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So template the social history, the family history, surgical history, meds list, problem list, and allergies. And really, the physical exam should be templated-- I mean how many times do you want to say "regular, rate, and rhythm without murmurs, rubs or gallops" before you simply click to show that finding. "Clear chest", "Soft
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Point and click does not need to be as bad as you describe. First, an EMR should allow you to have many templates and some of those templates could be of your design. That is, have several templates for headache ("Worst headache of my life" where you may be most interested in a SH, maybe another called "Recurrent migraine HA" for
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It also points to a pervasive problem in the EMR industry. Instead of spending dollars on what physicians need to increase their efficiency, EMR companies are spending their scarce development budgets on meeting ongoing certification requirements, all in the hopes that the customer will confuse certification (and such titles as "meaningful use"
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Nick, Times are achanging. I think a recent install is a good example. The group purchased a decently well-known EMR and it failed. So they went with a second well-known EMR and it failed. Both were certified. Both had a very active sales team. The second one flew in some upper level sales people from the coast when there was talk of deinstall. After
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Check your contract. It may disallow bemoaning your vendor's product on a public forum. That issue has been raised before on EMRUpdate. Whether it is part of EMR folklore or accurate, I do not know.
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Introduced into the House yesterday, as part of the new spending bill: DIVISION C—STIMULUS RESCISSIONS 24 SEC. 3001. (a) There are hereby rescinded all unobligated balances remaining available as of February 11, 1 2011, of the discretionary appropriations provided by division A of the American Recovery and Reinvestment Act 3 of 2009 (Public Law
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It ain't over until the fat lady sings. It appears she's warming up her voice with Do-Re-Mi-Fa-So-La-Ti-Do scales in the back room. From the Wall Street Journal :
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I just went to the Kareo website and was surprised to find that they actually publish their web services guidelines for interfacing an EMR to Kareo in a bidirectional manner (push and pull from the EMR). That is indeed amazing-- a PMS company which makes interfacing to an EMR seamless and free. We recently used web services to write an interface to
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MedtuityEMR is EMR only. Billing is not our strong feature; building an EMR to increase efficiency is. We continue to pursue creating efficiencies for our users, and when I think of users, I think of physicians. There is an incredible amount of inefficiency in the system-- just look at a paper filled office with stacks of charts sitting on the physician's
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It's interesting how different specialties want different items at the top of the lists-- a family physician, for example is more interested in the lipid lowering agents and hypertensive meds at the top of the list than what the orthopod might have put the patient on for hip pain. The family history for the gastroenterologist has a different orientation