decisionhealth Newsletters, Part B News - 2008 Issue 7 (July)
Physician Office Technology Report: Increased practice efficiency from technology upgrades doesn't always come at high cost
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Article Overview
This article examines how physician offices are evaluating lower-cost technology alternatives to traditional electronic health record systems. It discusses the practical tradeoffs between cost, usability, workflow disruption, document imaging, e-prescribing, and certification considerations, and it is aimed at clinicians, practice managers, and health IT decision-makers exploring office technology options.
Why This Topic Matters
It helps readers understand why some practices delay or avoid full EHR adoption and what broader categories of technology solutions are being considered instead. The article is relevant to offices balancing efficiency, implementation burden, and technology investment.
Article Sections
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EHR costs and adoption concerns
Introduces the high cost of EHR adoption and the factors influencing whether small practices consider interoperable systems. It also frames the broader market for lower-cost medical record solutions.
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Low-cost record systems and market alternatives
Describes the range of simplified electronic and paper-based documentation options available to smaller practices. It highlights the types of vendors and products serving this market.
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Adoption rates and workflow concerns
Summarizes reported adoption levels and the practical concerns physicians raise about usability and workflow impact. It places those concerns in the context of ambulatory practice technology.
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Records 1-2-3 and paper template documentation
Profiles a documentation approach focused on paper templates and small-practice workflow. The section explains why some physicians prefer this model over a full electronic system.
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Digitizing offices with document imaging and workflow redesign
Discusses scanning and document imaging as a way to reduce paper while preserving existing office processes. It also touches on the role of workflow redesign in digital preparation.
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E-prescribing challenges and small-practice implementation
Covers early experiences with electronic prescribing and the operational issues that can affect adoption. It emphasizes process alignment across office and pharmacy workflows.
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HanDy EMR and free software development
Profiles a physician-built free EMR and the motivations behind its development. It also notes ongoing enhancements and certification considerations.
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Advertising-supported software and Practice Fusion
Addresses the business model questions raised by advertising-supported health IT products. It concludes with a brief look at physician adoption for a web-based free EMR.
What You Will Learn
- The categories of office technology options being considered by small physician practices.
- Why cost, usability, and workflow are central issues in EHR and EMR adoption.
- How document imaging, e-prescribing, and template-based documentation fit into office technology planning.
- Why certification and interoperability requirements affect vendor and physician decision-making.
- How some low-cost or free medical record products are being marketed and supported.
Who Should Read This
- Physicians in small or solo practices
- Practice managers
- Medical office administrators
- Health information technology decision-makers
- Medical coders and billing staff interested in office workflow tools
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