Posted by: AtlasMD

August 7, 2015

Misinterpretation Gone Wild. The HIPAA Edition.

Misinterpretation Gone Wild. The HIPAA Edition.

We cannot breathe a sigh of relief deep enough to adequately express how glad we are to be cutting the red tape that surrounds traditional healthcare. More specifically, HIPAA. Its rules and regulations are so convoluted that people don’t know which way is up… and that leads to interrupting a private conversation in a hospital cafe reprimanding the wife of a dying cancer patient for speaking publicly about a patient. Baffled yet? Yup, so were we.

An article posted recently on the NY Times gave several instances where HIPAA was misunderstood, and the consequences could have been dire. Take Ericka Gray’s story, for example:

In 2012, Ericka Gray repeatedly phoned the emergency room at York Hospital in York, Pa., where her 85-year-old mother had gone after days of back pain, to alert the staff to her medical history. “They refused to take the information, citing Hipaa,” said Ms. Gray, who was in Chicago on a business trip.

“I’m not trying to get any information. I’m trying to give you information,” Ms. Gray told them, adding that because her mother’s memory was impaired, she couldn’t supply the crucial facts, like medication allergies.

By the time Ms. Gray found a nurse willing to listen, hours later, her mother had already been prescribed a drug she was allergic to. Fortunately, the staff hadn’t administered it yet.

Now, we get what HIPAA is trying to do: keep personal health information private. And that’s a noble gesture. But there are so many hoops to jump through just to get it right that there ends up being more ways to get it wrong. In the DPC world, we love communicating with our patients how they prefer. Read more

Announcing the Atlas Direct Care Curriculum!

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Announcing the Launch of a Tool that Teaches Everything about DPC.

We’re big believers in doing things the right way, which is why we’ve put together a comprehensive curriculum teaching about Direct Care. And since we don’t think you should have to pay for doing your homework, we’re offering the curriculum completely free of charge – just like our consulting services!

Okay, so let’s dive in. What’s this curriculum all about anyway? It covers all the most important aspects anyone considering DPC would wonder about:

• What is Direct Care?
• What Does it Mean to Cut Out the Middleman?
• Is Direct Care Right for You?
• How Much Will it Cost to Start a DPC Practice?
• What Technology Will I Need to Run a Smooth Practice?
• The Ins and Outs of Insurance in the Direct Care Model.
• Charging and Billing for Direct Care Services.
• Running an In-House Pharmacy.
• Making the Transition: How to Approach Patients About Your Decision to Switch to DPC.
• Marketing Your Direct Care Practice.
• Creating Value for Your Patients.
• Staffing Your Direct Care Clinic.

Additional Resources Galore.

Each lesson features additional resource links so you can continue your education if you so choose. Plus, we’re including our starter packet, stuffed full of templates and real life examples you can actually put to use in your Direct Care practice. We’re talking things like price comparison, Medicare agreements, conversion letters to patients, labs pricing spreadsheets and more.

Who Do You Know?

So, who do you know who might be interested in Direct Care? This curriculum covers multiple angles, including someone starting their practice right out the residency gate and someone transitioning from a long career in traditional healthcare. Send them to the curriculum where they can learn everything there is to know about Direct Care – at your own pace. All the information is available online, or you can have lessons delivered weekly to your inbox.

Less Talk. More Action!

Alright, now that you know the curriculum exists it’s time to check it out. Delve into it yourself, or pass it on to a colleague you think would benefit from Direct Care. Go, go, go!

Visit the Atlas Direct Care Curriculum. >

Posted by: AtlasMD

August 4, 2015

What’s New in the Atlas.md EMR?

What’s New in the Atlas.md EMR?

Point-of-Sale Billing Integration

The Atlas.md EMR is adapting to how its customers operate their clinics – one of the many great liberties the Direct Care business model allows us to take! This release, we focused on integrating Point-of-Sale Billing with Subscription-Based Billing, which means clinics can now more easily charge patients at the time of service if they choose. Get the details over here!

Growth Chart Improvements!

Since adding growth charts to the EMR, we’ve improved their functionality by allowing you to add past history information, and print and/or email them. Read more about how to get deeper and more precise analysis from growth charts here.

Improved Fax Layout
We’ve added information to the repeating header and footer on faxes. This means we’re increasing compliance with a few states who have specific (and rather strict!) prescription rules. The information has also been condensed to make it less likely for the prescription to span across multiple pages. Less confusion at the pharmacy is a good thing!

SMS Auto-Responder for Out of Office Time
A friend of the email “away message,” now you can easily set an auto-response SMS message when you’re going to be out of the office. Set the end date for when you’ll be back, and we’ll automatically turn your response off, too. Learn the details here!

Improvements on Current Medications

We now offer the option for users to keep prescribed medications permanently in your patient’s current medications list. Right where you expect them to be.

Subscription Charge Previews

When adding new users to your account, now you’ll know exactly how much you’ll be charged this month with the proration estimate, as well as what your future monthly charges will be with the addition of the new user. Transparency is key, right? Learn more about the charge preview over here.

New Lab Billing Report

Now you can view all your lab charges in one easy view, including a list of all labs ordered in the selected date range specifying the patient involved and the price charged. Learn more here!

Performance Upgrades!
We spent time behind the scenes making the EMR faster, and better. But you should notice some of the changes on your end, too – like how the dashboard loads about nine times faster than it used to! We don’t like waiting; we know you don’t, either.

What’s New in the Atlas.md EMR’s Patient Access iOS App?

We’re always looking for ways to improve, and you’re probably getting used to seeing our frequent update articles about features we’ve added to the EMR. But this time we have new features to announce for the Atlas.md Patient Access iOS app! These updates make it easier for you to track data, and ensure safety remains top of mind.

Manage and track patient health data in one place.

HealthKit Integration: The HealthKit merges patients’ health and fitness data from multiple applications and houses them in one place. HealthKit integration allows you to work smarter by decreasing the time you spend tracking and managing your patients’ information. While it’s already possible to merge health data with HumanAPI and FitBit, the HealthKit is an extra feature that increases the app’s fitness-tracking capabilities so you can easily monitor your patients’ health and so patients can reach their fitness goals.

  • HealthKit makes it even easier to track and manage patient health data because it integrates directly to the patient’s phone — patients’ caloric intake, sleep-tracking information, nutritional information, vital signs, and more can now be tracked and submitted with one easy application.

Safely connect with your patients.

Touch ID Security – we are excited to introduce a safer way for you and your patients to connect. Touch ID security decreases patient vulnerability by requesting a fingerprint authentication every time a patient gets back in the app. This security feature is much more difficult to crack than typical passwords, so you and your patients can collaborate safely and effectively. This security feature works on all products that support Touch ID (iPhone 5S and up).

  • Use fingerprints to login
  • Reduce risk

With these new features, you can manage and track patient information and ensure patient security — allowing you to focus on what matters: your patients’ health. We’re constantly improving the security and connectivity features on the iOS patient access app so you can have the freedom to connect with your patients in a real and a safe way.

Posted by: AtlasMD

July 17, 2015

Be Poised to Scale Gracefully.

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We want you to start your Direct Care practice the right way — without cutting corners or having to sacrifice quality because you think you can’t afford it. It’s why we do the things we do. You know, like offering all our consulting services absolutely free. Or traveling the country to help spread the word about DPC nationwide. Things like offering an EMR specifically built for Direct Care clinics that will do more than just meet intrinsic startup needs.

Let’s pause there for a second – that’s a really good point. When you’re starting off, you might only be thinking in terms of the near future. And that’s fine for the most part. But you’d do yourself well to expect expansion. And when you use the Atlas.md EMR, you’re making a smart short-term decision, but you’re also planning for long-term growth.

This EMR is unique because it fits a small clinic with just a few practitioners running the show. But as you grow (from two docs, to four docs with two nurses, to a second, third, tenth location, etc.) the Atlas.md EMR will scale accordingly. Let’s take a look at how that’s possible.

Calendars

Your calendar view can display just your appointments, the appointments for the entire practice, or any combination of the two. This flexibility gives you complete control over what happens within your practice walls.

Task Assignment

The ability to assign tasks to others makes it possible to communicate cross platform, cross patient, or even cross location. Task assignment coupled with notification reminders ensures you’re not letting anything slip through the cracks. Your team will actually operate as seamlessly as they appear.

Billing Reports

The billing reports you can pull for your practice break things down so simply for an accountant that it wouldn’t matter how many providers are contributing. The reports show the patient’s MRN or company name (for privacy), the amount of the payment made, processing status, the type of payment and the date. You can also filter to show a specific timeframe, and export to a CSV file anytime you need. We’ve thought ahead for you!

Read more

Posted by: AtlasMD

July 15, 2015

ACH Is Coming to the Atlas.md EMR!

To everyone who has asked (or silently wondered) if we can do direct withdraw through the EMR using a credit or debit card, we have great news! We’ve been accepted into our payment processor’s private beta for ACH, which means the real thing is right around the corner. We’re already working on integration logistics; before you know it you’ll have additional options to make your patients’ lives more convenient. We’ve only just begun development but we’ll let you know when a firm launch date evolves.

Here are some resources that talk a little more about what ACH entails:

Posted by: AtlasMD

July 6, 2015

Medscape: Why Internists Are Number One in Physician Burnout

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It’s a simple truth: nobody wants to feel burned out. Nobody wants to lose their passion, feel like a failure at their career of choice, or feel like nothing more than a cog in the wheel. But that’s exactly what 50% of physicians in internal medicine are experiencing, according to a new study published by Medscape. Many of you reading this know the feeling first hand, which is what lead to you to Direct Care to begin with. But fifty percent? That burnout rate is higher than the rate of other U.S. workers… So what’s the deal? Why internists?

Among the 26 specialties surveyed by Medscape, “internal medicine faces the highest combination of prevalence and intensity of burnout,” Dr Hood pointed out. He speculated that this may be an unfortunate by­product of “a high idealism among internists, who not only chose what they wanted to do in their professional lives but accepted doing this work knowing that they were accepting a lower relative evaluation of their services, economically and noneconomically.

“Idealism,” Dr Hood noted, “can predispose for disappointment, particularly when the locus of control is outside that of the physician.” 

Time is also to blame for such a high burnout rate. This is ironic, because in DPC, time is the very thing that breathes life back into medicine. But the traditional healthcare environment fosters a “hot but slow burn. The endless flow of forms grinds physicians down.” Plus, as the task of certificate maintenance is adjusted for a higher level of difficulty, it only “adds fuel to the fire.”

When you look at it that way, it kind of makes sense. You put up with the “stress, depersonalization and emotional exhaustion” for years and years – by the time you call it quits you can’t cut into your retirement cake fast enough, right? Wrong. Internists don’t have to wait until retirement to hit the brick wall of burnout. It’s happening to docs 35 years of age and younger. That astronomical fact is mind blowing because by the time you graduate from med school and complete your residency, that’s barely enough time to get your feet wet in the real world before you’re ready to throw in the towel! What makes sense now is that aspiring internists are thinking twice before jumping in at all.

The Real Burnout Villain

It’s true, internists have a lot working against them right off the bat. One internists lays it all on the line:

“What’s going wrong? Really? How about what’s not going wrong? Insurance companies playing doctor; federal and state lawmakers who openly junketeer on insurance and pharma dollars, then pass legislation that blatantly benefits those industries; federal agencies and private certification bodies that actively engage in racketeering practices targeting physicians; and a general public that thinks Dr Oz is the bee’s knees.” 

That sounds like enough to send someone running in the other direction. And if it weren’t for their innate, undeniable, inherent desire to help others, many probably would. Even that sentiment is being shoved under the rug, as more and more healthcare professionals observe that patient care doesn’t really matter anymore.

Let The Light Shine!

It’s time for a little optimism here. Burnout is depressing, something we’ve all admitted we want to avoid, right? Well thank the stethoscope gods there’s a way. In fact, one of the internists Medscape interviewed put it quite succinctly.

“The most effective way to combat job burnout is to quit doing what you’re doing and do something else, whether that means early retirement or changing careers.” 

Now, we happen to think your talents should not go unused, which is why it’s a good idea for you and your career to spend a little time in counseling together before you part ways. That passion is still there. You still want to help people. You still care about others. Getting back to the solution to burnout… Direct Care is waiting with open arms. This business model wants you to succeed. It urges you to spend more time with your patients. It implores you to run an in-house pharmacy and handle your own billing. It desires your happiness and the happiness of your patients. It welcomes your intense attention to personalized care. It rewards you for doing what you always wanted to do in the first place.

We hate to admit it – burnout is real. But it doesn’t have to be the end. In fact, it’s really just the beginning…

Celebrating Freedom!

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This year, Direct Primary Care Practices have put down roots in more towns across the U.S. than ever before, and if that’s not a massive reason to celebrate freedom, then we don’t know what is. But let’s take a minute to examine those freedoms a little bit closer.

DPC does more than give patients an alternative to traditional healthcare. It obliterates endless minutes spent in waiting rooms, hidden costs and anxiety-inducing response times. It provides a platform where patients truly feel like the priority they are instead of just one of thousands of folders in a filing cabinet. With the freedom to use means of communication like text, email, and Twitter DM, all roads lead to a better patient/doctor relationship. That being said, the patient isn’t the only one who benefits from DPC freedoms.

Providers in the DPC realm are happier than those within the walls of traditional healthcare. They have control over their schedule, never have to rush patients out the door, and have literally been given the gift of time. It’s no wonder they’re falling in love with medicine again!

The freedoms of Direct Care result in a better healthcare experience for those on the giving end… and on the receiving end. This weekend, celebrate being free to choose DPC.

The Atlas.md EMR is Lowering Credit Card Transaction Fees!

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After much internal consideration, research, and full-circle thinking, we’re in a really exciting position to show you just how much we care about the success of your Direct Care practice. The credit card transaction fee in the Atlas.md EMR has dropped from 3.1% to 2.5%.

We’re Putting Ourselves in Your Shoes

At the core of it all, we’re only giving you what we would want if we were in your position. And that’s to know the company behind the product is thinking about us all the time. We’ve lowered the fee to make all the features you’re privy to more affordable and cost effective. It’s worth the loss in profit to us to know you’re getting the most bang for your buck!

We’re a Business, But…

Our driving passion isn’t to make money. It’s to help you build and run a successful DPC practice that will give you the life you want, and your patients the care they deserve. The whole point of Direct Primary Care is to lower overhead and cut red tape. Actions speak louder than words, which is why we dropped that number. A transaction fee may seem like a small thing, but we know it’s huge to you.

Thank you for being loyal customers of the Atlas.md EMR. We hope we can remain by your side as you continue to breathe life into Direct Care.

The Easiest Way to Start a Business.

There’s no shortage of information. Let’s be honest; there are a million self help books, articles, blogs, tweets in the world that tell you how to be amazing. How to jump straight to the top, fix that problem, get those unattainable customers. There’s some really good advice mixed in there, but there’s also A LOT of fluff. The best way to get good at something new – fast – can be digested in three easy concepts. (A happy shout out to The Cauldron for these nuggets of inspiration.) It all boils down to preparedness.

Mistakes, Mistakes, Mistakes.

No, not making them (although that does come with the territory), but rather learning from the mishaps already committed by others. That means you watch. You evaluate what’s been done, how it’s been done, what went wrong, and how you can do it differently to avoid those same pitfalls. If you’re just starting out in Direct Care, you’re in luck. There are plenty who have gone before you to pave the road. And while most of them have succeeded, there have been a few failures to note. So get all the information you can. How, you’re wondering? So glad you asked.

Talk the Talk!

You don’t have to sit on the sidelines while you figure out your next moves. Ask questions, apply the answers in your head, and visualize the result. The answers you’re looking for aren’t hidden like buried treasure. You know those docs with clinics successfully off the ground? They want to see DPC grow, too. Take Atlas for example. We offer free training, consulting, and support to anyone who asks. While others charge a mountain of money for those same things, we don’t think you should be charged for not cutting corners on your homework. So go ahead, ask all the questions you want.

Jump All The Way In!

You’re ready now. You know what to do, you’ve done the research, you’ve thought about it all ad nauseam. So go do it. All of it.

What we’re trying to say is going all the way in with a proven DPC business model is much more effective than a hybrid model that say, for example, offers 1/2 insurance, 1/2 DPC. A hybrid clinic will probably struggle more because it’s not 100% of either model – kind of like always having one foot out the door in case it doesn’t work out. What’s more, starting with just a few services with a plan to add more (wholesale meds, labs, texting, email, etc.) later could actually hinder growth. Think of it this way. How do you expect to grow if you’re not putting 100% of the value you can offer your patients out there immediately? So wear your heart (and your services) on your sleeve, and don’t look back.

Time is of the essence when you’re making a life change such as starting or transitioning to DPC. But by wrapping your head around the ideas above, you’ll learn the ropes quicker than just dipping one toe in at a time. Much more refreshing that way, too – just ask those who have already jumped in!