decisionhealth Newsletters, Part B News - 2009 Issue 8 (August)
Case study: How a two-doctor practice implemented EHR
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Article Overview
This article profiles a two-physician family medicine practice that opened with an electronic health record and integrated practice management system already in place. It discusses why the practice chose the technology, how the transition affected daily operations, and how the system supported clinical documentation, revenue cycle performance, quality reporting, and e-prescribing. The piece is aimed at physicians, practice managers, and coding or reimbursement professionals interested in small-practice implementation of health information technology and related federal incentive-era initiatives.
Why This Topic Matters
Small practices often face different operational and financial constraints than larger organizations when adopting electronic records. This case study shows how one practice approached implementation and what broad categories of practice benefits and challenges were involved.
Article Sections
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Practice formation and EMR decision
The opening explains the small-practice environment, the physicians’ reasons for leaving hospital employment, and the decision to begin with electronic records in place.
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Selecting and implementing the system
This section covers the search for a vendor, the integrated software package chosen, and the practical advantages of starting in a new office without legacy charts.
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Daily patient volume quickly escalated
The article describes how the practice’s patient volume changed after opening and how the combined clinical and administrative system affected day-to-day operations.
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Care data seen in real time
This section focuses on clinical workflow, care coordination, documentation support, preventive care, chronic disease management, and planned laboratory connectivity.
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Reporting and incentive program preparation
The closing portion discusses readiness for federal quality reporting and incentive-related activities, including electronic prescribing and patient response.
What You Will Learn
- How a small family medicine practice approached electronic record adoption
- What broad operational factors can influence implementation in a two-doctor office
- How integrated practice management tools can support billing and scheduling workflows
- How electronic documentation can support real-time access to patient information
- What types of reporting and quality initiatives may be associated with EHR use
Who Should Read This
- Physicians
- Family medicine practices
- Practice managers
- Medical office administrators
- Medical coders
- Revenue cycle staff
- Health IT decision-makers
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