Proponents of EHRs say the transition from paper to electronic records will improve efficiency and patient care. But for physicians who are struggling to adopt and adapt to EHRs, it can be difficult to see the light at the end of the tunnel.
"There's a lot of frustration, a lot of loss of income, a lot of patient dissatisfaction," dermatologist Steven Shapiro recently told Physicians Practice, noting that his practice’s EHR has decreased efficiency and as a result, led to increased patient wait times, longer patient visits, and fewer total patient visits per day.
Shapiro is not alone in his frustration. Twenty-four percent of respondents to the Physicians Practice 2012 Technology Survey, Sponsored by AT&T, said EHR adoption and implementation is the most pressing IT problem at their practices; while 16 percent pointed to costs to implement and use technology as the biggest issue. In addition, 53 percent of respondents said they have not yet seen a return on their investment.
For those physicians struggling to deal with the costs of implementing an EHR, there’s some good news. More immediate revenue increases as a result of implementing an EHR may be in the pipeline for physicians — beyond the federal incentives for “meaningfully using” one.
EHR vendor Hello Health, for instance, is exploring the possibility of enabling its users to use its EHR to improve efficiency when making referrals. Practices could even receive a monetary incentive when they use the EHR feature.
The vendor hopes to allow physicians to view a list of referral specialists, as well as a highlighted list of the specialists that are “in network” for a patient’s insurance plan. Physicians could then use the EHR to send a referral to a specialist with the patient’s relevant health information included, Matt Beer, director of implementation at Hello Health, told Physicians Practice.
In addition, specialists would pay a fee to participate in the referral system, which would then be shared with the referring physician.
“We’re showing really strong numbers for what we can bring to the primary-care physician over a course of a year,” said Beer, estimating it could amount to $35,000 to $50,000.
Similarly, EHRs could improve efficiencies when practices receive third-party medical record requests from life insurance companies, health carriers, and disability plans. Again, physicians could receive a monetary incentive for distributing these records.
Hello Health recently partnered up with medical record request platform 5 O’clock Records so that physicians can easily transmit the patient’s record to a third party that requests it. Physicians will also receive a fee from the third-party as a result of transmitting the request.
Beer estimated physicians could increase top line revenue by $12,000 to $15,000 annually as a result of utilizing the third-party record request feature.
“The doctor with a click of a button will be able to send that entire record to that life insurance company in seconds, and that’s normally been a process which has taken, sometimes, weeks,” he said.
What do you think of these possible revenue boosters for EHRs? Could they benefit your practice?
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Medica Forums -
5/19/13
Had a case the other day with the above finding on a pap. She was age 36 and had a Mirena in place. How do people feel about the idea of trying to do an EMB with an IUD in place? If not, how do we proceed?
Medica Forums -
5/16/13
Hello,
Has anyone tried FetalGrowth app (App Store for iPhone/iPad) ? I'm interested in using a simple and handy tool to calculate fetal percentiles, and I came across this app, which seems it does the job (plots growth charts, as well). I haven't seen anything else, besides this app, so I was wondering if there are people who have already tried it. Thanks !
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5/12/13
Welcome to the new ObGyn.net Forum!
To all the members of OB-GYN-L… Thank you for coming! I’m thrilled that you’ve decided to check out the new Forum site, and look forward to reading about what’s on your mind. If you’re new to the ObGyn.net community... welcome aboard! You’ve just joined an outstanding group of physicians and health care professionals who have been sharing information, answering questions, and building professional relationships via the site’s listserv for nearly 20 years. Feel free to poke around on the site to get a feel for things, or take a look at the Help Topics page for instructions on how to use the different features of the site. A few quick tips: For those of you who like getting new Forum messages delivered directly to your inbox, the first thing you’ll want to do is click on the ‘Follow this forum’ button on the main page. You’ll have the option of getting notifications immediately, as a daily digest, a weekly digest, or only when you’re not online (which is to say, if you’re on the site when someone posts a message, you won’t be notified of it). You won’t be able to post on the site just by replying to the email, but the message will contain a link that takes you directly to the message you’d like to reply to. You can also follow individual conversations without following the whole list by going into the topic and clicking the ‘Follow this topic’ button next to the title. Also, in ‘My Profile’ you can:
Happy posting!
Medica Forums -
5/11/13
I helped another physician with removal of a retained placenta last night, we were unsuccessful in removing it vaginally, her cervix was too closed to allow manual removal and we could only get a few pieces out with ring forceps and a large curette, so we did a laparotomy/hysterotomy and were able to preserve the uterus. The placenta turned out not to be an accreta and it was easily removed via that route through a low vertical incision on the uterus. Any thoughts on the appropriate CPT code would be appreciated. The patient came in through the ER five days after home delivery by her husband. She was severely anemic, rcvd 7 units of blood and is still quite ill and in the ICU but improving.
Ronald E. Ainsworth, MD, FACOG
Medica Forums -
4/15/13
Recently, I had the occasion to review a case of a term primigravida with PROM in a private hospital (no housestaff or in house obstetricians). She was seen by an obstetrician soon after arrival, evaluated, and pitocin induction begun.
She did not deliver for around 29 hours after admission, and the delivering obstetrician (a different physician) was physically present during the last 2 hours of labor prior to delivery. Simply put, while the two involved obstetricians were in communication by phone with the nursing staff throughout labor (separately as their "shifts" did not overlap), no one actually came to the bedside and wrote a note) from admission until around 2 hours before delivery. Medical staff bylaws call for a daily progress note; this bylaw was easily met. In reviewing the case, it did not "feel good" that no one came to the bedside. My questions: 1. Does anyone have or know of any guidelines to mandate such bedside attendance? Of course, we all hope that the involved physicians would not need said guidelines. 2. Does anyone have a suggestion of hospital/nursing protocols? Simply, in this case I would like to have had a charge nurse or bedside nurse simply say, "Hey, no one has been by for a while. What's up?" Garry EducationalTutorialsEducational Tutorial: Complications of Laparoscopy
February 7, 2012 There are a variety of complications that can occur during laparoscopic surgery. In this tutorial learn some of the complications and tips to avoid them. Educational Tutorial: Low Molecular Weight Heparin in Recurrent Abortions
January 17, 2012 Review information on low molecular weight heparin in recurrent miscarriages in this educational tutorial. CaseStudiesFetal Abdomen with Gallbladder Calculi
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