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04/01/2012
RESPONSES / COMMENTS (EMR) - PART 1A
RE: Recommendations for EMR/EHR (Elliot Udell, DPM)
From: Robert Wunderlich, DPM
I've also been using Practice Fusion, and I mostly agree with Dr. Udell. I think it's just another example of a very good piece of web-based software that is essentially free to use. Some may say, "you get what you pay for," but let's remember that Microsoft, Apple, Google, and Facebook have also given us free software that many of us literally couldn't function without. I did quite a bit of research on various EMR systems, and although some of them have advantages over Practice Fusion, I couldn't justify the added expense to my practice. This is a decision that each of us has to make based on our own practice.
As for the concerns about being able to archive/back-up patient records, it's worth noting that a hard copy of any records generated in Practice Fusion can simply be printed at the time of each office visit, and kept in a traditional paper chart. None of the Meaningful Use measures require us to have a paperless office.
Robert Wunderlich, DPM, San Antonio, TX, rwunder@gmail.com
Other messages in this thread:
06/24/2013
RESPONSES / COMMENTS (EMR) - PART 1A
RE: EHR Hi Tech Audit (Ken Schenley)
From: Michael Brody, DPM
Mr. Schenley states that Certified Technology is not for everybody. I strongly disagree. The first thing we each need to understand is that Meaningful Use is NOT about us as doctors, Meaningful Use is about us as patients and all of the patients that we treat. Meaningful Use has been designed to be a benefit to patients on each and every level. As a result of this focus, there are tools available to us to allow us to have more information at our fingertips to make better clinical decisions at the point of care; for example alerts when we prescribe medications that might interact with other medications that a patient is taking. But let us look at the “BIG” picture.
With Meaningful Use, whenever a patient...
Editor's note: Dr. Brody's extended-length letter appears here.
05/14/2013
RESPONSES / COMMENTS (EMR) - PART 1A
RE: Dragon Problem (Craig Breslauer, DPM)
From: John M. Wray, DPM
If Dragon is used over a server, it may drop text. An easy solution is to use a Dragon feature called "Dictation Box". The dictation box is opened and your dictation is done within the Dragon program, and then transferred to your EHR or other document. I use the Medical version of Dragon with a Power Mic which allows me to control these function from the microphone.
John M. Wray, DPM, Chicago, IL, jmwraydpm@gmail.com
05/13/2013
RESPONSES / COMMENTS (EMR) - PART 1A
RE: Dragon Problem (Craig Breslauer, DPM)
From: Marc Garfield, DPM
Check the Dragon website for compatibility with your newer computer’s soundcard, or consider buying an external sound card approved by Nuance. Note that not everything they approve is necessarily the best. But If they do not review it, it may not work well. support.nuance.com/compatibility/Search.asp?PRO=DNS&CID=10
Marc Garfield, DPM, Williamsburg, VA, mgarfield1@cox.net
04/18/2013
RESPONSES / COMMENTS (EMR) - PART 1A
RE: EMR Compatibility with Dragon Voice Recognition (John Scheffel, DPM)
From: Marc A. Katz, DPM
Open Dragon. On the Dragon bar, select, "Tools-Options-Commands", uncheck "enable HTML support". Restart Dragon. You should now be able to dictate directly into your program. There is no need for Dragon pad or transfer, or cutting and pasting. This works well on server-based office programs and cloud programs. I prefer the USB 3-1 TableMike. Or consider the Sennheiser headset with Andrea sound card.
Marc Katz DPM, Tampa, FL, dr_mkatz@yahoo.com
04/17/2013
RESPONSES / COMMENTS (EMR) - PART 1A
EMR Compatibility with Dragon Voice Recognition (John Scheffel, DPM)
From: Ed Wiebe, DPM
I have been using Dragon dictation 11.5 to supplement Practice Fusion EMR. I upgraded to 12.5 and when it wouldn't work, I contacted Dragon. They say it works with everything except any EMR program, and the fix is to upgrade to Dragon Medical for $1,600. Needless to say, I went back to 11.5, which by the way, only works with older versions of Adobe Reader, not the new versions. Nuance/Dragon put a "bomb" in their 12.5 version so they can sell their $1,600 medical version.
Ed Wiebe, DPM, Flagstaff, Arizona, elw520@Hotmail.com
04/16/2013
RESPONSES / COMMENTS (EMR) - PART 1A
RE: EMR Compatibility with Dragon Voice Recognition (John Scheffel, DPM)
From: Richard A. Simmons, DPM
A suggestion would be to dictate with Dragon Voice Recognition into a standard word processing program (e.g., Microsoft Word), then copy/paste that transcription into the EMR. You did not mention if your EMR is onsite or in the cloud; this could make the difference. Sometimes using Dragon across the internet into a cloud EMR is a very slow process. If your EMR is onsite, the problem may be with the amount of available RAM of your server. An IT specialist could help you determine this. Personally, I use my old Medinotes program to transcribe, then copy/paste into Practice Fusion. This allows me to have a copy available onsite as well as the EMR in the cloud.
Richard A. Simmons, DPM Rockledge, FL RASDPM32955@gmail.com
04/15/2013
RESPONSES / COMMENTS (EMR) - PART 1A
RE: EMR Compatibility with Dragon Voice Recognition (John Scheffel, DPM)
From: Larry Kosova, DPM
Dr. Scheffel is finding out that trying to implement speech recognition into his EMR slows down his productivity. This is a fault of his EMR program. There are EMRs that are made for speech. I use Textalk Enterprise. Most other EMR companies say that you can use speech, but perform as badly as Dr. Scheffel is experiencing. Most software programmers for EMRs have no clue how to program their EMRs effectively. If you had an issue with Dragon, they could not help you. They will tell you that you can use Dragon, but don't come to them if you run into issues.
First you need to go to your EMR company and ask them to help you construct a template in a logical fashion. A simple idea: instead of "clicking" , use the tab key to logically go through your template and use speech to fill it in. You can also use speech commands like "click 1" with 1 being in a field, i.e. <1> and using <2>, etc., to fill in your template. Most good EMRs that use speech will have 25 or so commands embedded in their system. Maybe you need to get that list, if they have it.
You should also ask your EMR company for a demonstration of the use of Dragon with their EMR. Hopefully, this was done prior to purchase.
Larry Kosova, DPM, Chicago, IL, lkosova@yahoo.com
12/13/2012
RESPONSES / COMMENTS (EMR) - PART 1A
RE: Stage 2 Meaningful Use (Bill Lockner, DPM)
From: Alan Bass, DPM
The confusion is between the stage and the year. There will be 3 stages to meaningful use, but we are currently still in stage one, and those eligible providers who began in 2011 will have just finished year 2 of stage one. 2013 will be the third year of stage one with stage 2 beginning in 2014. Currently, all the parameters remain the same with some of the thresholds changing in 2014 with the beginning of stage 2. You can attest for year 2 at the beginning of 2013, and attest for year 3 at the beginning of 2014.
Alan Bass, DPM, Manalapan, NJ abassdpm@optonline.net
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