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Toys and Technology for the Medical Practice

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Title: Toys and Technology for the Medical Practice


1
Toys and Technology for the Medical Practice
  • Dr. Neil Baum
  • New Orleans, Louisiana

2
Why Technology?
  • Have improved medical care by using technology to
    diagnose and treat medical conditions-now needed
    in the office practice
  • Demonstrates you are on the cutting edge if
    your practice has the latest electronic equipment
  • Improves the efficiency of your practice
  • Patients are more electronically sophisticated
    and expect that you are, too

3
Technology Used to Reduce Overhead Expenses
  • Cannot increase reimbursements
  • Can decrease overhead expenses
  • Result is improvement in net profit

4
Voice Recognition Software
  • 65,000 word active vocabulary can be recognized
    (college graduate vocab. lt5K)
  • Contains complete, current urologic vocabulary
  • Vocabulary can be customized and updated

5
Voice Recognition Software
  • Can speak at rate of 150-250 wpm
  • Can FAX referral letters from computer directly
    to referring physician and MCPs
  • Supports CPT and ICD-9-CM codes

6
Voice Recognition Software
  • 95 accuracy
  • Can use templates for most common letters and
    forms
  • Can dictate from remote locations
  • Can dictate real time using hands-free technology

7
Voice Recognition Software
  • Can FAX prescriptions directly to pharmacy
  • Electronic signature applied to the prescription
  • Personalized precaution and interaction
    information for medication.

8
Voice Recognition Software
  • Can incorporate x-rays, ultrasounds or other
    images within the note.
  • Can insert a graphic or diagram of an organ, or
    system and then annotate it to show areas of
    treatment or pathology

9
Voice Recognition Software
  • Will print a hard copy of the note for the chart
  • Can upload the note to EMR

10
Voice Recognition Software
  • Can audit the note to ensure compliance with the
    coding requirements
  • Identifies missing information (e.g. review of
    systems) or to up code the visit if that is more
    appropriate
  • Insures consistency between dictated notes and
    service level of each visit-can pass a HCFA audit

11
Requirements for VRS
  • Microsoft Windows 95, 98 Windows NT
  • CPU-Minimum Pentium II
  • 64-128 MB RAM
  • Laser or high quality ink-jet printer

12
VRS-User Friendly
  • Fast training
  • Initially requires 30 minutes
  • Several hours to be familiar with the program

13
VRS-User Friendly
  • On-site installation
  • Personalized training for each physician
  • Complete customization for each physician.
  • 1-800 and e-mail technical support
  • Follow-up on-site training
  • Updates are available through WWW

14
Advantages of VRS
  • Reduces overhead costs 500-1000\MD\month
  • Referral letters reach the referring physicians
    within minutes

15
Voice Recognition Software
  • Medical Dictation Systems
  • 502 827 8522
  • www.medical-dictation.com

16
Are you playing phone tag with your patients?
Solution Automated patient call-back program
Patient Response Network (PRN)
17
Improving the Efficiency of Your Practice
  • Patient Response Network (PRN)
  • Every time some one in your office touches a
    chart it costs 3.00
  • Telephone tag is an expenive game

18
Patient Response Network(PRN)
  • Average physician sees 100 patients a week
  • 66 need a call back to report results of tests
  • 70 of calls are for normal results
  • Each call takes 3-5 minutes of M.D. time
  • Automated call back program takes 25-35 seconds
    a call
  • Saves each physician 8.6 hours a month!

19
Heres How It Works
1. Patient receives 1-800 number and patient
identification code 2. Patient calls in 3-5
days 3. Patient can call 24 hours a day, 7 days a
week 4. Receives NORMAL report from physician in
physicians own voice 5. Physician receives
weekly report on patients that have accessed the
system
20
Patient Results NetworkPRN
(800) 613-9050
21
Too Many No-Shows?Solution
  • HouseCalls by TeleVox
  • Automated patient reminder program
  • Interfaces with your scheduling program and
    contacts your patient the day before their office
    visit

22
HouseCalls by TeleVox
  • Regular telephone line and normal voice
  • Response options 1. To confirm
    appointment 2. To replay message 3. Leave
    voice message

23
HouseCalls
  • Includes daily call results report
  • Can adjust start and stop calling times
  • Best is 5-9 P.M.

24
HouseCalls
  • Advantages
  • Reduces no-shows
  • Improves staff productivity
  • Improves bottom line

25
HouseCalls
TeleVox 800 426-6184
26
Marketing the Hold Button
  • The telephone - educate during the hold time
  • Prerecorded messages related to your practice
  • Do-it-yourself
  • Marketing on Hold (713-522- 4333)

27
Patient Education
  • Dialog Medical DISCussion Software
    (www.dialogmedical.com)
  • MDConsult(Lippencott-Raven Mosby-Yearbook)
  • Mdconsult (www.mdconsult.com)
  • Clinical Reference Systems (www.patienteducation.c
    om)
  • Medifor (www.medifor.com)

28
DiscussionTM Program
  • Educates existing patients
  • Improves efficiency of the practice
  • Prevents malpractice cases
  • Improves staff morale
  • Provides value-added service to patients
  • (May reduce overhead expenses)

29
DiscussionTM Software Program
  • Consents for all speciality procedure in urology,
    orthopedics, dermatology, cardiology,
    gastroenterology, invasive radiology, and
    radiotherapy
  • Instructions for the most commonly ordered tests
  • Drug information
  • Patient education
  • Patient instructions
  • Commonly used forms

30
DiscussionTM Software Program
  • Easily customized for every practice
  • Can be operational in 15 minutes
  • Short learning curve
  • 1-800 support available
  • Updates to include new files on an annual basis

31
DiscussionTM Software Program
Available at Dialog Medical 1 800 482-7963
32
Internet and the World Wide Web
33
Wants of Our Patients
  • Want access to information- quick, accurate,
    customized and NOW!
  • Want well-written educational materials-appropri
    ate font size
  • Welcome to marketing on the Web

34
World Wide Web
  • Demonstrates you are on the cutting edge of
    technology
  • Opportunity to provide useful information to your
    patients
  • Showcases your practice
  • Allows you to conveniently communicate with your
    patients
  • Serves as an electronic brochure

35
World Wide Web
  • A segment of your patients have access to the WWW
  • Indicates your cutting edge technology
  • MAY have the ability to attract new patients to
    your practice
  • Capture the trend that patients are thirsty for
    information

36
World Wide Web
  • Put Sparkle Into Your Web Site
  • Make it interactive
  • Read Designing Multimedia Web Sites by Stella
    Gassaway, Hayden Books
  • Offer freebies
  • Provide connections to other useful Web sites
  • Online newsletter

37
Web Content
  • Photos of the doctors and the staff
  • C.V. of the doctors
  • Evidence of C.M.E. attended by the physicians
  • Honors and accomplishments received by the
    physicians
  • Articles written by the doctors, both journal and
    lay articles

38
Web Content
  • Articles written about the doctors and the
    practice
  • Information on the areas of interest and
    expertise of the practice-this is where you make
    an effort to differentiate your practice from
    other practices in the community
  • The office logo

39
Web Content
  • Interesting articles and useful information about
    your practice and your specialty
  • A map to your practice
  • Names of managed care plans and health care plans

40
Web Content
  • A history of the practice
  • Online consulting with the practice
  • Ability for patients to ask the doctor a health
    care question(s)
  • Other useful web sites

41
Web Content
  • Testimonials
  • E-Mail address for feed back
  • Last time the site was updated
  • A count of the number of previous visitors

42
Web Content
  • Ability to make an online appointment with the
    practice
  • Online reporting of tests and studies using codes
    to ensure security and privacy
  • Ability to conduct online chats

43
Web Site Creation
www.urologychannel.com/neilbaum Urology Channel
44
Internet and Web Site Development
  • Survey of 2000 M.D.s
  • 1101 dont use computers (58)
  • 414 use computers, not WWW (22)
  • 390 use WWW (20)
  • own a Web site ( ?)

45
Patient Tracking
  • Tracker Software Program
  • AMS

46
Why is Tracking Important?
  • Patients often do not receive effective treatment
    the first time
  • Patients abandon treatment
  • Ineffective
  • Painful
  • Expensive

47
Facts on Patients Abandoning Treatment
  • Sildenafil is ineffective in 35 of patients
    with E.D.
  • 90 of patients with BPH on alpha- blockers will
    abandon therapy after three years
  • 50 of patients on finasteride will abandon
    treatment at 5 years
  • Incontinence- ?
  • CaP-?

48
Areas Covered
  • E.D.
  • BPH
  • Incontinence
  • CaP
  • Other modules under development

49
What Does the Tracker Program Accomplish?
  • Creates a data base of patients with ED, BPH,
    incontinence, and CaP
  • Enhances communication with patients and
    referring physicians using existing letters or
    customized letters

50
What does the Tracker Program Accomplish?
  • Use a dozen template newsletters
  • Permits the creation of newsletters that are
    customized for the practice that can be sent to
    existing patients, new patients, and referring
    physicians
  • Provides dozens of patient information and
    education handouts
  • Managed care friendly

51
Urologists That Benefit From the Tracker Program
  • Large impotence practice
  • Large incontinence practice
  • Large CaP practices
  • Practices that have large numbers of patients on
    medical therapy for BPH

52
Electronic Medical Records
53
Electronic Medical Records
  • Logician by MedicaLogic
  • 503 531 7000
  • www.medicalogic.com

54
Electronic Medical Records
  • Current Obstacles
  • Most are too rigid and not flexible for
    modification
  • Software does not combine office computer with
    hospital, lab, pharmacies and radiology

55
Electronic Medical Records
  • Best guess
  • A true (practical and affordable) electronic
    medical record for most physicians practices is
    at least five years away.
  • Wall Street Journal, 10/19/98

56
Transition to EMR
  • Cross Pad

57
Summary
The Chinese symbol for crisis is the same as the
symbol for opportunity Do we see the glass of
milk as half full or half empty?
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