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Terry L Franklin MD Posted: 05-16-2008 3:32 PM

The more I look into EMR it appears that E-MD is really a superior system .I have a 6  physician Family Medicine office,and were drowning in charts.I also liked e-clinical but though e MD was a bit more friendly and easier function considering the diversity of the physicians in our practice. Any comments?

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From the blog...nice going Dr. Winn....not one red "tint" in the charts..Smile  You need to log on to Medscape to see the charts, thus I can't post, but one is up at the blog.  

User Satisfaction With EHRs: Report of a Survey of 422 Family Physicians (Medscape)

From Medscape...a pretty detailed survey...with 13 of the most common EMR Systems on the market today...read the full story at the link below...the survey takes in to consideration all sizes of practices and notes the results accordingly...there are several additional charts and a detailed explanation to accompany each one as well...ease of use...support for training....six rated above average in all four: Amazing Charts, eClinicalWorks EMR, e-MDs Chart, HealthMatics EMR, Praxis EMR and SOAPware....and in a separate chart, cost was also evaluated relative to the opinions for a return on investment...BD 

Posted 05/09/2008

With more and more family physicians trying to decide whether to move to an electronic health records (EHR) system and which system to choose, we thought it high time we repeated the survey of user satisfaction with EHR systems that Family Practice Management conducted in 2005.[1]


We published a revised and simplified version of the 2005 survey instrument in the April 2007 issue.[2] Over the next several months, we collected 422 usable responses from AAFP members who completed either the print version of the survey or an online version posted on the FPM Web site. As with the 2005 survey, respondents were self-selected. Consequently, it is probably most useful to consider this report as the kind of information you might get if you could ask a few hundred colleagues how they like their EHR systems

 

User Satisfaction With EHRs: Report of a Survey of 422 Family Physicians

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Terry L Franklin MD:

The more I look into EMR it appears that E-MD is really a superior system .I have a 6  physician Family Medicine office,and were drowning in charts.I also liked e-clinical but though e MD was a bit more friendly and easier function considering the diversity of the physicians in our practice. Any comments?

 

I think American Idol is boring, and Canadian Idol, doubly so. 

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Hey Jason, did you fix the picture links or did they just appear....strange when I posted they would not show...and I figured it was a log in issue with the site, but now here they are...was just curious if you lent a helping hand here or if the link just finally went through.  Every once in a while I end up with dual posts too, a web thing as well...anyway just curious...things that make you nuts.

Barbara Duck      Ducknet Services       TabletKiosk Sales Information

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The palest ink is better than the best memory. - Chinese Proverb

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Ducknet:
Hey Jason, did you fix the picture links or did they just appear

No.  I am not allowed to do that stuff anymore.

I was banned as an Administrator after 3+ years of dedicated work when I felt it was unfair to EMR purchasers when Mark Anderson rated AcerMed #1, despite there being absolutely no installs, and in fact that time did show that no one ever installed it.

I felt that AcerMed did pay him lots of money in speaker's fees, but that AcerMed might have helped more doctors by actually making a working product.  But it turns out that was just me.

Nick then decided to have Mark Anderson as a regular speaker here for all his good work advocating for EMR shoppers.

That was a little bit before Nick thought it might be a good idea to have NextGen moderate this forum.

One take on my ideas is that I am not always a NextGen Fanboi. 

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This is an edit...anyone can do this. B Duck....

>>Fanboi<<

 And I thought I was omniscient. Wink

http://www.urbandictionary.com/define.php?term=fanboi

 

Chris Wilkerson, D.C.
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Anyone can edit a message with the "edit' button and that's why I thought maybe you were helping me out.:)  See the message with digital doc, I put a one line edit there.  Hey we all may have learned something here.

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>>Hey we all may have learned something here. << 

Hi Barbara,

I have not learned anything? Did I copy and paste incorrectly? Smile

 

Chris Wilkerson, D.C.
Carson Doctors Group
TabletPCs in Medicine
Editor-in-Chief www.MedicalTabletPC.com
Home: www.Digital-Doc.com

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Ducknet:
Anyone can edit a message with the "edit' button and that's why I thought maybe you were helping me out.:) 

Admins can [edit] a message from any user. 

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>>Anyone can edit a message with the "edit' button and that's why I thought maybe you were helping me out.:)  <<

I'm not an Admin?

Geesh, if I was, I would make Al Borges look boring and he is certainly not an Admin, although he should be Stick out tongue

 

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Carson Doctors Group
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I don't think you would go wrong with either, they are similar, so it's somewhat of a coke and pepsi debate.  I recommend extended hours (at least one or two) road testing your final choices until you decide you prefer one. That means without the pressure of a sales rep.  In a perfect world the sales reps would let you log into a dummy system over the internet to experiment on your own time.  If they don't, find two offices near you that have each software and ask to play around with the system after hours.  I don't think it would be difficult to find two offices who will allow you to do this, the companies will give references if you don't know anyone.

solo FP; e-MDs since 3/06
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 Hello Everyone, 

Recently we had a e-MDs Solution Series demo done by one of their sales rep. We have 2-3 Physician practice. Here are some of our reponses to what we saw from the demo.

 

1) The cost of the e-MDs solution Series was expensive

The cost included the following: e-MDs solution Series, Chart, Billing, Upgraes, Support and training and other additional SW licenses.

Cost Range: $32K- 45K per facility

 2) The cost for purchasing Hardware to support this system. Again costly as hell.

 Cost Range: $11k-$13k per facility

 3) Nice Graphical User Interface.

4) Management Document interface is extremely generic. The system is not intelligent enough to sort the documents at all. It is pretty much manually driven. I have seen other EMR/PMS systems that can do a better job.

 5)  X-ray and Ultrasound images have to be imported in jpeg format or the other. I do not think the system recognizes .dcm images and neither it is intelligent enough to link to a PACS system to retrieve images. The rep was unable to answer questions in regards to DICOM 3.0.

6) The Lab interface is satifactory. I think they could do a better job creating their own LIS module.

7) SOAP notes were great. Liked how it flows.

8) type and tablet driven. However rep was unable to demonstrate using Voice recognition to show how it works.

9) Client Server system. Does not have mix of ASP/ Client Server. We wanted our PMS to be ASP driven and our EMR to be Client Server based. 

With the price tag they have quoted us. I am not impressed over all by what it does. It looks sleek but I think the system is way too expensive and needs imporvement on various modules within the e-MDs Solution series for what it has to offer.

However we will be considering evaluating other EMR/PMS systems. I think the interface look that Microsoft Healthcare is providing is impressive. We shall be looking into what they have to offer besides other vendors available.

Thank you,

 

Best regards 

  

 

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Teemor:

 Hello Everyone, 

Recently we had a e-MDs Solution Series demo done by one of their sales rep. We have 2-3 Physician practice. Here are some of our reponses to what we saw from the demo.

 

1) The cost of the e-MDs solution Series was expensive

The cost included the following: e-MDs solution Series, Chart, Billing, Upgraes, Support and training and other additional SW licenses.

Cost Range: $32K- 45K per facility

 2) The cost for purchasing Hardware to support this system. Again costly as hell.

 Cost Range: $11k-$13k per facility

 3) Nice Graphical User Interface.

4) Management Document interface is extremely generic. The system is not intelligent enough to sort the documents at all. It is pretty much manually driven. I have seen other EMR/PMS systems that can do a better job.

 5)  X-ray and Ultrasound images have to be imported in jpeg format or the other. I do not think the system recognizes .dcm images and neither it is intelligent enough to link to a PACS system to retrieve images. The rep was unable to answer questions in regards to DICOM 3.0.

6) The Lab interface is satifactory. I think they could do a better job creating their own LIS module.

7) SOAP notes were great. Liked how it flows.

8) type and tablet driven. However rep was unable to demonstrate using Voice recognition to show how it works.

9) Client Server system. Does not have mix of ASP/ Client Server. We wanted our PMS to be ASP driven and our EMR to be Client Server based. 

With the price tag they have quoted us. I am not impressed over all by what it does. It looks sleek but I think the system is way too expensive and needs imporvement on various modules within the e-MDs Solution series for what it has to offer.

However we will be considering evaluating other EMR/PMS systems. I think the interface look that Microsoft Healthcare is providing is impressive. We shall be looking into what they have to offer besides other vendors available.

Thank you,

 

Best regards 

  

 

 

Agree with most of the above, except for below:

1. Cost is about $4,000 per provider for emr and $4,000 per provider for pms, which does not include training or software licenses.  So if you get their integrated billing, figure $8,000 per provider to purchase, midlevels cost the same as docs.  That cost does not include training, which is the big variable.  I probably spent $1500 on training to start and $4000 total over 2 years for solo. Then add $1800 per provider per year for support and upgrades.  So if your office is 3 doctors and no midlevels, the purchase quote is on the high side, or assumes a lot more training than is probably necessary.

2. The hardware cost is no different for eMDs than it is for any other client-server emr.  You just need a server, a $900 scanner, and a workstation for each employee.

3. Agree document management is relatively weak, although it's not something that I find has a big impact.  A bigger criticism is slow rollout of their patient portal, and time between upgrades in general.

 4. I consider eMDs to be mid-priced, along with eCW and Praxis, etc.  I have a solo practice with 2.0 FTEs, and I'm pretty sure any of the mid-priced systems pay for themselves in terms of payroll savings.  I think I would need another .5-.75 FTEs without an emr.

 

solo FP; e-MDs since 3/06
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We're not perfect, but we are trying.  I agree, document management could always be better - although it can sort documents based on user defined parameters and most everyone finds it fast and easy to use.  Price for a one doc practice is actually less than eCW.  We are comparable in price in larger practices.  We were informed that we were rated #1 overall in the recent ACP survey with some 1,300 respondents.  If you are an ACP member you can see it.  I hope to be able to see it this Monday - when someone forwards it on to us.  That coincides with 2 time overall #1 ratings in two separate AAFP surveys.  These surveys were conducted by specialty societies, independent of our foreknowledge, and I believe to be the most honest assessment of product function and quality.  Of course, if you are rated #1, you tend to agree with the wisdom of the process or rater. Big Smile

We absolutely do have ASP installations.  However, ASP deployments are expensive, less than optimal solutions.  Over the next few years we will gradually shift to a pure web native app.  That will save around $30,000 per physician in internal network costs plus whatever they spend on annual internal network maintenance (5-10k per year).  I have told our sales VP that when that product ships, it is so powerful and compelling that if we lose a sale, she probably should think about replacing the salesperson. Indifferent

Disclaimer: I am the founder of e-MDs.  Highest rated by doctors. All posts are opinion only

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DrWinn:

We were informed that we were rated #1 overall in the recent ACP survey with some 1,300 respondents.  If you are an ACP member you can see it.  I hope to be able to see it this Monday - when someone forwards it on to us.  That coincides with 2 time overall #1 ratings in two separate AAFP surveys.  These surveys were conducted by specialty societies, independent of our foreknowledge, and I believe to be the most honest assessment of product function and quality.  Of course, if you are rated #1, you tend to agree with the wisdom of the process or rater. Big Smile

 

Are you referring to the EHR Summary ranking?

 I'm an ACP member. In order to get to it, I had to click Accept on a 'Non-Disclosure Agreement' and then the reports have "All information in this report is CONFIDENTIAL and can not be shared or distributed to other parties. (See Non-Disclosure Agreement)."

 

There are only 8 EHR's included in the ranking. I don't think I am divulging anything here that e-MDs was indeed ranked the highest with 3 out of 4 stars.

The other contenders were: MedInformatix, Centricity,  Glenwood GlaceEMR, iSALUS OfficeEMR, InteGreat IC-Chart EMR, Practice Partners EHR,

Out of these 8 EHR's only 3 were ranked, since only three had enough installs to evaluate.

 

I'm not sure that this ranking is one I'd want to hang my hat on, David.


Reddy

 

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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