Eliminate Print Servers: go LANless?

Dashrender

Or is it because it is slower, more costly, more risky and makes them more billable hours?

I know you think all US health care is out to screw you, but we get paid in my office by the visit, not amount of time spent with the patient.

Being more efficient might allow us to see more patients and make more money... But not spending money on paper definitely would save is money as long as the solution doesn't cost more than the paper savings.

As for securing the printer... I laugh in your general direction.

scottalanmiller

@Dashrender said:

I know you think all US health care is out to screw you, but we get paid in my office by the visit, not amount of time spent with the patient.

You can convince me that they care when they do things like take the "time" to keep patient data safe and don't handwrite. You cant defend their intents after describing their processes and what they prioritize.

stacksofplates

@Dashrender said:

You'd like to think that, the info is in another system. Bit that requires digging around in that system to find it... So they pay the staff to spend mins digging instead of themselves. Then once they find it... There is no way to keep it front and center while moving onto those next task without printing or something similar.

I'm confused why this can't be done with a query to the other system? Why do they have to dig around?

In the simplest for I could think of (which would be terrible for a non power user) would be to

find the file
put in folder assigned for specific doctor that's running Python's SimpleHTTPServer
doc refreshes page
clicks new document

Obviously a terrible work around, but that would take seconds. This could be done with Drupal in about a day. If you're using Oracle, it could be done with APEX in about the same time.

scottalanmiller

@johnhooks said:

@Dashrender said:

You'd like to think that, the info is in another system. Bit that requires digging around in that system to find it... So they pay the staff to spend mins digging instead of themselves. Then once they find it... There is no way to keep it front and center while moving onto those next task without printing or something similar.

I'm confused why this can't be done with a query to the other system? Why do they have to dig around?

And how they get distracted by the digital form of the data.

Dashrender

@scottalanmiller said:

@Dashrender said:

I know you think all US health care is out to screw you, but we get paid in my office by the visit, not amount of time spent with the patient.

You can convince me that they care when they do things like take the "time" to keep patient data safe and don't handwrite. You cant defend their intents after describing their processes and what they prioritize.

They only hand write narcotics today... Everything else is digital.

scottalanmiller

@Dashrender said:

I know you think all US health care is out to screw you,

Your descriptions of your office processes in patient care, security, common sense, etc. don't do anything to discourage my impressions of the health care. Yes, I firmly question the motives of many in the health care system... but I don't react to that when you describe what is happening in the health care practice that you describe. The concerns are based off of what they are actually doing there.

scottalanmiller

@Dashrender said:

@scottalanmiller said:

@Dashrender said:

I know you think all US health care is out to screw you, but we get paid in my office by the visit, not amount of time spent with the patient.

You can convince me that they care when they do things like take the "time" to keep patient data safe and don't handwrite. You cant defend their intents after describing their processes and what they prioritize.

They only hand write narcotics today... Everything else is digital.

@Dashrender said:

@scottalanmiller said:

@Dashrender said:

I know you think all US health care is out to screw you, but we get paid in my office by the visit, not amount of time spent with the patient.

You can convince me that they care when they do things like take the "time" to keep patient data safe and don't handwrite. You cant defend their intents after describing their processes and what they prioritize.

They only hand write narcotics today... Everything else is digital.

That's good. Why is the one special? Does it have a problem that they need to bypass the normal security measures?

Dashrender

@scottalanmiller said:

@johnhooks said:

@Dashrender said:

You'd like to think that, the info is in another system. Bit that requires digging around in that system to find it... So they pay the staff to spend mins digging instead of themselves. Then once they find it... There is no way to keep it front and center while moving onto those next task without printing or something similar.

I'm confused why this can't be done with a query to the other system? Why do they have to dig around?

And how they get distracted by the digital form of the data.

I don't think ita about distraction. It about just finding things.

Most charting systems show just a list of office visits, if you are looking for something done at some previous visit, you have to open each one until you find what you want. Hell you might not even know what you want, you just want to skim than all. That is a pain... Is it in reality more of a pain in EHR than old paper chart, probably not... Bit its definitely not easier.

I'm not making excuses for them.
I'm trying to make things better within the realm that I can. I can't put a gun to their head and demand they atop being lazy and find their own shit. They choose to spend their money on having staff look it up for them so they can go directly to the data they was as is possible.

Dashrender

@scottalanmiller said:

@Dashrender said:

@scottalanmiller said:

@Dashrender said:

I know you think all US health care is out to screw you, but we get paid in my office by the visit, not amount of time spent with the patient.

You can convince me that they care when they do things like take the "time" to keep patient data safe and don't handwrite. You cant defend their intents after describing their processes and what they prioritize.

They only hand write narcotics today... Everything else is digital.

@Dashrender said:

@scottalanmiller said:

@Dashrender said:

I know you think all US health care is out to screw you, but we get paid in my office by the visit, not amount of time spent with the patient.

You can convince me that they care when they do things like take the "time" to keep patient data safe and don't handwrite. You cant defend their intents after describing their processes and what they prioritize.

They only hand write narcotics today... Everything else is digital.

That's good. Why is the one special? Does it have a problem that they need to bypass the normal security measures?

Ask uncle Sam... It's current a federal requirement

Though the fed is working to solve it, so they say.

Dashrender

@Dashrender said:

@scottalanmiller said:

@Dashrender said:

@scottalanmiller said:

@Dashrender said:

I know you think all US health care is out to screw you, but we get paid in my office by the visit, not amount of time spent with the patient.

You can convince me that they care when they do things like take the "time" to keep patient data safe and don't handwrite. You cant defend their intents after describing their processes and what they prioritize.

They only hand write narcotics today... Everything else is digital.

@Dashrender said:

@scottalanmiller said:

@Dashrender said:

I know you think all US health care is out to screw you, but we get paid in my office by the visit, not amount of time spent with the patient.

You can convince me that they care when they do things like take the "time" to keep patient data safe and don't handwrite. You cant defend their intents after describing their processes and what they prioritize.

They only hand write narcotics today... Everything else is digital.

That's good. Why is the one special? Does it have a problem that they need to bypass the normal security measures?

Ask uncle Sam... It's current a federal requirement

Though the fed is working to solve it, so they say.

I do agree, I don't understand why the current electronic med system wasn't considered secure enough for narcotics... I'm guessing it was just political.

stacksofplates

@Dashrender said:

In EHR you find it in a huge list, requiring scrolling... Etc.

See this is nuts. Everything I've built, I've been able to use autocomplete in a selection like this. So if I want Ibuprofin, I just type until it's the right one. If the field is just to select something (and not create a record), don't allow anything other than items that are already in a record. This removes misspelling errors.

Jason

@Dashrender said:

@scottalanmiller said:

@johnhooks said:

@Dashrender said:

You'd like to think that, the info is in another system. Bit that requires digging around in that system to find it... So they pay the staff to spend mins digging instead of themselves. Then once they find it... There is no way to keep it front and center while moving onto those next task without printing or something similar.

I'm confused why this can't be done with a query to the other system? Why do they have to dig around?

And how they get distracted by the digital form of the data.

I don't think ita about distraction. It about just finding things.

Most charting systems show just a list of office visits, if you are looking for something done at some previous visit, you have to open each one until you find what you want. Hell you might not even know what you want, you just want to skim than all. That is a pain... Is it in reality more of a pain in EHR than old paper chart, probably not... Bit its definitely not easier.

I'm not making excuses for them.
I'm trying to make things better within the realm that I can. I can't put a gun to their head and demand they atop being lazy and find their own shit. They choose to spend their money on having staff look it up for them so they can go directly to the data they was as is possible.

Why does your EHR not support searching?

JaredBusch

I do not know about all of you, but when he repeatedly stated other system, that implied that it is not their primary system.

I would wager a solid guess that it is a legacy system.

stacksofplates

@JaredBusch said:

I do not know about all of you, but when he repeatedly stated other system, that implied that it is not their primary system.

I would wager a solid guess that it is a legacy system.

Ah I didn't think of that case. The Doctor's offices I have worked with had their in house EMR, and then the EMR that the Hospital uses. However the hospital will be switching over to the system that the Doctors use so it should help a lot.

It would help if we knew what the back end for the secondary software is.

Dashrender

I can say legacy or not...

There are three EHRs in play here.

Athenanet - ours
Epic - three of the major hospitals around here use it
Cerner - used by the other hospital system

stacksofplates

@Dashrender said:

I can say legacy or not...

There are three EHRs in play here.

Athenanet - ours
Epic - three of the major hospitals around here use it
Cerner - used by the other hospital system

Ya that makes it tough, you probably can't get database access to pull info from the two others.

Too bad with iOS you can't view network shares. You could just create a folder for each doctor as a document repo for that day and just set it to sort by creation date. Then have it wipe the folder every night.

Jason

Most of the Healthcare providers around here use GE Centricity which provides a lot of the things you're asking for.

stacksofplates

The offices I deal with use Medent. I haven't heard of any issues like this either. Insurance cards are OCR scanned and then everything after that is digital.

They provided (the doctors bought) Fujitsu touch screen laptops from Medent and then use those to carry to the rooms. They're like the old school HP laptops where the screen swivels 180 and lays down over the keyboard.

stacksofplates

Our pediatrician uses the same system. When Bentley gets shots or anything, they hand us the digitized pen and we sign directly on the Fujitsu laptop.

Dashrender

@johnhooks said:

@Dashrender said:

I can say legacy or not...

There are three EHRs in play here.

Athenanet - ours
Epic - three of the major hospitals around here use it
Cerner - used by the other hospital system

Ya that makes it tough, you probably can't get database access to pull info from the two others.

I can't get DB access to any, athenaNet is a cloud service.