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I was doing some survey: They asked the following questions: 1. An integrated search function allowing you to search a large database of reviewed, impartial answers to clinical questions. You would not have to leave the EMR software to search the database 2. A function that automatically records in the EMR that you consulted the database and what topic you consulted, documenting treatment rationale
3. A function that automatically records that you consulted the database to answer a clinical question, accruing your CME accordingly
4. A function that automatically reads the patient's EMR and uses key variables to provide actionable recommendations.
A feature like above, would undoubtedly require a paid subscription with some service or we can always use google and get reasonable info from wiki etc.
Folks, do you see any advantage with above features?
Or we should not let Jon ride on AC- features like above ones to be burden on AC programming lines. Let it be lean, agile and fast?
Comments welcome.
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Who's survey was this? Some outside vendor or something Jon, AC sent you? I'm a bit confused here...
"Beware of the Medical Industrial Complex" "The Insurance Industry is a Legalized CARTEL"
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Vicki Roberts, MD Family Medicine of Southeast Missouri Sikeston, MO
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Why would that function be necessary? or Helpful to a physician?
Wayne New York, NY Hey, look! A Bandwagon! Let's jump on!
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Sorry, the database may be helpful, recording that the physician (or anyone) looked something up in the database is what I'm questioning.
Wayne New York, NY Hey, look! A Bandwagon! Let's jump on!
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"I am not a number; I am a free man!" "Ha, ha, ha, haaaaaaa"
We want to know even when you go to the bathroom what Journal you took in there to read doctor..... We own you, you are ours. I am giddy with power and greed.....
"Beware of the Medical Industrial Complex" "The Insurance Industry is a Legalized CARTEL"
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At the ACUC, Jon made a comment about how AC is going to have to look at CCHIT certification. He doesn't like this but too many people are requiring it and tying reimbursement to it, as well as malpractice insurance discounts. He talked about two versions of AC; the AC we know and love with continued improvements, and the AC TSV ("The shitty version") He also spoke of one of the new CCHIT parameters was that EMR's must leave a back door in the programming for insurance and gov't agencies(who?) to be able to get in and mine data when they wanted! The type of functions, for the most part, listed above, are most consistent with what the TSV version might have in it. Joseph, I'm not picking on you. The more complex AC gets, the more like the other EMR's it becomes. AC is so great because of it's simplicity. Sure, I'd like more granular data /search capabilities, but how much cost is that going to add to the program? And would it really help us take better care of our patients, or just let some third party big brotherndictate how we are suppose to practice medicine?
Tom Young, DO Internal Medicine Consultants, PC Creston, Iowa
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I think each and everyone of us should email this link to Sec Leavitt and his goosestepping buddies at CCHIT... http://www.extormity.com/index.htmlI know we have laughed about this one before but now it is time to cry if even Jon and AC are considering it...  Cat herding anyone??? Good Night and Good Luck, Paul 
"Beware of the Medical Industrial Complex" "The Insurance Industry is a Legalized CARTEL"
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Lean. Agile. Fast.
Regarding data analysis, I think Amazing Charts just needs a small, fast and simple data export utility, where you can export whatever fields you want in tabular form, and then use other programs like Excel or Access to analyze them.
This export utility could even be separate from AC.
Brian Cotner, M.D. Family Practice
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Now when were any of you other folks going to say anything about this??? Those of us who couldn't make it were asking what interesting things went down and what came up... I think this one qualifies as one of the more important subjects to have come out of Branson for sure. Geeze guys, you all just flunked terribly your intro to journalism class  Now I must say I'm really glad to hear and give three cheers to Jon for making sure there will always be two copies of AC to be had... The CCHITTY new one along with the good old AC we have all come to know and love... Jon, really I can't say thanks enough. You must be a man of good moral fiber for this one. Keep the faith....
"Beware of the Medical Industrial Complex" "The Insurance Industry is a Legalized CARTEL"
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Wait..I just read an earlier post. They are tying CCHITT EMRs to reimbursement?!! This is frakking insane! Especially since I looked at some of these other EMRs before picking AC. I picked AC for 3 reasons. 1) I could check it out w/o having to put up with a sales rep wasting my time convincing me its the right one. 2) It is easy as sin to use. They have those sales reps give demos for a reason. Their software is too complicated. Its not intuitively obvious. Its hard to use. AC is intuitively obvious and easy to use(for the most part). My poor non-tech sister would be helpless with those other, EXPENSIVE junk programs. 3)Did I mention Expensive? A small practice really doesn't need an EMR where the s/w costs $10K for the first doctor, and oh we'll give you a discount on the others--only $5K. AC cost $1K (Actually, only $300 when I first stumbled onto it.)
uh oh. Long post. Hockey, get....out...of...my....brain.
Wayne New York, NY Hey, look! A Bandwagon! Let's jump on!
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Never, I'm really a spider from the insurance carriers planted in your brain to catch you in the action of even "thought crimes", or as QueensRyche likes to say, "Mind Crime"..... Ha, ha, ha, ha, haaaa. You're mine, all mine!!!!
Reel 'em boys and take him away.....
"Beware of the Medical Industrial Complex" "The Insurance Industry is a Legalized CARTEL"
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