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We have been Google Glass Explorers (as early adopters are called) for several months now. We extended enki EHRto Google Glass – to provide basic medical information such as patient’s name, basic demographics, vitals, medications, allergies and endoscopy images. We did the pilot primarily to explore and understand how it would feel to use Glass in a clinical environment. We demoed this prototype at FutureMed 2013 (now called Exponential Medicine).
There’s always so much to do. I wonder if this is a sign of contemporary work life or if it has always been the case. I suspect it’s a new age thing. There are more books on productivity now than there have ever been before. Deluge of technology at work and home somehow con us into thinking of ourselves as supermen and superwomen capable of doing everything. The reality is we simply can’t – even with the best of smart devices, we will not be able to do all that we think we can.
The Healthcare reform is pushing healthcare organizations to follow a more quality based reimbursement model vs. quantity based. It’s imperative that being in the business of serving patients, the quality of care carries supreme importance. While every center wants to provide quality services, there are aspects by which quality may sometimes be compromised – increasing patient volume, lack of resources, the time spent behind each patient visit. It’s the need of the hour for centers to do things differently and here are some thoughts.
Last year, I went to Trincomalee on the east coast of Sri Lanka to volunteer at Grace Care Center, a wonderful orphanage and center for elders run by a friend and colleague Naresh Gunaratnam, MD from Ann Arbor, Michigan. I was part of a small group – we were mostly alumni from University of Michigan (from medicine, law, finance and business backgrounds) and one from Texas. Naresh suggested that we experiment with remote healthcare delivery/ management by rolling out enki EHR at the Center.
My dad frequently forwards some amusing emails. Today I got an email about a group of frogs that were given the challenge of climbing a mountain. Once they started climbing, several of them started realizing how difficult the task was. Some got scared.
Before considering this question, let’s recap the process before it’s time to send patients a financial statement for the amount that is her responsibility. A patient is responsible for a service usually when her insurance pays nothing or a portion of the fees. Before a visit or a procedure, it’s imperative to check a patient’s eligibility and benefits. We find several practices/ surgery centers that do not have the bandwidth to complete this task and the practice management system is not equipped to complete this task automatically.
When I review billing of an ambulatory surgery center, here’s what I mainly look for and it usually gives me enough clues to what I need to know.
They are the scrutinizers. The claim sniffers. They are the auditors. Have you ever thought of why your claims are denied or paid? Is there a really smart computer or a human face behind that hits to go or the no-go button? It’s both. When you submit claims, they go through some really intelligent computer programs. These programs process each claim and flag irregularities. These red flags are then extensively analyzed by claim auditors.
Statistics show that over 50 percent of all medical facilities have successfully transitioned towards implementing an electronic health record system. While implementing EHR may mean streamlining operations and going paperless, the process tends to become mechanical and many look at it as mere data entry over time.