Re: Interoperability, technology and collaboration

[Guest guest]

Gordon,

I fear I would be completely lost in a

forum like the one you mentioned. When Larry and the others start talking

computer stuff, I enter my “happy place” and daze out a bit. Will

this forum be something helpful for those of us with ideas but less technical

expertise or will it be more for those who are constantly trying to integrate this

piece of hardware with that piece of software? I only ask as my computer system

(e-MDs) is integrated already, has an ever improving searchable database, and

is supposed to be getting a secure e-mail function this coming year. So, I’m

not certain how many of the different other functions I might need. What are

your thoughts? Thanks!

Interoperability, technology and collaboration

Lynn Ho is pushing the envelope on what she can do in her practice to

make it all work: excellent clinical outcomes plus patient

satisfaction plus a vital and sustainable practice.

The three big problems that we must solve to achieve the goal are:

1: New modes of practice/process that result in better outcomes

2: Technology that works to support #1

3: Finances that better align with the goal and better support the work

Each of these deserve careful thought and consideration, and all must

work together to achieve the goal. While somewhat artificial, I'd

like to focus for the moment on technology and its support of our goal.

Our group has many IT solutions and it is difficult to get past

personal testimonial to a deeper understanding of what works. We

must find some way of better pooling our knowledge so that we may as

a group learn and achieve more.

From time to time I find a technologic solution that appears

unique. www.HowsYourHealth.org is one such example. I've been

impressed by the testimonials in support of Amazing Charts, EZclaims,

UpDox, Instant Medical History.

I'd like to create some group presence in the marketplace to help

encourage continued innovation in IT that supports what we do and

potentially gives us discounts etc. I'll work with folks to explore

business models that might allow us to work together on these

things. Anyone interested in helping set something up, let me know.

I've asked UpDox folks to work on some very specific IT support of

the work we're doing in the IMP project. These guys have been very

supportive of our work, solving some thorny integration

problems. We've set up a Yahoogroup specifically for IMPs to

collaborate with them on how to improve IT solutions in our

practice. I encourage all to jump on and lend a hand:

mypracticetools-subscribe

Gordon

[Guest guest]

Keep the happy place whole. Jump into any sub-group if you have a

burning interest.

Our group is big enough that we don't need each individual to weigh in on

every aspect. Speak to your strength and interest, follow what

motivates you in practice.

One of the things I'd like us to create is a searchable pool of our

combined experiences, and to find some structure that takes it out of

pure anecdote and into something a bit more robust.

I'm hoping that this new group can help us all move ahead, and that we as

a group continue to explore ways of making this group greater than the

sum of the parts. I see us like a Dairy ative. One of

our strengths is our knowledge of what works. Let's put it to

use.

Gordon

At 03:31 PM 12/28/2006, you wrote:

Gordon,

I fear I would be completely lost in a forum

like the one you mentioned. When Larry and the others start talking

computer stuff, I enter my “happy place” and daze out a bit. Will this

forum be something helpful for those of us with ideas but less technical

expertise or will it be more for those who are constantly trying to

integrate this piece of hardware with that piece of software? I only ask

as my computer system (e-MDs) is integrated already, has an ever

improving searchable database, and is supposed to be getting a secure

e-mail function this coming year. So, I’m not certain how many of the

different other functions I might need. What are your thoughts?

Thanks!

Interoperability, technology and

collaboration

Lynn Ho is pushing the envelope on

what she can do in her practice to

make it all work: excellent clinical outcomes plus patient

satisfaction plus a vital and sustainable practice.

The three big problems that we must solve to achieve the goal are:

1: New modes of practice/process that result in better outcomes

2: Technology that works to support #1

3: Finances that better align with the goal and better support the

work

Each of these deserve careful thought and consideration, and all must

work together to achieve the goal. While somewhat artificial, I'd

like to focus for the moment on technology and its support of our

goal.

Our group has many IT solutions and it is difficult to get past

personal testimonial to a deeper understanding of what works. We

must find some way of better pooling our knowledge so that we may as

a group learn and achieve more.

From time to time I find a technologic solution that appears

unique.

www.HowsYourHealth.org is one such example. I've been

impressed by the testimonials in support of Amazing Charts, EZclaims,

UpDox, Instant Medical History.

I'd like to create some group presence in the marketplace to help

encourage continued innovation in IT that supports what we do and

potentially gives us discounts etc. I'll work with folks to explore

business models that might allow us to work together on these

things. Anyone interested in helping set something up, let me

know.

I've asked UpDox folks to work on some very specific IT support of

the work we're doing in the IMP project. These guys have been very

supportive of our work, solving some thorny integration

problems. We've set up a Yahoogroup specifically for IMPs to

collaborate with them on how to improve IT solutions in our

practice. I encourage all to jump on and lend a hand:

mypracticetools-subscribe

Gordon

[Guest guest]

I like the sound of this. I’m

clueless on the Dairy ative analogy however. I think many of us are

interested in creating/maintaining a credible, easily searchable database of

our collective wisdom. How do we craft such a beast? We had

discussed a ‘training manual’ of sorts before. A continually

growing digital resource would be awesome!

A. Eads, M.D.

Pinnacle Family Medicine, PLLC

phone fax

P.O.

Box 7275

Woodland

Park, CO 80863

From: [mailto: ] On Behalf Of L. Gordon

Sent: Thursday, December 28, 2006

1:56 PM

To:

Subject: RE:

Interoperability, technology and collaboration

Keep the happy place whole. Jump into any

sub-group if you have a burning interest.

Our group is big enough that we don't need each individual to weigh in on every

aspect. Speak to your strength and interest, follow what motivates you in

practice.

One of the things I'd like us to create is a searchable pool of our combined

experiences, and to find some structure that takes it out of pure anecdote and

into something a bit more robust.

I'm hoping that this new group can help us all move ahead, and that we as a

group continue to explore ways of making this group greater than the sum of the

parts. I see us like a Dairy ative. One of our strengths is

our knowledge of what works. Let's put it to use.

Gordon

At 03:31 PM 12/28/2006, you wrote:

..

[Guest guest]

Yeah, I think IT is a good place to start. Because of this list, I was

able to setup a basic system for emr/patient communication/phones-VM-fax

online which is still serving me just fine without a change over

10months(though I'm about to start using UpDox I think).

I think the second part of the puzzle would be billing methods which is

something I'm still trying to get better at.

Finally, I think it's important to remember, and then remind ourselves

over and over, that the IT stuff and billing and any other technology are

just tools to help us get back to the patients, provide great care and

balance that effort as part of the lives we design.

By the way, I'm solo-solo and running on just one laptop with external

harddrive backup.

I've described before but for the sake of the current topic I'll review

that I use a variation of the Gwen- model with AC / AppointmentQuest

/ EZClaim / OneBox, but I also use RelayHealth for messaging and

prescriptions. I keep a separate filetree in Word of all my patients'

faxes and anything I scan ... but will be adding UpDox soon so I may

change that. I use a single land line for phone/internet. All calls

(telephone or fax) are automatically directed to my online OneBox account

so I can check VM or faxes from anywhere I can access WWW. If I'm needed

emergently, my cell phone number is on my VM message.

I, along with my wife and kids, clean the office ... and it's by far the

cleanest and neatest office I've ever worked in! (I'm NOT a clean-freak

and at my last office was famous for a remarkably messy desk with piles

and piles of paper ... I love the computer/scanner/shredder combo!). I

have a small front room (I don't call it a " waiting room " anymore), a big

exam room (pts sit next to my desk in comfortable recliners and I do about

90% of my exams with the patients in them but have a massage table for

other exams behind a curtain).

I'm striving to thrive with a solo-solo Robin Hood model of relatively

part time family medicine (6-10 pts/day... personally I can't imagine

being solo-solo with any more than that) that takes private insurances as

well as medicare/medicaid AND also have aesthetic services with laser

(hair removal-spider veins-skin tightening), Obagi products and will soon

add Botox... and plan to add peels in 6-9 months. FYI, I have a special

interest in health care for the Deaf and about 30% of my patients are from

the local Deaf population and I'm a consultant for the National Center for

Deaf Health Research, a CDC funded center at the Univ of Rochester.

Finances are very tight right now (open 9months) but moving in the right

direction with the goal to be nicely profitable in the next 3-6 months and

start knocking down my big debts. My family medicine schedule has

plateaued a bit at about 6/day (still slowly increasing month to month)

but the aesthetics has picked up since I started promoting/marketing it 3

months ago (using about $2000/month on that... and it pays off to

advertise).

I apologize if this info is redundant for many of you as I know I've

outlined it before, at least in pieces among other discussions, but I

figured there may be some new folks who get to see the " whole picture " of

how I at least have set up my little world. And, as mentions, it's

awesome to know how we've all found our own solutions and practices!

Happy New Year! I hope it is a healthy and joyful year for all of us.

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.

> I am just getting caught up on the last few days emails. I am

> absolutely blown away at the collective IT knowledge base of this

> group! We all have created our own solutions specific to our

> personal needs. Where I think there is tremendous value is tapping

> into our collective experience to identify some basic setups that could

> de-mystify the start-up process for a would be IMP. I am

> constantly getting questions from graduating residents from my

> residency that are in need of specific guideance.

> I am wondering if all of the IT talk around servers and networks is not

> where we should start. How many of us are doing fine running a

> practice on a single desktop or laptop? Wouldn't it be helpful for us

> to focus on the IT solutions that improve worflow and patient

> communication? Applying those solutions to a network/server are

> simply scalability issues depending on employees and the structure of

> an office.

>

>

>>

>> Lynn Ho is pushing the envelope on what she can do in her practice

> to

>> make it all work: excellent clinical outcomes plus patient

>> satisfaction plus a vital and sustainable practice.

>>

>> The three big problems that we must solve to achieve the goal are: 1:

>> New modes of practice/process that result in better outcomes

>> 2: Technology that works to support #1

>> 3: Finances that better align with the goal and better support the

> work

>>

>> Each of these deserve careful thought and consideration, and all

> must

>> work together to achieve the goal. While somewhat artificial, I'd

>> like to focus for the moment on technology and its support of our

> goal.

>>

>> Our group has many IT solutions and it is difficult to get past

>> personal testimonial to a deeper understanding of what works. We

>> must find some way of better pooling our knowledge so that we may

> as

>> a group learn and achieve more.

>>

>> From time to time I find a technologic solution that appears

>> unique. www.HowsYourHealth.org is one such example. I've been

>> impressed by the testimonials in support of Amazing Charts,

> EZclaims,

>> UpDox, Instant Medical History.

>>

>> I'd like to create some group presence in the marketplace to help

>> encourage continued innovation in IT that supports what we do and

>> potentially gives us discounts etc. I'll work with folks to

> explore

>> business models that might allow us to work together on these

>> things. Anyone interested in helping set something up, let me know.

>>

>> I've asked UpDox folks to work on some very specific IT support of

>> the work we're doing in the IMP project. These guys have been very

>> supportive of our work, solving some thorny integration

>> problems. We've set up a Yahoogroup specifically for IMPs to

>> collaborate with them on how to improve IT solutions in our

>> practice. I encourage all to jump on and lend a hand:

>> mypracticetools-subscribe

>>

>> Gordon

>>

>

>

>

>

>

>

[Guest guest]

Thanks Tim! As a future IMPer, I love to see how everyone does it and

welcome postings on wikipedia (if that would be possible).

blessings for a great new year, Evan

> >>

> >> Lynn Ho is pushing the envelope on what she can do in her practice

> > to

> >> make it all work: excellent clinical outcomes plus patient

> >> satisfaction plus a vital and sustainable practice.

> >>

> >> The three big problems that we must solve to achieve the goal are: 1:

> >> New modes of practice/process that result in better outcomes

> >> 2: Technology that works to support #1

> >> 3: Finances that better align with the goal and better support the

> > work

> >>

> >> Each of these deserve careful thought and consideration, and all

> > must

> >> work together to achieve the goal. While somewhat artificial, I'd

> >> like to focus for the moment on technology and its support of our

> > goal.

> >>

> >> Our group has many IT solutions and it is difficult to get past

> >> personal testimonial to a deeper understanding of what works. We

> >> must find some way of better pooling our knowledge so that we may

> > as

> >> a group learn and achieve more.

> >>

> >> From time to time I find a technologic solution that appears

> >> unique. www.HowsYourHealth.org is one such example. I've been

> >> impressed by the testimonials in support of Amazing Charts,

> > EZclaims,

> >> UpDox, Instant Medical History.

> >>

> >> I'd like to create some group presence in the marketplace to help

> >> encourage continued innovation in IT that supports what we do and

> >> potentially gives us discounts etc. I'll work with folks to

> > explore

> >> business models that might allow us to work together on these

> >> things. Anyone interested in helping set something up, let me know.

> >>

> >> I've asked UpDox folks to work on some very specific IT support of

> >> the work we're doing in the IMP project. These guys have been very

> >> supportive of our work, solving some thorny integration

> >> problems. We've set up a Yahoogroup specifically for IMPs to

> >> collaborate with them on how to improve IT solutions in our

> >> practice. I encourage all to jump on and lend a hand:

> >> mypracticetools-subscribe

> >>

> >> Gordon

> >>

> >

> >

> >

> >

> >

> >

[Guest guest]

Tim,

What kind of recliners do you use for your patients? I looked a

little and it seemed the ones I found were hard for older patients to get

out of? Have you had any problems with that?

Thanks,

Sharon

At 02:30 PM 12/31/2006, you wrote:

Yeah, I think IT is a good place

to start. Because of this list, I was

able to setup a basic system for emr/patient

communication/phones-VM-fax

online which is still serving me just fine without a change over

10months(though I'm about to start using UpDox I think).

I think the second part of the puzzle would be billing methods which

is

something I'm still trying to get better at.

Finally, I think it's important to remember, and then remind

ourselves

over and over, that the IT stuff and billing and any other technology

are

just tools to help us get back to the patients, provide great care

and

balance that effort as part of the lives we design.

By the way, I'm solo-solo and running on just one laptop with

external

harddrive backup.

I've described before but for the sake of the current topic I'll

review

that I use a variation of the Gwen- model with AC /

AppointmentQuest

/ EZClaim / OneBox, but I also use RelayHealth for messaging and

prescriptions. I keep a separate filetree in Word of all my

patients'

faxes and anything I scan ... but will be adding UpDox soon so I may

change that. I use a single land line for phone/internet. All calls

(telephone or fax) are automatically directed to my online OneBox

account

so I can check VM or faxes from anywhere I can access WWW. If I'm

needed

emergently, my cell phone number is on my VM message.

I, along with my wife and kids, clean the office ... and it's by far

the

cleanest and neatest office I've ever worked in! (I'm NOT a

clean-freak

and at my last office was famous for a remarkably messy desk with

piles

and piles of paper ... I love the computer/scanner/shredder combo!).

I

have a small front room (I don't call it a " waiting room "

anymore), a big

exam room (pts sit next to my desk in comfortable recliners and I do

about

90% of my exams with the patients in them but have a massage table

for

other exams behind a curtain).

I'm striving to thrive with a solo-solo Robin Hood model of

relatively

part time family medicine (6-10 pts/day... personally I can't

imagine

being solo-solo with any more than that) that takes private insurances

as

well as medicare/medicaid AND also have aesthetic services with

laser

(hair removal-spider veins-skin tightening), Obagi products and will

soon

add Botox... and plan to add peels in 6-9 months. FYI, I have a

special

interest in health care for the Deaf and about 30% of my patients are

from

the local Deaf population and I'm a consultant for the National Center

for

Deaf Health Research, a CDC funded center at the Univ of

Rochester.

Finances are very tight right now (open 9months) but moving in the

right

direction with the goal to be nicely profitable in the next 3-6 months

and

start knocking down my big debts. My family medicine schedule has

plateaued a bit at about 6/day (still slowly increasing month to

month)

but the aesthetics has picked up since I started promoting/marketing it

3

months ago (using about $2000/month on that... and it pays off to

advertise).

I apologize if this info is redundant for many of you as I know I've

outlined it before, at least in pieces among other discussions, but

I

figured there may be some new folks who get to see the " whole

picture " of

how I at least have set up my little world. And, as mentions,

it's

awesome to know how we've all found our own solutions and

practices!

Happy New Year! I hope it is a healthy and joyful year for all of

us.

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.

> I am just getting caught up on the last few days emails. I am

> absolutely blown away at the collective IT knowledge base of

this

> group! We all have created our own solutions specific to our

> personal needs. Where I think there is tremendous value is

tapping

> into our collective experience to identify some basic setups that

could

> de-mystify the start-up process for a would be IMP. I am

> constantly getting questions from graduating residents from my

> residency that are in need of specific guideance.

> I am wondering if all of the IT talk around servers and networks is

not

> where we should start. How many of us are doing fine running a

> practice on a single desktop or laptop? Wouldn't it be helpful for

us

> to focus on the IT solutions that improve worflow and patient

> communication? Applying those solutions to a network/server are

> simply scalability issues depending on employees and the structure

of

> an office.

>

>

>>

>> Lynn Ho is pushing the envelope on what she can do in her

practice

> to

>> make it all work: excellent clinical outcomes plus patient

>> satisfaction plus a vital and sustainable practice.

>>

>> The three big problems that we must solve to achieve the goal

are: 1:

>> New modes of practice/process that result in better

outcomes

>> 2: Technology that works to support #1

>> 3: Finances that better align with the goal and better support

the

> work

>>

>> Each of these deserve careful thought and consideration, and

all

> must

>> work together to achieve the goal. While somewhat artificial,

I'd

>> like to focus for the moment on technology and its support of

our

> goal.

>>

>> Our group has many IT solutions and it is difficult to get

past

>> personal testimonial to a deeper understanding of what works.

We

>> must find some way of better pooling our knowledge so that we

may

> as

>> a group learn and achieve more.

>>

>> From time to time I find a technologic solution that

appears

>> unique.

www.HowsYourHealth.org is one such example. I've been

>> impressed by the testimonials in support of Amazing Charts,

> EZclaims,

>> UpDox, Instant Medical History.

>>

>> I'd like to create some group presence in the marketplace to

help

>> encourage continued innovation in IT that supports what we do

and

>> potentially gives us discounts etc. I'll work with folks to

> explore

>> business models that might allow us to work together on

these

>> things. Anyone interested in helping set something up, let me

know.

>>

>> I've asked UpDox folks to work on some very specific IT support

of

>> the work we're doing in the IMP project. These guys have been

very

>> supportive of our work, solving some thorny integration

>> problems. We've set up a Yahoogroup specifically for IMPs

to

>> collaborate with them on how to improve IT solutions in our

>> practice. I encourage all to jump on and lend a hand:

>>

mypracticetools-subscribe

>>

>> Gordon

>>

>

>

>

>

>

>

[Guest guest]

I got two recliners from Ruby-Gordon (local/?regional furniture store)

last year, $300 each. They have Queen Anne legs and burgundy fabric. They

are rather straight backed and not too cushioned. I do have a small

pillow in the room that some patients with back pain like to place for

lumbar support. Overall, I think they are a lot more comfortable for 95+%

of patients than the hard, straight, metal-framed chairs in my former

offices. And patients love it when I ask them to lean back and the chair

reclines sufficiently to do a basic abdominal exam (for any significant

symptoms I use the regular table behind the curtain).

I certainly have some older patients though fewer than in my former

practice. Most do not seem to have a problem. I have pulled out a

simpler, firmer, straighter chair (with metal frame design) for a couple

patients. I also have a folding, basic wheelchair for some families to

bring in older, frailer patients (I'm in a mall, so the walk from the

parking lot can be hard... families come and get the chair to bring in

patient from car). So some patients have been examined while sitting in

that too.

By the way, when sitting normally, few patients actually lean their heads

back and touch the top of the chair. But if I'm going to recline them, I

place a disposable, single use cloth at the top of the chair to limit any

hair contact. The clothes are like on an airliner (but thicker) and I

bought a box with a few hundred from my McKesson rep (don't recall the

price).

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,

> What kind of recliners do you use for your patients? I looked a

> little and it seemed the ones I found were hard for older patients to

> get out of? Have you had any problems with that?

> Thanks,

> Sharon

>

> At 02:30 PM 12/31/2006, you wrote:

>

>>Yeah, I think IT is a good place to start. Because of this list, I was

>> able to setup a basic system for emr/patient

>> communication/phones-VM-fax online which is still serving me just fine

>> without a change over

>>10months(though I'm about to start using UpDox I think).

>>

>>I think the second part of the puzzle would be billing methods which is

>> something I'm still trying to get better at.

>>

>>Finally, I think it's important to remember, and then remind ourselves

>> over and over, that the IT stuff and billing and any other technology

>> are just tools to help us get back to the patients, provide great care

>> and balance that effort as part of the lives we design.

>>

>>By the way, I'm solo-solo and running on just one laptop with external

>> harddrive backup.

>>

>>I've described before but for the sake of the current topic I'll review

>> that I use a variation of the Gwen- model with AC /

>> AppointmentQuest / EZClaim / OneBox, but I also use RelayHealth for

>> messaging and

>>prescriptions. I keep a separate filetree in Word of all my patients'

>> faxes and anything I scan ... but will be adding UpDox soon so I may

>> change that. I use a single land line for phone/internet. All calls

>> (telephone or fax) are automatically directed to my online OneBox

>> account so I can check VM or faxes from anywhere I can access WWW. If

>> I'm needed emergently, my cell phone number is on my VM message.

>>

>>I, along with my wife and kids, clean the office ... and it's by far

>> the cleanest and neatest office I've ever worked in! (I'm NOT a

>> clean-freak and at my last office was famous for a remarkably messy

>> desk with piles and piles of paper ... I love the

>> computer/scanner/shredder combo!). I have a small front room (I don't

>> call it a " waiting room " anymore), a big exam room (pts sit next to my

>> desk in comfortable recliners and I do about 90% of my exams with the

>> patients in them but have a massage table for other exams behind a

>> curtain).

>>

>>I'm striving to thrive with a solo-solo Robin Hood model of relatively

>> part time family medicine (6-10 pts/day... personally I can't imagine

>> being solo-solo with any more than that) that takes private insurances

>> as well as medicare/medicaid AND also have aesthetic services with

>> laser (hair removal-spider veins-skin tightening), Obagi products and

>> will soon add Botox... and plan to add peels in 6-9 months. FYI, I have

>> a special interest in health care for the Deaf and about 30% of my

>> patients are from the local Deaf population and I'm a consultant for

>> the National Center for Deaf Health Research, a CDC funded center at

>> the Univ of Rochester.

>>

>>Finances are very tight right now (open 9months) but moving in the

>> right direction with the goal to be nicely profitable in the next 3-6

>> months and start knocking down my big debts. My family medicine

>> schedule has plateaued a bit at about 6/day (still slowly increasing

>> month to month) but the aesthetics has picked up since I started

>> promoting/marketing it 3 months ago (using about $2000/month on that...

>> and it pays off to advertise).

>>

>>I apologize if this info is redundant for many of you as I know I've

>> outlined it before, at least in pieces among other discussions, but I

>> figured there may be some new folks who get to see the " whole picture "

>> of how I at least have set up my little world. And, as mentions,

>> it's awesome to know how we've all found our own solutions and

>> practices!

>>

>>Happy New Year! I hope it is a healthy and joyful year for all of us.

>> 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

>>

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>>

>> > I am just getting caught up on the last few days emails. I am

>> > absolutely blown away at the collective IT knowledge base of this

>> group! We all have created our own solutions specific to our

>> > personal needs. Where I think there is tremendous value is tapping

>> into our collective experience to identify some basic setups that

>> could de-mystify the start-up process for a would be IMP. I am

>> > constantly getting questions from graduating residents from my

>> residency that are in need of specific guideance.

>> > I am wondering if all of the IT talk around servers and networks is

>> not where we should start. How many of us are doing fine running a

>> practice on a single desktop or laptop? Wouldn't it be helpful for

>> us to focus on the IT solutions that improve worflow and patient

>> > communication? Applying those solutions to a network/server are

>> simply scalability issues depending on employees and the structure

>> of an office.

>> >

>> >

>> >>

>> >> Lynn Ho is pushing the envelope on what she can do in her practice

>> > to

>> >> make it all work: excellent clinical outcomes plus patient

>> >> satisfaction plus a vital and sustainable practice.

>> >>

>> >> The three big problems that we must solve to achieve the goal are:

>> 1: New modes of practice/process that result in better outcomes

>> >> 2: Technology that works to support #1

>> >> 3: Finances that better align with the goal and better support the

>> > work

>> >>

>> >> Each of these deserve careful thought and consideration, and all

>> > must

>> >> work together to achieve the goal. While somewhat artificial, I'd

>> like to focus for the moment on technology and its support of our

>> > goal.

>> >>

>> >> Our group has many IT solutions and it is difficult to get past

>> personal testimonial to a deeper understanding of what works. We

>> must find some way of better pooling our knowledge so that we may

>> > as

>> >> a group learn and achieve more.

>> >>

>> >> From time to time I find a technologic solution that appears

>> >> unique. www.HowsYourHealth.org is one such example. I've been

>> impressed by the testimonials in support of Amazing Charts,

>> > EZclaims,

>> >> UpDox, Instant Medical History.

>> >>

>> >> I'd like to create some group presence in the marketplace to help

>> encourage continued innovation in IT that supports what we do and

>> potentially gives us discounts etc. I'll work with folks to

>> > explore

>> >> business models that might allow us to work together on these

>> things. Anyone interested in helping set something up, let me know.

>> >>

>> >> I've asked UpDox folks to work on some very specific IT support of

>> the work we're doing in the IMP project. These guys have been very

>> supportive of our work, solving some thorny integration

>> >> problems. We've set up a Yahoogroup specifically for IMPs to

>> >> collaborate with them on how to improve IT solutions in our

>> >> practice. I encourage all to jump on and lend a hand:

>> >>

>>

<mailto:mypracticetools-subscribe%40yahoogroups.com>mypracticetools-subscribe@ya\

hoogroups.com

>> >>

>> >> Gordon

>> >>

>> >

>> >

>> >

>> >

>> >

>> >