Physicians Practice - July/August 2008 - (Page 56) TECHNOLOGY the ongoing communication of data with the patient, empowering the patient to engage with real data in real time and then getting that patient really interested through measuring themselves at home.” Sarasohn-Kahn says that for outcomes to be truly optimal, your patients should be able to: • Access their data from your EMR — Lab reports, target weight, cholesterol/triglyceride numbers, other relevant stats; • Send measurements back to the office — Blood glucose levels, daily weight, blood pressure, etc. This sort of involvement, where your patient becomes an active partner in his own care, can work with your EMR to improve patient-care outcomes. THE INDUSTRY PERSPECTIVE Linder says he began fielding phone calls from EMR vendors a week after his study was published. One of those callers was Hugh Zettel, director of government and industry relations at GE Healthcare and vice chair of Healthcare Information Management Systems Society (HIMSS). Zettel concurs that the data used for Linder’s study was essentially obsolete. He also notes another shift in the EMR paradigm; namely, what is the definition of an EMR, and how has it changed since 2003? “When the NAMSC asked its question about EHR use, there wasn’t a lot of specificity regarding what an EHR was,” says Zettel. “Depending on how a physician answered it, they could have been talking about their practice management system instead of an EHR.” Certainly, the impact of a practice management system on patient outcomes would be different from an EMR’s impact. Zettel also says that the accepted understanding of what constitutes “quality care” today has undergone a sea change over the past five years. In 2003, he says, quality care was defined by: • Entering patient data accurately; • Not losing charts or other patient records; and • Integrating lab and prescription information into single records. “Those are … aspects of quality that are important,” says Zettel, “but now our expectations of quality are a lot higher. Today we know that quality means doing a better job of measuring outcomes, looking at a patient’s care longitudinally, and working in an active partnership with patients to help manage their care. No one was even thinking about that back in 2003.” “There’s the old saying that the fool with a tool is still a fool,” he adds. “When you’re implementing an EHR or any sort of healthcare IT application, you’re really transforming the way you practice medicine.” Zettel likens this to embarking on a journey with the understanding that “your success depends on whether you have the buy-in of everyone on your practice team.” Sarasohn-Kahn agrees. Without team effort, she says, even the most top-of-the-line EMRs won’t accomplish a thing. “The EHR is necessary,” she says, “but it’s not sufficient.” Just like everything else in life, you must take time to fully master this potentially invaluable piece of software. After that, tell the researchers to bring it on, says Lamberts. “With a good EMR, you set the bar and we can reach it.” • Barbara A. Gabriel has served as editor and writer for numerous healthcare publications over the past 10 years. Want to comment on this article? Please e-mail editor@physicianspractice.com. 56 | PHYSICIANS PRACTICE | JULY/AUGUST 2008 WWW.PHYSICIANSPRACTICE.COM http://www.amazingcharts.com http://www.amazingcharts.com http://WWW.PHYSICIANSPRACTICE.COM
Table of Contents Feed for the Digital Edition of Physicians Practice - July/August 2008 Physicians Practice - July/August 2008 Contents The Bigger Picture: Battle Royale in the EMR Market Letters Physicians Practice Pearls: Hire Right Noteworthy Cover Story: Healthcare Reform: Voting for Change Patient Relations: Dealing with Problem Patients The tech Doctor: Is Self-Service Medicine Inevitable? Technology: Do EMRs Make You a Better Doctor? The Guide Idealab: Cash-Only Care Still Works The Administrators Desk: Who’s in Charge? Ask The Experts What Went Wrong: ‘Why Our Great Idea Didn’t Work’ Coding Start It Up: How to Launch a Practice: Operations Partnership: Don't Let Partner Conflict Destroy Your Practice Appraisals: What’s Your Practice Worth? Getting Advice: How to Hire a Consultant Classifieds Advertiser Index Physicians Practice - July/August 2008 Physicians Practice - July/August 2008 - Physicians Practice - July/August 2008 (Page Cover1) Physicians Practice - July/August 2008 - Physicians Practice - July/August 2008 (Page Cover2) Physicians Practice - July/August 2008 - Physicians Practice - July/August 2008 (Page 1) Physicians Practice - July/August 2008 - Physicians Practice - July/August 2008 (Page 2) Physicians Practice - July/August 2008 - Physicians Practice - July/August 2008 (Page 3) Physicians Practice - July/August 2008 - Physicians Practice - July/August 2008 (Page 4) Physicians Practice - July/August 2008 - Contents (Page 5) Physicians Practice - July/August 2008 - Contents (Page 6) Physicians Practice - July/August 2008 - Contents (Page 7) Physicians Practice - July/August 2008 - Contents (Page 8) Physicians Practice - July/August 2008 - Contents (Page 9) Physicians Practice - July/August 2008 - The Bigger Picture: Battle Royale in the EMR Market (Page 10) Physicians Practice - July/August 2008 - The Bigger Picture: Battle Royale in the EMR Market (Page 11) Physicians Practice - July/August 2008 - Letters (Page 12) Physicians Practice - July/August 2008 - Letters (Page 13) Physicians Practice - July/August 2008 - Letters (Page 14) Physicians Practice - July/August 2008 - Letters (Page 15) Physicians Practice - July/August 2008 - Physicians Practice Pearls: Hire Right (Page 16) Physicians Practice - July/August 2008 - Physicians Practice Pearls: Hire Right (Page 17) Physicians Practice - July/August 2008 - Physicians Practice Pearls: Hire Right (Page 18) Physicians Practice - July/August 2008 - Physicians Practice Pearls: Hire Right (Page 19) Physicians Practice - July/August 2008 - Noteworthy (Page 20) Physicians Practice - July/August 2008 - Noteworthy (Page 21) Physicians Practice - July/August 2008 - Noteworthy (Page 22) Physicians Practice - July/August 2008 - Noteworthy (Page 23) Physicians Practice - July/August 2008 - Noteworthy (Page 24) Physicians Practice - July/August 2008 - Noteworthy (Page 25) Physicians Practice - July/August 2008 - Cover Story: Healthcare Reform: Voting for Change (Page 26) Physicians Practice - July/August 2008 - Cover Story: Healthcare Reform: Voting for Change (Page 27) Physicians Practice - July/August 2008 - Cover Story: Healthcare Reform: Voting for Change (Page 28) Physicians Practice - July/August 2008 - Cover Story: Healthcare Reform: Voting for Change (Page 29) Physicians Practice - July/August 2008 - Cover Story: Healthcare Reform: Voting for Change (Page 30) Physicians Practice - July/August 2008 - Cover Story: Healthcare Reform: Voting for Change (Page 31) Physicians Practice - July/August 2008 - Cover Story: Healthcare Reform: Voting for Change (Page 32) Physicians Practice - July/August 2008 - Cover Story: Healthcare Reform: Voting for Change (Page 33) Physicians Practice - July/August 2008 - Cover Story: Healthcare Reform: Voting for Change (Page 34) Physicians Practice - July/August 2008 - Cover Story: Healthcare Reform: Voting for Change (Page 35) Physicians Practice - July/August 2008 - Cover Story: Healthcare Reform: Voting for Change (Page 36) Physicians Practice - July/August 2008 - Cover Story: Healthcare Reform: Voting for Change (Page 37) Physicians Practice - July/August 2008 - Cover Story: Healthcare Reform: Voting for Change (Page 38) Physicians Practice - July/August 2008 - Cover Story: Healthcare Reform: Voting for Change (Page 39) Physicians Practice - July/August 2008 - Cover Story: Healthcare Reform: Voting for Change (Page 40) Physicians Practice - July/August 2008 - Cover Story: Healthcare Reform: Voting for Change (Page 41) Physicians Practice - July/August 2008 - Patient Relations: Dealing with Problem Patients (Page 42) Physicians Practice - July/August 2008 - Patient Relations: Dealing with Problem Patients (Page 43) Physicians Practice - July/August 2008 - Patient Relations: Dealing with Problem Patients (Page 44) Physicians Practice - July/August 2008 - Patient Relations: Dealing with Problem Patients (Page 45) Physicians Practice - July/August 2008 - Patient Relations: Dealing with Problem Patients (Page 46) Physicians Practice - July/August 2008 - Patient Relations: Dealing with Problem Patients (Page 47) Physicians Practice - July/August 2008 - Patient Relations: Dealing with Problem Patients (Page 48) Physicians Practice - July/August 2008 - Patient Relations: Dealing with Problem Patients (Page 49) Physicians Practice - July/August 2008 - Patient Relations: Dealing with Problem Patients (Page 50) Physicians Practice - July/August 2008 - The tech Doctor: Is Self-Service Medicine Inevitable? (Page 51) Physicians Practice - July/August 2008 - The tech Doctor: Is Self-Service Medicine Inevitable? (Page 52) Physicians Practice - July/August 2008 - Technology: Do EMRs Make You a Better Doctor? (Page 53) Physicians Practice - July/August 2008 - Technology: Do EMRs Make You a Better Doctor? (Page 54) Physicians Practice - July/August 2008 - Technology: Do EMRs Make You a Better Doctor? (Page 55) Physicians Practice - July/August 2008 - Technology: Do EMRs Make You a Better Doctor? (Page 56) Physicians Practice - July/August 2008 - The Guide (Page 57) Physicians Practice - July/August 2008 - The Guide (Page 58) Physicians Practice - July/August 2008 - Idealab: Cash-Only Care Still Works (Page 59) Physicians Practice - July/August 2008 - Idealab: Cash-Only Care Still Works (Page 60) Physicians Practice - July/August 2008 - The Administrators Desk: Who’s in Charge? (Page 61) Physicians Practice - July/August 2008 - The Administrators Desk: Who’s in Charge? (Page 62) Physicians Practice - July/August 2008 - Ask The Experts (Page 63) Physicians Practice - July/August 2008 - Ask The Experts (Page 64) Physicians Practice - July/August 2008 - Ask The Experts (Page 65) Physicians Practice - July/August 2008 - Ask The Experts (Page 66) Physicians Practice - July/August 2008 - Ask The Experts (Page 67) Physicians Practice - July/August 2008 - Ask The Experts (Page 68) Physicians Practice - July/August 2008 - What Went Wrong: ‘Why Our Great Idea Didn’t Work’ (Page 69) Physicians Practice - July/August 2008 - What Went Wrong: ‘Why Our Great Idea Didn’t Work’ (Page 70) Physicians Practice - July/August 2008 - What Went Wrong: ‘Why Our Great Idea Didn’t Work’ (Page 71) Physicians Practice - July/August 2008 - What Went Wrong: ‘Why Our Great Idea Didn’t Work’ (Page 72) Physicians Practice - July/August 2008 - Coding (Page 73) Physicians Practice - July/August 2008 - Coding (Page 74) Physicians Practice - July/August 2008 - Start It Up: How to Launch a Practice: Operations (Page 75) Physicians Practice - July/August 2008 - Start It Up: How to Launch a Practice: Operations (Page 76) Physicians Practice - July/August 2008 - Start It Up: How to Launch a Practice: Operations (Page 77) Physicians Practice - July/August 2008 - Start It Up: How to Launch a Practice: Operations (Page 78) Physicians Practice - July/August 2008 - Partnership: Don't Let Partner Conflict Destroy Your Practice (Page 79) Physicians Practice - July/August 2008 - Partnership: Don't Let Partner Conflict Destroy Your Practice (Page 80) Physicians Practice - July/August 2008 - Partnership: Don't Let Partner Conflict Destroy Your Practice (Page 81) Physicians Practice - July/August 2008 - Partnership: Don't Let Partner Conflict Destroy Your Practice (Page 82) Physicians Practice - July/August 2008 - Appraisals: What’s Your Practice Worth? (Page 83) Physicians Practice - July/August 2008 - Appraisals: What’s Your Practice Worth? (Page 84) Physicians Practice - July/August 2008 - Appraisals: What’s Your Practice Worth? (Page 85) Physicians Practice - July/August 2008 - Appraisals: What’s Your Practice Worth? (Page 86) Physicians Practice - July/August 2008 - Getting Advice: How to Hire a Consultant (Page 87) Physicians Practice - July/August 2008 - Getting Advice: How to Hire a Consultant (Page 88) Physicians Practice - July/August 2008 - Getting Advice: How to Hire a Consultant (Page 89) Physicians Practice - July/August 2008 - Getting Advice: How to Hire a Consultant (Page 90) Physicians Practice - July/August 2008 - Getting Advice: How to Hire a Consultant (Page 91) Physicians Practice - July/August 2008 - Classifieds (Page 92) Physicians Practice - July/August 2008 - Classifieds (Page 93) Physicians Practice - July/August 2008 - Classifieds (Page 94) Physicians Practice - July/August 2008 - Classifieds (Page 95) Physicians Practice - July/August 2008 - Advertiser Index (Page 96) Physicians Practice - July/August 2008 - Advertiser Index (Page Cover3) Physicians Practice - July/August 2008 - Advertiser Index (Page Cover4)
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