The following article is excerpted from an interview with Dan Rogers, President of Medco Data , a trusted Launch Pad Partner
Sidestepping [EMR] Pitfalls
(excerpted with permission form Technically Speaking)
Selecting the right EMR solution can entail weighing a complex set of variables for the practice. The wrong solution or ill-planned implementation can mean thousands of hours/dollars in lost productivity for the practice. Following are among the most common mistakes practices make and how they can be avoided. Underestimating workflow changes. Talking to practices of similar size and scope will help give you realistic expectations.
Consultants say no matter whether you are a hospital or small physician practice, or whether you are implementing an electronic medical record or an e-prescribing system, there are patterns in the mistakes made during the shopping for and implementing of technology. Dan Rodgers, president and CEO of MedCo Data, a Tampa, Fla.-based EMR and Practice Management consulting practice said practices also should evaluate workflow before implementation and develop the ideal workflow for post implementation. Here are a few more:
- Not allowing enough time for training. Howe said he has heard several vendors use the sales pitch that their systems require no training. Talking to someone who uses the system will verify that’s likely not the case. There are no plug-and-play systems, experts say.
- Treating the project solely as an IT project as opposed to a business decision. “If you are a pediatrician, you are in the business of treating kids; if you are an orthopedic [specialist], you’re in the business of running an orthopedic group,” said Howe. Whatever system you select should support that business.
- Failing to consider future needs in negotiations. Rodgers said just implementing the core will likely mean the practice will have to go back to that vendor for more. Rodgers said practices should negotiate those prices at the time of the initial implementation and have the vendor sign off on a statement of intent to purchase. Otherwise, you are stuck with a vendor who, after the fact, can set any price, he said.
- Not defining a clear path for return on investment. Rodgers said many practices jump in, accepting the vendors promise of profit, but don’t sit down and develop a plan to get them there.
- Not having a legal expert review the contract. “When you are getting ready to sign a $50,000 contract, it’s worth a couple hundred bucks to have someone review that contract for you,” Colorafi said.
- Going cheap on the infrastructure. Rodgers said he has heard from several practices that say their systems aren’t performing the way they were promised. In reality, he said, they were running the systems on older, less-expensive computers and servers that weren’t allowing the system to run at optimal levels.
- Delegating the implementation to non physicians. Colorafi said she has seen many implementations fail because the job of selecting a system was delegated to a practice manager instead of a physician who will be using it. Others can be used to gather background information, she said, but taking the systems for a test run should fall to the physician.