Re: Patient portals, web visits

[Guest guest]

Hi Marius,

I do communicate with my patients a lot via

email, and also to Virtual Office Visits or whatever you choose to call them.

I do the VOVs through Medfusion with my website by Medfusion. I receive an

email notification that a pt has done a VOV, then go to the website and do it.

I then copy it into the pt’s chart in my EMR. Medfusion is also

offering a PHR as part of the ‘suite’ I purchased, but I really

haven’t started using this yet. Don’t know if I will charge for it

or not. I do charge for the VOVs, and a few insurances are paying for their

pts to use it.

A. Eads, M.D.

Pinnacle Family Medicine, PLLC

phone fax

P.O.

Box 7275

Woodland

Park, CO 80863

From: [mailto: ] On Behalf Of mllaumans

Sent: Monday, December 04, 2006

4:37 PM

To:

Subject:

Patient portals, web visits

I am curious, who out there in the IMP world is using

patient-provider

email communication, patient portals, or is even doing web visits etc.?

What software products are you using to accomplish this? Does the

software or website directly interface with your EHR (i.e. the email

shows up in your EHR inbox etc.) or is it a stand-alone product?

Who offers his patients an online Personal Health Record? Do you

charge for this service in order to pay for the costs?

Marius

[Guest guest]

I too use a good deal of email and online communication.

I use RelayHealth for secure, online messaging as well as all my

prescribing (except controlled substances... in NY they must be hand

written). I use it a lot to send lab reports (as pdf files) and my

thoughts to pts (saves a ton on mailing), as well as copies of lab sheets

to get tests done, and I'll send reminders to pts ( " please re-check your

chol in Feb " ... pt gets an email with the lab sheet attached as a reminder

a week or two beforehand). I'd estimate about 80% of my pts are

registered with RelayHealth. Often I'm surprised who has or doesn't have

email ... happens that about 30% of my patients are Deaf (I know sign

lang) and most of them are internet/email savvy now (the others are mostly

illiterate in English... important issue to know for all our patients!).

RelayHealth has the opportunity for patients to maintain an online

personal health record, but I don't use it much myself ... some patients

really keep it up to date and would have access to it whereever they go in

the world.

I also use AppointmentQuest which sends patients email notifications when

an appt is made and a reminder about two days prior to the appt... that

helps to cut down no-shows and a good number of pts email asking to

reschedule if there is a conflict so the appt can be used for someone

else. Patients can make their own appts on AppointmentQuest, then I get an

email notification that they did... I have about 4-6 appts each day

available for patients to book themselves, then I add other patients as I

want or they need at other times of the day.

RelayHealth does have a " webvisit " which I could charge for, but I don't.

My reasoning is that I use it as a triage method for getting someone in if

they need. Since I'm solo-solo, I think of the patients' webvisits like

the RN's role in my old office, to get the history so we can decide if and

when a patient should be seen or simply do home care.

Finally, I use OneBox so all my voicemails and faxes are online too ... I

like to say that unless I'm seeing a pt or scanning something into the

computer, I can do everything else for patient care away from the office.

I use Amazing Charts (AC) and I do not automatically link messages to it.

I keep a file system of all the patients' documents/reports in Word. For

certain issues I notate in AC's tracked data (things like chol #'s, last

pap, a1c, etc... AC tracked data can be individualized and up to 15 data

points, but it needs to be entered specifically). For any " important "

messages from RelayHealth, I enter an addendum in the AC chart for a

patient and that addendum pops up every time I open the patient's chart

until the next time patient is seen. The records of RelayHealth messaging

is recorded online within its systems so I do access that when needed.

The system for me seems to be working though I put in a lot of time for

administrative work and messaging each day (and on the weekends). I think

of that work like a farmer who has to clean the barn, spread the feed,

give fresh water, etc, to all the animals everyday. Since this solo-solo

office is helping me live a better life again (even though I still work a

lot of hours, life is better in so many ways!), the effort is well worth

it to keep " the farm " thriving. Without the online communication and

other services, I can not imagine how I would do this office.

I chose to go low cost and pieced together different components (AC,

RelayHealth, OneBox, AppointmentQuest, EZClaim) to make up my EMR/practice

management/ patient communication system. Depending on how many small

bells and whistles you add to each component, one can pay $1000 to $2000

per year for a " whole " system that rivals most of the hugest EMR's (though

one loses some fluid integration the better EMR's should have for what you

pay for them!). For IMP new-comers, that low-cost basic model, with

variations from doc to doc, is somewhat common here, and the lineage of it

goes back to Clemenson and I think Gwen Hanson before him (though if

my memory serves me right, Larry may have been the first AC'er... I think

he coined the phrase " best bang for the buck! " in regard to AC about four

years ago at least ;-).

Marius -- good luck and I hope this proves helpful to you as you make your

decisions about setting up the nitty-gritty of the office. We all make

choices and design the details of our practices in ways that work for us.

With your early efforts underway, I'm sure yours will do fine for you.

Tim

--

Malia, MD

Malia Family Medicine & Skin Sense Laser

6720 Pittsford-Palmyra Rd.

Perinton Square Mall

Fairport, NY 14450

(phone / fax)

www.relayhealth.com/doc/DrMalia

www.SkinSenseLaser.com

-- Confidentiality Notice --

This email message, including all the attachments, is for the sole use of

the intended recipient(s) and contains confidential information.

Unauthorized use or disclosure is prohibited. If you are not the intended

recipient, you may not use, disclose, copy or disseminate this

information. If you are not the intended recipient, please contact the

sender immediately by reply email and destroy all copies of the original

message, including attachments.

> Hi Marius,

>

>

>

> I do communicate with my patients a lot via email, and also to Virtual

> Office Visits or whatever you choose to call them. I do the VOVs

> through Medfusion with my website by Medfusion. I receive an email

> notification that a pt has done a VOV, then go to the website and do it.

> I then copy it into the pt's chart in my EMR. Medfusion is also

> offering a PHR as part of the 'suite' I purchased, but I really haven't

> started using this yet. Don't know if I will charge for it or not. I

> do charge for the VOVs, and a few insurances are paying for their pts to

> use it.

>

>

>

> A. Eads, M.D.

>

> Pinnacle Family Medicine, PLLC

>

> phone fax

>

> P.O. Box 7275

>

> Woodland Park, CO 80863

>

> _____

>

> From:

> [mailto: ] On Behalf Of mllaumans

> Sent: Monday, December 04, 2006 4:37 PM

> To:

> Subject: Patient portals, web visits

>

>

>

> I am curious, who out there in the IMP world is using patient-provider

> email communication, patient portals, or is even doing web visits etc.?

>

> What software products are you using to accomplish this? Does the

> software or website directly interface with your EHR (i.e. the email

> shows up in your EHR inbox etc.) or is it a stand-alone product?

>

> Who offers his patients an online Personal Health Record? Do you

> charge for this service in order to pay for the costs?

>

> Marius

>

>

[Guest guest]

Tim,

I just started using AC. How does the tracked data work?

Thanks,

Sharon

At 04:00 AM 12/5/2006, you wrote:

I too use a good deal of email

and online communication.

I use RelayHealth for secure, online messaging as well as all my

prescribing (except controlled substances... in NY they must be hand

written). I use it a lot to send lab reports (as pdf files) and my

thoughts to pts (saves a ton on mailing), as well as copies of lab

sheets

to get tests done, and I'll send reminders to pts ( " please re-check

your

chol in Feb " ... pt gets an email with the lab sheet attached as a

reminder

a week or two beforehand). I'd estimate about 80% of my pts are

registered with RelayHealth. Often I'm surprised who has or doesn't

have

email ... happens that about 30% of my patients are Deaf (I know

sign

lang) and most of them are internet/email savvy now (the others are

mostly

illiterate in English... important issue to know for all our patients!).

RelayHealth has the opportunity for patients to maintain an online

personal health record, but I don't use it much myself ... some

patients

really keep it up to date and would have access to it whereever they go

in

the world.

I also use AppointmentQuest which sends patients email notifications

when

an appt is made and a reminder about two days prior to the appt...

that

helps to cut down no-shows and a good number of pts email asking to

reschedule if there is a conflict so the appt can be used for

someone

else. Patients can make their own appts on AppointmentQuest, then I get

an

email notification that they did... I have about 4-6 appts each day

available for patients to book themselves, then I add other patients as

I

want or they need at other times of the day.

RelayHealth does have a " webvisit " which I could charge for,

but I don't.

My reasoning is that I use it as a triage method for getting someone in

if

they need. Since I'm solo-solo, I think of the patients' webvisits

like

the RN's role in my old office, to get the history so we can decide if

and

when a patient should be seen or simply do home care.

Finally, I use OneBox so all my voicemails and faxes are online too ...

I

like to say that unless I'm seeing a pt or scanning something into

the

computer, I can do everything else for patient care away from the

office.

I use Amazing Charts (AC) and I do not automatically link messages to it.

I keep a file system of all the patients' documents/reports in Word.

For

certain issues I notate in AC's tracked data (things like chol #'s,

last

pap, a1c, etc... AC tracked data can be individualized and up to 15

data

points, but it needs to be entered specifically). For any

" important "

messages from RelayHealth, I enter an addendum in the AC chart for a

patient and that addendum pops up every time I open the patient's

chart

until the next time patient is seen. The records of RelayHealth

messaging

is recorded online within its systems so I do access that when

needed.

The system for me seems to be working though I put in a lot of time

for

administrative work and messaging each day (and on the weekends). I

think

of that work like a farmer who has to clean the barn, spread the

feed,

give fresh water, etc, to all the animals everyday. Since this

solo-solo

office is helping me live a better life again (even though I still work

a

lot of hours, life is better in so many ways!), the effort is well

worth

it to keep " the farm " thriving. Without the online

communication and

other services, I can not imagine how I would do this office.

I chose to go low cost and pieced together different components (AC,

RelayHealth, OneBox, AppointmentQuest, EZClaim) to make up my

EMR/practice

management/ patient communication system. Depending on how many

small

bells and whistles you add to each component, one can pay $1000 to

$2000

per year for a " whole " system that rivals most of the hugest

EMR's (though

one loses some fluid integration the better EMR's should have for what

you

pay for them!). For IMP new-comers, that low-cost basic model, with

variations from doc to doc, is somewhat common here, and the lineage of

it

goes back to Clemenson and I think Gwen Hanson before him (though

if

my memory serves me right, Larry may have been the first AC'er... I

think

he coined the phrase " best bang for the buck! " in regard to AC

about four

years ago at least ;-).

Marius -- good luck and I hope this proves helpful to you as you make

your

decisions about setting up the nitty-gritty of the office. We all

make

choices and design the details of our practices in ways that work for us.

With your early efforts underway, I'm sure yours will do fine for

you.

Tim

--

Malia, MD

Malia Family Medicine & Skin Sense Laser

6720 Pittsford-Palmyra Rd.

Perinton Square Mall

Fairport, NY 14450

(phone / fax)

www.relayhealth.com/doc/DrMalia

www.SkinSenseLaser.com

-- Confidentiality Notice --

This email message, including all the attachments, is for the sole use

of

the intended recipient(s) and contains confidential information.

Unauthorized use or disclosure is prohibited. If you are not the

intended

recipient, you may not use, disclose, copy or disseminate this

information. If you are not the intended recipient, please contact

the

sender immediately by reply email and destroy all copies of the

original

message, including attachments.

> Hi Marius,

>

>

>

> I do communicate with my patients a lot via email, and also to

Virtual

> Office Visits or whatever you choose to call them. I do the

VOVs

> through Medfusion with my website by Medfusion. I receive an

email

> notification that a pt has done a VOV, then go to the website and do

it.

> I then copy it into the pt's chart in my EMR. Medfusion is also

> offering a PHR as part of the 'suite' I purchased, but I really

haven't

> started using this yet. Don't know if I will charge for it or not.

I

> do charge for the VOVs, and a few insurances are paying for their

pts to

> use it.

>

>

>

> A. Eads, M.D.

>

> Pinnacle Family Medicine, PLLC

>

> phone fax

>

> P.O. Box 7275

>

> Woodland Park, CO 80863

>

> _____

>

> From:

>

[

mailto: ] On Behalf Of

mllaumans

> Sent: Monday, December 04, 2006 4:37 PM

> To:

> Subject: Patient portals, web visits

>

>

>

> I am curious, who out there in the IMP world is using

patient-provider

> email communication, patient portals, or is even doing web visits

etc.?

>

> What software products are you using to accomplish this? Does

the

> software or website directly interface with your EHR (i.e. the

email

> shows up in your EHR inbox etc.) or is it a stand-alone

product?

>

> Who offers his patients an online Personal Health Record? Do

you

> charge for this service in order to pay for the costs?

>

> Marius

>

>

No virus found in this incoming message.

Checked by AVG Free Edition.

Version: 7.0.409 / Virus Database: 268.15.6/568 - Release Date:

12/4/2006

Sharon McCoy , M.D.

Renaissance Family Medicine

The

Rebirth of Personal Healthcare

www.SharonMD.com

Phone Fax (949)

281-2197

No virus found in this outgoing message.

Checked by AVG Free Edition.

Version: 7.0.409 / Virus Database: 268.15.11/575 - Release Date: 12/6/2006

[Guest guest]

Be sure to consider Updox.

http://www.apractissolutions.com/UpDox.html

We're going to try this in our practice.

Gordon

At 06:36 PM 12/4/2006, you wrote:

I am curious, who out there in

the IMP world is using patient-provider

email communication, patient portals, or is even doing web visits

etc.?

What software products are you using to accomplish this? Does the

software or website directly interface with your EHR (i.e. the email

shows up in your EHR inbox etc.) or is it a stand-alone product?

Who offers his patients an online Personal Health Record? Do you

charge for this service in order to pay for the costs?

Marius

[Guest guest]

In the " view " drop down, go to " admin options " and sign in with password.

Then go to tab for tracked data. You can set it up so there are 20+ data

points. Then on a patients' summary sheet page, at the bottom, you can

keep track of those data points (use the edit function). Larry's right,

the hassle is the need to hand enter each bit of data ... until the

upgrades Larry describes, I look at it as part of the bargain I chose for

AC and that I get to think about the pateints' info so I'm aware of it.

Note that the data points will be listed alphabetically. For that hassle,

I've grouped the related info with number-letters... ie - 1A CHOL, 1B

TRIG, 1C HDL, 1D LDL, 1E ALT, 2A AIC, 2B MICRAL.... etc.... so they are

lined up just as I'd like them.

I hope that helps.

Tim

--

Malia, MD

Malia Family Medicine & Skin Sense Laser

6720 Pittsford-Palmyra Rd.

Perinton Square Mall

Fairport, NY 14450

(phone / fax)

www.relayhealth.com/doc/DrMalia

www.SkinSenseLaser.com

-- Confidentiality Notice --

This email message, including all the attachments, is for the sole use of

the intended recipient(s) and contains confidential information.

Unauthorized use or disclosure is prohibited. If you are not the intended

recipient, you may not use, disclose, copy or disseminate this

information. If you are not the intended recipient, please contact the

sender immediately by reply email and destroy all copies of the original

message, including attachments.

> Tim,

> I just started using AC. How does the tracked data work?

> Thanks,

> Sharon

>

> At 04:00 AM 12/5/2006, you wrote:

>

>>I too use a good deal of email and online communication.

>>

>>I use RelayHealth for secure, online messaging as well as all my

>>prescribing (except controlled substances... in NY they must be hand

>> written). I use it a lot to send lab reports (as pdf files) and my

>> thoughts to pts (saves a ton on mailing), as well as copies of lab

>> sheets to get tests done, and I'll send reminders to pts ( " please

>> re-check your chol in Feb " ... pt gets an email with the lab sheet

>> attached as a reminder a week or two beforehand). I'd estimate about

>> 80% of my pts are

>>registered with RelayHealth. Often I'm surprised who has or doesn't

>> have email ... happens that about 30% of my patients are Deaf (I know

>> sign lang) and most of them are internet/email savvy now (the others

>> are mostly illiterate in English... important issue to know for all our

>> patients!). RelayHealth has the opportunity for patients to maintain an

>> online personal health record, but I don't use it much myself ... some

>> patients really keep it up to date and would have access to it

>> whereever they go in the world.

>>

>>I also use AppointmentQuest which sends patients email notifications

>> when an appt is made and a reminder about two days prior to the appt...

>> that helps to cut down no-shows and a good number of pts email asking

>> to reschedule if there is a conflict so the appt can be used for

>> someone else. Patients can make their own appts on AppointmentQuest,

>> then I get an email notification that they did... I have about 4-6

>> appts each day available for patients to book themselves, then I add

>> other patients as I want or they need at other times of the day.

>>

>>RelayHealth does have a " webvisit " which I could charge for, but I

>> don't. My reasoning is that I use it as a triage method for getting

>> someone in if they need. Since I'm solo-solo, I think of the patients'

>> webvisits like the RN's role in my old office, to get the history so we

>> can decide if and when a patient should be seen or simply do home care.

>>

>>Finally, I use OneBox so all my voicemails and faxes are online too ...

>> I like to say that unless I'm seeing a pt or scanning something into

>> the computer, I can do everything else for patient care away from the

>> office.

>>

>>I use Amazing Charts (AC) and I do not automatically link messages to

>> it. I keep a file system of all the patients' documents/reports in

>> Word. For certain issues I notate in AC's tracked data (things like

>> chol #'s, last pap, a1c, etc... AC tracked data can be individualized

>> and up to 15 data points, but it needs to be entered specifically). For

>> any " important " messages from RelayHealth, I enter an addendum in the

>> AC chart for a patient and that addendum pops up every time I open the

>> patient's chart until the next time patient is seen. The records of

>> RelayHealth messaging is recorded online within its systems so I do

>> access that when needed.

>>

>>The system for me seems to be working though I put in a lot of time for

>> administrative work and messaging each day (and on the weekends). I

>> think of that work like a farmer who has to clean the barn, spread the

>> feed, give fresh water, etc, to all the animals everyday. Since this

>> solo-solo office is helping me live a better life again (even though I

>> still work a lot of hours, life is better in so many ways!), the effort

>> is well worth it to keep " the farm " thriving. Without the online

>> communication and other services, I can not imagine how I would do this

>> office.

>>

>>I chose to go low cost and pieced together different components (AC,

>> RelayHealth, OneBox, AppointmentQuest, EZClaim) to make up my

>> EMR/practice management/ patient communication system. Depending on how

>> many small bells and whistles you add to each component, one can pay

>> $1000 to $2000 per year for a " whole " system that rivals most of the

>> hugest EMR's (though one loses some fluid integration the better EMR's

>> should have for what you pay for them!). For IMP new-comers, that

>> low-cost basic model, with variations from doc to doc, is somewhat

>> common here, and the lineage of it goes back to Clemenson and I

>> think Gwen Hanson before him (though if my memory serves me right,

>> Larry may have been the first AC'er... I think he coined the phrase

>> " best bang for the buck! " in regard to AC about four years ago at least

>> ;-).

>>

>>Marius -- good luck and I hope this proves helpful to you as you make

>> your decisions about setting up the nitty-gritty of the office. We all

>> make choices and design the details of our practices in ways that work

>> for us. With your early efforts underway, I'm sure yours will do fine

>> for you.

>>

>>Tim

>>

>>--

>> Malia, MD

>>

>>Malia Family Medicine & Skin Sense Laser

>>6720 Pittsford-Palmyra Rd.

>>Perinton Square Mall

>>Fairport, NY 14450

>>

>> (phone / fax)

>>www.relayhealth.com/doc/DrMalia

>>www.SkinSenseLaser.com

>>

>>-- Confidentiality Notice --

>>This email message, including all the attachments, is for the sole use

>> of the intended recipient(s) and contains confidential information.

>>Unauthorized use or disclosure is prohibited. If you are not the

>> intended recipient, you may not use, disclose, copy or disseminate this

>>information. If you are not the intended recipient, please contact the

>> sender immediately by reply email and destroy all copies of the

>> original message, including attachments.

>>

>> > Hi Marius,

>> >

>> >

>> >

>> > I do communicate with my patients a lot via email, and also to

>> Virtual Office Visits or whatever you choose to call them. I do the

>> VOVs through Medfusion with my website by Medfusion. I receive an

>> email notification that a pt has done a VOV, then go to the website

>> and do it. I then copy it into the pt's chart in my EMR. Medfusion

>> is also offering a PHR as part of the 'suite' I purchased, but I

>> really haven't started using this yet. Don't know if I will charge

>> for it or not. I do charge for the VOVs, and a few insurances are

>> paying for their pts to use it.

>> >

>> >

>> >

>> > A. Eads, M.D.

>> >

>> > Pinnacle Family Medicine, PLLC

>> >

>> > phone fax

>> >

>> > P.O. Box 7275

>> >

>> > Woodland Park, CO 80863

>> >

>> > _____

>> >

>> > From:

>>

<mailto:%40yahoogroups.com>yahoogroups (DOT) \

com

>> > [mailto: ] On Behalf Of mllaumans

>> Sent: Monday, December 04, 2006 4:37 PM

>> > To:

>>

<mailto:%40yahoogroups.com>yahoogroups (DOT) \

com

>> > Subject: Patient portals, web visits

>> >

>> >

>> >

>> > I am curious, who out there in the IMP world is using

>> patient-provider email communication, patient portals, or is even

>> doing web visits etc.?

>> >

>> > What software products are you using to accomplish this? Does the

>> software or website directly interface with your EHR (i.e. the email

>> shows up in your EHR inbox etc.) or is it a stand-alone product?

>> >

>> > Who offers his patients an online Personal Health Record? Do you

>> charge for this service in order to pay for the costs?

>> >

>> > Marius

>> >

>> >

>>

>>

>>

>>No virus found in this incoming message.

>>Checked by AVG Free Edition.

>>Version: 7.0.409 / Virus Database: 268.15.6/568 - Release Date:

>> 12/4/2006

>

>

>

>

> Sharon McCoy , M.D.

> Renaissance Family Medicine

> The Rebirth of Personal Healthcare

> www.SharonMD.com

> Phone Fax

[Guest guest]

Gordon, I just reviewed the updox demo. I thought from previous discussions that people were using this system to organize their faxes and voicemails and email etc... When I saw your post that you were looking at it for secure email I looked at the demo. I see the value in being able to use it to easily put items into an emr (assuming I can get that to happen with mine), but I didn't see any secure email feature. What am I missing and where?

I have been looking at the websites for relayhealth and medfusion. I am a D.O., a member of the ACOFP and not the AAFP so these guys were a little too expensive for me. None of the huge number of organizations I pay exorbitant dues to each year offer any kind of discount I could find. I was hoping updox might be the answer. Can you clue me in?

[Guest guest]

,

Did you look at the demo for updox or onebox? It is confusing but they are two different things. Onebox is the unified phone, email, fax messaging center and Updox is a product that you can manage documents, use secure email, create personal health records.

I am trying out updox professional and really like it. It gives me a way to securely email and send labs ect . to my patients and it is so inexpensive ( like $60.00 a year) . I looked into medfusions patient portal and it was very very expensive to use and set up. I considered switching to E clinical works because they have developed a patient portal with their EMR, but to switch was extremely expensive. They would charge me $750 a day just in training costs and they require minimum of 5 full days of training, plus the cost of the set up of the equipement, and software license and monthly fees.

Updox does interface with Amazing charts which is really cool. So, now the big decision comes in whether I should make the switch from Alteer to Amazing charts.

I am trying to work around getting updox to work with Alteer.... but it is cumbersome and haven't been able to do it ( Alteer is unwilling to interface with anyone other programs)

Any advice?

Re: Patient portals, web visits

Gordon, I just reviewed the updox demo. I thought from previous discussions that people were using this system to organize their faxes and voicemails and email etc... When I saw your post that you were looking at it for secure email I looked at the demo. I see the value in being able to use it to easily put items into an emr (assuming I can get that to happen with mine), but I didn't see any secure email feature. What am I missing and where?

I have been looking at the websites for relayhealth and medfusion. I am a D.O., a member of the ACOFP and not the AAFP so these guys were a little too expensive for me. None of the huge number of organizations I pay exorbitant dues to each year offer any kind of discount I could find. I was hoping updox might be the answer. Can you clue me in?

[Guest guest]

Cost relay health per month? Pt pay/you pay?

Dr Levin

FP solo Pittsburgh Pa

Patient portals, web visits>>>> I am curious, who out there in the IMP world is using patient-provider> email communication, patient portals, or is even doing web visits etc.?>> What software products are you using to accomplish this? Does the> software or website directly interface with your EHR (i.e. the email> shows up in your EHR inbox etc.) or is it a stand-alone product?>> Who offers his patients an online Personal Health Record? Do you> charge for this service in order to pay for the costs?>> Marius>>

[Guest guest]

I think it's about $75/mo.

I pay it and see it as reasonable for " replacing " staff as I'm solo-solo.

Also, I'd say it saves me a few dollars a day for mailing.

Others charge I guess.

For me, the total cost of EMR(AC), RelayHealth, ApptQuest, OneBox,

Internet access and cell phone charges (ie- all the " technology " that lets

me be solo-solo) is under $250/month. Along with rent of $450/month, I'm

satisfied with my capabilities and overhead.

Tim

--

Malia, MD

Malia Family Medicine & Skin Sense Laser

6720 Pittsford-Palmyra Rd.

Perinton Square Mall

Fairport, NY 14450

(phone / fax)

www.relayhealth.com/doc/DrMalia

www.SkinSenseLaser.com

-- Confidentiality Notice --

This email message, including all the attachments, is for the sole use of

the intended recipient(s) and contains confidential information.

Unauthorized use or disclosure is prohibited. If you are not the intended

recipient, you may not use, disclose, copy or disseminate this

information. If you are not the intended recipient, please contact the

sender immediately by reply email and destroy all copies of the original

message, including attachments.

> Cost relay health per month? Pt pay/you pay?

>

> Dr Levin

> FP solo Pittsburgh Pa

> Patient portals, web visits

> >

> >

> >

> > I am curious, who out there in the IMP world is using

> patient-provider email communication, patient portals, or is even

> doing web visits etc.?

> >

> > What software products are you using to accomplish this? Does the

> software or website directly interface with your EHR (i.e. the email

> shows up in your EHR inbox etc.) or is it a stand-alone product?

> >

> > Who offers his patients an online Personal Health Record? Do you

> charge for this service in order to pay for the costs?

> >

> > Marius

> >

> >

>

>

>

>

[Guest guest]

Dear Marius, We do all of the above at St. Luke's including online scheduling by patients. We do not charge separately for the web visits as we are a pre-paid entity. You may check out our website at www.stlukesfp.org. You may log on as a "Benefactor" and use my Username "59" and Password "Forester" but PLEASE CANCEL ANY APPOINTMENTS YOU MAKE before leaving the website. Our website, schedule and portal was all designed by a local firm http://www.bluesunstudios.com for a modest cost -- I don't recall exactly, but it was rolled into webhosting and other associated items. Maybe all three components for around $3500. We bartered for some of the expense. Additionally, our practice database is loaded into our PMS and EHR from the website. The "Account Info" is modifiable by

the patient's themselves, the data from the website is refreshed periodically from the website --> Patient Management Software (AMS) --> EHR (Chartware) by unidirectional interfaces. The same data also is dumped to RJ's and my Treos, so we have all the data up to date with us all the time. This was another expense that was largely bartered for. Initially we thought we would link it directly to the EMR but after using it for a while decided not to -- some things they wanted to tell us were not appropriate for the record (i.e. innocent things like jokes, personal items, comments about events of the day, etc.) When we want something in the record that wither we or they have generated, we cut and paste selectively. Our EMR (ChartWare) is promising to provide a Personal Health Summary compatible with all of the HL7 requirements but I haven't seen or heard anything yet. Bob Forester mllaumans wrote: I am curious, who out there in the IMP world is using patient-provider email communication, patient portals, or is even doing web visits etc.?What software products are you using to accomplish this? Does the software or website directly interface with your EHR (i.e. the email shows up in your EHR inbox etc.) or is it a stand-alone product? Who offers his patients an online Personal Health Record? Do you charge for this service in order to pay for the

costs?Marius

Have a burning question? Go to Yahoo! Answers and get answers from real people who know.