The Stimulus package is definitely a great incentive for getting small practices and large hospitals to move towards Electronic Medical Records – despite a pretty high upfront cost of around $44000 per physician to install a new electronic health-record system. Daily Finance has an interesting article and interview on a new trend: ad-sponsored online health records.
Practice Fusion, a small start-up, has an interesting approach of making that service free but ad-sponsored. Their software is web- and cloud-based (partners of Salesforce.com), meaning doctors don’t have to worry about setting up the software. Even better, it can be free, provided doctors agree to have ads appear on their record system. Practice Fusion provides interesting capabilities, like automatic charting, patient management, ePrescription, scheduling and billing.
One thing that leaves me a bit uncomfortable with many of these proposals is the gap between past and present (paper) and future (full digital), and the deliberate avoidance of the hardest problem - getting legacy paper records accessible in the new system. Sure, new paper documents can be scanned and imported as images, but what about the legacy volume of documents still sitting in folders? How can you extract and inject them into an electronic Medical Record system, while making sure this information can be searched, accessed and retrieved easily?
I visited one of our customers recently, who has a huge warehouse of over a million Medical Records folders - scary experience, especially when thinking that my life might depend, one day, on the speedy access to the right information contained in that 200 pages folder, sitting with another million folders …
So how do you intelligently scan the legacy medical record and recreate an intelligent, electronic version is navigable, searchable, and brings as much information to the doctor -and hopefully more- as the physical paper record? That is, to me, the toughest problem. I’ll be touching on some of these aspects in the future.