Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

How to choose an EHR after a demo

Rosemarie Nelson
Tech
July 7, 2010
Share
Tweet
Share

Selecting an EHR is not just about the demo. But those EHR vendors sure do put a lot of focus on that demo! You need to get beyond the smoke and mirrors and consider how to use that focus to evaluate the solution as it meets your needs and requirements.

Before you even schedule any vendor demonstrations, write down your “must haves.” Can you identify your top 10 requirements?

For example, in one practice I work with, the system must track all pap smears for outstanding results and also automate notification to the patients of their result. In another, the EHR must incorporate a point-of-sale purchase of retail items. A 10-physician internal medicine practice required that their EHR solution incorporate voice recognition software to ease the transition for keyboard-phobic physicians.

Different specialties have different needs, and you should think of as many specialty-specific requirements as possible. Having an interface to the lab results for the bulk of your patients (75% to 80%) is an absolute requirement in primary care, for instance. Try asking yourself: What do I do that doctors in other specialties don’t? Figure out how those differences would translate to functions in the EHR.

You can also incorporate the criteria that CMS will use to define Meaningful Use of an EHR for its incentive program to determine how your use of the EHR system will address specific objectives. (Even though the criteria are only in the interim final rule stage, wholesale changes don’t usually happen past that point.)

For example, it is likely that collecting the smoking status on all patients ages 13 and older will be one of the objectives, so ask the EHR vendor to show you how their solution prompts you and/or your staff to ask the patient, document the response, and then generate the collective data for reporting.

Articulating your needs and requirements is just the first step for effective evaluation of system demonstrations.

The second step is to use those needs to create a scoring tool to track and document the EHR demonstration against the needs.

Keep the scoring simple. A 3-2-1 system will do just fine. The vendor scores a “3” for a specific need if the system exceeds your requirement, a “2” for meeting your requirements and a “1” if the system does not meet your requirements. The higher the vendor’s score, the better fit the system is for your practice.

How does the scoring tool help after you’ve viewed three or four demonstrations? You can approach the comparison several ways.

The most basic — though not necessarily the best — way is to look at the total score for each product. High score wins and that’s the one you buy.

Or you can compare the vendors on each “need” individually. Clearly if a vendor scored a “1” on each element, that product is a no-go. That’s probably unlikely, though, so you’ll need to prioritize your “needs.” Again, the product that has the highest scores on the most number of top-priority elements is your winner.

It may also help to have a “deal-breaker” need. If a vendor scores a “1” on that one item, even if his system has “2”s and “3”s on all the others, you might want to rule it out.

ADVERTISEMENT

You may also decide to include some “nice-to-have” features on your list. If so, scores on those items may tip the scale for one product over another.

It is easy to get distracted during a demo by all the features and functions the company representative will show you. Many systems have polished user interfaces and many demonstration specialists have perfected their skill at showing off the sizzle in their system.

But if you begin the demo preparation with the end in mind — by clearly articulating your objectives and vision for your EHR implementation — you will identify the solution that will have the greatest opportunity for successful use in your practice.

Focus on how the solution meets your requirements, not on the man behind the screen as you travel down the road to your EHR selection.

Rosemarie Nelson is a principal with the MGMA Health Care Consulting Group.

Originally published in MedPage Today. Visit MedPageToday.com for more practice management news.

Prev

Drug chains and the advice of online patient communities

July 7, 2010 Kevin 1
…
Next

Tomorrow's surgeons are today's video gamers

July 7, 2010 Kevin 6
…

Tagged as: Health IT

Post navigation

< Previous Post
Drug chains and the advice of online patient communities
Next Post >
Tomorrow's surgeons are today's video gamers

ADVERTISEMENT

More by Rosemarie Nelson

  • a desk with keyboard and ipad with the kevinmd logo

    Increase patient and provider satisfaction by reducing phone messages

    Rosemarie Nelson
  • a desk with keyboard and ipad with the kevinmd logo

    How to improve patient engagement

    Rosemarie Nelson
  • a desk with keyboard and ipad with the kevinmd logo

    What’s your plan for the transition to ICD-10?

    Rosemarie Nelson

More in Tech

  • Why clinicians must lead health care tech innovation

    Kimberly Smith, RN
  • Why medical notes have become billing scripts instead of patient stories

    Sriman Swarup, MD, MBA
  • a desk with keyboard and ipad with the kevinmd logo

    AI in health care is moving too fast for the human heart

    Tiffiny Black, DM, MPA, MBA
  • Why AI in health care needs the same scrutiny as chemotherapy

    Rafael Rolon Rivera, MD
  • The silent cost of choosing personalization over privacy in health care

    Dr. Giriraj Tosh Purohit
  • Why trust and simplicity matter more than buzzwords in hospital AI

    Rafael Rolon Rivera, MD
  • Most Popular

  • Past Week

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • Could antibiotics beat heart disease where statins failed?

      Larry Kaskel, MD | Conditions
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why palliative care is more than just end-of-life support

      Dr. Vishal Parackal | Conditions
    • My improbable survival of stage 4 cancer

      Kelly Curtin-Hallinan, DO | Conditions
    • How Ukrainian doctors sustained diabetes care during the war [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • How Ukrainian doctors sustained diabetes care during the war [PODCAST]

      The Podcast by KevinMD | Podcast
    • The backbone of health care is breaking

      Grace Yu, MD | Physician
    • Why doctors must ask for help before burnout escalates

      Diane W. Shannon, MD, MPH | Physician
    • Why medicine is like a jazz solo

      Arthur Lazarus, MD, MBA | Physician
    • Why so many patients ask for drips—and what doctors wish they knew

      Dr. Akintola Aminat Olayinka | Physician
    • Reproductive care after Roe: Why silence is not an option

      Christine Petrin, MD, MPH and Susan Thompson Hingle, MD | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 4 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • Could antibiotics beat heart disease where statins failed?

      Larry Kaskel, MD | Conditions
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why palliative care is more than just end-of-life support

      Dr. Vishal Parackal | Conditions
    • My improbable survival of stage 4 cancer

      Kelly Curtin-Hallinan, DO | Conditions
    • How Ukrainian doctors sustained diabetes care during the war [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • How Ukrainian doctors sustained diabetes care during the war [PODCAST]

      The Podcast by KevinMD | Podcast
    • The backbone of health care is breaking

      Grace Yu, MD | Physician
    • Why doctors must ask for help before burnout escalates

      Diane W. Shannon, MD, MPH | Physician
    • Why medicine is like a jazz solo

      Arthur Lazarus, MD, MBA | Physician
    • Why so many patients ask for drips—and what doctors wish they knew

      Dr. Akintola Aminat Olayinka | Physician
    • Reproductive care after Roe: Why silence is not an option

      Christine Petrin, MD, MPH and Susan Thompson Hingle, MD | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

How to choose an EHR after a demo
4 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...