Free EHR Systems
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"Free" EHR System PresentationWILLIAM R. SONNENBERG, MD, FAAFP
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Medicare Incentive Detail
First Year EP Receives a Payment
2011 2012 2013 2014 2015+
2011 $18,000
2012 $12,000 $18,000
2013 $8,000 $12,000 $15,000
2014 $4,000 $8,000 $12,000 $12,000
2015 $2,000 $4,000 $8,000 $8,000 $0
2016 $2,000 $4,000 $4,000 $0
Total $44,000 $44,000 $39,000 $24,000 $0
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No Cash In Advance
“The EHR initiative is that it is like free gas for a year, but only if you
buy a Lamborghini to put it in.”
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Stage 1 MU RequirementsCORE - MUST DO ALL
Use CPOE ePrescribing Drug-drug, drug allergy checks Medication lists Allergy lists Problem lists Decision support Record demographics Smoking status Vital signs Clinical summaries to patient Electronic exchange Health info to patients Quality measures Protect health information
MENU – MUST DO FIVE
Implement drug-formulary checks
Incorporate clinical labs as structured data
Patient lists by condition
Send reminders for preventive/follow-up care
Patient electronic access
Patient-specific education
Medication reconciliation
Clinical summaries to provider
Immunization registry
Biosurveillance
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Practice Fusion
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Practice Fusion Free, web-based Advertisement supported 150,000 users, 50 million patients Meaning Use Certification June 2011 Level 2 promised for 2014
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Includes Charting
Scheduling
E-prescribing
Medical billing
Lab integrations
Referral letters
Training, support
Personal health record
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Other Features 220 templates 100 labs connected Online booking Patient access
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Free?? AdSense recognizes words such as diabetes, Ads appear Pharma, Insurance companies Ad-free for $250/month Redacted patient data
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Meaningful Use Dashboard Assurance of Meaningful Use 2 in 2014
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Practice Fusion – Small Practices
Fam Pract Manag. 2012 Nov-Dec;19(11):23-30
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Practice Fusion - Vendor Support
Fam Pract Manag. 2012 Nov-Dec;19(11):23-30
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Practice Fusion – Ease of Use
Fam Pract Manag. 2012 Nov-Dec;19(11):23-30
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Practice Fusion – Productivity
Fam Pract Manag. 2012 Nov-Dec;19(11):23-30
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Practice Fusion – Satisfaction
Fam Pract Manag. 2012 Nov-Dec;19(11):23-30
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Kareo EHR
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Kareo EHR Developed by Epocrates Small practices, primary care Cloud based 17,000 practices 2011/2012 compliant
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Kareo Works on iPad or iPad Mini Voice recognition 120 templates
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Kareo
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Kareo - Schedule
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Kareo Features E-Prescribing
Medication history
Prescribing and interaction checks
Drug and patient education
Dosing schedules
One click renewals
Formularies
US Preventative Task Force
Lab ordering to major labs
Lab review and routing
100 templates
Template builder
Vital sign trending
Growth charts
Immunization Registry upload
Demographics
Web browser accessible
Patient portal
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Free? EHR is free Suite with practice management◦$299 per month per provider
4% billing
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ComparisonPractice Fusion Kareo
Experience 2008 2013
Free lunch? Ads Upgrade to Practice Management
Meaningful use Level 2 promised 2014 Level 1
Added cost $250 adless $299 Practice Management