EpiChart EMR 6.0

1998 Polaris Medical Management was formed by Primary Care Physician on the east coast to help communicate more quickly and efficiently with ancillary medicine and other physicians.  This group developed an EHR (Electronic Health Record) or a software system rather than an EMR (Electronic Medical Records) using a program based on the physicians computerized office system.  2003 was the birth year when the system went live and has been growing and perfecting the quality of service ever since.  EpiChart 6.0 is now jumping into the future with credentials like CCHIT Certification (Certification Commission for Healthcare Information Technology) one of the industry’s highest distinctions.  Epichart has formed bonds within the primary care setting and beyond.

 

This system has taken the federal requirements of 2014 and made the connection while others are still working to develop.  Having met the ONC-ATCB certification, in 2011, allowing for Stimulus Funding, EpiChart 6.0 is striving to meet all challenges and certification of requirement on-line with HIPPA and moving forward to be the connection of tomorrow.  The systems website documents the arrival of bringing al ancillary and medical services together including the NewCrop (electronic prescription service).   MaxMD (a secure information service) provides security for internet delivery of the product.  Billing services fall under RealMED including secondary insurance entities to bring payments and information at a faster rate.  The system based in Rhode Island is one of the first architecturally  developed by physicians for physicians.

EpiChart 6.0 is moving forward to include other areas of the country and more services to provide.

 

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Kareo EMR & Billing

Kareo is a system used by many medical billing companies.  It has history with the medical billing field and a very good reputation in this area.  Although the reviews of the medical billing community are glowing, there is little information regarding EMR in totality.  This is an internet based product which has served small billing companies it would seem very well, only one glitch – second party billing of insurance.

The product has many features necessary for the transition in 2014 and has reviews as current as July 2013 by medical billing companies.  There appears to be little known about the interworking ability of bill management, storing or transfer of patient data, scheduling of appointments or the collection of pertinent patient information.

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The users of Kareo credit its easy use and even commenting that the learning curve is very small.  Kareo seems to have been tried and true in the billing department (except for secondary insurance); there just appears to be little or no real knowledge of ‘meaningful use’ or safety of patient information storage.  If you are not looking past the medical billing, to be applied outside of your office, this system seems to have value.  If however, your dollars are going to an EMR to meet all governmental standards, you might want to consider another product or at the very least give Kareo a span of time to have all up and running.

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OmniMD

OmniMD is a system which interacts with 34 specialties; it is cloud based and certified in 44 clinical quality measures.   With beginnings in 2001 as an EHR billing system; evolution has brought it to certification in administrative, clinical and security modalities.  Certified in ONC-ATCB 2011-2012 Certified Complete HER; CCHIT Certified® 2011 Ambulatory EHR, with five-star usability rating; SureScripts eRx Certified; meetings the needs of over 475 specialty practices.

 

OmniMD is a part of Integrated Systems Management, Inc., this software company has been in business for over twenty years in engineering software and for greater than 10 years specializing in medical software.  This software and the company has been HIPPA compliant for the last ten years.  Striving to bring only the best in medical software and billing to practices of physicians across the U. S.

 

The one concern for this company is the unmentioned Meaningful Use Certification and the small amount of actual subscribing providers (475).  Otherwise holding a sparkling resume for the private practice or possible multiply practitioner; little was mention regarding hospital interface.  Although glowing in the medical billing area.

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CorePoint EMR

The CorePoint EMR system is easily used and maintained on an internet server for maximum ease of intraphasing.  This system has been developing during a 10 year time frame.  Developed first as an internet medical model with the architecture to grown with new and innovative design; the system is large enough for hospital to use.  CorePoint is a complex system extended to individual medical office as an easy to use drag and drop model.  The system is tailored to alert the user prior to a problem actually arising as only part of the design.   They have moved forward with an especially designed security net to afford the privacy of both hospital and clinical practice.

 

CorePoint has received certification after certification for quality and intuitive system.  Moving into the season of 2014 with Meaningful Use certification, this system does meet all the certification needed.  A help desk ready to move you into the mainstream with architecture, ease of use, security, no worry portability and of course meeting the mobile needs of an active office.  Storage is easily accessed and the price is within the reach of most medium size medical offices.  This system will provide EMR well through any training of new staff and integrating of new technology.  Most reviews for 2013 were done through a hospital setting with a few by specialty offices.

 

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CareCloud

 

Care Cloud EMR

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CareCloud Electronic Medical Records software service is two separate systems combined.  One system is the EHR system which allows for easy maneuverability through patients records while supporting the treatment plan and ancillary services integration of information.  The second system is the medical billing system.  This portion flows effectively and with minimal hiccups while billing the insurance for services provided.  Having attained the ‘Meaningful Use’ certification portion of the Medicare Medicaid necessary for sustainability beginning in 2014; there is a concern due to the two apparently nonintegrated systems.  This appears would leave a hole for mistakes in billing and less of a potential for quick reimbursement.  CareCloud systems offer the necessary programs for a 2014 EMR with only one problem which depending on the practice it is being used for could potentially create many slowdowns and potential for errors.

 

The mission is stated as ‘to create a digital ecosystem by leveraging cutting-edge technology …’ which it appears to have been met.  Although leaving concern for the aforementioned integration of systems.  CareCloud’s Core Values are well entrenched in the business model and employee retention and satisfaction appear paramount.  The reviews given by recent customers are astute with the reference to eye pleasing software, and the ability of local employees of physician’s to move forward in securing the use of this software.  No mention is made of the efficiency of the two systems or the interaction of these systems with each other.

 

There are a few concerns for this product; as software, how often will updates need to be purchases to keep up with the world market; the integration of two systems also is applied to the update of this system and also the possible need for additional training cost for the practitioner’s staff.  There was also a lack of information regarding the abilities of this program to transfer information back and forward with other entities not using this system.

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Elements of An EMR In Todays World

The way medicine is practiced is changing fast and completely.  Whether a physician owning the practice, a medical office manager for a medical practice or physician just striking out on their own there is the one tool you must have in our world of medicine today: Electronic Medical Records (EMR).

Every medical person will attest to how intricately EMR is laced into the everyday world of medicine.  And one of the biggest needs for EMR to a physician is records retrieval and billing.  Billing is what guides the profitability and records is what guides the billing.  Today medical records are evolving at a rate as never before.

What with HIPPA, a new coding system and new health care reforms, Medicare and Medicaid; it is imperative that individual physicians keep abreast of these nuances.  The medical industry has moved beyond the exam room and entered into a technological field where to remain in business means to embrace technological advances in medical record keeping and storage.

EMR must work intricately with not only the community hospital(s); but also other physician practices.  When looking for the right system there are some fundamental things to know.

  • Knowing how well trained the present medical records keeper is and how well this person embraces change.
  • Having a system which is easily understood and easily grasp by everyone in the practice.  The system that is versatile and easily maneuvered will save money, staff and countless hours of frustration.  Remember changes will happening whether we are ready or not; so let’s be ready.
  • Being aware of all the CEU’s necessary to maintain a prominent thriving medical practice also means having the ability to move forward on all levels.  Maintaining CEU’s and licensures are vital to a growing practice.

The search for the best EMR is driven by the physician or a person hired by the physician to do just that for the office.  There are many different systems to look at, but only one medium to help guide the purchaser through the different and complex systems. .  #EMR-Matrix.org

Records safety is not only important it will also have a bearing on the malpractice insurance necessary in the practice.  Although it would seem there is no place totally safeguarded from hackers and theft  showing due diligence for patients, practice, staff and yourself. Electronic Medical Records Matrix is the best tool to step forward with as the learning curve is concave, and a gentle slope.

The challenge is:

Knowledge of community assets and deficits will carry the practice well; due to the interaction with the community hospital(s); the systems in the community and ability to link to them.  (Tip: The hospital is the guiding force for linkage.)  If by chance the community is at the ground level of instillation, stick your foot in the door and take the journey with them.  Electronic Medical Records Matrix is a tool to guide and meet the challenges ahead of the community

Training is very expensive and time consuming, the system which is easily understood and easily grasp by everyone in the practice will provide well.  Having a system that is versatile and easy to maneuver within will save  money, staff and countless hours of frustration.

And possibly the most important is can the system be tailored to the needs and necessary activities of your practice.  Being able to take a new procedure or instrument and easily intergraded it into the billing and records system is going to benefit all patients and staff alike.  No matter how well the staff is meshed together into a well-oiled machine, people and practices change.  Can this new tool be used by a new person within the office?

These questions: (1) one tool, (2) blend with hospitals and other practices, (3) records safety, (4) training of staff and physicians alike, and (5) be tailored to the practice; can best be answered by .  #EMR-Matrix.org

Five things to think about if you’re purchasing an EMR to replace an existing EMR

When opening a medical practice the need for Electronic Medical Records is front and center.  However, how to find the right system is another matter.  The best way to find out what works for you is to look at comparison sites and review the comments left but other clinicians in the same situation.   Small practices have far different needs than large practices who have different needs than hospitals.   Specialty practices also have their own set of unique needs so there are a myriad of variables that you have to compare, price and support being cross cutting.

There are five things necessary to meeting the EMR standards.

  1. Integration:  Ability to integrate into a system, which will meet prescription writing, billing, charting, interface with other medical providers and insurances.
  2. Time Saver: Ability to save time and therefore money within the office.
  3. HIPAA and Technical Security:  Security and therefore patient confidence.
  4. Care Teams:  Ability to interact with other physicians, patients and hospitals in the area.
  5. Implementation: Quick set-up and easy to get operational.

 

There are many systems to choose from and there are many different levels of service.  Gone are the days of having a system which only does medical billing or green screen technologies that transactionally allow you to complete tasks.  Today it is a critical factor that any EMR you purchase meet the new Meaningful Use requirements around interoperability, patient engagement and quality metrics.  You can no longer afford not to be connected electronically with the community.  This is a good time to transform your practice into a digital operations…and receive the government ARRA funding for doing it.

A temporary hire (six months to 1 year) of an EMR implementation project manager may be the best move you will make.  This person will be able to search through the systems; look at where your practice is headed and make a quality recommendation.  You may want to spend a couple hours examining  and reflecting on  information at http://www.emr-matrix.org.  This one site can help you with not only finding the right match, but suggest the questions to ask.

 

On the site you can ask questions from other providers about the systems they chose to use and what are the “gotchas” that you may not see on their website.  The best shortcut is to look at the user ratings on EMR Matrix since they are pulled from the EMR “Hot or Not” which is voted on by clinicians.  In terms of interoperability, knowing that the system will communicate with the labs and radiology facilities will be very high on your list of needs.  While looking at your own practice, there will be a need to communicate with other physician to which you might refer a patient; thereby moving interfacing the top five needs.

EMR-Matric.org is up to date with the top EMR systems for small to large practices (not focusing on hospitals) so safe to assume those EMR’s probably will fit your needs.  The site keeps abreast of new and fledgling systems as well as older systems which have produced for physicians in the past.  With the new legislation, now is the time to find the system which will bring you into the new world of medicine. Searching for the cutting edge of these systems and know what the strengths and weakness are is why you want EMR-Matrix in your corner.

 

This one site can give you and/or your project manager the necessary information to look more closely at the best system for you.  You will know if tech support is part of the package or training of staff is part of the purchase.  Because this is a nuance in the medical community there is just not enough known about what is out there and how to select for your practice.  The help you receive at emr-matrix.org is designed to save you money, time and frustration.

 

This is an expensive prospect for your business.  The knowledge gained and the ability to produce quality material for the local community can make or break your practice.  Most physician’s see this as a journey of endless perils and missteps.  Having EMR-Matrix walking along with you and opening the doors needed to make your practice a budding business is the only way to assure yourself of finding the answers in one place and knowing the quality.  You will have the peace of mind that you have done the very best you can to protect your patient’s and yourself.

 

 

 

 

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AdvancedMD From ADP

ADP® AdvancedMD, based in the Salt Lake City, Utah, is part of a globally-trusted company with nearly $9B in revenues and approximately 550,000 clients, including more than 45,000 physicians. The company is one of the world’s largest providers of cloud-based software, including an ONC-ATCB-CCHIT 2011-2012 Certified complete electronic health record (from company website).

 

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AdvancedMD is moving quickly to get ahead of the curve where ICD-10 is concerned (definition:ICD-10 is the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD), a medical classification list by the World Health Organization(WHO). It codes for diseases, signs and symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or diseases.)

This software is built to meet the needs of single office to smaller hospital needs so when looking at this, think cost and support.  What helps is that the solution is a SaaS model.

Looking into this product professional staff and clinician alike will need to be technology savvy and have the knowledge to interact with a multilayer system.  Retrieval is easy and demonstrates a professional appearance for billing, prescription writing and is geared toward the next medical coding level out in 2014.

Access to SOP, case history and today’s complaint pages are multilayered.  Besides needing to be technologically aware there is also a concern for internet access by unauthorized persons.  The system is built on a paperless system and thus clinicians and ancillary staff may log-in to the system from any computer or tablet.  Bring the security aspect back to the medical manager (clinician, hospital, nurse, lab and so on).

User Experience

AdvancedMD does not have the best user experience from a UX perspective.  I would say it looks a little dated and could use a dose of simplicity.

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Bottom Line

Good functionality set, could be better UX but their focus on meeting emerging needs of the HIT EMR market coupled with capacity to support a robust roadmap makes them a contender.

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Meditouch EHR Review

Meditouch EHR has come up with a product which will meet the government guidelines with ease.  This tool is not only tested and tried, but has the option of adding an Ipad for providers to use while staying on top of patient information and systems checks.   Although, most costly than some a comparative study may find the extra is what will be the outlay in other areas, such as loss time due to training and support or security.

Meeting all of the desired qualities for the scrutiny is a major step and Meditouch has made that step. This is a web based system and is completely maintained by Healthfusion, Inc.  The cost is one price for the service, education for use and maintaining the system.  The system is set up to accommodate the Apple Ipad as its touch screen mechanism.  There is access from any sign-in point (meaning the files can be accessed from home, hospital, while on vacation and so on) also placing the security hat squarely on Healthfusion, Inc.  Tech support is also handled by Healthfusion,Inc. which is domestically housed. This system is certified by an ONC-ATCB, which means ‘meaningful use’ criteria has been met for ARRA funding. This system is also HAPPA compliant, as well as Medicare approved for stimulus funds.

Prescription interface is only one of the points necessary for meeting the 2014 deadline and Meditouch is holding a Surescript Award (2012) putting it in the top 20 percent of all EMRs.  Another positive move for Meditouch in 2012 was a partnership with American Podiatric Medical Association (APMA).  Moving forward with the EMR plan, and developing a system of working medical records and billings and portability; Podiatrist now have the ability to build files for their patient’s including pictures of their feet or ankles, by using the tablet or phone.  Taking this one step further Healthfusion, Inc. developed Medidraw which allows the physician to write or draw right on the photos and x-rays to accentuate the issue.

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