Achieving Meaningful Purpose – A Roadmap For A Small-Scale Practice

A few days ago, land reading i of my favorite EHR forums, I ran across a postal service from a typical Primary Care physician, practicing inward a typical pocket-size practice, seeking advice on EHR adoption. There was nada odd close his post, except the lastly line:

“So confused.  All I desire to produce is consider patients.  Any suggestions”

This may live the most succinct as well as accurate description of the province of affairs out there. We the “experts” are reading hundreds of pages of legislation as well as rulemaking cropping upwards on a daily basis, participating inward populace coming together as well as populace comments as well as writing heaps of articles as well as weblog posts all over the Internet. However, the typical doc, inward the typical pocket-size practice, does non cause got either the fourth dimension or the inclination to decease an expert. All these physicians cause got is incomplete as well as sometimes misguided information.

For the anonymous doc from my forum as well as for the hundreds of thousands of his/her colleagues, I committed to writing a guide to the times, or a uncomplicated guide for achieving the national goals for HIT, starting alongside Meaningful Use.  This is non about other lofty guide to policy. It is a hands on (do this first, produce that second, as well as hence forth) guide to researching, deciding, selecting, buying, implementing as well as using EHR technology, inward accordance to the newest regulations.

This is move inward progress, as well as alone the start Chapter as well as 2 appendices cause got total content.  I would unremarkably hold back until the newspaper was consummate earlier posting anything. However, I intend we’re running out of fourth dimension as well as these doctors ask answers. So I decided to construct this guide inward a public, as-you-go process. Below is a synopsis of the start Chapter as well as a link to the Draft document. I await comments as well as questions as well as suggestions, which volition live incorporated inward the lastly version.
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Introduction
The buzz give-and-take is Meaningful Use. You decease purchase i of those CCHIT certified EMRs as well as the Government volition transportation you lot a cheque for $44,000. Not sure as shooting what Meaningful Use is, only many vendors guarantee that you lot volition larn your check. There are 2 options here, trust the vendor as well as purchase something. Trust no i as well as hold back as well as see.
And as well as then at that topographic point is the prudent option. Start educating yourself hence you lot tin brand an informed decision. This newspaper volition supply a roadmap for a typical pocket-size exercise alongside no exceptional affiliations to a infirmary as well as no other immediate beginning for freebies.

Part I – Pre Decision to Buy

Step 1: Estimate your incentive amount
That $44,000 figure is non for everybody. You could qualify for to a greater extent than as well as you lot could qualify for a lot less, perchance fifty-fifty nothing. . It all depends on how many Medicare or Medicaid patients you lot consider on a regular basis. Where you lot consider patients is besides extremely important.

Step 2: Understand Healthcare Transformation
Whether you lot cause got seen EHRs inward activity as well as deeply disliked them, or haven’t experienced them at all, only heard all sorts of good/bad things from your colleagues, delight live aware that the computerization of medical records is inevitable. We may non live sure as shooting of the shape or degree it volition take, only sooner or after newspaper volition cause got to decease away.

Step3: Survey the Landscape
There are literally hundreds of EHR options out at that topographic point ranging from glorified give-and-take processors to super complex packages that volition produce everything brusque of genuinely examining the patient, or hence they claim. The prices attain from completely “free” to tens of thousands of dollars as well as everything inward between. Some come upwards alongside “warranties” as well as about are sold “as is”. Caveat emptor is the prime number directive.
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Full text draft of Part I, a synopsis for Part II as well as miscellaneous content are posted here [PDF].
This  documented volition live updated oft until consummate (ETA - a twain of weeks).

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