Best EMR

[PainDoc123456]

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Any recommendations for cost effective and user friendly EMR for a new solo private practice?

Also any other general recommendations or suggestions for setting up a new practice also would be appreciated.

Thanks

 

[au bon pain]

Not: greenway, allscripts, mckesson

Maybe worth considering: ECW, Athena, Prognocis

This is in terms of user experience, I’m not aware of what they charge currently.

 

[camkiss]

I use ECW and like it. It’s about $800 a month for solo practice. Fairly intuitive as compared to Epic which I find difficult. It has PRISMA which trolls other EMRs for data. I can almost always get patient’s med rec through it, which saves time with old folks. They help you with MIPS and I assume will help with the Ambulatory model next year. Overall I’m fairly impressed with everything about it.

 

[Painologist]

I use ECW and like it. It’s about $800 a month for solo practice. Fairly intuitive as compared to Epic which I find difficult. It has PRISMA which trolls other EMRs for data. I can almost always get patient’s med rec through it, which saves time with old folks. They help you with MIPS and I assume will help with the Ambulatory model next year. Overall I’m fairly impressed with everything about it.

Second on eCW. It also has built in billing software. I find PRISMA useful as well as it often has information even epic careeverywhere doesn’t have. It is click heavy though and needs to be optimized.

 

[RoloTomassi]

Ecw. I've used most of the others mentioned above

 

[BoardingDoc]

Anyone use modmed? I have no experience with it but my practice is apparently going to be switching from Athena to it sometime within the next year.

 

[mille125]

I use ECW too

ECW is most common EMR for private practices.
Epic is most common for hospital based systems.

 

[runfastnow]

Anyone use modmed? I have no experience with it but my practice is apparently going to be switching from Athena to it sometime within the next year.

I've used ModMed for 5+ years in multi-specialty ortho group. Not bad, not great either. There is a new AI thing that is supposedly very impressive that is going live in March that hopefully will eliminate the need for scribe (if you have one) - will hopefullyfree up my LPN to do a lot of nurse tasks/phone calls.

Biggest complaint:
- Can be a lot of clicks/taps for whoever is doing the documentation. Can create protocols which handle a lot of the work though.
- No good way of tracking prior procedures - I have a work around but can be cumbersome.

Biggest compliment(s):
- Awesome at helping capture/maximize billing
- Simple visits or injection encounters (spine or joint) take 5 seconds to document/bill if you have a good protocol - i.e. my LPN can document ESI + run C-arm simultaneously and I sign note as soon as injection is complete and patient doesn't syncope on the way out of the room (haha).
- Fairly frequent updates that improve UI or speed up processes and seem to be responsive to requests for improvements that actually get implemented.

 

[BobBarker]

Ecw. We successfully navigated mips with their help. My wife is an elementary school teacher by training and she worked with the same person from eCW all year to do it.

 

[giddyup]

we use ECW now, used to use Athena. I liked athena better but it was getting more expensive so we switched

 

[Ferrismonk]

For those who use ECW, does it have a good workflow for procedures? Start/stop. Pre/post vitals, etc? That seems to be the hangup for most of the EMRs we've been looking at.

 

[lobelsteve]

NOT CERNER

 

[mille125]

For those who use ECW, does it have a good workflow for procedures? Start/stop. Pre/post vitals, etc? That seems to be the hangup for most of the EMRs we've been looking at.

I think its fine but ask others as their are many ECW users on here

 

[Status Sciaticus]

I think its fine but ask others as their are many ECW users on here

For those who use ECW, does it have a good workflow for procedures? Start/stop. Pre/post vitals, etc? That seems to be the hangup for most of the EMRs we've been looking at.

I dont think it does. What I do is macro/dotphrase my procedure note that goes in the procedure section. MAs will document vital signs pre/intra/post on paper, and then add it to the visit note flowsheet/vitals section. Its pretty quick and easy enough, but there isnt an integrated workflow that I found that was seamless. Grass is always greener though.

 

[camkiss]

I dont think it does. What I do is macro/dotphrase my procedure note that goes in the procedure section. MAs will document vital signs pre/intra/post on paper, and then add it to the visit note flowsheet/vitals section. Its pretty quick and easy enough, but there isnt an integrated workflow that I found that was seamless. Grass is always greener though.

Same- macro with blanks to fill in pertinent pieces. “_____mg of (steroid) was injected” “____seconds of fluoroscopy was used and ___images saved.”

 

[nvrsumr]

Is anyone using Ecw for their billing as well? How much are you paying for the emr and in house billing together? Im solo.

thanks in advance

 

[Painologist]

Is anyone using Ecw for their billing as well? How much are you paying for the emr and in house billing together? Im solo.

thanks in advance

My billing company works through eCW but I pay them a % separately.

 

[PainDoc123456]

On another note, any suggestions for cost effective in office fluoro and RFA generators? Are most people going with refurbished units?

 

[mille125]

My billing company works through eCW but I pay them a % separately.

Same

 

[nvrsumr]

Appreciate the responses. If anyone knows how much they pay for the emr and rcm combined feel free to pm me. I’m gonna ask for a demo

 

[PainDoc123456]

I’ve done a few demos and narrowed down to e clinical works and practice fusion. Anyone have comments on practice fusion? It is the cheaper option