tag:blogger.com,1999:blog-20382865.post9119865012162556209..comments2023-05-19T05:11:35.329-04:00Comments on Dr. Greiver's EMR: Working with your EMR companyMichelle Greiverhttp://www.blogger.com/profile/15528486116262255346noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-20382865.post-42871523744563046422010-03-07T22:26:08.206-05:002010-03-07T22:26:08.206-05:00You know what, I agree with you. Sometimes they&#...You know what, I agree with you. Sometimes they're just thinking on what they want and not on what they really need.<br /><br />-njinternal medicine emrhttp://www.acrendo.com/internal-medicine-emrnoreply@blogger.comtag:blogger.com,1999:blog-20382865.post-90982901886104712492007-02-21T18:32:00.000-05:002007-02-21T18:32:00.000-05:00Thank you for your comments. We went with what Dr...Thank you for your comments. We went with what Dr Brookstone calls a "remote server" model, which is a single server (located at my hospital), with the 9 physicians in my group, practicing out of 7 different locations all accessing the data via broadband. The reasons for this are detailed in the initial postings in this on-line diary. The hospital's IT manages the daily back-up, validation, and maintains an off-site copy of the data as part of their IT routine; the EMR company manages the software and upgrades. We own the hardware, software and data. I believe that applications using "remote" or "local" servers may be a better description of the EMRs adopted in Canada.<BR/><BR/>For a spirited discussion between proponents of either model, I suggest the following posting on CanadianEMR: http://emruser.typepad.com/canadianemr/2006/10/the_following_p.html<BR/><BR/>Personally, I remain a fan of the remote server concept, especially for small, geographically dispersed practices like my group, or if allied health personnel are hired for the whole group. I think we are getting close to using some of the "Enterprise" functions of the EMR as a group. For example, our clinical pharmacist will be able to access all the charts if we decide to go with a quality improvement project for diabetes (including all the schedules), through a single log-on. The same goes for the nurse-practitioner etc. I was also able to set up some flow sheets for one of my colleagues in my group. <BR/><BR/>This aspect is not mentioned in your posting. EMR goes quite a bit beyond hardware and software issues; IT consultants also need to think about the re-engineering of health care itself.<BR/><BR/>MichelleMichelle Greiverhttps://www.blogger.com/profile/15528486116262255346noreply@blogger.comtag:blogger.com,1999:blog-20382865.post-11821433002684633032007-02-21T16:04:00.000-05:002007-02-21T16:04:00.000-05:00What type of EMR software is best suited for youDo...What type of EMR software is best suited for you<BR/><BR/>Do you go for the Client server type or the Web based EMR type? With no simple answer on which is better you’ll need to decide what’s important to your practice and what’s not.So lets try and look at the pros and cons of these two sytems.<BR/><BR/><BR/>Web based EMR:<BR/><BR/>The Web based EMR is a remotely hosted software system accessed via an internet web browser, similar to the model used in online banking. This remotely hosted system is accessed by paying a rental or service fee.Though the initial cost is low in the beginning it usually ends up being more expensive than the Client/Server-based system.<BR/><BR/>The advantages are :<BR/><BR/>1. You don't have to worry about the technical aspects of the server as this is managed by a professional IT company. <BR/>2. Data Back up and other service related services make it a very effective option.<BR/><BR/>The draw backs are:<BR/><BR/>Most of your data is being handled by a third entity. The are chances of missuse of data. And you almost certainly want a high speed cable connection.That means you are dependent on Internet connectivity.There is also the risk of data being inaccessible in the event company goes bankrupt.<BR/><BR/>The Client server model:<BR/><BR/>The advantages are:<BR/><BR/>1.Faster overall operational speed since we are using a local network<BR/>2.You have control over your own data<BR/>3.There is no dependency on internet connection<BR/><BR/>The draw backs are:<BR/><BR/>1. A much higher upfront cost of ownership as a server and software must be purchased upfront.<BR/>2. You may maunually have to acquire new product updates<BR/>3. Online backup must be purchased as add-on.<BR/><BR/>What ever said and done, It finally boils down to which system is best suited to your practise.<BR/><BR/><BR/>The author Prakash is a support Manager at www.Binaryspectrum.comPrakashhttps://www.blogger.com/profile/17375373520631706174noreply@blogger.com