Advice on buying electronic health-record systems, dissatisfaction with the CMS Physician Quality Reporting Initiative, or PQRI, and humorous electronic-transcription errors were among the health information technology topics passionately debated at roundtable discussions held during the Medical Group Management Associations annual conference in San Diego earlier this week.
During a roundtable for surgical group practice administrators, moderator Dan Friend noted that, if you ask the EHR vendors in the exhibit hall for advice about EHRs, theyll all have the best one, so he recommended going with one with staying power and added that the vendor he bought his EHR from, Misys Healthcare Systems, recently merged with Allscripts Healthcare Solutions and, consequently, doesnt exist anymore.
Whos going to be around tomorrow? he said. When I see a little, bitty booth down there that says EMR, I just walk past.
His co-moderator, Kristy Fresh, director of operations for the Oregon Clinic in Portland, recommended to attendees getting as many point-and-click applications in their templates as possible.
She added that her practices transition to EHRs was so painful that the fact that I kept my job is pretty darn amazing, and that her vendor now knows that they cant send someone trained in family medicine applications to wire a surgical practice.
At the roundtable for orthopedic practices, one company received praise for its product, but harsh criticism for its practice of including additional costs into its contracts. One attendee said they were evil and recommended not engaging in contract negotiations without legal advisers present. Another attendee complained how the same company was charging additional fees for additional licenses.
Theyre excellent, but theyre expensive, she said, prompting the previous speaker to shout, Theyre evil!
In a similar vein, when someone mentioned the PQRI, co-moderator Jerald Forrester, the former administrator for the Round Rock (Texas) Orthopaedics and Rehab, replied PQRI, thats a four-letter word.
An attendee noted that, in 18 months of PQRI participation, he has not received a check and has not been told why. Ive given up trying to figure out why Im not getting paid, he said.
Admitting the problem is the first step, Forrester replied.
His co-moderator said she did receive a check for her PQRI participation, but getting her feedback report from the CMS Web site took some extraordinary perseverance and patience.
I got borderline homicidal trying to get the report, she said. When I finally got it, I did a little happy dance.
Forrester then asked for and received a demonstration of the happy dance.
The light mood continued with discussions of voice transcription systems, with attendees mostly expressing satisfaction with the systems theyre using and some amusement with the few mistakes that did occur.
At the orthopedic roundtable, the fact that PMS report was transcribed as penis report drew some laughs. While, during the surgical roundtable, it was noted that, when the doctor said Mrs. Adams, it was transcribed as This is Adams.
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