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  • Fay Naj
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    Migrating from paper to EMR
    Posted by Fay Naj, 3/24/2012 4:58 PM.
    Hello, my biggest concern about migrating from paper to EMR would be converting records to EMR. I've been looking at Open-EMR for some time now and am wondering what would be the easiest and most unchallenging way for a physician who's been operating for 5yrs and has in excess of 200 patients, to transfer all his paper based records to EMR.
  • Lindsay  Young
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    How can my agency ready itself to capitalize on available funds?
    Posted by Lindsay Young, 4/6/2010 6:24 PM.
    There have been many news articles lately about increases in state funding and national initiatives so that organizations will have a better ability to acquire and "meaningfully use" electronic health record systems. What steps can my organization take to ready itself to capitalize on available funds and soon-to-be available funds? Where does behavioral health fit into this puzzle?
  • Glen Marshall
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    RE: What is a realistic timeline for a project of this magnitude?
    Posted by Glen Marshall, 4/6/2010 4:19 PM.
    The tip that comes readily to mind is forming an end-user advisory panel.  This group will stay with the project through implementation and is charged to bring honest advice and feedback as the project moves forward.  It is good to do a Myers-Briggs test, or similar, for the end-user advisory panel members and then openly discuss each others' results and what they mean in the context of working together.  A lot of resistance arises from people not understanding where each-other is...
  • Vince Collier
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    RE: What is a realistic timeline for a project of this magnitude?
    Posted by Vince Collier, 4/6/2010 4:00 PM.
    These are all great tips. The involvement of end-users seems like it could be a challenge in and of itself. Do you - or anyone - have any tips on how to prepare an organization for this change? What reasons for resistance should I expect?
  • Glen Marshall
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    RE: What is a realistic timeline for a project of this magnitude?
    Posted by Glen Marshall, 4/6/2010 3:24 PM.
    Before going any further, ask yourself some key questions: Have you involved your end-users with decisions about presentation, easy of use, pro/con on modifications to current workflow, privacy and security, and usefulness of EHR data to healthcare consumers?  In other words, will they enthusiastically use it? What about ensuring that CMS's meaningful use criteria can be supported? Does the current project plan and schedule support affirmative answers to the above two quest...
  • Patrick Gauthier
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    RE: Should we hire a consultant for EHR project?
    Posted by Patrick Gauthier, 4/5/2010 6:30 PM.
    I agree with others in that "it depends" but would expand the answer in the following way: A. These projects have several key phases so you have to begin with a bit of a breakdown. Some consultants are experts in one or another area. Some of your needs may be very specific to one or another area. Sometimes, you need a consultant who is equipped to take you through the entire life-cycle of the project. This is a safe breakdown: Strategic Planning Needs Assessment and Gap Analysis...
  • Amanda Benfield
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    How is the debate over meaningful use affecting your organizational readiness?
    Posted by Amanda Benfield, 4/5/2010 6:13 PM.
    Has CMS' discussion over "meaningful use" criteria affected any organization's readiness in its search for an EHR software solution? Has this stalled your progress, or has this made you more excited about automating your systems? If anyone is following, much of the funding/incentives hinge on these meaningful use standards, so this has the attention of many in the health care industry who want to implement an EHR soon. I wonder how closely people are following this development.
  • Charles Budd
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    RE: What is a realistic timeline for a project of this magnitude?
    Posted by Charles Budd, 4/5/2010 5:32 PM.
    There is no "standard" timeline for implementing an EHR, though it can easily take from 3 months to a year or more depending on several factors: Did you go through all your documents, forms, and communication flows and standardize them before starting the implementation or is that part of the implementation time? Are you going to accept standard forms and screens from a supplier or will you need customization?  How much customization? Are your records already in s...
  • Scott Sutherland
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    What is a realistic timeline for a project of this magnitude?
    Posted by Scott Sutherland, 4/5/2010 4:40 PM.
    We are in the beginning stages of organizing an EHR implementation project for our rehabilitation clinic. We are finding that we are using much more time than was originally allotted for this, and I'd like to get other people's takes on how theirs is going. What are your expectations? How quickly or slowly do you plan to move through this process?
  • Oprea Catalin Gabriel
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    One more question
    Posted by Oprea Catalin Gabriel, 1/6/2010 7:54 AM.
    5) How much space should be statisticaly reserved for health care recording of each person (patient) in EHR? Is 1 MB/1 person/1 year enough or is it to small for the purpose of EHR and for nowadays technology?Best regards,Catalin Gabriel Opreacoprea@ccss.rohttp://www.fly.to/catalin/
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Last updated Aug 07, 2009
Our experts in EHR technology and topics include some of the most respected names in the industry including:

Ronald W. Manderscheid, Ph.D.
Director, Mental Health and Substance Use Programs

Global Health Sector, SRA International, Inc.

Ronald W. Manderscheid, Ph.D., has served as the Director of Mental Health and Substance Use Programs at the Global Health Sector of SRA International since 2006. In this capacity, he is developing new demonstration and research projects around mental health and substance use services, programs, and systems, using a public health framework. Areas of focus include transformation of financing, human resources, evidence-based practices, information technology, statistical data, performance measures, and quality report cards. Consumer and family concerns pervade all of this work. Concurrently, he is Adjunct Professor at the Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, a Member of the Secretary of Health and Human Services Advisory Committee on Healthy People 2020, and President-Elect of ACMHA—The College for Behavioral Health Leadership. Dr. Manderscheid serves on the boards of the Employee Assistance Research Foundation, the Danya Institute, and the Public Manager.    

                        
    

Jennifer Daniels, Esq.
Partner, Blank Rome LLP


Jennifer J. Daniels, Esq. is a partner at Blank Rome, LLP, where she provides counsel on healthcare and transactional matters. She services a wide range of clients, with a focus on the health information technology and life sciences industries.  Ms. Daniels regularly advises clients on matters involving compliance with privacy and security regulations, fraud and abuse laws, facility licensing requirements and other regulatory matters.  She has extensive experience handling the day-to-day contracts and transactions for pharmaceutical, biotechnology, and medical device manufacturers.  Ms. Daniels currently sits on the Board of Directors of the Hauptman-Woodward Medical Research Institute.  She also is a member of the HIMSS / AHIMA workgroup for Privacy and Security in Health Information Exchange and authored many publications, including Applying Basic Privacy Principles to the Use of RFID for the Food and Drug Law Institute's Update Magazine 2005, Issue 4.

Ms. Daniels received her J.D. degree, cum laude, from the University of Pennsylvania School of Law and received her B.A. degree, magna cum laude, from the University of Rochester.

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