Regarding Andis Robeznieks' article about how smaller groups are less likely to use electronic medical records ("In no big hurry," Sept. 19, p. 17): In the past year, my multispecialty group disbanded and since then I have been on my own as a solo urologist. When it was apparent that I would start my own venture, there was no doubt that it would be with an EMR system. I am extremely pleased with having done so.
I know there is a big expense with this. It also takes a commitment on the part of physicians. Medical offices need staff members who are savvy about computers. Fortunately my office manager is extremely skillful and she was gung-ho on this idea.
As for the expenses, doctors should analyze what they spend on transcription. I no longer have that expense. They also should know how much it costs just to open and then maintain a chart. I have eliminated that cost. Storage is another big fee; I have shredded a truckload of paper. My office is not cluttered with charts. Then there is the hassle of finding, retrieving and putting back the chart. I can do this with the click of a mouse. Next, there is the issue of security. The recent hurricanes brought this issue to the fore. My records will not be washed away by a natural disaster.
Finally, I know the government wants doctors to go electronic. I wanted to do this before someone told me I had to.
Port Charlotte, Fla.
I read the cover story, "Textbook executive," and I'm wondering how to go about ordering a copy of this directory once it goes online (Sept. 12, p. 6). It sounds like this is the only way to obtain this report. Am I correct?
Alliance Mobile Health
Rochester Hills, Mich.
Editor's note: The Health Leadership Alliance's HLA Competency Directory, an online database of healthcare chief executives' skill and knowledge needs, will be fully accessible and free to interested health- care professionals. However, it is not available yet. The directory is currently in final testing, and distribution is set for some- time in November. A Web site is being created to disseminate the directory. To track when this will become available, call the American College of Healthcare Executives at 312-424-2800.
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