Physicians Practice - March 2008 - (Page 46) ADMINISTRATOR’S DESK Between the software selection process, staff training, and the inevitable IT hiccups that will arise, implementing an EMR can drag on for months, even under the best-case scenarios. To minimize any subsequent revenue loss, maintain a detailed schedule that takes into account each step of the process, including research time, vendor demonstrations, site visits, physician input and feedback meetings, product selection, software (and often hardware) implementation, staff training, and follow-up meetings. The deadlines for training should especially be clearly communicated and adhered to. “A good vendor is going to put together an implementation timeline, and there are going to be assignments,” says Hertlein. “[The plan] will state that they are responsible for doing certain things by a certain date, and the practice is responsible for doing their part by the deadline. This is a dual responsibility.” BE THE CHEERLEADER Throughout the EMR buying and implementation process, don’t forget to keep a close eye on office morale. Both clinical and clerical staff often resist change. Some fear they may lose their jobs. Others may be anxious about having little experience with computers. “When nurses start grousing about the project, you really need to champion that process by being the cheerleader and making sure there are not any bumps in the road,” says Nelson. Hertlein agrees: “The key to success is educating your staff and getting them psyched. In some areas, after an EMR is implemented, the roles of employees change significantly.” Address fears by explaining to staff their new roles before implementation, and explicitly tell them how they fit into the grand scheme of what will likely be a new office dynamic. Automating your office’s workflow with an EMR can deliver enormous benefits, eliminating repetitive tasks, streamlining billing, and freeing more physician time to focus on patient-centered care. But it’s also a major undertaking for which practices — and the administrator in charge — must prepare with research, staff involvement, and a strong commitment to making it work. • Shelly K. Schwartz is a freelance writer in Maplewood, N.J., who has covered personal finance, technology, and healthcare for 12 years. Her work has appeared on CNNMoney.com, Bankrate.com, and in Healthy Family magazine. She can be reached via editor@physicianspractice.com. 46 | PHYSICIANS PRACTICE | MARCH 2008 WWW.PHYSICIANSPRACTICE.COM http://www.medfusion.net http://www.medfusion.net http://WWW.PHYSICIANSPRACTICE.COM
Table of Contents Feed for the Digital Edition of Physicians Practice - March 2008 Physicians Practice - March 2008 Contents The Bigger Picture: Try a Little Tenderness Second Opinion Letters Physicians Practice Pearls: The Value of First Impressions Noteworthy Cover Story: Your Complete Guide to Patient Service Billings & Collections: Rules to Code By The Administrators Desk: Selecting an EMR Technology: Learn to Love Your Nerd Ask The Experts Coding The Guide The Tech Doctor: All About Blogs The Great Practice Makeover: When Bad Things Happen to Good Practices Start It Up - NEW! The Law: Audits 101 In Practice: Do As I Say... Pretty Please? Healthonomics: Handling the Changes Wrought by Medicare D Classifieds Advertiser Index Physicians Practice - March 2008 Physicians Practice - March 2008 - Physicians Practice - March 2008 (Page Cover1) Physicians Practice - March 2008 - Physicians Practice - March 2008 (Page Cover2) Physicians Practice - March 2008 - Physicians Practice - March 2008 (Page 1) Physicians Practice - March 2008 - Physicians Practice - March 2008 (Page 2) Physicians Practice - March 2008 - Physicians Practice - March 2008 (Page 3) Physicians Practice - March 2008 - Physicians Practice - March 2008 (Page 4) Physicians Practice - March 2008 - Contents (Page 5) Physicians Practice - March 2008 - Contents (Page 6) Physicians Practice - March 2008 - Contents (Page 7) Physicians Practice - March 2008 - Contents (Page 8) Physicians Practice - March 2008 - Contents (Page 9) Physicians Practice - March 2008 - The Bigger Picture: Try a Little Tenderness (Page 10) Physicians Practice - March 2008 - The Bigger Picture: Try a Little Tenderness (Page 11) Physicians Practice - March 2008 - Second Opinion (Page 12) Physicians Practice - March 2008 - Second Opinion (Page 13) Physicians Practice - March 2008 - Letters (Page 14) Physicians Practice - March 2008 - Letters (Page 15) Physicians Practice - March 2008 - Letters (Page 16) Physicians Practice - March 2008 - Letters (Page 17) Physicians Practice - March 2008 - Physicians Practice Pearls: The Value of First Impressions (Page 18) Physicians Practice - March 2008 - Physicians Practice Pearls: The Value of First Impressions (Page 19) Physicians Practice - March 2008 - Noteworthy (Page 20) Physicians Practice - March 2008 - Noteworthy (Page 21) Physicians Practice - March 2008 - Noteworthy (Page 22) Physicians Practice - March 2008 - Noteworthy (Page 23) Physicians Practice - March 2008 - Cover Story: Your Complete Guide to Patient Service (Page 24) Physicians Practice - March 2008 - Cover Story: Your Complete Guide to Patient Service (Page 25) Physicians Practice - March 2008 - Cover Story: Your Complete Guide to Patient Service (Page 26) Physicians Practice - March 2008 - Cover Story: Your Complete Guide to Patient Service (Page 27) Physicians Practice - March 2008 - Cover Story: Your Complete Guide to Patient Service (Page 28) Physicians Practice - March 2008 - Cover Story: Your Complete Guide to Patient Service (Page 29) Physicians Practice - March 2008 - Cover Story: Your Complete Guide to Patient Service (Page 30) Physicians Practice - March 2008 - Cover Story: Your Complete Guide to Patient Service (Page 31) Physicians Practice - March 2008 - Cover Story: Your Complete Guide to Patient Service (Page 32) Physicians Practice - March 2008 - Cover Story: Your Complete Guide to Patient Service (Page 33) Physicians Practice - March 2008 - Cover Story: Your Complete Guide to Patient Service (Page 34) Physicians Practice - March 2008 - Cover Story: Your Complete Guide to Patient Service (Page 35) Physicians Practice - March 2008 - Billings & Collections: Rules to Code By (Page 36) Physicians Practice - March 2008 - Billings & Collections: Rules to Code By (Page 37) Physicians Practice - March 2008 - Billings & Collections: Rules to Code By (Page 38) Physicians Practice - March 2008 - Billings & Collections: Rules to Code By (Page 39) Physicians Practice - March 2008 - Billings & Collections: Rules to Code By (Page 40) Physicians Practice - March 2008 - Billings & Collections: Rules to Code By (Page 41) Physicians Practice - March 2008 - Billings & Collections: Rules to Code By (Page 42) Physicians Practice - March 2008 - Billings & Collections: Rules to Code By (Page 43) Physicians Practice - March 2008 - Billings & Collections: Rules to Code By (Page 44) Physicians Practice - March 2008 - The Administrators Desk: Selecting an EMR (Page 45) Physicians Practice - March 2008 - The Administrators Desk: Selecting an EMR (Page 46) Physicians Practice - March 2008 - The Administrators Desk: Selecting an EMR (Page 47) Physicians Practice - March 2008 - The Administrators Desk: Selecting an EMR (Page 48) Physicians Practice - March 2008 - Technology: Learn to Love Your Nerd (Page 49) Physicians Practice - March 2008 - Technology: Learn to Love Your Nerd (Page 50) Physicians Practice - March 2008 - Technology: Learn to Love Your Nerd (Page 51) Physicians Practice - March 2008 - Technology: Learn to Love Your Nerd (Page 52) Physicians Practice - March 2008 - Ask The Experts (Page 53) Physicians Practice - March 2008 - Ask The Experts (Page 54) Physicians Practice - March 2008 - Ask The Experts (Page 55) Physicians Practice - March 2008 - Ask The Experts (Page 56) Physicians Practice - March 2008 - Ask The Experts (Page 57) Physicians Practice - March 2008 - Ask The Experts (Page 58) Physicians Practice - March 2008 - Ask The Experts (Page 59) Physicians Practice - March 2008 - Ask The Experts (Page 60) Physicians Practice - March 2008 - Coding (Page 61) Physicians Practice - March 2008 - The Guide (Page 62) Physicians Practice - March 2008 - The Guide (Page 63) Physicians Practice - March 2008 - The Guide (Page 64) Physicians Practice - March 2008 - The Tech Doctor: All About Blogs (Page 65) Physicians Practice - March 2008 - The Tech Doctor: All About Blogs (Page 66) Physicians Practice - March 2008 - The Great Practice Makeover: When Bad Things Happen to Good Practices (Page 67) Physicians Practice - March 2008 - The Great Practice Makeover: When Bad Things Happen to Good Practices (Page 68) Physicians Practice - March 2008 - The Great Practice Makeover: When Bad Things Happen to Good Practices (Page 69) Physicians Practice - March 2008 - The Great Practice Makeover: When Bad Things Happen to Good Practices (Page 70) Physicians Practice - March 2008 - The Great Practice Makeover: When Bad Things Happen to Good Practices (Page 71) Physicians Practice - March 2008 - The Great Practice Makeover: When Bad Things Happen to Good Practices (Page 72) Physicians Practice - March 2008 - Start It Up - NEW! (Page 73) Physicians Practice - March 2008 - Start It Up - NEW! (Page 74) Physicians Practice - March 2008 - Start It Up - NEW! (Page 75) Physicians Practice - March 2008 - Start It Up - NEW! (Page 76) Physicians Practice - March 2008 - The Law: Audits 101 (Page 77) Physicians Practice - March 2008 - The Law: Audits 101 (Page 78) Physicians Practice - March 2008 - The Law: Audits 101 (Page 79) Physicians Practice - March 2008 - The Law: Audits 101 (Page 80) Physicians Practice - March 2008 - In Practice: Do As I Say... Pretty Please? (Page 81) Physicians Practice - March 2008 - In Practice: Do As I Say... Pretty Please? (Page 82) Physicians Practice - March 2008 - In Practice: Do As I Say... Pretty Please? (Page 83) Physicians Practice - March 2008 - In Practice: Do As I Say... Pretty Please? (Page 84) Physicians Practice - March 2008 - Healthonomics: Handling the Changes Wrought by Medicare D (Page 85) Physicians Practice - March 2008 - Healthonomics: Handling the Changes Wrought by Medicare D (Page 86) Physicians Practice - March 2008 - Healthonomics: Handling the Changes Wrought by Medicare D (Page 87) Physicians Practice - March 2008 - Healthonomics: Handling the Changes Wrought by Medicare D (Page 88) Physicians Practice - March 2008 - Classifieds (Page 89) Physicians Practice - March 2008 - Classifieds (Page 90) Physicians Practice - March 2008 - Classifieds (Page 91) Physicians Practice - March 2008 - Classifieds (Page 92) Physicians Practice - March 2008 - Classifieds (Page 93) Physicians Practice - March 2008 - Classifieds (Page 94) Physicians Practice - March 2008 - Classifieds (Page 95) Physicians Practice - March 2008 - Advertiser Index (Page 96) Physicians Practice - March 2008 - Advertiser Index (Page Cover3) Physicians Practice - March 2008 - Advertiser Index (Page Cover4)
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