Re: EHR may end private medical practice

[Guest guest]

RE EHR ending practice.

Only if you use a purchase model that requires upfront investment.

A web enabled portal type has very modest cost.

I didn't read the references yet, though.

Matt in Western PA

EHR may end private medical practice

Mitchel Zoler of family practice news believes that EHR may end private medical practice. http://www.familypracticenews.com/index.php?id=2633 & cHash=071010 & tx_ttnews[tt_news]=53701Also see EHR, Insurance and Government: When did we take our eyes off the patient? In Medical Economics December 2010. http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Now/Viewpoint-EHRs-insurance-and-government-When-did-w/ArticleStandard/Article/detail/699149Click LIKE on facbook Independent Physician for Patient Independence to get links to recent articles. Best wishes for good health,Craig M Wax, DOFamily Physician/Host of Your Health MattersOn 89.7 WGLS FMHttp://wgls.rowan.eduHttp://healthisnumberone.comINDEPENDENT PHYSICIANS FOR PATIENT INDEPENDENCEip4pi on Facebook

[Guest guest]

RE EHR reporting mandates will kill practices.

Hmmmm. If you work for a big group, the effort may kill YOU; but the newer "cloud based" may make you more efficient if you're careful.

Depends what the payors do....

My opinion, yours?

Matt in Western PA

FP since 1988

Solo since 2004

EMR since 1996

EMR for each pt since 2004

EHR may end private medical practice

Mitchel Zoler of family practice news believes that EHR may end private medical practice. http://www.familypracticenews.com/index.php?id=2633 & cHash=071010 & tx_ttnews[tt_news]=53701Also see EHR, Insurance and Government: When did we take our eyes off the patient? In Medical Economics December 2010. http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Now/Viewpoint-EHRs-insurance-and-government-When-did-w/ArticleStandard/Article/detail/699149Click LIKE on facbook Independent Physician for Patient Independence to get links to recent articles. Best wishes for good health,Craig M Wax, DOFamily Physician/Host of Your Health MattersOn 89.7 WGLS FMHttp://wgls.rowan.eduHttp://healthisnumberone.comINDEPENDENT PHYSICIANS FOR PATIENT INDEPENDENCEip4pi on Facebook

[Guest guest]

My vote: EHR reporting mandates won't end private practice.

The will of the people is to have neighborhood docs in small

IMP-style nanopractices. We are here to stay.

The onerous mandates may implode from their own weight

before they will ever take us out.

My parents (both docs) have heard for decades that private

practices were on their way out. Never happened. Fear tactics.

Some succumb.

Stay strong.

I'm not too religious, but I do believe God's on our side here.

My 2 cents Matt. . .

~ Pamela

>

> RE EHR reporting mandates will kill practices.

>

> Hmmmm. If you work for a big group, the effort may kill YOU; but the newer

" cloud based " may make you more efficient if you're careful.

>

> Depends what the payors do....

>

> My opinion, yours?

>

> Matt in Western PA

> FP since 1988

> Solo since 2004

> EMR since 1996

> EMR for each pt since 2004

> EHR may end private medical practice

>

>

>

> Mitchel Zoler of family practice news believes that EHR may end private

medical practice.

>

http://www.familypracticenews.com/index.php?id=2633 & cHash=071010 & tx_ttnews[tt_ne\

ws]=53701

>

> Also see EHR, Insurance and Government: When did we take our eyes off the

patient? In Medical Economics December 2010.

>

http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Now/Viewpoint-EHRs-\

insurance-and-government-When-did-w/ArticleStandard/Article/detail/699149

>

> Click LIKE on facbook Independent Physician for Patient Independence to get

links to recent articles.

>

> Best wishes for good health,

>

> Craig M Wax, DO

>

> Family Physician/Host of Your Health Matters

> On 89.7 WGLS FM

> Http://wgls.rowan.edu

> Http://healthisnumberone.com

> INDEPENDENT PHYSICIANS FOR PATIENT INDEPENDENCE

> ip4pi on Facebook

>

[Guest guest]

Many hospitals and groups who have bought EMRs the last 5 years are like the early adopters who bought cell phones the size of bricks for $1000.

My hope is that when the cost of ownership comes way down and the features and ease of use go up on cloud based EMRs then doctors will think to themselves that they don't need a giant IT department run by the hospital anymore.

This will actually free doctors from the problem of owning something expensive that breaks down often and will become obsolete after a lot of investment.

Because there is such a crying need for a solution to this problem of work flow for doctors and communication for patients someone will eventually figure this out. When they do figure it out, no one will be economically coerced to use a giant IT system that actually slows them down.

No one has to force anyone to use an I-phone. The design is elegant and for the most part it just works.

Maybe it is going to be Practice Fusion or some other software start up yet to be named. It is not going to be giant companies with huge expensive legacy systems like NexGen or EPIC that figures out next greatest thing.

Our local small, rural hospital bought and implemented NextGen (against my advice). They had to triple the size of the IT dept. and continue to spend a ton. They could have hired 5 or more FPs for what they spent and continue to spend.

I pointed out that they could have better functionality for the front line docs for $500 a month or less with a cloud based EMR product. The more they go down the wrong path, the tougher it is for them to admit they made a mistake.

Ben

[Guest guest]

Small private practices that cater to their communities will never go away.

While how we practice, smaller offices, lower overhead may occur, may change,

that is ok.

People want docs who care. They know the insurers don't.

They know the government does not either.

We will not only survive, but thrive, as the bloated, costly, impersonal

bureaucracy of Obamacare grows, further distinguishing our practices from

others.

As for Medicare. It is the only insurer I presently contract with. Everyone else

is either self pay or retainer. I looked into hitech, and have not yet bit. I do

not know yet whether the money is worth it, or if I am selling my soul for some

greenback.

I am also keeping Medicare for now, as the annual wellness exams fit well into

my practice model, and pay well.

Btw: welcome Dr. Wax!!

Steve Horvitz, D.O.

Www.drhorvitz.com

>

>  

> My hope is that when the cost of ownership comes way down and the features and

ease of use go up on cloud based EMRs then doctors will think to themselves that

they don't need a giant IT department run by the hospital anymore.

>  

> This will actually free doctors from the problem of owning something expensive

that breaks down often and will become obsolete after a lot of investment.

>  

> Because there is such a crying need for a solution to this problem of work

flow for doctors and communication for patients someone will eventually figure

this out. When they do figure it out, no one will be economically coerced to use

a giant IT system that actually slows them down.

>  

> No one has to force anyone to use an I-phone. The design is elegant and for

the most part it just works.

>  

> Maybe it is going to be Practice Fusion or some other software start up yet to

be named. It is not going to be giant companies with huge expensive legacy

systems like NexGen or EPIC that figures out next greatest thing.

>  

> Our local small, rural hospital bought and implemented NextGen (against my

advice).  They had to triple the size of the IT dept. and continue to spend a

ton.  They could have hired 5 or more FPs for what they spent and continue to

spend.

>  I pointed out that they could have better functionality for the front line

docs for $500 a month or less with a cloud based EMR product.  The more they go

down the wrong path, the tougher it is for them to admit they made a mistake.

>  

> BenMany hospitals and groups who have bought EMRs the last 5 years are like

the early adopters who bought cell phones the size of bricks for $1000. 

>

[Guest guest]

I love you guys. Awesome post Ben & Steve. So common sense.

Don't fall for fear-based control tactics. Do right by your patients.

God's on our side. We are in an era of disintermediation (cutting

out the middleman) and renewed transparency. This will only

ultimately enhance the relationships between doctors and patients

by decreasing third party interference.

" (S)He is the best physician who is the most ingenious inspirer of hope. "

- Coleridge

Amen.

Pamela

Pamela Wible, MD

3575 St. #220

Eugene, OR 97405

www.idealmedicalcare.org

> >

> >  

> > My hope is that when the cost of ownership comes way down and the features

and ease of use go up on cloud based EMRs then doctors will think to themselves

that they don't need a giant IT department run by the hospital anymore.

> >  

> > This will actually free doctors from the problem of owning something

expensive that breaks down often and will become obsolete after a lot of

investment.

> >  

> > Because there is such a crying need for a solution to this problem of work

flow for doctors and communication for patients someone will eventually figure

this out. When they do figure it out, no one will be economically coerced to use

a giant IT system that actually slows them down.

> >  

> > No one has to force anyone to use an I-phone. The design is elegant and for

the most part it just works.

> >  

> > Maybe it is going to be Practice Fusion or some other software start up yet

to be named. It is not going to be giant companies with huge expensive legacy

systems like NexGen or EPIC that figures out next greatest thing.

> >  

> > Our local small, rural hospital bought and implemented NextGen (against my

advice).  They had to triple the size of the IT dept. and continue to spend a

ton.  They could have hired 5 or more FPs for what they spent and continue to

spend.

> >  I pointed out that they could have better functionality for the front line

docs for $500 a month or less with a cloud based EMR product.  The more they go

down the wrong path, the tougher it is for them to admit they made a mistake.

> >  

> > BenMany hospitals and groups who have bought EMRs the last 5 years are like

the early adopters who bought cell phones the size of bricks for $1000. 

> >

>