practice fusion and meaningful use

January 8, 2011

I think people are expecting too much from the meaningful use dollar…..

Practice Fusion may still get you MU dollars….and it may not…..But that is pretty much the case for any of the EMRs….

No, that's not true.You should get the MU$ if you use a fully certified EMR. If you don't then it's because of something else not related to the EMR functionality itself.

But let’s ask what it will cost you to use Practice Fusion vs other EMRs…Just recently I saw figures of some EMRs that will cost anywhere from 5000-25000 to just get started and then have monthly costs…..I don’t know how true it is…

So say you get the MU dollars with the other EMRs…..then you basically make up maybe what you already paid for in the EMR…..any maybe not even all of it….

Whereas with Practice Fusion, you didn’t pay anything to begin with and you still may get the money from MU…..it offers a possible “win—win” situation whereas the other EMRs may have a “lose—lose” proposition possibility (lose on paying for an EMR and lose out on MU dollars).

Again, this only works if you consider your time is worthless. There is a significant labour involved in entering patient data into an EMR, and a learning curve associated with using it. And that would be wasted if you had to move to a different one later on.

As it currently stands, PF will *NOT* get you your MU$. They have to get fully certified, or, you have to get another EMR that cover its deficiencies.

Just my thoughts….

BTW, link on the blog does not seem to be valid anymore

Which blog? I pasted directly from those blogs today.-- Graham Chiuhttp://www.compkarori.co.nz:8090/

Synapse - the use from anywhere EMR.

January 8, 2011

From: [mailto: ] On Behalf Of Graham ChiuSent: Friday, January 07, 2011 4:33 PMTo: Subject: Re: Practice Fusion and Meaningful Use I think people are expecting too much from the meaningful use dollar….. Practice Fusion may still get you MU dollars….and it may not…..But that is pretty much the case for any of the EMRs…. No, that's not true.You should get the MU$ if you use a fully certified EMR. If you don't then it's because of something else not related to the EMR functionality itself. You are kidding yourself if you think this has been totally been solved. NO EMR has yet to be established as ‘compliant’ with being a fully Certified EMR from the government…….. But let’s ask what it will cost you to use Practice Fusion vs other EMRs…Just recently I saw figures of some EMRs that will cost anywhere from 5000-25000 to just get started and then have monthly costs…..I don’t know how true it is… So say you get the MU dollars with the other EMRs…..then you basically make up maybe what you already paid for in the EMR…..any maybe not even all of it…. Whereas with Practice Fusion, you didn’t pay anything to begin with and you still may get the money from MU…..it offers a possible “win—win” situation whereas the other EMRs may have a “lose—lose” proposition possibility (lose on paying for an EMR and lose out on MU dollars). Again, this only works if you consider your time is worthless. There is a significant labour involved in entering patient data into an EMR, and a learning curve associated with using it. And that would be wasted if you had to move to a different one later on. Believe me, THERE is NO EMR presently that works faster than a doctor Noting on pen and paper because each doctor has their own style…I Have been exposed to a plethora of EMRs…..they all have their faults. As it currently stands, PF will *NOT* get you your MU$. They have to get fully certified, or, you have to get another EMR that cover its deficiencies. How do you know this? Are you the government/medicare agency That is certifying? Can you give me a list of EMRs that are fully certified And assured of getting MUs? Are you saying the EMR you are using is Fully certified and will guarantee getting the money? How much did it Cost you….. Just my thoughts…. BTW, link on the blog does not seem to be valid anymore Which blog? I pasted directly from those blogs today. No it did work this time: it was this post blog http://onhealthtech.blogspot.com/2010/11/quiz.html -- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR.

January 8, 2011

OK, I missed your signature, as perhaps many others did.Perhaps, or perhaps it was just you.

I did too So, let me clarify this. When I was corresponding with you a couple of years ago trying to help you with your PDF forms, you were completely unaware that not only was I a specialist IMP (for 17 years) physician, but I was also a developer of EMRs??

And all those posts where and I talked about developing EMRs were not read by you?-- Graham Chiuhttp://www.compkarori.co.nz:8090/

Synapse - the use from anywhere EMR.

January 8, 2011

Graham,I think the point that Sangeetha and I were making is that your signature is not a very prominent place to notice that you have something to do with Synapse. Plus, not everyone on the listserve has been around long enough to read your previous posts. For the sake of the newest listserv members, and to ensure complete transparency, I think it would be better to make any potential conflicts of interest more explicit. SetoSouth Pasadena, CA

OK, I missed your signature, as perhaps many others did.Perhaps, or perhaps it was just you.

I did too So, let me clarify this. When I was corresponding with you a couple of years ago trying to help you with your PDF forms, you were completely unaware that not only was I a specialist IMP (for 17 years) physician, but I was also a developer of EMRs??

And all those posts where and I talked about developing EMRs were not read by you?-- Graham Chiuhttp://www.compkarori.co.nz:8090/

Synapse - the use from anywhere EMR.

January 8, 2011

At least Gordon knows who I am.Re-posted by him to the wikispaces in Dec 2007https://idealhealth.wikispaces.com/Synapse+EMR

Graham,I think the point that Sangeetha and I were making is that your signature is not a very prominent place to notice that you have something to do with Synapse. Plus, not everyone on the listserve has been around long enough to read your previous posts. For the sake of the newest listserv members, and to ensure complete transparency, I think it would be better to make any potential conflicts of interest more explicit.

SetoSouth Pasadena, CA

OK, I missed your signature, as perhaps many others did.Perhaps, or perhaps it was just you.

I did too So, let me clarify this. When I was corresponding with you a couple of years ago trying to help you with your PDF forms, you were completely unaware that not only was I a specialist IMP (for 17 years) physician, but I was also a developer of EMRs??

And all those posts where and I talked about developing EMRs were not read by you?-- Graham Chiuhttp://www.compkarori.co.nz:8090/

Synapse - the use from anywhere EMR.

-- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR.

January 8, 2011

No I am well aware that you are very interested in Emrs, I also remember you talking abt the cost of certification,

But the signature barely registers, also I didn't thin k there was any conflict mostly because I was/am still uder the impression ,

That your veographical market was entirely different.

Does alex have an emr product too?.I know only of oxbow as the other emr developer/physician on the list.

So it seemed/seems to me that yolu are kindly observer..

Sangeetha Murthy

>

>>

>>>

>>>>

>>>> OK, I missed your signature, as perhaps many others did.

>>>

>>> Perhaps, or perhaps it was just you.

>>

>> I did too

>

> So, let me clarify this. When I was corresponding with you a couple of years ago trying to help you with your PDF forms, you were completely unaware that not only was I a specialist IMP (for 17 years) physician, but I was also a developer of EMRs??

>

> And all those posts where and I talked about developing EMRs were not read by you?

>

> --

> Graham Chiu

> http://www.compkarori.co.nz:8090/

> Synapse - the use from anywhere EMR.

>

January 8, 2011

No I am well aware that you are very interested in Emrs, I also remember you talking abt the cost of certification,

But the signature barely registers, also I didn't thin k there was any conflict mostly because I was/am still uder the impression ,

That your veographical market was entirely different.

Does alex have an emr product too?.I know only of oxbow as the other emr developer/physician on the list.

So it seemed/seems to me that yolu are kindly observer..

Sangeetha Murthy

>

>>

>>>

>>>>

>>>> OK, I missed your signature, as perhaps many others did.

>>>

>>> Perhaps, or perhaps it was just you.

>>

>> I did too

>

> So, let me clarify this. When I was corresponding with you a couple of years ago trying to help you with your PDF forms, you were completely unaware that not only was I a specialist IMP (for 17 years) physician, but I was also a developer of EMRs??

>

> And all those posts where and I talked about developing EMRs were not read by you?

>

> --

> Graham Chiu

> http://www.compkarori.co.nz:8090/

> Synapse - the use from anywhere EMR.

>

January 8, 2011

No I am well aware that you are very interested in Emrs, I also remember you talking abt the cost of certification,

But the signature barely registers, also I didn't thin k there was any conflict mostly because I was/am still uder the impression ,

That your veographical market was entirely different.

Does alex have an emr product too?.I know only of oxbow as the other emr developer/physician on the list.

So it seemed/seems to me that yolu are kindly observer..

Sangeetha MurthyI guess I must be a rare person to check the signature of posters, and to read the disclaimers on all the journal articles that I read.

has been posting about his EMR for some years ... I guess what they say about continuing medical education is so true ...

>

>>

>>>

>>>>

>>>> OK, I missed your signature, as perhaps many others did.

>>>

>>> Perhaps, or perhaps it was just you.

>>

>> I did too

>

> So, let me clarify this. When I was corresponding with you a couple of years ago trying to help you with your PDF forms, you were completely unaware that not only was I a specialist IMP (for 17 years) physician, but I was also a developer of EMRs??

>

> And all those posts where and I talked about developing EMRs were not read by you?

>

> --

> Graham Chiu

> http://www.compkarori.co.nz:8090/

> Synapse - the use from anywhere EMR.

>

-- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR.

January 8, 2011

No I am well aware that you are very interested in Emrs, I also remember you talking abt the cost of certification,

But the signature barely registers, also I didn't thin k there was any conflict mostly because I was/am still uder the impression ,

That your veographical market was entirely different.

Does alex have an emr product too?.I know only of oxbow as the other emr developer/physician on the list.

So it seemed/seems to me that yolu are kindly observer..

Sangeetha MurthyI guess I must be a rare person to check the signature of posters, and to read the disclaimers on all the journal articles that I read.

has been posting about his EMR for some years ... I guess what they say about continuing medical education is so true ...

>

>>

>>>

>>>>

>>>> OK, I missed your signature, as perhaps many others did.

>>>

>>> Perhaps, or perhaps it was just you.

>>

>> I did too

>

> So, let me clarify this. When I was corresponding with you a couple of years ago trying to help you with your PDF forms, you were completely unaware that not only was I a specialist IMP (for 17 years) physician, but I was also a developer of EMRs??

>

> And all those posts where and I talked about developing EMRs were not read by you?

>

> --

> Graham Chiu

> http://www.compkarori.co.nz:8090/

> Synapse - the use from anywhere EMR.

>

-- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR.

January 8, 2011

A few signature do register..esp the ones that go

" solodoc 5 yrs, never never work. For a hosp again " .

I know alex was into emrs but must havejoined the listserv late didn't know he had a complete saleable product. There,s a difference .no?. I think its also a function of your dual roles as docs and. And developers. You don't want the second role to overshadow the first on this listserv.. and righgtfully you have been downplaying it. But that also means the only product that a physician/developer has come rightout and said " hey I have a product, that you can get started on tomorrow " is oxbow. Everybody else in my eyes is " working on it " .maybe this kind of to and fro is an opportunity to clarify that?

Sangeetha Murthy

>

>>

>> No I am well aware that you are very interested in Emrs, I also remember you talking abt the cost of certification,

>>

>> But the signature barely registers, also I didn't thin k there was any conflict mostly because I was/am still uder the impression ,

>> That your veographical market was entirely different.

>> Does alex have an emr product too?.I know only of oxbow as the other emr developer/physician on the list.

>>

>> So it seemed/seems to me that yolu are kindly observer..

>> Sangeetha Murthy

>>

>

> I guess I must be a rare person to check the signature of posters, and to read the disclaimers on all the journal articles that I read.

>

> has been posting about his EMR for some years ... I guess what they say about continuing medical education is so true ...

>

>>

>> >

>> >>

>> >>>

>> >>>>

>> >>>> OK, I missed your signature, as perhaps many others did.

>> >>>

>> >>> Perhaps, or perhaps it was just you.

>> >>

>> >> I did too

>> >

>> > So, let me clarify this. When I was corresponding with you a couple of years ago trying to help you with your PDF forms, you were completely unaware that not only was I a specialist IMP (for 17 years) physician, but I was also a developer of EMRs??

>> >

>> > And all those posts where and I talked about developing EMRs were not read by you?

>> >

>> > --

>> > Graham Chiu

>> > http://www.compkarori.co.nz:8090/

>> > Synapse - the use from anywhere EMR.

>> >

>>

>

> --

> Graham Chiu

> http://www.compkarori.co.nz:8090/

> Synapse - the use from anywhere EMR.

>

January 8, 2011

I think this bickering back and forth has become really

unproductive. We are all now aware that Graham has developed his own

EMR. I saw the signature; I didn’t realize he was saying Synapse

was all his. Whatever. He wasn’t dissing Practice Fusion and

promoting Synapse. In fact, I believe Graham is in New Zealand and none

of this Meaningful Use stuff even applies to him. But he seems to have

taking an interest in it all the same and is a good source of knowledge,

whether an EMR developer or not. And Graham and I have bumped head.

I don’t always appreciate his opinions but I listen anyway.

I agree with what he was basically saying. Many EMRs are

getting “certified” but are not the complete product. So for

the physician to be certified they are going to have to find solutions that are

certified to the missing pieces. It can be done but I don’t know if

everyone is aware of that.

My hospital is promoting Allscripts right now with “great

discounted pricing for all of our doctors and guaranteed certified for

MU”. I keep bringing up, great, but is anyone going to help the

doctor make the MU cut? There are pretty much pushing doctors to buy

Allscripts so they can get MU money. They have no knowledge of how

difficult it will probably be to start using an EMR and meet MU criteria all in

1-2 years. I don’t know if Allscripts is certified as the complete

package. I don’t know who is and who isn’t. I know mine

is and I am relieved as I will have less things to figure out and solve.

But other people may have that all worked out already.

Anyway, Graham, may not have not been as open and upfront as

some of us might wish but what he was discussing wasn’t even really a

conflict of interest for him. Let’s learn and move on please.

Kathy Saradarian, MD

Branchville, NJ

www.qualityfamilypractice.com

Solo 4/03, Practicing since 9/90

Practice Partner 5/03

Low staffing

From:

[mailto: ] On Behalf Of Sangeetha

Murthy

Sent: Friday, January 07, 2011 9:34 PM

To:

Subject: Re: Practice Fusion and Meaningful Use

A few signature do register..esp the ones that go

" solodoc 5 yrs, never never work. For a hosp again " .

I know alex was into emrs but must havejoined the listserv late didn't know

he had a complete saleable product. There,s a difference .no?. I think its also

a function of your dual roles as docs and. And developers. You don't want the

second role to overshadow the first on this listserv.. and righgtfully

you have been downplaying it. But that also means the only product that a

physician/developer has come rightout and said " hey I have a product, that

you can get started on tomorrow " is oxbow. Everybody else in my eyes is

" working on it " .maybe this kind of to and fro is an opportunity to

clarify that?

Sangeetha Murthy

>

> On Sat, Jan 8, 2011 at 3:08 PM, Sangeetha Murthy

wrote:

>>

>> No I am well aware that you are very interested in Emrs, I also

remember you talking abt the cost of certification,

>>

>> But the signature barely registers, also I didn't thin k there was any

conflict mostly because I was/am still uder the impression ,

>> That your veographical market was entirely different.

>> Does alex have an emr product too?.I know only of oxbow as the other

emr developer/physician on the list.

>>

>> So it seemed/seems to me that yolu are kindly observer..

>> Sangeetha Murthy

>>

>

> I guess I must be a rare person to check the signature of posters, and to

read the disclaimers on all the journal articles that I read.

>

> has been posting about his EMR for some years ... I guess what they

say about continuing medical education is so true ...

>

>>

>> >

>> > On Sat, Jan 8, 2011 at 2:34 PM, Sangeetha Murthy

wrote:

>> >>

>> >>>

>> >>>>

>> >>>> OK, I missed your signature, as perhaps many others

did.

>> >>>

>> >>> Perhaps, or perhaps it was just you.

>> >>

>> >> I did too

>> >

>> > So, let me clarify this. When I was corresponding with you a

couple of years ago trying to help you with your PDF forms, you were completely

unaware that not only was I a specialist IMP (for 17 years) physician, but I

was also a developer of EMRs??

>> >

>> > And all those posts where and I talked about developing EMRs

were not read by you?

>> >

>> > --

>> > Graham Chiu

>> > http://www.compkarori.co.nz:8090/

>> > Synapse - the use from anywhere EMR.

>> >

>>

>

> --

> Graham Chiu

> http://www.compkarori.co.nz:8090/

> Synapse - the use from anywhere EMR.

>

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January 8, 2011

Kathy,I agree that we should move on. SetoSouth Pasadena, CA

I think this bickering back and forth has become really

unproductive. We are all now aware that Graham has developed his own

EMR. I saw the signature; I didn’t realize he was saying Synapse

was all his. Whatever. He wasn’t dissing Practice Fusion and

promoting Synapse. In fact, I believe Graham is in New Zealand and none

of this Meaningful Use stuff even applies to him. But he seems to have

taking an interest in it all the same and is a good source of knowledge,

whether an EMR developer or not. And Graham and I have bumped head.

I don’t always appreciate his opinions but I listen anyway. I agree with what he was basically saying. Many EMRs are

getting “certified” but are not the complete product. So for

the physician to be certified they are going to have to find solutions that are

certified to the missing pieces. It can be done but I don’t know if

everyone is aware of that. My hospital is promoting Allscripts right now with “great

discounted pricing for all of our doctors and guaranteed certified for

MU”. I keep bringing up, great, but is anyone going to help the

doctor make the MU cut? There are pretty much pushing doctors to buy

Allscripts so they can get MU money. They have no knowledge of how

difficult it will probably be to start using an EMR and meet MU criteria all in

1-2 years. I don’t know if Allscripts is certified as the complete

package. I don’t know who is and who isn’t. I know mine

is and I am relieved as I will have less things to figure out and solve.

But other people may have that all worked out already. Anyway, Graham, may not have not been as open and upfront as

some of us might wish but what he was discussing wasn’t even really a

conflict of interest for him. Let’s learn and move on please.

Kathy Saradarian, MDBranchville, NJwww.qualityfamilypractice.comSolo 4/03, Practicing since 9/90Practice Partner 5/03Low staffing

From:

[mailto: ] On Behalf Of Sangeetha

Murthy

Sent: Friday, January 07, 2011 9:34 PM

To:

Subject: Re: Practice Fusion and Meaningful Use

A few signature do register..esp the ones that go" solodoc 5 yrs, never never work. For a hosp again". ;)I know alex was into emrs but must havejoined the listserv late didn't know

he had a complete saleable product. There,s a difference .no?. I think its also

a function of your dual roles as docs and. And developers. You don't want the

second role to overshadow the first on this listserv.. and righgtfully

you have been downplaying it. But that also means the only product that a

physician/developer has come rightout and said "hey I have a product, that

you can get started on tomorrow" is oxbow. Everybody else in my eyes is

"working on it".maybe this kind of to and fro is an opportunity to

clarify that?Sangeetha Murthy

>

> On Sat, Jan 8, 2011 at 3:08 PM, Sangeetha Murthy

wrote:

>>

>> No I am well aware that you are very interested in Emrs, I also

remember you talking abt the cost of certification,

>>

>> But the signature barely registers, also I didn't thin k there was any

conflict mostly because I was/am still uder the impression ,

>> That your veographical market was entirely different.

>> Does alex have an emr product too?.I know only of oxbow as the other

emr developer/physician on the list.

>>

>> So it seemed/seems to me that yolu are kindly observer..

>> Sangeetha Murthy

>>

>

> I guess I must be a rare person to check the signature of posters, and to

read the disclaimers on all the journal articles that I read.

>

> has been posting about his EMR for some years ... I guess what they

say about continuing medical education is so true ...

>

>>

>> >

>> > On Sat, Jan 8, 2011 at 2:34 PM, Sangeetha Murthy

wrote:

>> >>

>> >>>

>> >>>>

>> >>>> OK, I missed your signature, as perhaps many others

did.

>> >>>

>> >>> Perhaps, or perhaps it was just you.

>> >>

>> >> I did too

>> >

>> > So, let me clarify this. When I was corresponding with you a

couple of years ago trying to help you with your PDF forms, you were completely

unaware that not only was I a specialist IMP (for 17 years) physician, but I

was also a developer of EMRs??

>> >

>> > And all those posts where and I talked about developing EMRs

were not read by you?

>> >

>> > --

>> > Graham Chiu

>> > http://www.compkarori.co.nz:8090/

>> > Synapse - the use from anywhere EMR.

>> >

>>

>

> --

> Graham Chiu

> http://www.compkarori.co.nz:8090/

> Synapse - the use from anywhere EMR.

>

CyberDefender has scanned this email for potential threats.

Version 2.0 / Build 4.03.29.01

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January 8, 2011

I don't have an EHR yet but I just went thru the process of

certification for PCMH which is much the same as for MU. Much of what

you need to do to be certified is to demonstrate that you are able to do

a data task, ie track f/u on abnormal labs or PAPs. Not having an ER, I

developed my own methods of tracking things. Having a computerized way

of doing this is much easier, and really, that is all the EHR is about.

It's making tracking of various aspects of health care data do-able, not

so labor intensive. For ex, I can pull up a list of all my pts with DM

via ICD-9 codes on my billing soft ware. That is something I do in an

electronic way without an EHR. Since I don't have EHR, however, I now

have to manually go thru the charts on all those pts to review their

A1Cs to see if they are current, good/bad, other. With an EHR,

presumably, I could pull all that data on A1Cs electronically. And they

work on the pts' whose A1Cs are missing or below goal. I'm probably just

saying what everyone already knows but there it is.

Having an EHR per se doesn't give a practice automatic MU. You have to

input data and use it. And the MU bit is all about demonstrating thru

screen shots and other methods that you regularly collect and input

needed data and that you make us of it. Certified EHRs are ones that

allow the user the functionality to do certain tasks. But to the get

payment for MU, one has to make use of the tools. And that is up to the

user. Maybe this is common knowledge but the talk in these emails seems

to suggest that having a certain EHR will automatically grant MU status.

And that is not so. IT's up to the user to make that happen. It's not a

given just because you buy a certain EHR. Without an EHR's electronic

tools, however, accomplishing some of the MU standards is too

inefficient to be practical. But many things are just good medical

practice--keeping an up to date Problem List and Medication List.

Updated data on Allergies. etc. How many of us check the Med List q

visit and make sure it's up to date all the time ? That's the hard part

and that's what MU is all about. It's tedious and annoying, and not what

we went to medical school for, to be data clerks, but staying up to date

on our pts is a part of good medical care. EHR's don't make that happen,

we do. It's not a panacea, simply a tool. OK. End of lecture. Sorry for

boring everyone.

Ellen

Portland, OR

>

> Kathy,

>

> I agree that we should move on.

>

> Seto

> South Pasadena, CA

>

>>

>> I think this bickering back and forth has become really unproductive.

>> We are all now aware that Graham has developed his own EMR. I saw the

>> signature; I didn’t realize he was saying Synapse was all his.

>> Whatever. He wasn’t dissing Practice Fusion and promoting Synapse. In

>> fact, I believe Graham is in New Zealand and none of this Meaningful

>> Use stuff even applies to him. But he seems to have taking an

>> interest in it all the same and is a good source of knowledge,

>> whether an EMR developer or not. And Graham and I have bumped head. I

>> don’t always appreciate his opinions but I listen anyway.

>>

>> I agree with what he was basically saying. Many EMRs are getting

>> “certified” but are not the complete product. So for the physician to

>> be certified they are going to have to find solutions that are

>> certified to the missing pieces. It can be done but I don’t know if

>> everyone is aware of that.

>>

>> My hospital is promoting Allscripts right now with “great discounted

>> pricing for all of our doctors and guaranteed certified for MU”. I

>> keep bringing up, great, but is anyone going to help the doctor make

>> the MU cut? There are pretty much pushing doctors to buy Allscripts

>> so they can get MU money. They have no knowledge of how difficult it

>> will probably be to start using an EMR and meet MU criteria all in

>> 1-2 years. I don’t know if Allscripts is certified as the complete

>> package. I don’t know who is and who isn’t. I know mine is and I am

>> relieved as I will have less things to figure out and solve. But

>> other people may have that all worked out already.

>>

>> Anyway, Graham, may not have not been as open and upfront as some of

>> us might wish but what he was discussing wasn’t even really a

>> conflict of interest for him. Let’s learn and move on please.

>>

>> Kathy Saradarian, MD

>>

>> Branchville, NJ

>>

>> www.qualityfamilypractice.com <http://www.qualityfamilypractice.com>

>>

>> Solo 4/03, Practicing since 9/90

>>

>> Practice Partner 5/03

>>

>> Low staffing

>>

>> *From:*

>> <mailto: >

>> [mailto: ] *On Behalf Of

>> *Sangeetha Murthy

>> *Sent:* Friday, January 07, 2011 9:34 PM

>> *To:*

>> <mailto: >

>> *Subject:* Re: Practice Fusion and Meaningful Use

>>

>> A few signature do register..esp the ones that go

>>

>> " solodoc 5 yrs, never never work. For a hosp again " .

>>

>> I know alex was into emrs but must havejoined the listserv late

>> didn't know he had a complete saleable product. There,s a difference

>> .no?. I think its also a function of your dual roles as docs and. And

>> developers. You don't want the second role to overshadow the first on

>> this listserv.. and righgtfully you have been downplaying it. But

>> that also means the only product that a physician/developer has come

>> rightout and said " hey I have a product, that you can get started on

>> tomorrow " is oxbow. Everybody else in my eyes is " working on

>> it " .maybe this kind of to and fro is an opportunity to clarify that?

>>

>> Sangeetha Murthy

>> On Jan 7, 2011 6:18 PM, " Graham Chiu " <compkarori@...

>> > wrote:

>> >

>> > On Sat, Jan 8, 2011 at 3:08 PM, Sangeetha Murthy

>> <sangeethamurthy@... > wrote:

>> >>

>> >> No I am well aware that you are very interested in Emrs, I also

>> remember you talking abt the cost of certification,

>> >>

>> >> But the signature barely registers, also I didn't thin k there was

>> any conflict mostly because I was/am still uder the impression ,

>> >> That your veographical market was entirely different.

>> >> Does alex have an emr product too?.I know only of oxbow as the

>> other emr developer/physician on the list.

>> >>

>> >> So it seemed/seems to me that yolu are kindly observer..

>> >> Sangeetha Murthy

>> >>

>> >

>> > I guess I must be a rare person to check the signature of posters,

>> and to read the disclaimers on all the journal articles that I read.

>> >

>> > has been posting about his EMR for some years ... I guess what

>> they say about continuing medical education is so true ...

>> >

>> >>

>> >> On Jan 7, 2011 5:48 PM, " Graham Chiu " <compkarori@...

>> > wrote:

>> >> >

>> >> > On Sat, Jan 8, 2011 at 2:34 PM, Sangeetha Murthy

>> <sangeethamurthy@... > wrote:

>> >> >>

>> >> >> On Fri, Jan 7, 2011 at 5:23 PM, Graham Chiu

>> > wrote:

>> >> >>>

>> >> >>> On Sat, Jan 8, 2011 at 2:09 PM, Seto <glseto@...

>> > wrote:

>> >> >>>>

>> >> >>>> OK, I missed your signature, as perhaps many others did.

>> >> >>>

>> >> >>> Perhaps, or perhaps it was just you.

>> >> >>

>> >> >> I did too

>> >> >

>> >> > So, let me clarify this. When I was corresponding with you a

>> couple of years ago trying to help you with your PDF forms, you were

>> completely unaware that not only was I a specialist IMP (for 17

>> years) physician, but I was also a developer of EMRs??

>> >> >

>> >> > And all those posts where and I talked about developing

>> EMRs were not read by you?

>> >> >

>> >> > --

>> >> > Graham Chiu

>> >> > http://www.compkarori.co.nz:8090/

>> >> > Synapse - the use from anywhere EMR.

>> >> >

>> >>

>> >

>> > --

>> > Graham Chiu

>> > http://www.compkarori.co.nz:8090/

>> > Synapse - the use from anywhere EMR.

>> >

>>

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January 8, 2011