Wednesday, December 29, 2010
Monday, December 20, 2010
I don't think the concerns below are warranted, really. Paper is much less secure than electronic communications which can be password protected and given user level security.
The Fort Worth Star Telegram (12/19, Branch) reports, "As the transition from paper to electronic medical records gains momentum, so have concerns that more confidential patient information will fall into the wrong hands. Privacy advocates warn that without proper safeguards, digital records could make large caches of personal medical data vulnerable to theft or improper use, such as discrimination by employers." Psychiatrist Dr. Deborah Peel, who is also the "founder of Austin-based Patient Privacy Rights and an outspoken critic of how digital records are being implemented," said, "The security issues are extreme. .. Some of these systems are very poorly protected, and you are going to have patients without control over who is looking at their health information."
Monday, October 11, 2010
- Ample parking
- Nice building
- Electronic medical record system
- Advanced "feel" to the office
- Unfriendly staff
Saturday, October 09, 2010
Unfortunately it was not until after I ticked off a patient and was fired as their doctor.
Sunday, September 19, 2010
Thursday, September 09, 2010
Tuesday, August 31, 2010
Thursday, May 20, 2010
- Manually: Inefficient, slow, error prone. DO NOT do it this way.
- Scan results: Time consuming, error prone
- Middle-ware: If you are fortunate to have an analyzer that interfaces seamlessly with your specific EMR, this is the best solution.
- Customized software: If your analyzer outputs data in a digital format, you can develop a solution easily and inexpensively, even if you have no programming knowledge yourself. I recently developed one for my semen analyzer.
Avoid these pitfalls:
- Over-extending: good times don't last forever
- Over-contracting: neither do bad times
- Panicking: don't jump at your first rescue option, it may not be the best one
- Putting your head in the sand: the payment system is changing. You'll need to adapt or die.
- Second guessing: too much wasted energy better spent on planning and acting.
Wednesday, May 12, 2010
Crazy! And in this economy.
Don't run your medical office like that. Reach out to your patients, the active and the inactive ones on a routine basis. Doing this is neither difficult nor expensive.
Just do it.
Monday, May 10, 2010
Sunday, May 09, 2010
- Focus on collections: Obtain deductible information prior to seeing the patient and collect up-front if your contract allows. If not, use a service like this.
- Scutinize all costs: Trim some and expand others--cost center vs profit center.
- Smarten up your office hours: Avoid overtime while maximizing office visits. Use your data to figure when patients "want" to be seen and staff heavily at these times, light at others.
- Leverage technology: EHR, smart phones, VOIP, webforms, sms, etc
- Answer your phones
Saturday, April 03, 2010
Monday, March 22, 2010
Sunday, March 21, 2010
Saturday, February 27, 2010
Do you have chest pain yet?
How will you survive?
Well, you may not. This may reresent the perfect storm, the trifecta of bad luck that has befallen the American doctor: rising liaility inurance rates, falling reimbursements, a severe recession.
Or you could try some of the following:
- Stop seeing Medicare patients. Not out of protest, but because these patients are too sick and labor intensive to care for and still make money.
- Increase volume.
- Go ou of network with some private plans. This works better if you are a primary care doctor or a specialist that sees emegency room patients.
- Re-negotiate your contractswith the private payers. Good luck with this one, but you never know.
- Merge, merge, merge. If the other strategies don't work, this drastic move may be the only viable approach.
Friday, February 26, 2010
Tuesday, February 23, 2010
Congressman Israel, from Huntington: http://israel.house.gov/
Congressman Bishop, Smithtown and Brookhaven: http://timbishop.house.gov/
The Speaker of the House: http://www.house.gov/pelosi/
Senator Schumer, NY: http://schumer.senate.gov/
Senator Gillebrand, NY: http://gillibrand.senate.gov/
These people work for you! Contact them and ask them to reverse these devastating cuts.
Tuesday, January 26, 2010
It feels a bit sad, nostalgic almost. While VONAGE was the source of much of my telecom pain in the early and not-so-early days of my fledgling urology practice, it was VONAGE's then avant-guard service that enabled me to grow in those first critical months cheaply and mobily.
In many ways, it was VONAGE that put me on the map. And for that, I thank them.
Ultimately, I outgrow its capabilities, however.
For the past few months, as I have been looking to cut cost whereever possible, VONAGE was always near the chopping block, but the off-site line still served a function, even though improvements in cell phone reliablity at my house enabled me to make and receive calls from almost any room in my house.
Still, I held a special place in my heart for this little phone company that could, silly as it seems.
Then my VONAGE router died--just went kerplunk--and that was the catalyst.
Several minutes ago, I called and canceled my service.
Fairwell old friend.
Tuesday, January 12, 2010
Radiology reports--electronic only
Lab reports--electronic only
Patient intake & demographic form--electronic (actually, I don't even have one. I got rid of it.)
HIPAA acknowledgement form--electronic, signature and all!
Patient statements--electronic. They are actually mailed on paper, just not be me or my staff.
ABN (Assigment of benefits) consent form--you guessed it, electronic.
That is it.
So what is still paper?
We still send claims for secondary insurance by paper.
My biller insists on continuing to use paper encounter forms. Alright. If it ain't broke. . .
Yesterday I uploaded the email addresses to my email management site and sent the patients a confirmation email (I don;t want to be a spammer, so the patients must opt-in again to confirm they wish to be on my email list).
Most people have opted in, but what I did not expect was the number of emails from patients regarding billing issues.
It seems I have awakened a sleeping dog.
Saturday, January 09, 2010
Twitter is best used when the tweeter draws attention toward someone else, rather than himself.
The "I'm at Starbucks" tweet is boring and useless. On the other hand, the "check at this new gadget" tweet, well that might be interesting.
As in any form of marketing, the best type places attention on the other person, rather than the marketer himself.
Better to be "how can I help you?" than "how can you help me?"
Friday, January 01, 2010
1: Go E.H.R.
2: Improve your E.H.R.
3: Start PQRI
4: Decipher "meaningful use"
5: See more patients or...
6: See less patients
7: Learn 10 new codes
8: Get rid of 1 piece of paper
9: Do away with 1 process
10: Write a book
Happy New Year
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