Re: RE: e-MDs functionality

[Guest guest]

OMG!

From:

[mailto: ] On Behalf Of Batlle

Sent: Monday, June 29, 2009 5:36 AM

To:

Subject: RE: RE: e-MDs functionality

$1600.00 without voice cancellation mic.

José from Hoboken

From:

[mailto: ]

On Behalf Of nancy blake

Sent: Monday, June 29, 2009 7:10 AM

To:

Subject: Re: RE: e-MDs functionality

What is the approx cost of Dragon

Medical 10?

From:

postrio

To:

Sent: Sunday, June 28, 2009 7:11:59 PM

Subject: Re: RE: e-MDs functionality

I

use eMDs with the portal and dragon. I recommend them both. I

used Dragon Preffered 9 with a medical dictionary, but it wasn't accurate

enough to recommend. However Dragon Medical 10 is excellent, I use it

for about 75% of my notes.

Patient

portal is a pain to set up (fluke with eMDs, took 2 months), but worth

it. We mainly use it for emailing patients their lab results, and they

use it to ask me clarification- type questions. Patients love

it. They can use it for refill requests and to make same day appts with

it, but those two functions have so far been slower to catch

on. It includes instant medical history, but we don't use that

part. Basically, IMH is good in a kiosk version that the patient can

fill out in the waiting room, but currently eMDs only supports it when filled

out on the portal ahead of time, and most patients' complaints evolve a

lot in the days and hours leading up to their appt. I look forward

to using IMH if and when eMDs adds kiosk functionality,

probably with 7.0 next year.

Chris

O'Grady

From: Dr. Brady <drbrady@thevillaged octor.hrcoxmail. com>

Subject: [Practiceimprovemen t1] RE: e-MDs functionality

To: Practiceimprovement 1yahoogroups (DOT) com

Date: Sunday, June 28, 2009, 6:22 AM

Ramona and other e-MDs

users,

No, I don’t use dragon.

At the last AAFP SA I did talk to the IMH person and the e-MDs people and

they said they are compatible, but I have not heard anything since. I think

it might be part of the patient portal, which I have not yet upgraded to as

I am saving money for a new server (mine has Windows 2000 and is no longer

supported L). Any

e-MDs people on the portal yet? Do patients use it? Is it worthwhile?

From: Practiceimprovement 1yahoogroups (DOT) com

[mailto:Practiceimp rovement1@ yahoogroups. com] On Behalf Of RGMS

Sent: Saturday, June 27, 2009 8:24 PM

To: Practiceimprovement 1yahoogroups (DOT) com

Subject: RE: [Practiceimprovemen t1] The Family Doctor: A Remedy for

Health-Care Costs?

Lynn:

No, I am not using dragon,

though I think eMDs supports it. I am not sure it would work for me,

since part of how I synthesize information is by “taking notesâ€

(documenting the history). I type reasonably well so can get through

the free text type of history relatively efficiently when it comes to the

HPI. The thing that seems to cause a bottle neck in efficiency for me

is documenting the past med/soc/fam hx piece. If patient writes it

down on a form (or into IMH) I still need to verbally corroborate the

information and enter it manually (if IMH dropped directly into the EMR, of

course no manual entry would be needed).

Really up to this point, I

am not busy enough where this slows me down. BUT, I’d like to see

more patients daily (ultimately will need to in order to make some sort of

decent salary) and know I need to find a more efficient way to document for

this purpose.

and other eMDs users

out there:

Anyone using dragon with

the EMR?

Ramona

Ramona G. Seidel, MD

www.baycrossingfami

lymedicine. com

Your Bridge to Health

NOTE NEW ADDRESS

AND PHONE NUMBER:

269 Peninsula Farm

Road

Suite F

Arnold, MD

21012

410 518-9808

From: Practiceimprovement 1yahoogroups (DOT) com

[mailto:Practiceimp rovement1@ yahoogroups. com] On Behalf Of Lynn

Ho

Sent: Saturday, June 27, 2009 7:31 AM

To: practiceimprovement 1yahoogroups (DOT) com

Subject: RE: [Practiceimprovemen t1] The Family Doctor: A Remedy for

Health-Care Costs?

Ramona

that is really interesting, I never thought about how learning styles

dictate office practice.

In medical school I was one of those nerds who never went to class but just

read the book, had to see it in print to learn it.

So to bring the technology analogy full scale, theoretically in order for

you to 'get your history' and have it written too, you'd have to walk

around seeing patients with Dragon on or often on and then just rattle off

a few summaries into the mike now and then, which is close but not quite

the same time efficiency as having a somewhat predigested summmary spit out

in some other way

Are you using Dragon? Wow, it would be interesting to know if this

works for you.

as always I am blown completely away by your analysis of complex situations

and how understandable you make it for the woman on the street. I

think it is ironic that you and Dr are geographically so close but

in practice theory so diametrically opposed. I still think the 'cage

match' is coming up and I am going to tune into WWF and root (yes, I may

buy a TV for that, or get tickets ringside). Well OK but if

PCMH stuff actually happens (it might) and some clever health care

reporter/observer got wind of the two of you practicing in such close

proximity, it would be a great story. I think they might also interview

people who have switched your practice from his ( there are a number, I

presume) or vice versa ( there may not be any).

Lynn

,_._,___

Windows Liveâ„¢: Keep your life in sync. Check it out.

[Guest guest]

I think I'll keep typing...$1600 a bit much, especially since I am an OK typist (took off the nails, Jean!)

To: Sent: Monday, June 29, 2009 7:36:14 AMSubject: RE: RE: e-MDs functionality

$1600.00 without voice cancellation mic.

José from Hoboken

From: Practiceimprovement 1yahoogroups (DOT) com [mailto:Practiceimp rovement1@ yahoogroups. com] On Behalf Of nancy blakeSent: Monday, June 29, 2009 7:10 AMTo: Practiceimprovement 1yahoogroups (DOT) comSubject: Re: [Practiceimprovemen t1] RE: e-MDs functionality

What is the approx cost of Dragon Medical 10?

From: postrio <postrio1yahoo (DOT) com>To: Practiceimprovement 1yahoogroups (DOT) comSent: Sunday, June 28, 2009 7:11:59 PMSubject: Re: [Practiceimprovemen t1] RE: e-MDs functionality

I use eMDs with the portal and dragon. I recommend them both. I used Dragon Preffered 9 with a medical dictionary, but it wasn't accurate enough to recommend. However Dragon Medical 10 is excellent, I use it for about 75% of my notes.

Patient portal is a pain to set up (fluke with eMDs, took 2 months), but worth it. We mainly use it for emailing patients their lab results, and they use it to ask me clarification- type questions. Patients love it. They can use it for refill requests and to make same day appts with it, but those two functions have so far been slower to catch on. It includes instant medical history, but we don't use that part. Basically, IMH is good in a kiosk version that the patient can fill out in the waiting room, but currently eMDs only supports it when filled out on the portal ahead of time, and most patients' complaints evolve a lot in the days and hours leading up to their appt. I look forward to using IMH if and when eMDs adds kiosk functionality, probably with 7.0 next year.

O'Grady

From: Dr. Brady <drbrady@thevillaged octor.hrcoxmail. com>Subject: [Practiceimprovemen t1] RE: e-MDs functionalityTo: Practiceimprovement 1yahoogroups (DOT) comDate: Sunday, June 28, 2009, 6:22 AM

Ramona and other e-MDs users,

No, I don’t use dragon. At the last AAFP SA I did talk to the IMH person and the e-MDs people and they said they are compatible, but I have not heard anything since. I think it might be part of the patient portal, which I have not yet upgraded to as I am saving money for a new server (mine has Windows 2000 and is no longer supported L). Any e-MDs people on the portal yet? Do patients use it? Is it worthwhile?

From: Practiceimprovement 1yahoogroups (DOT) com [mailto:Practiceimp rovement1@ yahoogroups. com] On Behalf Of RGMSSent: Saturday, June 27, 2009 8:24 PMTo: Practiceimprovement 1yahoogroups (DOT) comSubject: RE: [Practiceimprovemen t1] The Family Doctor: A Remedy for Health-Care Costs?

Lynn:

No, I am not using dragon, though I think eMDs supports it. I am not sure it would work for me, since part of how I synthesize information is by “taking notes†(documenting the history). I type reasonably well so can get through the free text type of history relatively efficiently when it comes to the HPI. The thing that seems to cause a bottle neck in efficiency for me is documenting the past med/soc/fam hx piece. If patient writes it down on a form (or into IMH) I still need to verbally corroborate the information and enter it manually (if IMH dropped directly into the EMR, of course no manual entry would be needed).

Really up to this point, I am not busy enough where this slows me down. BUT, I’d like to see more patients daily (ultimately will need to in order to make some sort of decent salary) and know I need to find a more efficient way to document for this purpose.

and other eMDs users out there:

Anyone using dragon with the EMR?

Ramona

Ramona G. Seidel, MD

www.baycrossingfami lymedicine. com

Your Bridge to Health

NOTE NEW ADDRESS AND PHONE NUMBER:

269 Peninsula Farm RoadSuite F

Arnold, MD 21012

410 518-9808

From: Practiceimprovement 1yahoogroups (DOT) com [mailto:Practiceimp rovement1@ yahoogroups. com] On Behalf Of Lynn HoSent: Saturday, June 27, 2009 7:31 AMTo: practiceimprovement 1yahoogroups (DOT) comSubject: RE: [Practiceimprovemen t1] The Family Doctor: A Remedy for Health-Care Costs?

Ramonathat is really interesting, I never thought about how learning styles dictate office practice.In medical school I was one of those nerds who never went to class but just read the book, had to see it in print to learn it.So to bring the technology analogy full scale, theoretically in order for you to 'get your history' and have it written too, you'd have to walk around seeing patients with Dragon on or often on and then just rattle off a few summaries into the mike now and then, which is close but not quite the same time efficiency as having a somewhat predigested summmary spit out in some other wayAre you using Dragon? Wow, it would be interesting to know if this works for you. as always I am blown completely away by your analysis of complex situations and how understandable you make it for the woman on the street. I think it is ironic that you and Dr are geographically so

close but in practice theory so diametrically opposed. I still think the 'cage match' is coming up and I am going to tune into WWF and root (yes, I may buy a TV for that, or get tickets ringside). Well OK but if PCMH stuff actually happens (it might) and some clever health care reporter/observer got wind of the two of you practicing in such close proximity, it would be a great story. I think they might also interview people who have switched your practice from his ( there are a number, I presume) or vice versa ( there may not be any). Lynn

,_._,___

Windows Liveâ„¢: Keep your life in sync. Check it out.

[Guest guest]

,

We’re not on the portal. Too

expensive for what it is right now (most of the functionality we have available

free through RelayHealth). Dr. Roy does use Dragon. It works fairly

well, as long as the room he is in is quiet. It is has nothing to do with

the portal. You buy Dragon, install it, train it, and go, from what I

understand. Dr. Roy is very computer illiterate, so if he can do it,

anyone can!

Pratt

Office Manager

Oak Tree Internal Medicine P.C

Roy Medical Associates, Inc.

From: [mailto: ] On Behalf Of Dr. Brady

Sent: Sunday, June 28, 2009 4:23

AM

To:

Subject:

RE: e-MDs functionality

Ramona and other e-MDs users,

No, I don’t use dragon. At the last AAFP SA I did talk to

the IMH person and the e-MDs people and they said they are compatible, but I

have not heard anything since. I think it might be part of the patient portal,

which I have not yet upgraded to as I am saving money for a new server (mine

has Windows 2000 and is no longer supported L). Any e-MDs people on the portal yet?

Do patients use it? Is it worthwhile?

From:

[mailto: ]

On Behalf Of RGMS

Sent: Saturday, June 27, 2009 8:24

PM

To:

Subject: RE:

The Family Doctor: A Remedy for Health-Care Costs?

Lynn:

No, I am not using dragon, though I think eMDs supports it. I

am not sure it would work for me, since part of how I synthesize information is

by “taking notes” (documenting the history). I type

reasonably well so can get through the free text type of history relatively

efficiently when it comes to the HPI. The thing that seems to cause a

bottle neck in efficiency for me is documenting the past med/soc/fam hx

piece. If patient writes it down on a form (or into IMH) I still need to

verbally corroborate the information and enter it manually (if IMH dropped

directly into the EMR, of course no manual entry would be needed).

Really up to this point, I am not busy enough where this slows me

down. BUT, I’d like to see more patients daily (ultimately will

need to in order to make some sort of decent salary) and know I need to find a

more efficient way to document for this purpose.

and other eMDs users out there:

Anyone using dragon with the EMR?

Ramona

Ramona G. Seidel, MD

www.baycrossingfamilymedicine.com

Your Bridge to Health

NOTE NEW ADDRESS AND PHONE NUMBER:

269

Peninsula Farm Road

Suite F

Arnold, MD 21012

410 518-9808

From:

[mailto: ]

On Behalf Of Lynn Ho

Sent: Saturday, June 27, 2009 7:31

AM

To: practiceimprovement1

Subject: RE:

The Family Doctor: A Remedy for Health-Care Costs?

Ramona

that is really interesting, I never thought about how learning styles dictate

office practice.

In medical school I was one of those nerds who never went to class but just

read the book, had to see it in print to learn it.

So to bring the technology analogy full scale, theoretically in order for you

to 'get your history' and have it written too, you'd have to walk around seeing

patients with Dragon on or often on and then just rattle off a few summaries

into the mike now and then, which is close but not quite the same time

efficiency as having a somewhat predigested summmary spit out in some other way

Are you using Dragon? Wow, it would be interesting to know if this works

for you.

as always I am blown completely away by your analysis of complex situations and

how understandable you make it for the woman on the street. I think it is

ironic that you and Dr are geographically so close but in practice

theory so diametrically opposed. I still think the 'cage match' is coming

up and I am going to tune into WWF and root (yes, I may buy a TV for that, or

get tickets ringside). Well OK but if PCMH stuff actually happens

(it might) and some clever health care reporter/observer got wind of the

two of you practicing in such close proximity, it would be a great story. I

think they might also interview people who have switched your practice from his

( there are a number, I presume) or vice versa ( there may not be any).

Lynn

,_._,___

Windows

Live™: Keep your life in sync. Check it out.