Re: Update and questions

April 5, 2006

Hi. I am new to this group, having been

told of its existence by Clemenson. I am currently hospital employed but

am opening my new office this fall which will be completely computerized and

run with no staff. I am working on my website and would like to see some of

yours. So if you have a website (and you think it’s good!) could you

send the web address so I can check it out for ideas? Thanks so much!

Kerry Graff, MD

jkmully@...

From:

[mailto: ] On

Behalf Of bradleybroker

Sent: Tuesday, April 04, 2006

12:23 PM

To:

Subject:

Update and questions

Hi All. Thought I'd

continue the update chain and I've got a

question or two for you.

First, I'm one month in to my solo practice and

have been mostly

pleased. There have been some conflicts with

my " roommates, " which

include another doc (from whom I'm renting space)

and our shared

staff. Some of those conflicts are making me

reconsider the rent

part of the low-cost model and moving into my own

space. While my

expenses will increase, I will be better able to

initiate office

systems, EMRs, etc. -- which is more difficult as

a solo practice

moving into an established office that is

resistant to change.

My question is regarding practice size. What

are some milestones

you've had regarding number of patients? One

month? One year?

Have you been satisfied with your progress?

Thanks.

Brad

April 5, 2006

www.ackdoc.com is mine.

Greg

Graffs wrote:

Hi. I am

new to this group, having been

told of its existence by Clemenson. I am currently hospital

employed but

am opening my new office this fall which will be completely

computerized and

run with no staff. I am working on my website and would like to see

some of

yours. So if you have a website (and you think it’s good!) could you

send the web address so I can check it out for ideas? Thanks so much!

Kerry Graff,

MD

jkmully@...

April 5, 2006

Hi,

I am new to this group too, and looking to start my own solo

practice in a couple of months. Would like to keep it as paperless

as possible and use no/one staff if possible--what EMR

systems/computer software have you or any of the others researched?

How expensive are they. If anyone has found a system they like,

could you please write about the pros/cons/expense involved.

Also about a receptionist--how do you think patients will respond to

not having a human on the other side taking care of scheduling etc

right away. I have been strongly advised against starting without at

least a receptionist, as it would be a disadvantage for me given the

immediate responses and services provided by some others in the area.

Thanks,

Padma

>

> Hi. I am new to this group, having been told of its existence by

> Clemenson. I am currently hospital employed but am opening my new

office

> this fall which will be completely computerized and run with no

staff. I am

> working on my website and would like to see some of yours. So if

you have a

> website (and you think it's good!) could you send the web address

so I can

> check it out for ideas? Thanks so much!

>

> Kerry Graff, MD

>

> jkmully@...

>

> _____

>

> From:

> [mailto: ] On Behalf Of

bradleybroker

> Sent: Tuesday, April 04, 2006 12:23 PM

> To:

> Subject: Update and questions

>

> Hi All. Thought I'd continue the update chain and I've got a

> question or two for you.

>

> First, I'm one month in to my solo practice and have been mostly

> pleased. There have been some conflicts with my " roommates, "

which

> include another doc (from whom I'm renting space) and our shared

> staff. Some of those conflicts are making me reconsider the rent

> part of the low-cost model and moving into my own space. While my

> expenses will increase, I will be better able to initiate office

> systems, EMRs, etc. -- which is more difficult as a solo practice

> moving into an established office that is resistant to change.

>

> My question is regarding practice size. What are some milestones

> you've had regarding number of patients? One month? One year?

> Have you been satisfied with your progress?

>

> Thanks.

>

> Brad

>

April 5, 2006

Mine is www.thevillagedr.com

Update and questions

Hi All. Thought I'd continue the update chain and

I've got a

question or two for you.

First, I'm one month in to my solo practice and

have been mostly

pleased. There have been some conflicts with

my " roommates, " which

include another doc (from whom I'm renting space)

and our shared

staff. Some of those conflicts are making me

reconsider the rent

part of the low-cost model and moving into my own

space. While my

expenses will increase, I will be better able to

initiate office

systems, EMRs, etc. -- which is more difficult as

a solo practice

moving into an established office that is

resistant to change.

My question is regarding practice size. What

are some milestones

you've had regarding number of patients? One

month? One year?

Have you been satisfied with your progress?

Thanks.

Brad

April 6, 2006

My thanks to everyone who responded in such detail to my query on

EMR and staffing.

Anemaria, I am curious to know which company you use for EMR.

--Padma

> >>

> >> Hi. I am new to this group, having beentold of its existence by

> >

> >> Clemenson. I am currently hospitalemployed but am opening my

new

> > office

> >> this fall which will be completelycomputerized and run with no

> > staff. I am

> >> working on my website and would like to seesome of yours. So if

> > you have a

> >> website (and you think it's good!) could yousend the web address

> > so I can

> >> check it out for ideas? Thanks so much!

> >>

> >> Kerry Graff, MD

> >>

> >> jkmully@

> >>

> >> _____

> >>

> >> From:

> >> [mailto: ]On Behalf Of

> > bradleybroker

> >> Sent: Tuesday, April 04, 2006 12:23 PM

> >> To:

> >> Subject: Update andquestions

> >>

> >> Hi All. Thought I'd continue the updatechain and I've got a

> >> question or two for you.

> >>

> >> First, I'm one month in to my solo practiceand have been mostly

> >> pleased. There have been some conflictswith my " roommates, "

> > which

> >> include another doc (from whom I'm rentingspace) and our shared

> >> staff. Some of those conflicts aremaking me reconsider the rent

> >> part of the low-cost model and moving into myown space. While

my

> >> expenses will increase, I will be better ableto initiate office

> >> systems, EMRs, etc. -- which is moredifficult as a solo practice

> >> moving into an established office that isresistant to change.

> >>

> >> My question is regarding practice size. What are some milestones

> >> you've had regarding number ofpatients? One month? One year?

> >> Have you been satisfied with yourprogress?

> >>

> >> Thanks.

> >>

> >> Brad

> >>

April 8, 2006

Hi,

Like Dr. Wibble, I am using a home grown EMR. Mine runs on Linux and

is free. I have learned enough programming to automate a lot of things

and tie things together, so it has become more than just an electronic

paper repository. Kathy Broman and Becky , who are also on

this list are using it in their practice also. Another doctor in

Spokane Wash. is also using it. You can read about what we are doing

at http://tkfp.sourceforge.net We can do prescription management,

demographics and insurance info, patient accounting, progress notes,

past medical history, electronic and printed insurance claims. We

have a lot of stuff in there for manipulating and managing faxes, both

incoming and outgoing. We are presently a small group, but were hoping

to get a few more users so we could have a pool of knowlegable users

that could use each other to provide support, rather than depending on

vendors. Right now, if anything happened to me, the other users might

have some problems. Although there are a few other people I know, who

know enough about how it works that could take over, should I meet an

untimely demise!

Caldwell M.D.

>

> Hi,

>

> I am new to this group too, and looking to start my own solo

> practice in a couple of months. Would like to keep it as paperless

> as possible and use no/one staff if possible--what EMR

> systems/computer software have you or any of the others researched?

> How expensive are they. If anyone has found a system they like,

> could you please write about the pros/cons/expense involved.

>

> Also about a receptionist--how do you think patients will respond to

> not having a human on the other side taking care of scheduling etc

> right away. I have been strongly advised against starting without at

> least a receptionist, as it would be a disadvantage for me given the

> immediate responses and services provided by some others in the area.

>

> Thanks,

> Padma

>

April 8, 2006