Guest guest Posted April 17, 2007 Report Share Posted April 17, 2007 Link to the article here: http://www.nytimes.com/2007/04/16/nyregion/16info.htmlI have been trying eRxNow for the past few weeks and it seems to work as advertised. I asked them about confidentiality and the potential tracking of prescribing data and someone from Allscripts responded: "The information is not shared or tracked at anytime." Of course, it doesn't say anything about future uses. SetoSouth Pasadena, CACan we see article?Remember that allscripts is "giving out" free eprescribing but hidden support costs... Dr Matt LevinFamily MedicinePittsburgh PaDr_Levincomcast (DOT) net Office Fax. More about me--Using SOAPware since 1997Solo Practice started Dec 1st 2004 in Greensburg PA, east of PittsburghPart-time practice technology consultant NY times reportthe nytimes said today that teh City of NY is distributing free to 1500practices the software for E clinical works so there can beinteroperability and the safety features of an electronic medical record interesting. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 17, 2007 Report Share Posted April 17, 2007 Can we see article? Remember that allscripts is "giving out" free eprescribing but hidden support costs... Dr Matt LevinFamily MedicinePittsburgh PaDr_Levin@... Office Fax. More about me--Using SOAPware since 1997Solo Practice started Dec 1st 2004 in Greensburg PA, east of PittsburghPart-time practice technology consultant NY times report the nytimes said today that teh City of NY is distributing free to 1500practices the software for E clinical works so there can beinteroperability and the safety features of an electronic medical record interesting. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 17, 2007 Report Share Posted April 17, 2007 As a born skeptic, I must say that somebody is paying, and if they are not extracting money from us on the front end then they are extracting the data and getting money from the Pharm industry on the back side. Not sure about the NY e-clinical works project, but I'm sure there is some similar end around the money bit, b/c I'm sure NYC didn't just decide to fund EMR ou of patient saftey concerns. Wilmington, NC New to the group, been reviewing the past discussions a bit, look forward to chiming in from time to time. --- Seto wrote: > Link to the article here: > http://www.nytimes.com/2007/04/16/nyregion/ > 16info.html > > I have been trying eRxNow for the past few weeks and > it seems to work > as advertised. I asked them about confidentiality > and the potential > tracking of prescribing data and someone from > Allscripts responded: > " The information is not shared or tracked at > anytime. " Of course, it > doesn't say anything about future uses. > > Seto > South Pasadena, CA > > > > > > > Can we see article? > > Remember that allscripts is " giving out " free > eprescribing but > > hidden support costs... > > > > Dr Matt Levin > > Family Medicine > > Pittsburgh Pa > > Dr_Levin@... > > Office > > Fax. > > > > More about me-- > > Using SOAPware since 1997 > > Solo Practice started Dec 1st 2004 in Greensburg > PA, east of > > Pittsburgh > > Part-time practice technology consultant > > NY times report > > > > > > the nytimes said today that teh City of NY is > distributing free to > > 1500 > > practices the software for E clinical works so > there can be > > interoperability and the safety features of an > electronic medical > > record > > > > interesting. > > > > > > > > __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 17, 2007 Report Share Posted April 17, 2007 More info... http://tinyurl.com/2vbnw9 New York City Department of Health and Mental Hygiene Selects eClinicalWorks Unified EMR/PM Solution $19.8 Million Deal Brings Integrated System to 1300 Physicians City-wide with Possibility of Expansion WESTBOROUGH, Mass.--(BUSINESS WIRE)--eClinicalWorksT, a market leader in unified EMR/PM systems, today announced that the New York City Department of Health and Mental Hygiene has chosen eClinicalWorks unified electronic medical records (EMR) and practice management (PM) in a $19.8 million deal as part of its Primary Care Information Project (PCIP) initiative. Initially, 1300 physicians serving the City's neediest communities are implementing eClinicalWorks EMR/PM, with the potential of expanding to additional providers. Participating physicians will also have access to eClinicalWorks Patient Portal to engage City physicians and their patients in more effective medical management. PCIP is part of a $27 million Mayor Bloomberg initiative to improve the quality and efficiency of healthcare in New York City and has been established to support the adoption and use of prevention-oriented electronic health records (EHRs) primarily among providers who care for the city's underserved and vulnerable populations. Recipients of eClinicalWorks software will initially be primary care providers from outpatient practices including Community Health Centers, correctional facilities at Riker's Island and hospital-affiliated outpatient ambulatory care networks. Electronic health records help patients by speeding diagnosis, minimizing costly and life-threatening medical errors, and discouraging unnecessary tests and procedures. Doctors can know instantly who is overdue for screening or immunization, and who needs extra attention. EHRs have the potential to dramatically improve preventive care and close the gap on health disparities. " Using EHRs in primary care could actually improve people's health, " said Dr. Farzad Mostashari, Assistant New York City Health Commissioner directing the City's Primary Care Information Project. " They improve care and place much-needed emphasis on preventive medicine. We are pleased to be working with eClinicalWorks to bring this critical technology to the New Yorkers who need it most. " New York City Mayor Bloomberg has voiced strong support for EHRs. " We need to make EHRs as standard as stethoscopes in doctors' offices across the country, " he said in a recent health policy speech. " That's because the essence of preventive care is information - information that patients, doctors, and other healthcare workers need so they can make the right decisions, at the right times. " As part of PCIP, the City will purchase licenses from eClinicalWorks, which will then be deployed in individual practices fitting a predetermined criteria set by the project. Using eClinicalWorks EMR/PM, primary care physicians in the City will be able to monitor and better manage chronic care for patients, and promote patient safety while reducing costs. " New York City is known for being at the forefront of many innovative initiatives, promising that this project will be watched nationally, " said Girish Kumar Navani, president of eClinicalWorks. " We will develop a Take Care New York (TCNY) version of the product, incorporating all of TCNY's measures and a radically new way for managing chronic care. These new features will become part of our core product, further distinguishing our EMR and benefiting all primary care doctors across the United States. In addition, Patient Portal will be deployed to improve patient/physician communication. " eClinicalWorks will be opening an office in Manhattan to centrally manage this initiative. We are confident that this additional location will help stimulate our growing business. " ============================================================================ = NY times report the nytimes said today that teh City of NY is distributing free to 1500 practices the software for E clinical works so there can be interoperability and the safety features of an electronic medical record interesting. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 17, 2007 Report Share Posted April 17, 2007 Question: What do you get when you give a dysfunctional practice an electronic medical record? Answer: A dysfunctional practice with an electronic medical record. Not to be too pessimistic, but my belief is that it is not the medical record that transforms a practice into something that is patient-centered and offers wonderful care. The emr can only augment that process. The administrators, doctors, nurses, employees and to some degree the patients all have to come together to re-evaluate how the care is delivered and then figure out the best way to get to a better point. Most offices will never go through that step. After all, when you don’t have time to even sit down during the day, how much time do you have to ponder how to transform the practice? Technology is a means to an end, it is not the end itself…but that is just my opinion. Re: NY times report Link to the article here: http://www.nytimes.com/2007/04/16/nyregion/16info.html I have been trying eRxNow for the past few weeks and it seems to work as advertised. I asked them about confidentiality and the potential tracking of prescribing data and someone from Allscripts responded: " The information is not shared or tracked at anytime. " Of course, it doesn't say anything about future uses. Seto South Pasadena, CA Can we see article? Remember that allscripts is " giving out " free eprescribing but hidden support costs... Dr Matt Levin Family Medicine Pittsburgh Pa Dr_Levincomcast (DOT) net Office Fax. More about me-- Using SOAPware since 1997 Solo Practice started Dec 1st 2004 in Greensburg PA, east of Pittsburgh Part-time practice technology consultant NY times report the nytimes said today that teh City of NY is distributing free to 1500 practices the software for E clinical works so there can be interoperability and the safety features of an electronic medical record interesting. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 17, 2007 Report Share Posted April 17, 2007 - I second that thought. The EMR is a tool for improving medical care. I don't think it is an improvement in and of itself. However, the other side of the coin is that such a grant can be remarkably helpful to those practices working hard to help their patients which are ready to make a step forward. For those, the support to integrate an EMR, with training, etc, could have a great benefit for the providers/staff and patients. I applaud NYC for making the effort and looking to improve the system. And I truely hope it helps the many thousands of folks working in and getting care from that heavily-burdened health system. Many of those people are saints and I'm glad they may have an opportunity to get a " tool " that may help. 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. > Question: What do you get when you give a dysfunctional practice an > electronic medical record? > Answer: A dysfunctional practice with an electronic medical record. > > Not to be too pessimistic, but my belief is that it is not the medical > record that transforms a practice into something that is > patient-centered and offers wonderful care. The emr can only augment > that process. The administrators, doctors, nurses, employees and to some > degree the patients all have to come together to re-evaluate how the > care is delivered and then figure out the best way to get to a better > point. Most offices will never go through that step. After all, when you > don't have time to even sit down during the day, how much time do you > have to ponder how to transform the practice? Technology is a means to > an end, it is not the end itself.but that is just my opinion. > > > Re: NY times report > > Link to the article here: http://www.nytimes. > <http://www.nytimes.com/2007/04/16/nyregion/16info.html> > com/2007/04/16/nyregion/16info.html > > I have been trying eRxNow for the past few weeks and it seems to work as > advertised. I asked them about confidentiality and the potential > tracking of prescribing data and someone from Allscripts responded: " The > information is not shared or tracked at anytime. " Of course, it doesn't > say anything about future uses. > > Seto > South Pasadena, CA > > > > > > > Can we see article? > Remember that allscripts is " giving out " free eprescribing but hidden > support costs... > > Dr Matt Levin > Family Medicine > Pittsburgh Pa > Dr_Levin@... > Office > Fax. > > More about me-- > Using SOAPware since 1997 > Solo Practice started Dec 1st 2004 in Greensburg PA, east of Pittsburgh > Part-time practice technology consultant > NY times report > > > the nytimes said today that teh City of NY is distributing free to 1500 > practices the software for E clinical works so there can be > interoperability and the safety features of an electronic medical record > > > interesting. > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 17, 2007 Report Share Posted April 17, 2007 Tim, I’m not trying to be negative about the movement. I agree that providing emrs to doctors’ offices will help in some aspects (cross-checking meds and allergies is a perfect example), but I think you quickly hit a barrier which cannot be passed unless you have time to refocus on the doctor-patient relationship. Docs who see >30% Medicaid are likely running on the treadmill at a very fast pace trying to stay upright. I just don’t know how much bang these docs can get for the NY buck. As for the docs/nurses/etc, I also think the world of them and hope this purchase plan helps out a lot. Only time will tell. Re: NY times report > > Link to the article here: http://www.nytimes. > <http://www.nytimes.com/2007/04/16/nyregion/16info.html> > com/2007/04/16/nyregion/16info.html > > I have been trying eRxNow for the past few weeks and it seems to work as > advertised. I asked them about confidentiality and the potential > tracking of prescribing data and someone from Allscripts responded: " The > information is not shared or tracked at anytime. " Of course, it doesn't > say anything about future uses. > > Seto > South Pasadena, CA > > > > > > > Can we see article? > Remember that allscripts is " giving out " free eprescribing but hidden > support costs... > > Dr Matt Levin > Family Medicine > Pittsburgh Pa > <mailto:Dr_Levincomcast (DOT) net> Dr_Levincomcast (DOT) net > Office > Fax. > > More about me-- > Using SOAPware since 1997 > Solo Practice started Dec 1st 2004 in Greensburg PA, east of Pittsburgh > Part-time practice technology consultant > NY times report > > > the nytimes said today that teh City of NY is distributing free to 1500 > practices the software for E clinical works so there can be > interoperability and the safety features of an electronic medical record > > > interesting. > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 17, 2007 Report Share Posted April 17, 2007 I agree with Dr. Brady- I work in a dysfunctional practice that has EMR. It has been a nightmare! It has hindered my care to the patient because it has tripled my charting time and I STILL have a whole lot of paper to deal with. Bless those practices in NYC! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 17, 2007 Report Share Posted April 17, 2007 I like to say that getting a free electronic health record is like getting a free baby elephant. > > > > > > > > > > Can we see article? > > Remember that allscripts is " giving out " free eprescribing but hidden > > support costs... > > > > Dr Matt Levin > > Family Medicine > > Pittsburgh Pa > > <mailto:Dr_Levincomcast (DOT) <mailto:Dr_Levin%40comcast.net> net> > Dr_Levincomcast (DOT) <mailto:Dr_Levin%40comcast.net> net > > Office > > Fax. > > > > More about me-- > > Using SOAPware since 1997 > > Solo Practice started Dec 1st 2004 in Greensburg PA, east of > Pittsburgh > > Part-time practice technology consultant > > NY times report > > > > > > the nytimes said today that teh City of NY is distributing free to > 1500 > > practices the software for E clinical works so there can be > > interoperability and the safety features of an electronic medical > record > > > > > > interesting. > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 17, 2007 Report Share Posted April 17, 2007 Yes, I think we're like-minded on this case. I'm hoping the EMR effort helps in some ways. But I totally agree that the patient-doctor relationship is really what will make our health care system improve, and is basically the best part of IMP-like practices. .... now back to dealing with a leaking roof... right next to my desk where I meet with patients. The whole flat roof of the mall my office is in is leaking -- very frustrating! 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'm not trying to be negative about the movement. I agree that providing > emrs to doctors' offices will help in some aspects (cross-checking meds > and allergies is a perfect example), but I think you quickly hit a > barrier which cannot be passed unless you have time to refocus on the > doctor-patient relationship. Docs who see >30% Medicaid are likely > running on the treadmill at a very fast pace trying to stay upright. I > just don't know how much bang these docs can get for the NY buck. As > for the docs/nurses/etc, I also think the world of them and hope this > purchase plan helps out a lot. Only time will tell. > > > Re: NY times report >> >> Link to the article here: http://www.nytimes. >> <http://www.nytimes. > <http://www.nytimes.com/2007/04/16/nyregion/16info.html> > com/2007/04/16/nyregion/16info.html> >> com/2007/04/16/nyregion/16info.html >> >> I have been trying eRxNow for the past few weeks and it seems to work > as >> advertised. I asked them about confidentiality and the potential >> tracking of prescribing data and someone from Allscripts responded: > " The >> information is not shared or tracked at anytime. " Of course, it > doesn't >> say anything about future uses. >> >> Seto >> South Pasadena, CA >> >> >> >> >> >> >> Can we see article? >> Remember that allscripts is " giving out " free eprescribing but hidden >> support costs... >> >> Dr Matt Levin >> Family Medicine >> Pittsburgh Pa >> <mailto:Dr_Levincomcast (DOT) <mailto:Dr_Levin%40comcast.net> net> > Dr_Levincomcast (DOT) <mailto:Dr_Levin%40comcast.net> net >> Office >> Fax. >> >> More about me-- >> Using SOAPware since 1997 >> Solo Practice started Dec 1st 2004 in Greensburg PA, east of > Pittsburgh >> Part-time practice technology consultant >> NY times report >> >> >> the nytimes said today that teh City of NY is distributing free to > 1500 >> practices the software for E clinical works so there can be >> interoperability and the safety features of an electronic medical > record >> >> >> interesting. >> >> >> > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 18, 2007 Report Share Posted April 18, 2007 Or possibly a new four wheel drive vehicle that lets you get stuck in places you never dreamed of even going before. Which happened to me once: I was stuck up to my four wheel drive axles in a marsh on a mountain top at a radar station working for the DEW system in Alaska in 1972: forbidden to all outsiders...that rusty fence with the "warning" sign was barely readable..sort of like the small print on the EMR guide. I know one small three man practice that nearly went bankrupt in the process of putting in an EMR system...no payment for months, lost records, no continuity, on and on and on.... From Joanne, the MD in Drain, Oregon l_spikol wrote: I like to say that getting a free electronic health record is like getting a free baby elephant.> >> >> >> >> > Can we see article?> > Remember that allscripts is "giving out" free eprescribing but hidden> > support costs...> >> > Dr Matt Levin> > Family Medicine> > Pittsburgh Pa> > <mailto:Dr_Levincomcast (DOT) <mailto:Dr_Levin%40comcast.net> net>> Dr_Levincomcast (DOT) <mailto:Dr_Levin%40comcast.net> net> > Office > > Fax. > >> > More about me--> > Using SOAPware since 1997> > Solo Practice started Dec 1st 2004 in Greensburg PA, east of> Pittsburgh> > Part-time practice technology consultant> > NY times report> >> >> > the nytimes said today that teh City of NY is distributing free to> 1500> > practices the software for E clinical works so there can be> > interoperability and the safety features of an electronic medical> record> >> >> > interesting.> >> >> >> Ahhh...imagining that irresistible "new car" smell? Check out new cars at Yahoo! Autos. Quote Link to comment Share on other sites More sharing options...
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