Home Forums Discussions General Discussion New Expensive EMR

http://www.extormity.com/ct.html

In case any of you get fed up with simple, affordable Amazing Charts, here's a complicated, expensive alternative.

Enjoy!

Gee, aaahhh, thanks Brian... I think?

Brian, I'm surprised you found this EMR. We tried this system when we first started up, and it was as advertised. After many months of struggle, one of our nurses sacrificed her first born son and we were able to negate our contract. I'm told that getting out of their confusing, but lengthy contract is easier now that they will accept first-born daughters. Thanks for the update!

Brian,
Thanks for the link. I worked with them before....very complex indeed. But they knew best....they told me so!

Interestingly, the hospital in which I work, decided to promote EMR among local physicians. Sounds good, but the hospital is to decide which EMR the physicians should choose. The hospital decided to pay 75% of EMR expences for Epic, and 50% or so for NextGen for the first 2-3 years. Nothing else is offered. It is unclear who exactly is responsible for choosing those 2 EMRs.

Apricot, has anyone bought into this "deal"? Not only will the cost continue to be exorbitant even after the "help", but the loss of workflow, and the future use of these CCHIT certified systems against practitioners will cost the purchasers bigtime.

You should see who did choose the EMRs and complain to the powers at be why AC hasn't been considered in the mix for the many who don't want a CCHIT certified EMR. You should point to the many threads at emrupdate that display angry endusers unable to use their NextGen EMR.

Hey Al,
I think you should reach out to these folks and see if they wouldn't mind if you added a few of their screen shots to you larger CCHIT presentation. This thing is a blast and really hits the nail on the head in so many ways. As Nancy said, somebody had way too much time on their hands to put all that together.

Apricot,
"Follow the money." It always works. I hear that Deep Throat never actually said that, but that using such license really helped get the point across. And Al is correct in that these things are always more expensive forever basically which is why the corporate welfare model pisses me off all the more. Not only are we using either hospital money or tax payer money (like here in NYS, our Medical Society is in bed with the state and the CCHIT vendors) to give grants or pay for some or all of these systems initial costs, but in the end you the purchaser are always the one who is stuck with such a big hard to deal with program and complicated system. And we are throwing lots of money in forms of corporate welfare instead of assisting folks in buying nice little programs like AC that don't come with all this extra baggage.

If you all see Roy's newest post about Rx's and the AAFP, it is still my belief that we small offices need to form an organization that truely represents our perspective, because none of the present large national ones seem to be doing such. National Association of Independent and Solo Practioners (NAISP). What ya all think?

I've noticed everyone consistently railing against CCHIT. But the only data supporting this has been spelled out in Al's presentation - that larger EHR vendors started it and that it is prohibitively expensive to go through the process.

Has anyone done an analysis of the CCHIT requirements vs. what is appropriate for smaller practices such as ours? If you could share this I would appreciate it. Some of the requirements I read sound very reasonable but I've not yet completed a thorough review:

http://www.cchit.org/certify/ambulatory/index.asp

Standards are a good thing if properly applied without bias to groups such as smaller or solo practices. Maybe if Al's presentation highlighted those requirements which really aren't appropriate for solo practices we might make additional inroads in changing perceptions or concerns about AC not being CCHIT compliant.

I just was thinking to myself this morning that perhaps CCHIT like standards should only apply to large enterprise based facilities like hospitals and the largest of clinics. The basis for CCHIT to a large extent is to draw out data for hopefully better use of medical resources which in turn "may" save some money and "may" have a positive impact on outcomes.

Such places already have large networks, massive server rooms and teams of IT people that could and are trained well enough (one would hope) to attack such a beast. Why the hell do we need to be drawing such data from ever last little solo practice in the country? But if your hospital or residency program is recieving federal funding then perhaps they could or should get involved.

But to make all us little guys have to have such tech when nobody is going to come close to assisting us in funding all of it, both purchase as well as living with it for the rest of our lives, then screw that. And lastly, if such things can not be done without corporate welfare then that is CCHIT garbage too. Most of the these vendors and most of us small practices can not do business together without massive funding in forms of corporate welfare mostly for the enterprise based CCHIT software vendor. We'll never actually benefit or profit from any of this but they sure will. Funny how our businesses just continue to be pipelines for "other people's" (not our own) money. Screw that noise.

Now as an old theater and TV tech I certainly understand and agree with standards but how we got to TV scanning standards was much different then how we seem to be getting to CCHIT. One of the main purposes and driving forces behind old phasing out NTSC 525 lines of interlaced resolution was to make it consistant, cheap, compatable with old B&W, while using the best that private industry was developing at the same time.

Again I ask the question that many like me have raised before, why does a small vendor like Jon have to shell out most of his profits just to get the darn sticker in the first place, no less the R&D to get there and keep up? Why can't smaller offices use stuff that just works for their office? Unless the government wants to own and run all of our clinics and eat the cost of ALL of this CCHIT, then us small guys shouldn't even have to be in this in the first place. As we would say in da Bronx; "Put up or shut up".