I can understand not wanting to slam an EMR on the internet but we all want to know, myself in case it was one I looked at, then I can gloat that I dodged a bullet.

As far as jumping in, and all being nerds..

I am the most tech savy in our office and I have NO IT skills, but I am less intimidated than my partner. We set up a 6 month schedule for implementation so that we could sort of EASE in. First the staff started filing in AC and still filing in the paper charts. That was scheduled to go for the whole six months. It was so faster to look in AC than the paper chart, that even the most un-savy were looking in AC first (as it would be scanned there before it went paper) and so we quit filing in the paper charts after just 4 weeks. WE BOXED THE FILING FOR ABOUT 6 MONTHS, we just couldn't bring ourselves to shred it, at first. After we had all patients demographics in, all appointements being made in AC and the staff began entering the vitals (for both training/workflow and to build the database) we asked that each physician do one chart in the morning and one in the evening in AC. We had scheduled to do that about the second month, but we started that in the first few weeks. Then we asked that all of the billing be signed off in AC. That would mean we had the date of the visit, a note that said "see the paper chart" and the ICE-9's (but no plan) and then sign the note with a CPT assigned so the biller could begin figuring out the work flow to move the billing from AC to EZ-Claims (which was also new for us).
During that period, the doctors realized the filing was in AC, the vitals were in AC, (and on a paper page we were using for vitals) and they had to code and bill, so we just started charting. All three Docs started using it full time in about the same week. We still carried the paper chart in the room for at least 6 months.
Our six month schedule for implementation was squeezed down to about 6 weeks.


Martin T. Sechrist, D.O.
Striving for the "Outcome Oriented Medical Record".