"Free" EHR System PresentationWILLIAM R. SONNENBERG, MD, FAAFP

Medicare Incentive Detail

First Year EP Receives a Payment

2011 2012 2013 2014 2015+

2011 $18,000

2012 $12,000 $18,000

2013 $8,000 $12,000 $15,000

2014 $4,000 $8,000 $12,000 $12,000

2015 $2,000 $4,000 $8,000 $8,000 $0

2016 $2,000 $4,000 $4,000 $0

Total $44,000 $44,000 $39,000 $24,000 $0

No Cash In Advance

“The EHR initiative is that it is like free gas for a year, but only if you

buy a Lamborghini to put it in.”

Stage 1 MU RequirementsCORE - MUST DO ALL

Use CPOE ePrescribing Drug-drug, drug allergy checks Medication lists Allergy lists Problem lists Decision support Record demographics Smoking status Vital signs Clinical summaries to patient Electronic exchange Health info to patients Quality measures Protect health information

MENU – MUST DO FIVE

Implement drug-formulary checks

Incorporate clinical labs as structured data

Patient lists by condition

Send reminders for preventive/follow-up care

Patient electronic access

Patient-specific education

Medication reconciliation

Clinical summaries to provider

Immunization registry

Biosurveillance

Practice Fusion

Practice Fusion Free, web-based Advertisement supported 150,000 users, 50 million patients Meaning Use Certification June 2011 Level 2 promised for 2014

Includes Charting

Scheduling

E-prescribing

Medical billing

Lab integrations

Referral letters

Training, support

Personal health record

Other Features 220 templates 100 labs connected Online booking Patient access

Free?? AdSense recognizes words such as diabetes, Ads appear Pharma, Insurance companies Ad-free for $250/month Redacted patient data

Meaningful Use Dashboard Assurance of Meaningful Use 2 in 2014

Practice Fusion – Small Practices

Fam Pract Manag. 2012 Nov-Dec;19(11):23-30

Practice Fusion - Vendor Support

Fam Pract Manag. 2012 Nov-Dec;19(11):23-30

Practice Fusion – Ease of Use

Fam Pract Manag. 2012 Nov-Dec;19(11):23-30

Practice Fusion – Productivity

Fam Pract Manag. 2012 Nov-Dec;19(11):23-30

Practice Fusion – Satisfaction

Fam Pract Manag. 2012 Nov-Dec;19(11):23-30

Kareo EHR

Kareo EHR Developed by Epocrates Small practices, primary care Cloud based 17,000 practices 2011/2012 compliant

Kareo Works on iPad or iPad Mini Voice recognition 120 templates

Kareo

Kareo - Schedule

Kareo Features E-Prescribing

Medication history

Prescribing and interaction checks

Drug and patient education

Dosing schedules

One click renewals

Formularies

US Preventative Task Force

Lab ordering to major labs

Lab review and routing

100 templates

Template builder

Vital sign trending

Growth charts

Immunization Registry upload

Demographics

Web browser accessible

Patient portal

Free? EHR is free Suite with practice management◦$299 per month per provider

4% billing

ComparisonPractice Fusion Kareo

Experience 2008 2013

Free lunch? Ads Upgrade to Practice Management

Meaningful use Level 2 promised 2014 Level 1

Added cost $250 adless $299 Practice Management