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Practice Transformation: A Personal History

On April 10, 2006, Dr. Joe Heyman discussed the transformative power of electronic medical records (EMR) within the eHealth initiative, highlighting vital influences like Bridges to Excellence and the Massachusetts eHealth Collaborative. He addressed common paper-related problems in practice, including lost data, unreadable notes, and the inefficiencies of traditional documentation methods. Dr. Heyman emphasized the urgent need for EMR systems to improve clinician workflow, reduce error rates, and enable better patient care. The discussion underscored the importance of technology in modern healthcare.

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Practice Transformation: A Personal History

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  1. Practice Transformation:A Personal History eHealth Initiative: Connected Communities Learning Forum April 10, 2006 Joe Heyman, MD Secretary, American Medical Association

  2. Influences • Bridges to Excellence (Employers, “Providers”, Plans) • P4P • DOQ-IT • AHRQ • Massachusetts eHealth Collaborative

  3. Progress • Great software and hardware • Clinician comfort with computers and internet • Easy set up of hard wired and wireless networks

  4. Paper Problems • Phone calls • Appointments • Changing Demographics • Problem Lists

  5. Paper Problems • Medication Lists • Record Requests • Reports • Prescriptions by phone and in office • Checkout and billing

  6. Paper Problems • Unreadable • Tiny writing on charts • Lost and scattered data • Wrong office

  7. Think about this!

  8. Paper Problems • As much as $16 per chart pull?

  9. Disturbing Concerns • Our experiences in practice include • Incomplete information • Alarming error rates • Expense of time, energy, and money seemingly way out of proportion to benefits • Decisions based on gut or tradition • Malpractice claims that are related to documentation some 90% of the time

  10. HIT Happens! • January 2001 • April 2001 • Fear • Courage

  11. Why EMR a must for me • Cost • Efficiency • Image

  12. When? • Immediately!

  13. Why? • Cost • Office Equipment • Rent • Employees • Patient notification • Reassurance to patients • Up to date • Unique

  14. Who? • Google • Tom Sullivan • Jeannie Marcus • Massachusetts Medical Society • Michael Kelly • PIAM

  15. What? • My Software • Desktops • Scanner • Laser Printer • Medem • Library of info • Encrypted email • PC Anywhere

  16. How? • Bo! • Network Router • DSL • Clearinghouse

  17. Disaster! • March 5, 2002 • A day that shall live in infamy! • The Agony • Paper . . . yuch! • A hard day’s night • Cynthia • ActionFront.com • The Cuban Missile Crisis, October 26 and 27, 1962 • Office Insurance • The Ecstasy

  18. More recent major setback • Hard Drive Failure in a RAID system 2/06 • What happens with your service contract • Next steps

  19. This Weekend!!!! • Laptop drive failure • No Medem • No way to contact my office computer • No way to write this speech

  20. My System • Digital filing of everything • EOBs • Contracts • Invoices • Receipts • Correspondence • CME certificates • Fee Schedules

  21. My System • E-prescribing

  22. My System • Website (Medem) • Interactive Health Record • Appointments • Prescription refills • Online Consultations

  23. My System • Banking and Paying Bills

  24. My System • Payroll

  25. My System • Scheduling

  26. My System • Medical Record

  27. My System • Billing

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