UnChartIt’s cliche. Technology is changing faster than people can understand. 8 years ago I got an awesome 12 inch Powerbook G4. It was $1500. When I bought it, it was the smallest Mac Laptop. It’s still beautiful. It runs web stuff. Has a 1024×768 screen, 1.5 Ghz Processor. About 3 years ago, the iPad came [...]
Posts Tagged ‘managing’
Fitting the WelchAllyn Spot Vitals into e-MDs
After I attested for 2011 Meaningful Use, my group decided to have the doc decide on some of the ‘re-investments’ in our practice. The second thing I got was the WelchAllyn SpotVitals Lxi. (Bigger monitors for reception was first.) I had been interested in this for at least a couple years. A while back, I [...]
Ideal Panel Size Report
A few years ago the AAFP had an article, How Many Patients Can One Doctor Manage?. This report can be used for dicussions about relative panels in a practice. Which doctors have availability that matches up with their assigned panels? Who is over-paneled? Who is under-paneled? This crystal report for e-MDs has 4 different tables [...]
Appointment Status by Month
Bill Sweeney of Mid State Health wrote this report. This shows normal vs new patients per month. It also includes distinct patients in that time. Appointment Status by Month
Portal Patients (email and expiration dates)
Here’s another report by Bill Sweeney from Mid-State Health. Bill creates awesome flat file reports. This is just begging for some simple list work in Excel (See my Data-Driven Practice page). In my practice we didn’t fully realize how expiration dates worked. We used 1 year later — now patients portal is expiring. We need [...]
Using e-mail to increase panel size
After doing some practice innovations (group visits are restarting, I’m undiagnosing patients from hypertension treatment with my ABPM) I may have some availability in my practice without affecting my continuity. That means I can potentially increase my panel size a bit and still provide similar care. I’ve just done a little free within-my-practice advertising and [...]
Practice Improvement 3.2012 Podcast
Thanks to everyone who participated. I learned a lot about hosting a webex. The more I edited myself out of the podcast, the bettter it gets. Load in iTunes: There’s some sweet nuggets in here. So load it into your phone and listen during your commute.
Group Visit Invitation
I’m going to be doing a diabetic group visit — a dinner club. Why would I offer to give free food as part of a doctor visit? By going over dinnertime, I can make it easier for diabetics with a job to stay on top of diabetes. Exemplify some healthy meals Time savings of group [...]
Medicare e-Rx Report
The Medicare e-Rx code drove my practice crazy last year. We e-prescribe all the time and many of us successfully attested for Meaningful Use. But the e-prescribing rule doesn’t allow for tracking that way. Instead it requires a bonus g-code be submitted. Please, Medicare, stop the madness! Sara Evans rightly recognized this as a reporting [...]
Checked in by Date Range Report
Here’s a report by Bill Sweeney from Mid-State Health. It generates a nice flat file list of appointments that you can select by date. Includes check in time, date, check out time, and optionally who did the check in. I love ‘flat file’ reports like this — it allows you to do your own analysis [...]
Letters to PCPs
This report is a doozy. It solves a quality issue: keeping the PCP in the loop. As a family doctor, I can tell you which practices have a foolproof system for sending me letters and which ones I have to nag and waste time repeatedly requesting records when I referred them. If you’re a consultant [...]
Coumadin in e-MDs
There’s been a discusssion on SupportCenter about Coumadin Plans. Mal Riddell has offered his template: Coumadin Plan Template Mal’s process: We use a shortcut for our INR/PT patients that includes a 99211 charge for the most part. If I see them significantly, I delete the charge and add the appropriate charge after the visit. The [...]
Quick Feedback with Google Forms
Fred Wilson, a Venture Capitalist, has a great blog post about continuous feedback. At a small startup they ask: What’s three things we’re doing well at? What’s three things we need to do better? Getting that type of feedback on a regular basis allows you to spot issues quickly. Or exploit strengths to do really [...]
Journey to Meaningful Use
Journey to Meaningful UseView more presentations from Jonathan Ploudre. What if you’re starting out? Here’s my philosophical overview of how to achieve meaningful use for WIREC’s Meaningful Use Best Practices Forum. Here are the thoughts that go with the slides: In 2008 only 1/5 ambulatory practices have an EMR and 1/25 have a ‘full’ EMR. [...]
Security and HITECH Tools
Thanks to Andy Helm and Georgia HITREC for security-related info for Meaningful Use. (And Thanks to Samuel Church, MD/MPH, for hooking this up for sharing.) This includes two major tools: a spreadsheet tool for conducting a security audit and a document with principles of security and checklists for applying them in a small practice. Good [...]
