Nothing wrong with that. When I’m showing something off, I want to share the best of what I have too.
But one of our main jobs as leaders of our medical practices, is to shift through the nonsense and get to the nitty gritty.
So how do we know, from a practical stand point, that the software we are evaluating can handle real world examples?
The best way to understand if a piece of software will work for you is to see it in action. Not from a representative’s point of view, but from a practice point of view.
I know what you are thinking… but I don’t know what questions to ask the EMR rep that will help me get a practical sense of how the EMR works.
Wonder no more. Suzanne Berman, MD, SOAPM member extraordinaire, wrote down 11 Questions that I think will really put an EMR through a ringer. As you will see from her questions, she emphasizes the importance of seeing how the system performs extracting data.
Take a look at these questions and have them ready the next time you meet with an EMR vendor.
- “Show me how I recall all asthmatics who haven’t had a spirometry in >6 months.”
- “The next time this family calls or comes in, SOMEONE needs to get a correct mailing address. Please mark the chart on all the siblings so it will alert the next time someone opens the chart.”
- “Show me all patients who are behind on their checkups.”
- “Which of our patients don’t have a current Framitz Flopulitz form on file?”
- “I need to pre-order my flu vaccine for next year. I need a breakdown of how many VFC vs payable kids, 6 to 36 months vs big kids we had last year and how many shots/mist we gave; then I need this year’s numbers to extrapolate.”
- “I saw a kid with something like this last year — the specialist recommended a great treatment regimen, that I’d like to try again. Nuts, can’t remember that kid’s name. I do remember charting “Spoke with Dr. Matheson” — the specialist. How can I look through all the charts for a teenage girl seen in 2011 where the phrase “Spoke with Dr. Matheson” appears?
- Me, Dr. Speedy, and Dr. Talksalot are all vying for a limited number of shared exam rooms. Which of us a) has the most visits; b) runs on time vs. behind; c) has the most patients in the office at once [i.e. does the most double/triple sib appts]?”
- “How many active patients do I have? Exclude cross-cover patients, patients who’ve transferred, patients who we discharged, and patients we haven’t seen in X months. Oh yeah, and please show age distribution.”
- “How do I mark this kid’s chart as “African-American child adopted by Caucasian couple — do not ask “are you mom?” when family comes in — sensitive issue” so my receptionists stop putting their foot in their mouths?
- “I’m doing a sick and a well visit on the same day. Where do I chart the different bits?”
- “How can I find all kids who got vaccinated with Lot X? The mfr is recalling that lot.”
Of course you are free to add your own questions based on situations you’ve encountered. Oh, and don’t assume this is all the due diligence you have to do. Search the web. There are tons of articles that can help you with this process as well.
Lastly, I’d like to mention that data input is also important. The program ought to feel intuitive and easy to input data into. But don’t forget the data output. This is often an overlooked aspect of the EMR evaluation.
What question or request would you add to this list?
Dr. Suzanne Berman is a general pediatrician in private practice in Crossville, Tennessee. Her family works, lives, goes to school, worships, and buys stuff from Walmart all within the 38555 zip code. Dr. Berman is a regular contributor to the Survivor Pediatrics blog. To read all her post, click here.