Crickets in the EMR audience…

Zackary Berger is a faculty member of the Johns Hopkins University School of Medicine. He contributed a new post to the Kevin MD blog (yes, we’re fans of Kevin, too!) because his institution recently switched from a home-grown EMR to EPIC, which as you know has been reputed to be an EPIC failure. Supposedly we’re reaching the “nexus” of electronic records and communication, a future where scientists and physicians and patients can give meaningful information and get meaningful insight in return.

Fact is, we think this future might remain for the time being just that, the future. That’s why we’re starting small, focusing our EMR on patients and docs having a meaningful electronic interaction. In time, this might lead to more paths of communication, and more meaning to be derived from digital data. The metaphor we use is this: imagine someone in a time predating the wheel, planning a system of stone roads. For now, maybe we should get the wheel spinning, and then see where we can go with it.

This complex highway of data and boxes and buttons might be a little premature. When Berger read an article by a colleague of his who is researching the use of these new EMRs he noticed something. Patients are given “access codes” in order to tap into the extraordinary benefits of these EMR programs. But guess how many people are actually activating them?

Only 20%. Hmmm, is that even a good number? Berger is wondering the same thing. We’re thinking it’s more like crickets in response to the big sell that is EPIC EMR, perhaps indicative of the disengaging reality of today’s EMRs.

READ ZACKARY BERGER’S NEW BLOG POST ON KEVIN MD

LISTEN: Atlas MD Podcast, Ep. 8

LISTEN: Atlas MD Podcast, Ep. 8

Tune in to the next installment of our podcast. We’re excited to announce the beta launch of our Atlas.md EMR. New users have signed up this week and we’re already receiving positive feedback. Thank you, everyone who’s adopting it.

A question we’re frequently asked is, how long does it take to transition to Atlas.md EMR? Well, no time at all really. It’s as easy as signing up for a Gmail or Facebook account. If you’ve done the former then you know it’s a matter of filling in a few fields, agreeing to the terms of service, and then jumping right in and clicking around.

LISTEN TO EPISODE 8 OF THE ATLAS MD PODCAST HERE

Drs. Josh and Doug answer more questions and concerns that have been brought up — How does Atlas.md simplify patient record keeping? Will I ever really use my EMR away from the office? Am I at risk for HIPAA violations? Is this EMR a smart investment? Is it safe to tweet a doctor? (Hint: Yes. If the NSA is concerned about a sore throat, that’s just sad.) Give it a listen. And keep those emails coming. We’re here to help.

Dr. Rob Lamberts Knows What Direct Care Docs Need In Their EMR

One primary care physician has spelled out EXACTLY what he’s looking for in an EMR. He made a comparison between what current EMRs offer versus what he actually needs in his practice. We’re excited to hear his frustrations, because it proves once more what we’ve been saying for months–Atlas MD is the FIRST EMR built specifically for direct primary care physicians. And there’s nothing on the market like it.

READ THE COMPLETE BLOG POST HERE

Atlas MD is an EMR made to tell your patients story, so that you can find what you need, when you need it. It’s focused on work-flow, not billing codes (although they are included for reference if need be). It functions on ANY device you’d use in the office, not a clunky machine you paid thousands of bucks for. Atlas MD is like the innovative apps you see across other industries; it lets the user curate the experience so that what’s useful is immediately accessible.

The benefits of Atlas MD go on and on. And we’re looking forward to hearing what direct primary care docs have to say. Which, speaking of, raises an important question — do YOU want a sneak peak into our new EMR software? Would you be interested in writing about it? If so, send us an email. We can make that happen.

LISTEN: Atlas MD Podcast, Ep. 7

LISTEN: Atlas MD Podcast, Ep. 7

Tune in to the next installment of our podcast. Our direct care ship is sailing smoothly, patients coming in and out, some patients even tweeting about the great care they received.

We appreciate the kind words! Looks like there’s more publicity for Atlas MD, too – the direct care duo, Drs. Josh and Doug, will be speaking at the American Academy of Family Practice Docs on September 26th; the next day they will head to Colorado to speak to the Association of American Physicians and Surgeons.

LISTEN TO EPISODE 7 OF THE ATLAS MD PODCAST HERE

Oh, and some huge news — Atlas.md EMR has launched its beta trial! Please email hello[at]atlas.md if you want to be among the first users. It’s free for the first 90 days. Click through to review some highlights from the taping.

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MUST FOLLOW_The Self Pay Patient Blog

Sean Parnell reached out to us recently, expressing support of our cash-for-service model of primary care. We’re glad he did. Turns out he runs a blog called The Self Pay Patient and it’s a helpful resource for “tens of millions of Americans who are either uninsured, have high-deductible health insurance, or just want to escape from bureaucratic medicine…”

His blog entries are the basis of a book he’s currently writing that will be “a ‘users guide’ to self-pay medicine, explaining in detail how to find doctors, hospitals, pharmacies, and other providers of health care goods and services…”

He recently wrote about a patient who needed knee surgery and benefitted indirectly from cash-only medicine. The first hospital he visited wanted an out of pocket payment (he had a “good” insurance plan) that was MORE than the cost of the whole operation at the Surgery Center of Oklahoma, a cash-only facility. In the end, the patient used price transparency to negotiate and save about $3,000 on his procedure.

READ THE COMPLETE STORY ON ABC NEWS

Once more we see the power of the market, and price transparency, in making healthcare more readily available. We believe it’s worth writing down — every direct primary care practice and every cash-only hospital that offers competitive, cost-saving procedures, treatments, prescriptions, etc. puts pressure on the insurance companies to treat clientele more fairly. Cheers to Mr. Parnell’s blog for keeping a record of these establishments and spreading awareness of their benefits.

You CAN Charge $546 for Six Liters of Saltwater in America

You CAN Charge $546 for Six Liters of Saltwater in America

When we first read this headline, we thought it was a loose allegory, something akin to selling ice to an eskimo. But no, this headline is to be taken literally. The New York Times ran this article following up on absurd charges billed to a group of tourists who came down with severe food poisoning. According to the Times, “Some of the patients’ bills would later include markups of 100 to 200 times the manufacturer’s price, not counting separate charges for ‘IV administration.’ And on other bills, a bundled charge for ‘IV therapy’ was almost 1,000 times the official cost of the solution.”

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LISTEN: Atlas MD Podcast, Ep. 6

LISTEN: Atlas MD Podcast, Ep. 6

Tune in to the newest taping of the Atlas MD podcast. You can stream episode 6 for free on iTunes.

Drs. Josh and Doug are back to talk direct care and concierge medicine. This week the focus is on the nerve-wracking part of launching your own insurance-free practice — selling patients on your service. We don’t want doctors to feel like used car salesmen, but at the same time, the doctor who can outline why their model saves time, money and provides a superior service will attract more patients. We go over our model and how we break down our price points by age. Also, a myth doctors will need to dispel is that concierge medicine and direct care are only for the 1%. That’s not true. Our model is built under the idea that the best care offered at the best price can, and will, help the most people.

Direct Care + Worker’s Compensation = An Interesting Idea

Direct Care + Worker’s Compensation = An Interesting Idea

A subscriber emailed us over the weekend asking if direct care and worker’s compensation have ever been merged. It’s an interesting concept that until now we haven’t considered. J (name changed to protect identity) writes:

I’d love to hear of Direct Care doctors who handle Work Comp & basic Occ Med for employers. My company pays cash for Occ Med procedures (UAs, DOT medical exams) and First Aid procedures. Are there any doctors who handle injuries for self-insured employers who pay cash for injuries up to a certain point (ie $10k, $25k)? 
Thank you,

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7 Things Transitioning Direct Care Physicians Need To Consider

7 Things Transitioning Direct Care Physicians Need To Consider

Okay, so you’re sold on at least four key benefits of practicing direct care and/or concierge medicine. However, in order to realize your own direct care success, you’ll need to make certain preparations.

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