tag:blogger.com,1999:blog-20382865.post2912935897403008146..comments2023-05-19T05:11:35.329-04:00Comments on Dr. Greiver's EMR: Having fun with the EMRMichelle Greiverhttp://www.blogger.com/profile/15528486116262255346noreply@blogger.comBlogger2125tag:blogger.com,1999:blog-20382865.post-22129621657707778752007-01-23T17:47:00.000-05:002007-01-23T17:47:00.000-05:00I have the same issue, on a smaller scale, at my o...I have the same issue, on a smaller scale, at my office; my practice partner will not adopt EMR and continues to be fully paper based. We discussed this extensively at the beginning, and agreed to share the scheduling and billing modules (front office).<br /><br />I think you will continue to have hybrid practices for now. There is little to no point in trying to push colleagues who do not want to go to EMR; the value is in helping those that do. It's a bit like the stages of change model. I think you likely know your practice partners well enough to guess where they are at. <br /><br />What we'll need to do is to make sure that the hybrid practices work as well as they can.<br />1. Billing/scheduling through single system<br />2. in a 9 physician office, it may be possible to split into 3 groups of 3, and assign staff to be EMR (3 physicians), dual (3), and paper only (3); there will be some overlap depending on your practice staffing arrangements, but there should be a way to assign primary responsibility to staff. It may be worthwhile getting a MD management practice consultant in for advice.<br /><br />In the future, you may well see practice rearrangement, when leases come up. Physicians adopting EMR may well prefer to join others that are like-minded.<br /><br />I hope this helps. We can try to change what we can, and have to accept (and manage) what we can't.<br /><br />MichelleMichelle Greiverhttps://www.blogger.com/profile/15528486116262255346noreply@blogger.comtag:blogger.com,1999:blog-20382865.post-77949302531648931972007-01-23T00:25:00.000-05:002007-01-23T00:25:00.000-05:00Strangely, I had a patient come into my EMR equipp...Strangely, I had a patient come into my EMR equipped office today and tell me that she works for Nightingale. I mentioned your name and she lauded your praises. I am finding that the main difficulty is not in harnessing the power of the EMR but getting my 9 colleagues in the office to do the same. I have been an early IT adopter and tried to do everything through the EMR but I have people at different stages. There are a 3 of us doing prescriptions, notes, reviewing labs, remotely faxing consults (basically everything) on the computer. We then have others that use the EMR only for prescriptions and still paper chart everything. Then we have others that refuse to use electronic labs. And others don't use the remote faxing. My staff find the situation confusing and inefficient. Some of the doctors don't seem particularly interested in changing or investing time to learn the process. Barriers mentioned are: time, lack of computer knowledge, poor typing skills. I end up feeling frustrated. Any suggestions on encouraging change in others?Anonymousnoreply@blogger.com