Challenges of family practice: shopping for electronics

For many family physicians being pressed to adopt electronic medical records, the instinct is to probably run and hide.

They don’t necessarily see the merits or value of moving health records online and when they do decide to take the electronic plunge, they soon find themselves mired in sales pitches and issues of cost, connectivity and software certification.

There’s no question it can be “a colossal headache,” says Dr. Heath Alsaffar, who along with spouse Ann Alsaffar, president of the Canadian Family Practice Nurses Association, began introducing electronic medical records, into their Ottawa, Ontario, family practice office three months ago.

What lessons have they learned?

Expect hard sales pitches from vendors and a lot of unexpected problems, says Ann Alsaffar.

“The vendor does a great sales pitch,” she says, adding that the equipment that vendors flog is often unnecessary.For example, a vendor tried to sell a sophisticated photocopier that had the capacity to produce 3000 copies per day. But the office does not need to copy over 1000 articles in one year.

Alsaffar added that, fortunately, her husband is a tech-savvy, so he was able to "Widdle this huge bill $ 35 000 to perhaps $ 9,000." But many doctors probably do not have this it has control or time in search of their real needs, she adds. “It’s just astronomical what they (vendors) think they can sell” to doctors.

Other problems include glitches in the software itself, such as duplicate patient billing and mistyped prescriptions that can’t be deleted from the system, Alsaffar says.

Expect to spend a considerable amount of time phoning and emailing the vendor’s technology support teams, she says. A review of Alsaffar’s email correspondence with a vendor is enlightening."I have not been to bed before 2 o'clock for three nights in a row with this system trying to catch up," she wrote to the seller. "And we have letters and letters of medical insurance accumulates waiting because of time taken to work on this and the time taken for training e-mail and tap telephones of this kind. I really feel that doctors, nurses and office staff must be informed in advance what is in store for them before signing up for this.

Medical Equipment Hgb Testing - News


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Challenges of family practice: shopping for electronics

For example, when Keshavjee tried to help a practice use its certified EMR to create a list of diabetic patients whose hemoglobin levels were greater than eight, the software didn't produce the right list. “Certification should mean something,” he says



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A Professional Guide to Purchasing Used Medical Equipment

A Professional Guide to Purchasing Used Medical Equipment

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Medical Assisting, Administrative and Clinical Competencies

Medical Assisting, Administrative and Clinical Competencies

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Proceedings of the Twelfth Annual International Conference of the IEEE Engineering in Medicine and Biology Society, volume 12, 1990, Philadelphia, Pennsylvania, USA, November 1-4, 1990

Proceedings of the Twelfth Annual International Conference of the IEEE Engineering in Medicine and Biology Society, volume 12, 1990, Philadelphia, Pennsylvania, USA, November 1-4, 1990

All Hgb test results were obtained using a Coulter Counter as part of a Complete Blood Count and were directly transmitted to the DEC PDP 11/44 via a ...

American journal of diseases of children

American journal of diseases of children

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Toxicology desk reference, the toxic exposure and medical monitoring index

Toxicology desk reference, the toxic exposure and medical monitoring index

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