Thursday, November 11, 2010

Tackling the EMR with planning and preloading

PORTLAND, MAINE – There is about a 50 percent failure rate for electronic medical record implementations, and most of those failures stem from poor planning and preparation, said a family physician who spoke at a regional extension center (REC) forum held for providers in Maine.

Scott Patch, MD, practices in Yarmouth, Maine, and is part of a multi-specialty medical group called InterMed P.A., which has been using an EMR for about five years and is considered a “paperless” environment.

Patch says when a practice is considering moving to an EMR the whole organization has to “buy-in.” In other words, everyone has to be onboard –  even staff at check out. There is a “redistribution of work” said Patch. "There is going to be more and new work. For us it was our check out staff that required more training,

The hardest part is maintaining good communication, said Patch. That is why it is important to identify a plan and choose a physician champion. “There is nothing more powerful” than choosing another doctor for this role, as doctors tend to listen to other doctors, he said.

Part of an EMR plan is assessing what your practice does and doesn’t do well, said Patch. “The EHR represents a fundamental change to the way the office handles the movement of patients and information,” he added.

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