RE: Practice fusion

[Guest guest]

Hi ,

I don't think you can enter them .

There is a live chat question session you can pull up ... maybe try

asking via that mode next time you atre on the EHR

Deb

> PF question:

>

>

>

> How do you enter in-house labs. I know how to order labs but can't quite

> figure out how to enter results. Anyone using Practice fusion can assist?

>

>

>

> Izquierdo-Porrera MD PhD

>

> Executive Director & Co-founder

>

> Care for Your Health, Inc

>

> Phone

>

>

>

> " Don't ever let injustice go by unchallenged. "

>

>

>

>

[Guest guest]

,

I scan mine in under documents.

Dannielle

To: Sent: Tue, January 24, 2012 4:42:54 AMSubject: Re: Practice fusion

Hi ,I don't think you can enter them .There is a live chat question session you can pull up ... maybe tryasking via that mode next time you atre on the EHRDeb> PF question:>>>> How do you enter in-house labs. I know how to order labs but can't quite> figure out how to enter results. Anyone using Practice fusion can assist?>>>> Izquierdo-Porrera MD PhD>> Executive Director & Co-founder>> Care for Your Health, Inc>> Phone >>>> "Don't ever let injustice go by unchallenged.">>>>

[Guest guest]

Good luck in building your dream practice, Ken!

Colorado Springs is a great place

Eads, MD

Pinnacle Family Medicine

Colorado Springs, CO

www.PinnacleFamilyMedicine.com

From:

[mailto: ] On Behalf Of Ken Stone

Sent: Wednesday, January 25, 2012 9:39 PM

To:

Subject: Re: Practice fusion

Thanks!

My most likely places to set up shop are either out West

(greater Denver/Boulder or maybe Portland, OR) or somewhere in the lower

mid-Atlantic, perhaps NC. I have noticed a bunch of places on the web

that seem to offer 'discount' labs (direct to patients) through arrangements

with LabCorp, but I'm really not sure just how much of a real 'ultra-discount'

is being offered--it doesn't seem like much, but i haven't looked too closely

yet.

By contrast, there's a company out there (physician care

direct) that many of you might have heard of that seems to have a

too-good-to-be-true arrangement with Solstas (a regional lab provider in the

Southeast) to get CHEAP labs. I'm definitely intrigued by their pitch and

the business software package P.C.D. offers (they call it

" Simplicity " ), but still struggling with the long-term price tag of

their overall solution and trying to figure out whether it's worth it to try to

do it all myself instead.

Ken

Sent from my iPad

Bioreference gives good deals for cash pay patients.

Vjshri.

Speaking of which... What labs are worth acquiring the

ability to do In-house (presumably CLIA-waived)? Insurance... is not

going to be an issue, but I'd still like to offer my patients good value for

their money, so I don't want to have to be gouging anybody in order to get

apiece of equipment paid for. Alternatively, does anybody know anything

about negotiating with a lab provider for uber-discounted labs?

Which (if any) of the national labs will offer people a sweet deal

for cash up front?

Thanks to any and all,

Ken Stone

On Jan 23, 2012, at 9:55 PM,

" Izquierdo MD PhD "

wrote:

PF

question:

How

do you enter in-house labs. I know how to order labs but can’t quite figure out

how to enter results. Anyone using Practice fusion can assist?

Izquierdo-Porrera MD PhD

Executive

Director & Co-founder

Care

for Your Health, Inc

Phone

240 844 25

" Don't ever let injustice go by

unchallenged. "

[Guest guest]

In my area, anyone can go to the county health department and get their

negotiated deal with LabCorp, which is pretty good.

Solstas says they're going to set up a draw station and courier service in my

area and offer similar prices...but they haven't started yet and are way behind

schedule...

Haresch

www.onefamilydoctor.com

>

> Thanks!

>

> My most likely places to set up shop are either out West (greater

Denver/Boulder or maybe Portland, OR) or somewhere in the lower mid-Atlantic,

perhaps NC. I have noticed a bunch of places on the web that seem to offer

'discount' labs (direct to patients) through arrangements with LabCorp, but I'm

really not sure just how much of a real 'ultra-discount' is being offered--it

doesn't seem like much, but i haven't looked too closely yet.

>

> By contrast, there's a company out there (physician care direct) that many of

you might have heard of that seems to have a too-good-to-be-true arrangement

with Solstas (a regional lab provider in the Southeast) to get CHEAP labs. I'm

definitely intrigued by their pitch and the business software package P.C.D.

offers (they call it " Simplicity " ), but still struggling with the long-term

price tag of their overall solution and trying to figure out whether it's worth

it to try to do it all myself instead.

>

> Ken

>

> Sent from my iPad

[Guest guest]

I'm certainly concerned about that, but somewhat optimistic that I can do well in Portland and most other moderate to large cities. I think that what will help me out is that I'm going to be offering a service/experience that's (hopefully) several steps beyond what most people get from their insurance-accepting docs. In a sense, I don't have much choice, because I really do have a much slower-than-typical approach... ...I wouldn't last a week in a 'traditional' (I use the word ironically here) internist primary care practice because I find it really difficult not to address most if not all of the issues that my patients bring me... ...and educate them as best as I'm able about those issues. It's not a habit that I've outgrown during residency, but something I've simply come to embrace as being an essential part of who I am. My patients certainly seem to love it, and objectively, it's hard to say I'm not being efficient; I'm simply getting more things done for fewer people than other doctors do. Talking with people, it seems there's a fairly substantial market for this kind of service. I can't afford to work for people who can't afford to pay me, but I think I'll be able to do well serving a market of self-pay middle-class and uninsured people; I expect to be exceptionally appealing to those with high-deductible health savings accounts, and I think that many employers might be willing to sign on for my services as well, if I do things right.My model is going to demand a higher-than-typical (in this crowd) retainer fee (although substantially lower than what a typical 'concierge' practice might charge) but with a lower than typical charge for visits (comparable to a co-pay). I'm hopeful that by doing this my patients will feel free to use my services somewhat liberally; e-mail, telephone, and video will all be supported means of patient communication, and I won't feel resentful in the least (within reason) about handling problems remotely because my patients will be paying for the privilege. Calling me between the hours of 7 a.m. and 9 p.m. will be fair game; outside of those hours I'll likely impose an emergency convenience fee (waivable should the circumstances truly warrant waking me up.) An alternative model that I'm thinking about would allow patients to pay a reasonable by-the-minute fee for my services; this might work out really well for people who are to-the-point and/or willing to do some pre-visit work to keep their visits quick (more on this below).I'm looking to have a very high-quality patient portal (suggestions/nominations appreciated) that will allow patients to have ready access to their records and data, preferably in a concise, well-organized format. Naturally it should support two-way communication as well, so that any questions they have can be conveniently posed; in a perfect world they'll be free to update elements of their own history (with the finalized version of that data pending approval/editing by me) and easily download a concise "summary sheet" that will have most of the background elements of an H & P already neatly arranged. I'll also be setting up free wi-fi in the office, and would like to offer some sort of decent educational resource (UpToDate?) so that patients can readily use the space to do research while they wait. Another reason to have computers available is so patients can flesh-out their own HPIs and ROSs before their visits (or afterwards, if they're so inclined), with templates available to guide them so they address pertinent issues.Appointments will be strictly limited in number because I'll be spending a lot of time on the patients who have made those appointments; same-day walk-ins/urgent care visits will either have to wait to be scheduled later in the day or be willing to wait for openings between other patients as they occur.House calls? Of course. Fees to be negotiated; not too cheap, but not unreasonable, either.The guiding principle behind it all is one that Seto pretty much said the other day: I want to be the kind of doctor I'd like to have for my own doctor.Ken

Ken,

If you are still looking to "set up shop" look very carefully at the satuaration of MD's in the area you are choosing. I LOVE Colorado...grew up there and went back for 4 years and worked at UCHS Rose residency for a awhile....however the Denver/Boulder are is very satuarated with MD of almost every specialty. Pay is lower than a lot of other areas of the country and living expenses area varibale depending on economy. They used to be quite high although now much more reasonable.

I would guess that POrtland might be similar???

Just my 2 cents!

Dannielle Harwood, MD

www.MyStudioMD.com

To: " " < >Sent: Wed, January 25, 2012 8:39:10 PMSubject: Re: Practice fusion

Thanks!

My most likely places to set up shop are either out West (greater Denver/Boulder or maybe Portland, OR) or somewhere in the lower mid-Atlantic, perhaps NC. I have noticed a bunch of places on the web that seem to offer 'discount' labs (direct to patients) through arrangements with LabCorp, but I'm really not sure just how much of a real 'ultra-discount' is being offered--it doesn't seem like much, but i haven't looked too closely yet.

By contrast, there's a company out there (physician care direct) that many of you might have heard of that seems to have a too-good-to-be-true arrangement with Solstas (a regional lab provider in the Southeast) to get CHEAP labs. I'm definitely intrigued by their pitch and the business software package P.C.D. offers (they call it "Simplicity"), but still struggling with the long-term price tag of their overall solution and trying to figure out whether it's worth it to try to do it all myself instead.

Ken

Sent from my iPad

Bioreference gives good deals for cash pay patients.

Vjshri.

Speaking of which... What labs are worth acquiring the ability to do In-house (presumably CLIA-waived)? Insurance... is not going to be an issue, but I'd still like to offer my patients good value for their money, so I don't want to have to be gouging anybody in order to get apiece of equipment paid for. Alternatively, does anybody know anything about negotiating with a lab provider for uber-discounted labs? Which (if any) of the national labs will offer people a sweet deal for cash up front?

Thanks to any and all,

Ken Stone

PF question:

How do you enter in-house labs. I know how to order labs but can’t quite figure out how to enter results. Anyone using Practice fusion can assist?

Izquierdo-Porrera MD PhD

Executive Director & Co-founder

Care for Your Health, Inc

Phone 240 844 25

"Don't ever let injustice go by unchallenged."

[Guest guest]

Ken

Sounds like you are setting up your ideal practice, but is it ideal to those who

choose to pay you.

I have not taken insurance other than Medicare since 2008. My views, and rules

have changed as I see what patients want for their money.

I have found they want competency, trust, value and most of all access. Part of

access is allowing for same or next day visits. My advice is not to nickel and

dime your retainer patients over time they call you. If they truly trust you

have their best interests at heart, they will go out of their way NOT to bother

you.

Trust goes both ways, but remember that they are paying you, and more than they

would pay a normal in network doc.

Horvitz

stown, NJ

> >>

> >>>

> >>> PF question:

> >>>

> >>>

> >>>

> >>> How do you enter in-house labs. I know how to order labs but can’t quite

figure out how to enter results. Anyone using Practice fusion can assist?

> >>>

> >>>

> >>>

> >>> Izquierdo-Porrera MD PhD

> >>>

> >>> Executive Director & Co-founder

> >>>

> >>> Care for Your Health, Inc

> >>>

> >>> Phone 240 844 25

> >>>

> >>>

> >>>

> >>> " Don't ever let injustice go by unchallenged. "

> >>>

> >>>

> >>>

> >>

> >>

> >

> >

> >

> >

>

[Guest guest]

I use multiple methods that I can control including a voicemail system that

screens all calls so caller gets where they need. If it is just a medication

refill they push 1 and leave a message, to schedule press 2 and so on. If they

need to talk to someone press 0. Have used it for probably ten years and sure

saves the overhead of a receptionist or answering service.

It is programmed so after hours messages can be left or for urgent or emergent

messages get immediately forwarded to my cell phone.

For my retainer patients and some trustworthy patients my cell phone number is

given. They have never abused the privilege, and I put all their numbers in my

cell phone so I can screen the incoming name and number before I answer.

While giving out your cell number can be frightening, it promotes a stronger

doctor-patient relationship by giving better access when patients are truly in

need.

Steve

stown, NJ

> > >>

> > >>>

> > >>> PF question:

> > >>>

> > >>>

> > >>>

> > >>> How do you enter in-house labs. I know how to order labs but

can’t quite figure out how to enter results. Anyone using Practice fusion

can assist?

> > >>>

> > >>>

> > >>>

> > >>> Izquierdo-Porrera MD PhD

> > >>>

> > >>> Executive Director & Co-founder

> > >>>

> > >>> Care for Your Health, Inc

> > >>>

> > >>> Phone 240 844 25

> > >>>

> > >>>

> > >>>

> > >>> " Don't ever let injustice go by unchallenged. "

> > >>>

> > >>>

> > >>>

> > >>

> > >>

> > >

> > >

> > >

> > >

> >

>

[Guest guest]

Hi Kathy,Look into PingMD .com as a free and useful way to screen patient calls with IT by smart phone or internet.Marc> > >> > > >>> > > >>> PF question:> > >>> > > >>> > > >>> > > >>> How do you enter in-house labs. I know how to order labs but can’t quite figure out how to enter results. Anyone using Practice fusion can assist?> > >>> > > >>> > > >>> > > >>> Izquierdo-Porrera MD PhD> > >>> > > >>> Executive Director & Co-founder> > >>> > > >>> Care for Your Health, Inc> > >>> > > >>> Phone 240 844 25> > >>> > > >>> > > >>> > > >>> "Don't ever let injustice go by unchallenged."> > >>> > > >>> > > >>> > > >> > > >> > > > > > > > > > > > >> >>

[Guest guest]

I use Google Voice. This is my office number. I have all calls forwarded to my cell phone. Like many, I use *67 to block my number when returning calls on my cell or home phone. Google Voice also sends me an email with transcription (not always good-but usually I can make it out) and a link where I can play the message back and a text of the message to my cell. For those patients (and potential patients) with phones that don't accept block numbers, I have recently started calling them from my computer using Google Voice. My Google Voice number shows up that way instead of my cell.

Also, you can load Google Voice on your cell and use your cell phone with your Google Voice number showing in the caller ID on the other end. I haven't set this up yet as I just read about this when finally recording an office greeting for my Google Voice number.

Cheryl S , MD, MAc

Elements of Health

15 W Milwaukee Street, Suite 205

Janesville, WI 53548

Phone:

Fax:

[Guest guest]

Thank you very much for your input

Very informative

Subject: RE: Practice fusionTo: Date: Tuesday, April 17, 2012, 11:03 PM

PF works for some and doesn’t for others. Each situation is different.

For me PF would not work. A few reasons include:

1. Requires very reliable and accessible internet. In my area that’s not guaranteed.

2. Doesn’t supply hospital labs that I need.

3. Doesn’t have software support for a wide range of contact management software I use that has to be connected to my EMR.

4. Doesn’t have local support. When I lose a key person, my EMR vendor steps in for same day training of new staff.

5. Screen refresh is slower than local server. In a busy practice that could drive you crazy. Again, depends on internet.

6. Last time I looked there was no tool for making SQL queries or equivalent for data mining. Maybe they have that now.

Personally, I like a well integrated EMR supported by a single vendor. I like strong vendor support when needed. I like to understand the implied cost even if it masquerades as free. Granted, there is lots of “free†software around. Free can equate to high quality and there is much to be said for open source software. However, “free proprietary software†leaves me with an uneasy feeling about the future.

In any case, by the time you assemble an integrated EMR based on a free PF you may be using several vendors and wondering what happened to your day and why it’s not free. To assemble the equivalent of what I have around PF would cost more than my integrated EMR. Others with less demanding needs say they make PF fit nicely.

My expectation is that what we traditionally call an EMR will become essentially free from all vendors. At their heart, EMRs are mostly slick views of an underlying database. That 1960s warmed over technology will play out in terms of profitability if it hasn’t already. What will keep the industry moving is superior support and the ability to add value. Most likely that is part of PF’s game plan and why you can expect nice extras like billing software to be extra.

Neighbors, MD

Huntsville, Alabama

Solo using FlexMedical EMR/Billing since 2/2009

Attested MU in 2011

From: [mailto: ] On Behalf Of YahooSent: Tuesday, April 17, 2012 6:10 PMTo: Subject: Practice fusion

Quick question. For a group that try's to keep there overhead down. why is it that the majority doesn't use practice fusion for your emr and kareo for your billing software?I am starting my pediatric practice soon and would really appreciate the infoSent from my iPhone