[quote=.}Who among us ever expects to receive the "stimulus fund" payments for EMR use? Don't spend it yet.[/quote]
I know what you mean John. Adam and I and others probably won't get the stimulus for the EMR. But, is anyone. Oh, yes. The FQHCs. Adam and I are paying for our EMR while the big FQHC across the river just got 1.8 million dollars for theirs. I think you're on the wrong board Jeff. 1.8 million buys a lot of RxCopias. So, Washington just sent over $10,000,000 to Maine for infrastructure and EMRs.
http://newsmanager.commpartners.com/mainemed/issues/2009-07-06.htmlNow, for those who think they need the money for what they do, keep in mind, they get more money for Medicaid than we do for BC/BS. They get over $650,000 tax free money each year. They get free liability insurance because you can't sue the government. And, they pay no taxes. Those four things are supposed to be so they are able to take care of those who are less fortunate. Why do they need $1.8 million more? Maybe it's to help them pay for sending records. Oh wait, they don't send records. They only send the five or six or maybe 20 notes they generated. Of course, that's quite a bit with Logician given it takes five sheets of paper to document conjunctivitis. Sorry. Can you tell I'm a little bitter about FQHCs?
1. Jeff, do you think AmazingCharts forgets the script and the sig when we go to the next patient? We can push one button and send all the scripts.
2. I don't understand when you just turn around and say that mail orders do take your scripts. So, it is either that they do or Steven is lying. I have never known Steve to lie. So, why don't you believe what we are experiencing?
3. See, here we go again with the savings. First, on January 1, 2008, due to the infinite wisdom of our legislators, it was decided that all those with Aetna, Cigna, BC/BS etc. were trustworthy enough to hand carry regular scripts to the pharmacies. But, they decided that Medicaid patients weren't so we would have to write on tamper-proof paper. You know, in case they wanted to change Amoxicillin from 10 days to 14 days. There has been a great deal of diversion my Mainecare patients of Amoxicillin and MiraLax. Or is that Glycolax. No MiraLax, wait Glycolax. Sorry, only Adam and I will get that joke from out Mainecare Preferred Drug List. But, we DON'T use tamper-proof paper. We fax. Yes, fax. And, if it's Ritalin we do use the tamper proof paper. Now, I can't speak for everyone else, but I have spent less than $300 on tamper proof paper in 2 1/2 years, hardly $400 per month.
4. But, we don't put a lot of capital down for an EMR. That's the point. See, those doctors who can afford to pay $50,000 to $75,000 for an EMR can afford e-Prescribing.
5. When the drug and insurance companies start paying for this, maybe I will use it. Actually, I won't, because it is far too slow, but at least it would make sense.
6. See, the interesting thing I have found about AC is this. In general, when you look at the offices where one person pulled ten other providers kicking and screaming down the road to NextGen, maybe two or three of those doctors liked or love technology. The small practices and solo practitioners who had to look through literally tens of EMRs to find one he or she could afford, tend to like technology. Some of us LOVE technology. And, even so, I have no interest at this time of using e-Prescribing.
In a way, I think it's great you are giving the positives from your perspective and handling all the somewhat constructive criticism. But, in a way, you remind me of that annoying (I don't mean that to be mean, seriously) drug rep who waits until you come out of a room, tells you they only need one minutes, then pitches their spiel for five minutes AND THEN DENIES THAT ANY OTHER DOCTOR HAS SEEN THE SIDE EFFECTS I HAVE EXPERIENCED.
The drug reps we or I love are the ones who come in with DD coffee and donuts, talk Patriots football, keep the Maxair in the closet and answer questions if we have them. So, it would seem if you started a thread and said, "Hey this is Jeff, and if anyone has any questions, I would be glad to answer them," it would go over better.
And, oh yes, you could send us a Dunkin' Donut card as well.
