrals) and we will have you what you need in no time.  www.accustatemr.com is our site.  Our email is information@accustatemr.com

We can help with your EMR, PM system if you really wish to change that, and any hardware or networking systems you may need.  We look at functionality needs, workflow of the office and cost as those are all very important.  There are some ideas but we would need more information on what your workflow is and the functions of the EMR you want are.  We wish you well!!

Deborah Moore, ACNP President & CEO AccuStat EMR 2008 SBA SC Business of the Year 2008 SBA National Business Person of the Year Runner Up info@accustatemr.com
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Under $2,000

Options (no specific order)

www.amazingcharts.com

http://synapsedirect.com/default.aspx

www.Itaz.com  -   pending version 5

http://www.patientos.org/software/video_files/071/patientos_071.htm  patientOS is Free.

 

Your options would increase if you increased to $5,000. 

 --------------

 Why the Excel spread sheed need ?

 

 

 

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There are more options than that.  Please know that Amazing Charts is an ASP system (a good one) but, if you want an in-house software, this will not work.

$5000 will definitely open the doors a bit wider to options though, I agree.

Deborah Moore, ACNP President & CEO AccuStat EMR 2008 SBA SC Business of the Year 2008 SBA National Business Person of the Year Runner Up info@accustatemr.com
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Wow, when did AC become an ASP ?   I've never know it to be.

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WOW!!  It's late...LOL!  I meant it the other way around!  AC is not an ASP and if you want an ASP then you will need to look elsewhere.  I am so sorry....going to bed now.  You are very correct.

Deborah Moore, ACNP President & CEO AccuStat EMR 2008 SBA SC Business of the Year 2008 SBA National Business Person of the Year Runner Up info@accustatemr.com
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Here is another EMR under $2,000   ( its free)

http://www.versaform.com/index.php/products/emr

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Hello,
Thank you all for your replies.
On second thought, maybe I should increase my budget to $6000, and possibly a little more.  After all, it's tax-deductible.
Although Medisoft has many limitations, it works and does it's job.  EMR that has billing capability would be better than something that can merely interface with Medisoft.
I need something that can do custom templates for medical records.  Here's why.
I have a PM&R practice that has Physical Therapy, Pain Management, etc.
We do procedures like trigger point injections and nerve blocks.
I want a single monolithic software that allows me to do:
(1) detailed initial intake (history and physical exam)
(2) document follow up exams
(3) document procedures (trigger point injections and nerve blocks)
(4) document testings (EMG/NCV)
(5) document physical therapy modalities (done by a physical therapist)
(6) scan EOB, radiographic reports, etc.
(7) speadsheat, or be able to import excel and subsequently edit
(8) for billing, produce print-images files to be uploaded to OfficeAlly
(9) this last request is a bit asking too much, but here it goes,... I'm in NY, and NY Workers Compensation requires something called C-4, instead of the CMS/HCFA-1500.  C-4 looks similar to 1500, but not identical.  Billing softwares that allow custom format modules will  allow you to print the C-4 form.  This is not absolutely necessary, because sooo many softwares can't do this.  Medisoft and Eclipse can do it, but Amazing Charts can't.

 

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I hope EMR vendors are listening to you.  What you are describing is needing digital ink for diagraming pain.

I do the same, Trigger point injections on nearly all my patients and various nerve blocks.  I'm waiting to see eMedRec video of how they do it. They run $5k for solo doctor.  Also awaiting Synapse to do it better than current situation. 

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ArcticInferno:

Hello,
Thank you all for your replies.
On second thought, maybe I should increase my budget to $6000, and possibly a little more.  After all, it's tax-deductible.
Although Medisoft has many limitations, it works and does it's job.  EMR that has billing capability would be better than something that can merely interface with Medisoft.
I need something that can do custom templates for medical records.  Here's why.
I have a PM&R practice that has Physical Therapy, Pain Management, etc.
We do procedures like trigger point injections and nerve blocks.
I want a single monolithic software that allows me to do:
(1) detailed initial intake (history and physical exam)
(2) document follow up exams
(3) document procedures (trigger point injections and nerve blocks)
(4) document testings (EMG/NCV)
(5) document physical therapy modalities (done by a physical therapist)
(6) scan EOB, radiographic reports, etc.
(7) speadsheat, or be able to import excel and subsequently edit
(8) for billing, produce print-images files to be uploaded to OfficeAlly
(9) this last request is a bit asking too much, but here it goes,... I'm in NY, and NY Workers Compensation requires something called C-4, instead of the CMS/HCFA-1500.  C-4 looks similar to 1500, but not identical.  Billing softwares that allow custom format modules will  allow you to print the C-4 form.  This is not absolutely necessary, because sooo many softwares can't do this.  Medisoft and Eclipse can do it, but Amazing Charts can't.

I'm not a vendor, I'm a user. We use eCW.

eCW does have the C-4 (11-05) form built in. I am in Texas, and I have absolutely no use for a C-4, but I do have it!    I'd be happy to send you one, with all the fields populated, with the big bold letters "THE INJURED WORKER SHOULD NOT PAY THIS BILL".  I'm sure that gets you off to a good start with your patients, eh?

 What kind of images does Office Ally need?  (We use an electronic statement company that takes our statement data, creates the statement, folds it, adds a return envelope, pre-sorts by zip code, and takes it to the post office for only slightly more than the cost of postage itself. My statements beat your statements by a day or two....) .  If Office Ally can take ANSI 837 files which most can, you should be fine here.

For documenting procedures, you can customize templates, or if you need to sketch trigger points , use tablet with digital inking on to an eCliniform. One of my partners who does breast work locates lesions like that. I use an inkable form for writing and printing insulin doses. (You can see this on my You Tube video in the EMR Showcase.)

All of the other items are really easy.  We don't scan our xray reports. They come in on fax, get captured, and then attached without killing any trees. For inhouse studies read by our radiologists, they are saved in PDF format, again killing no trees.  We do scan EOBs and letters from doctors who don't fax us.

You want the spreadsheet for financial data, or clinical data? On the financial side, we can export almost anything to Excel. For clinical data, we have flowsheets that automatically populate whatever you want....labs, vitals, meds, etc.

Have fun shopping. My biggest word of advice is GO AND VISIT several practices using your top 3 or 4 finalists in the selection process. You will learn so much more there than you will from a demo or from folks hawking their wares here. Talk to the doctors, nurses, and office people. They will gladly share their best ideas with you.

Reddy Biggs

 

William "Reddy" Biggs, MD Endocrinology Amarillo, Texas

Unbiased and independent, YES!

"Live on eClinicalWorks since 2/1/2007" http://tinyurl.com/ywqd49

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eMedRec is 10K for the first provider and  $7.5K for each additional Provider.  To help penetrate the small Solo Physician environment we are offering a $5,500 version, so:

eMedRec is $5000 for the software and $5500 to include Dragon OEM License Medical Version 9.5 and beyond, for one Physician Office.  It already integrates with Medisoft and brings over all the fields.  Many references using Medisoft available.  We could give a demo.

It includes:

  1. Enterprise Document Managemetn Suite.
  2. Dragon Note System
  3. Easy to use in under 30 minutes of training.
  4. And all the things you listed in your needs.

Especailly if you spend another $480 on our soon to be included Active Ink Integration.  Then you could make any form you want, and link them all together using our Package Technology, have it embedded in the EMR, and take it on the road when you need to.

www.activeinksoftware.com

http://www.holtsystems.com/EMR.htm

http://www.holtsystems.com/

If you are intersted in talking further give us a call or email us.

http://www.holtsystems.com/contact.html

Regards,
Brendon

 

Brendon Holt President http://www.holtsystems.com eMedRec Medical Records Made Friendly "If it wasn't for that last minute I would never get anything done."
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I agree with Reddy 100% to a degree.  Go On-site physically, at a location near your offices.  If one is not available schedule with a office in your specialty or near enough to your specialty what is known as a Virtual Visit.  This can be done without the vendor involvement, we have customers that do this givin the high costs of going to each site, for such a small installation cost.

If you are a Eleven or Twelve Physician Group, like Reddy then obviously the cost of making a mistake is much higher, both politcally and financially.

Brendon Holt President http://www.holtsystems.com eMedRec Medical Records Made Friendly "If it wasn't for that last minute I would never get anything done."
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