Kimberly Mullen
Vendors designing software for substance abuse treatment centers must keep the unique requirements of rehabilitation in mind. From charting templates to specialty-specific procedural coding, rehabilitation Electronic Health Record (EHR) Software systems should streamline clinical workflow and integrate labs, pharmacies, and diagnostic equipment to track patient progress and treatment plans.
Templates – Templates in the EHR system reduce the time consultants spend on note-taking during sessions making the process efficient and accurate. The substance abuse software would have customizable templates specific to rehabilitation that cut down on arduously repetitive SOAP notes to enhance the charting process. Some of the templates could include:
• Alcoholism • Narcotics • Prescription painkillers • Infection management
Reimbursement Management – The way rehabilitation clinics operate can vary. Some bill insurance companies, some seek funds from public or private charities, while others charge their clients. For insurance reimbursement, the electronic medical record system should be able to access specific procedural codes (ICD/CPT) for accurate billing claims. The EMR software should also be able to streamline the reimbursement procedure for charitable funding and patient donations.
Scheduling – Substance abuse clinics have unique scheduling requirements. Some counseling sessions are done on an individual basis, while some are done in group settings. The Substance Abuse Electronic Health Records Software should have robust scheduling capabilities to handle multiple patients simultaneously. The electronic scheduling feature also allows patients to easily book appointments online.
Workflow Management – A complete EHR streamlines and expedites the entire workflow process taking the patient from first inquiry through admission, treatment, therapies, and any medications prescribed, and finally discharge and follow-up/outpatient care.
Integration – To develop treatment plans and track patient progress counselors need to be aware of the medical history of patients. The Electronic Medical Record (EMR) should have integration with labs, pharmacies, and diagnostic equipment for complete patient files, as well as offer secure messaging for discreet importing of patient data from other doctors and physicians.
Documentation Management – Substance abuse counselors may need to access their old notes quickly to review previous sessions. They may need to access multiple patient records simultaneously, or they may only deal with patients one-on-one. Rehabilitation and Electronic Health Record (EHR) Software should be able to support the large volume of documentation and enable easy access. A top-rated substance abuse software may use the power of Artificial Intelligence (AI) to enable healthcare providers to chart the way they desire. Rather than using difficult templates to document.
Medication Management - A good substance abuse EMR software offers the functionality of electronically prescribed controlled substances (EPCS) services. This helps providers to manage patient medication needs effectively improving patient safety.Substance Abuse Electronic Medical Records Software represents the electronic method of storing medical records for patients. Using specially designed software, physicians and other medical professionals can store anything ranging from patient demographics to extensive clinical information about long-term patients, such as their medical history, social history, lab reports, and more.
Since all medical providers (MDs, DOs, PAs, NPs, LCSW, OT, etc.) work distinctly based on their background and medical specialty, EHR Software or EHR Software must accommodate the unique style and documentation requirements. Examples of such specialty-specific features include the ability to annotate images or the capability to store before/after photos for Pain Management specialists and Dermatology specialists respectively. Similarly, other specialties such as Pediatrics, Oncology, Podiatry, Ophthalmology, Neurology, Nephrology, Dialysis Centers, Rheumatology, and Chiropractic Care require their unique set of specialty-specific features to simplify adoption.
Since the introduction of the HITECH Act, healthcare IT has undergone a massive transition starting from the widely recognized Meaningful Use program to what is now known as MACRA, the Medicare EHR Incentive Program. The Meaningful Use program has transformed and now formed part of the four components of the new Merit-Based Incentive Payment System (MIPS), which itself is a fundamental part of MACRA.
For some medical practices, the transition from paper-based records to EMR Software (Electronic Medical Records) has not been a simple one. Regardless, realizing that the benefits of utilizing ONC Certified EMR Software far outweigh the hassle and challenges associated with it - ensuring a viable future, most practices today have successfully transformed their clinical and administrative operations to EMR Software.
Aside from ensuring tangible financial incentives and profitability, practices converting to EMR / EHR Software have seen the following benefits:
Just like a medical specialty, EHR Software requirements also depend on the size of the medical practice. From solo-provider clinics to large multi-provider, multi-specialty clinics, every practice has unique inherent challenges that must be addressed by the EMR Software vendor.
A small doctor’s office not only has a limited number of staff members but their EMR Software budgets are also extremely low compared to a large enterprise such as a hospital. Due to these budgetary constraints, many providers simply choose to employ Free EMR Software or choose an affordable EHR Software vendor with a low fixed monthly fee. Cloud-based access is one such important requirement so that these providers can access patient charts even from home when needed.
These practices usually consist of 5 to 10 medical providers often belonging to the same medical specialty. Their requirements are more stringent, and their budget is also considerably large. Aside from specialty-focused requirements (EHR Software by Specialty), these practices also require unique features such as interoperability, dedicated customer support, multi-device support as well as extensive reporting functionality to keep an eye on the overall performance of the practice.
Larger group practices generally comprise more than fifteen or often twenty medical providers. These practices usually provide medical services that fall under various medical specialties (Orthopedics, Pain Management, Surgery, Chiropractic Medicine, Family Medicine, etc.). Therefore, these practices require support for multiple users to access the system simultaneously, as well as for the Scheduling software to accommodate multiple locations, providers, and resources such as Dialysis Chairs, procedure room allocation, etc. These practices also keep replacing or adding staff members and need a scalable solution.
EHR software companies such as Epic, Cerner, Allscripts, NextGen, Athenahealth, IMS by Meditab, eClinicalWorks, Meditech, McKesson, MEDHOST, etc. usually target and provide solutions for larger corporations like Hospitals, ACOs, PCMH, IPAs, CINs (Clinically Integrated Networks), Public Health Departments, etc.
These customers have the most elaborate list of requirements, which are usually documented in the form of an RFI or RFP to assess and shortlist vendors that can meet them. The requirements consist of features like inventory management modules, interface with local labs (LIS), machines, and diagnostic equipment along with drug dispensing (pharmacy management software) and electronic medication administration records (EMAR), etc.
These entities also require the EHR software also need to integrate with multiple other software and medical devices.
Since the introduction of Meaningful Use, most healthcare practices simply have little or no choice but to convert their practice operations to EHR software. However, most providers today select the EHR software of their choice that best suits their specific needs and must perform an extensive search to evaluate all available options before they find one that is suitable. Most potential EMR Software buyers in the market today have the following in common:
Although #3 is ideal, every provider and practice workflow is unique and therefore what works for one provider may not suit the other. “One size fits all” simply doesn’t apply in the world of healthcare IT. Software experts and industry specialists are an ideal source of information, and advice and ultimately ensure that the right decision is made.
EMR software includes several types of software based on specific applications or functionalities:
Small doctor offices benefit the most from Cloud-based EMR Software technology since minimum to no upfront cost or maintenance is required and accessing the EHR Software is possible from any location given the availability of internet access. This type of EMR software is also device independent in most cases and can be accessed using devices such as Smartphones (Android & iOS), iPhones, iPads, laptops, and desktop computers.
Apple dominates the digital device and computer market in the US today, so it is no surprise that many providers are specifically looking for their EMR Software vendor to support Mthe ac operating system (Mac EMR Software). Not all Vendors today work on a Mac device, so looking for a vendor with native support for Mac devices is essential to ensure that the software performs on existing hardware at the practice and does not require more investment in computer systems.
This is the most significant requirement for most software buyers today as the software must comply with the standards and guidelines set by the Office of the National Coordinator (ONC). The online repository details all software vendors and details related to their respective compliance with the measures set by the ONC (Click here). Software that complies with these standards has undergone rigorous testing and is confirmed at a benchmark level defined by the federal body. The software testing done during this exercise checks all areas of the EMR Software system from Patient Portal access to the way the EHR Software communicates with other programs and entities like labs, Pharmacies (via e-Rx), hospitals, HIEs, etc.
Electronic health records software (EHR) for certain specialties such as substance abuse or rehab must provide tools to document and manage the clinical workflow of those specialists such as specifying the areas of concern (for example pregnancy) and should provide more than a basic procedure of capturing text or raw data.
With competition rising in healthcare IT, EMR software providing integrated Practice Management software as part of their overall software package easily outperform rivals with standalone EHR Software including those that may provide specialty-specific EHR software. EMR Software companies with integrated Practice Management solutions often tend to provide extensive reporting capabilities to track practice performance and manage business operations better.
Medical practice has several needs for software systems to streamline operations across the board. One such important area is billing for services rendered and communications with insurance companies. Medical Billing Software, therefore, works best when integrated with Electronic Health Records software. All clinical documentation seamlessly conforms to the required standard and forms a financial document that can be electronically sent to payers (insurance carriers) to verify and process at their end. This simplifies the operations and ensures all parties are on the same page when it comes to the financial health of the enterprise. Medical billing software helps practices and medical billing managers generate claims, and patient statements, verify patient eligibility, and more. This software is ideal for practices that want to handle billing in-house and can integrate with EMRs.
An EMR Software must ensure the security and safety of patient records while ensuring privacy and HIPAA compliance for patient/doctor communication (Patient Portal). This is a paramount concern for physicians and HIPAA compliance should be guaranteed at all times by the EHR Vendor. Most Vendors today (Epic, Cerner, Athenahealth, AdvancedMD, PrognoCIS, Modernizing Medicine, eClincalWorks, etc.) are aware of the importance of HIPAA compliance and have taken steps to ensure the safety of patient records security in every section of the EHR Software using advanced tools like data encryption technologies to enhance the security of the EMR software.
One of the decisions your practice will have to make is whether you want just EMR software or one with integrated Practice Management for billing and scheduling. There are advantages to having both together but there have been cases where some practices only go for one if they had unique requirements that a vendor could not fulfill, or they had already paid a hefty amount for PM software and weren't looking to replace it yet.
Doctors are not IT professionals, and though some might be tech-savvy, it would be egregious to expect them all to be experts on EHR software. Ease of use is essential to make the transition from paper to electronic smooth, as well as day-to-day practice to go along without a hitch. If the software is too complicated and hard to understand, it's a waste of precious time and needlessly aggravating. Some vendors offer free training while others don't; make sure you ask for training if your practice needs it.
Not all specialties are created equal, so why must their software be generic? Basic EHR software works well and is good for general practice and most specialties, but doctors have complained about specialty specific not being available in the market. The specialty software have inbuilt recording systems that make specialty practices function efficiently. Only a few vendors provide specialty-specific software, so there aren't many to choose from. But the vendors are cottoning on to the demand and there should be more options shortly.
Support is a major issue most practices have with their current vendors. A good support team can make small glitches to major roadblocks easy to maneuver while a bad one will just make things worse. Some vendors provide support as part of the plan you're already paying for, while others charge extra for support. Scout the market, read reviews, or just ask if there will be a special support team assigned to each practitioner and whether you'll be charged for the service.
There are varying price lists out there, some offer free services, while others charge an arm and a leg for specialty services. Either way there will be hidden costs that you might get to know about later. Fix your budget and talk to vendors you interview about hidden costs within the contract and whether services such as training and support are free.
Smartphones have changed the dynamics of mobile usage. Handheld devices are easy to carry around and can be used for any number of uses. Most people are ditching the cumbersome PC for a handheld device. Doctors mostly use iPads or Tablets in the examination room to take down patient symptoms, check history and note down the prescription, sothe vendor must haves a mobile application that is synced with all the mobile devices being used in the practice.
Like anything else, the EMR software industry is also subject to constant changes. From new technology to legalities and governing bodies, everything is constantly changing. Here are some of the changes I think it would do well for you to keep track of.
Recent research found that only 25% of practitioners are interested in a web-based model and only 50% are willing to have it as an initial model that eventually transitions to cloud-based. Cloud-based EMR software cuts down on steep upfront costs for client servers and can be hosted on any device that has a web browser. It's no surprise that an increasing number of vendors are transitioning to cloud-based software because the industry demands are changing.
At a recent healthcare conference Andy Slavitt, the administrator of the Centers for Medicare & Medicaid Services declared that Meaningful Use was over, and would be replaced by the end of this year with something better. But a deeper look into the claims revealed that meaningful use would very much still be there, only much improved.
The new measures aim to make the reporting and benchmark for reaching the required reports much easier and laxer than under Meaningful Use, along with other changes. Yet it is safe to say that none of these changes will make an impact till the end of 2017.
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