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Looking for cheap (<$6K) EMR

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For alborg...



Nothing intended except joking around

R Terry Ellis

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I regenerated this one...



"Now,now, be nice. They are just as good as you for the smaller offices, Dumbo!"

("Dumbo" is a registered trademark of Walt Disney!)

Al

Al Borges, M.D.

  Oncologist in a Small Group Practice in Virginia

  My website URL: http://msofficeemrproject.com/

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Sgunes:
I would suggest you should take a look at our PrognoCIS EMR. It offers all the features and functionality you are looking at and has speciality templates for Pain Management. Please feel free to email me or call me Big Smile [:D]
Ramesh Murthy 866-873-3030 x 712 www.prognocis.com Adaptable, Available, Anytime, Anywhere … and Affordable too.. PrognoCIS by Bizmatics - Making EMR a reality.
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Dear RM-Texas: according to the http://www.emr-electronicmedicalrecords.com/price_comparisons.asp
spreadsheet the 2004 price for 2 MDs for 2 years is over $15k. I don't know what the current price is as I could not find it on your website. As the initial thread was for an EMR (maybe even EMR+PM) for under or about $6k your EMR would not qualify.
In general, I like honest vendors/websites that state their prices vs. others that force you to go through multiple middlemen and learn the secret handshake.
I can drive up to any gasstation or store and know exactly what I will be paying for any item or service. I can buy any piece of hardware and regular software and instantaneuosly get the best price (using pricewatch, pricegrabber, froogle...). But somehow most EMRs are different. I think one of the reasons why many do not adopt an EMR is this whole "secrecy" thing. I am convinced that if you have a good product that is worth the asking price, the price should be posted for everybody to see right away.
When I shop for a new car I have the MRSP and have a rough estimate how much it will cost me.
I have to applaud all EMR (and PM) producers/vendor that dare to put their product and pricing openly on the table and let the customer decide.
<<stepping off the soapbox>>
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Dear sgunes,
The price of our EMR on the http://www.emr-electronicmedicalrecords.com/price_comparisons.asp is very correct for purchase but is not accurate for ASP model. We charge $300 per month for ASP model and I will send a separate email to Naveen for correcting this. We also offer other modules such as Patient Portal, Physician Portal, Patient education, SureScripts E-Prescribing etc... which are not priced in the comparison chart ( We have to compare apples to apples). As a company policy we do not post the prices on the website, however as far as being honest, if you call any of our sales staff you will hear the same pricing from everyone with no hidden cost. When we submit a proposal it is black and white and that is it. I am sure if any our users who will read this post will support my statement.

We are a very reasonably priced EMR with the features and functionality that we bring on the table along with excellent customer support.

I apologize for recommending our product, as you are very correct that it will not suit you budget of <6K for 2MD and 2 Year support.

I wish you all the best in your search, Happy Hunting Smile [:)]
Ramesh Murthy 866-873-3030 x 712 www.prognocis.com Adaptable, Available, Anytime, Anywhere … and Affordable too.. PrognoCIS by Bizmatics - Making EMR a reality.
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to mchasemd and digital-doc:
medtuity seems to look within our budget. Best/worst case scenario: 30 patients/day x 5 days = 150 patient encounters/week x 52 weeks = 7800 encounters x 0.75c = $5850/year. In a realistic scenario we will probably pay just a couple hundred a month in the beginning while ramping up and then get to the point when we don't have to pinch every penny.

The website does not provide enough info.
I understand that it is not ASP, so my practice does not go down when the internet connection does.
How about the database? What is it based on?
Do you have e-prescibing (SureScript)?
Any demos besides the screenshots?
How is scanning/file management implemented?
Any interfaces with PM/Billing software (Medisoft, emedpro, EZClaim...)?
Do I own (and store on my server) the patient data?
Is there a section/template for office based procedures?
How easy is it to attach fluoroscopy pictures to the procedure notes?
Who on emru/f is using Medtuity and what is their experience?
Does your EMR include any kind of scheduling?

Anything else I have not asked?
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sgunes,

To answer your questions...

>>I understand that it is not ASP, so my practice does not go down when the internet connection does. <<

This is correct. We are a client/server application. You house the server and the database (MS SQL Server). You own 100% of the data, we do not touch it.

>>Do you have e-prescibing (SureScript)?<<

Currently we do not offer this. But, with MedtuityEMR you are able to write/fax scripts through your server (paperlessly).

>>Any demos besides the screenshots?<<

I would be happy to give you a demo. Feel free to send me a private email to set one up.

>>How is scanning/file management implemented?<<

We have our own integrated document handling. You can scan in images, receive faxes or import files into MedtuityEMR and assign the images to a patient's record.

>>Any interfaces with PM/Billing software (Medisoft, emedpro, EZClaim...)?<<

Yes to Medisoft and EZClaim as well as a number of other systems. I am unfamiliar with emedpro and we do not currently have an interface for them.

>>Is there a section/template for office based procedures?<<

We do have a nice procedure control that is completely customizable. Here is a short demo of it: http://www.medtuity.com/medtuity_emr/newfeatureproccontrol.asp

>>How easy is it to attach fluoroscopy pictures to the procedure notes?<<

What kind of file is the fluoroscopy picture saved as?

The EMR does not have a scheduler. Typically users will rely on their PMS to provide the scheduler.

Remember, the cost is per new patient encounter. If you are adding an addendum to the patient's record it is free.

When does your practice open?

I will be happy to answer other questions that might come up.

Best of luck with your new business,
Brandon Chase email me www.medtuity.com "Practice medicine, not paperwork" ™
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quote:
That said, don't confuse "SQL" with "Access". The "Access" portion can reside in the front-end of both an SQL backend database and a Jet 4.0 database... and work just as well. Any limits reside on the backend tables, not the frontend forms, reports, etc.


I like the posts with the pics...you and I both agree on that item! Jet powers one heck of synch too.

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We hope to open in mid-March (walls are just going up). I have ordered the server (already discussed in a hardware thread) a Dell PowerEdge 2800 with dual 3GHz Xeon 2MB cache, 4 GB memory, 5 U320 10k drives (2 mirrored for operating system and programs, 3 in RAID 5 for data) with MS SBS premium which includes SQL Server. We have already 2 Toshiba Satellite R15 convertibles, I ordered 3 HP dx5150 desktops and a 24 port gigabit switch. I will also go for a Cisco Aironet AP1130 AG (has WPA2). The "cable" guy is currently doing the cabling with the Cat5e.
Is there any way to purchase a couple of credits to run Medtuity once everything is up and running (on my side) to test drive it?
I liked the procedure note generation.
What is the most important function that you are working on (and that's currently missing)?
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sgunes,

That sounds like a great server and it sounds like you got a nice deal on it (based on the discussion in the IT forum).

The minimum purchase on the first purchase is 1,000 credits. With that you will get an interface to any of the practice management systems that we work with. You will also receive training, support, maintenance and updates, like all of our users.

We are always working on new features for the EMR. It is not something we typically discuss in the sales process. From our point of view, it is unfair to sell a doctor on features not yet completed.

I would be more than happy to answer other questions you have. You can always reach me at bbchase at medtuity dot com (thwarted for SPAM bots) for the quickest response.

Regards,
Brandon Chase email me www.medtuity.com "Practice medicine, not paperwork" ™
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Brandon, how is the interface coming a long
with www.eMedsoft.com PMS ?

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>>> I like the posts with the pics...you and I both agree on that item! Jet powers one heck of synch too.

Hi Barbara:

Thanks for your cudos! Feel free to back me up anytime that Jet comes under attack. In any other IT site in the internet, Jet proponents would outnumber SQL proponents among programmers by a large margin... but not here, where the use of an SQL backend seems to equate to more profits. Oh, well...

Al Borges, M.D.

  Oncologist in a Small Group Practice in Virginia

  My website URL: http://msofficeemrproject.com/

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Al,

You and I can agree on two things: Access and SQL Server are functionally equivalent when you are accessing data on your machine, and Access and SQL Server are not close to equivalent when accessing data housed on another machine. When you access SQL Server on another machine, it returns only what you request in the SQL query. When you access Access data on another machine, it returns the entire table.

For example, you have 1 Gb of images in both your SQL and Access databases, when you request an image of John Doe in your SQL (SELECT imageBlob FROM imageTable WHERE PtID = '3456fdgfg') from another machine on the network, SQL returns a 30K image; Access returns over the network the entire 1 Gb table. The client machine must now actually perform the SQL parsing on that 1 Gb.

So which would you rather have your EMR doing every time you click on a pt's name to see the chart-- transferring to your tablet PC (over your wireless LAN) 30K of data or 1 Gb? Big difference.

There are a million other examples. Exclude images if you wish. If you start typing in Amox and expect your EMR to match all drugs, generic or branded, that start with Amox, SQL will return exactly that; Access will return your entire drug database.

SQL is "client-server", Access is file-server based. Big difference. Client-server returns the nugget of gold; file-server returns the entire river bed for you to sift through. Happy prospecting.
Matt Chase www.medtuity.com "Practice medicine, not paperwork" ™
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Al,
Have you ever tried or thought about trying MySQL or SQL Server Express? They are "free". I know your Word/Access EMR won't interface, but maybe there is a way you could try it.

I used to feel the way you do abut Access/Jet, but Matt is correct. I use SQL statements to generate cursor supplied data. I found Access inefficient when the cursor gets large. The books tell you that this is the case and it is true. It took awhile to see it.

Access isn't bad, it isn't as efficient.

R Terry Ellis

DescriptMED, LLC

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>>> I found Access inefficient when the cursor gets large. The books tell you that this is the case and it is true.

What do you mean by this statement? What is the "cursor gets large" mean?

>>> I use SQL statements to generate cursor supplied data.
>>> SQL is "client-server", Access is file-server based.


Terry, you could do SQL statements (and/or have an SQL backend) with any front-end database container in MS Office... even MS Word!

Matt, about the controversy over the "client-server" vs. "file-server" issue: my contention is that the difference in speed in a small office environment running a 100 or 1000 mbps LAN is nil. In fact, when I get the time I'm going to test this out in my office, using my current 100 mbps LAN... I'll run a complex SQL problem that pulls out 5000 patients onto the computer screen using a SQL Server Express mini-EMR and a Jet 4.0 based mini-EMR, both accessing the backend patient table on another computer. It may take me a month to do (I got other projects on-board at this time), but I will do it to bury this issue once and for all.

>>> I know your Word/Access EMR won't interface...

These are front-end platforms that can be reprogrammed easily to access any data, either SQL or Jet-based. I just happen to find that the Jet-based backend works fine for the small office environment. As you can find in the Microsoft Knowledgebase, SQL Server Express is optimized for 5 computers while the Jet backend is optimized to 20 computers. (see my references in http://www.emrupdate.com/forum/topic.asp?TOPIC_ID=4005&whichpage=4&SearchTerms=jet+4)

BTW, MySQL cannot be used in the non-GPL office without paying user fees which aren't cheap.

Cool geeky discussion... Big Smile [:D]

Cheers,
Al [8D]

Al Borges, M.D.

  Oncologist in a Small Group Practice in Virginia

  My website URL: http://msofficeemrproject.com/

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