Even with all the talk about incentives and mandates, many are still wondering why they need an
EHR system. Here are just a few of the obvious reasons.

• Improved Coding - With better documentation tools, your coding will be more accurate, leading to better reimbursements.
• Storage - Keeping paper charts on-site takes up too much space and keeping them off-site takes up too much of your money.
•
e-Prescribing - Did you know that, on average, your staff spends 10 minutes handling prescription refill calls alone? How many of these calls are they taking each day?
• Malpractice Premiums - Some insurance carriers offer discounts to those providers using
EHR.
• No More Chart Pulls - This one speaks for itself. :)
If you wait until you are forced to implement an
Electronic Health Records system, chances are that you'll end up with one that is not a good fit for your practice or specialty. Start looking now and remember to look only at those that are CCHIT certified.
It's not a question of "if", it's a question of "when".
Do you know of any practices or physicians that are...
• New to your area?
• Building a new office or expanding?
• Breaking away from a hospital network?
• Unhappy with their current system or service?
• Currently seeking an
EHR (Electronic Health Record) system, a
Practice Managementsystem, an automated patient messaging system (
PhoneTree), or a
Paperless Office system?
If you are the first client to notify us, and they become a Bradford-Scott Data Corporation customer, we'll pay you $500!!
To submit your referral, please provide the following information for your practice as well as the referred practice:
• Organization Name
• Contact Name
• Phone Number
• Email Address (if available)
With the approval of The Stimulus Plan and the training and support of Bradford-Scott Data Corporation, there has never been a better time to implement an EHR.. and did I mention that Sage Intergy EHR V5.5 is CCHIT 2008 certified?!
The ARRA Program (also known as the Stimulus package) has split the implementation of EMR and meaningful use into three phases. The first proposed "Meaningful Use" Rule has a component for a lab interface.
The objective is to be able to send requisitions and receive lab reports back electronically through an interface from system to system.
The advantages to a lab interface are easy to see in our Intergy EHR system.
Time, Efficiency and Better Patient Care -
- Lab results are posted to client accounts automatically when reports are retrieved.
- A task is automatically sent to the physician that results are available to be reviewed. Flowsheets can also be viewed to look at results over time and can be graphed.
- The physician may review and forward tasks to staff members for whatever is needed in followup.
- The patient receives better care as a result of this process.
Have questions about purchasing and implementing an electronic medical record system? Contact Bradford-Scott Data Corporation and let us show you a better way to practice medicine.
A lot has been written about your EHR, or Electronic Health Record. But recently there has been a push to allow patients to create and manage a PHR, or Personal Health Record. While a hospital or provider with an electronic medical records system keeps track of your electronic health records, maintenance of a PHR is up to a patient.
According to myOptumHealth.com, any or all of the following information can be kept in a PHR:
- Family medical history
- Existing conditions
- Allergies
- Medications
- Surgeries
- Hospital stays
- Labs tests and results
- Dental and vision records
- Religious information
- Immunization records
- Emergency contacts
- Living wills
There are paper-based, computer-based, and Internet-based PHRs available. Obviously the Internet-based one is the most portable, but some may have reservations about the security of those. As EHR adoption grows, electronic health records will become more
and more available too. Bradford-Scott Data Corporation can provide you with an EHR demo of our Sage Intergy EHR product. Call 317-713-2065 or reply to this blog for more details.
Cheers,
Mike

Inquiring Minds want to know about the
ARRA Stimulus options!
If you've heard a lot of buzz about the Stimulus package, but haven't really checked to see if you could benefit from it, now is the time!
Eligible physicians (EP) can receive incentives for implementing an electronic medical record system and meeting "meaningful use" criteria. The ARRA Program targets a five year period for payment of incentives beginning in 2011. You may qualify for either Medicare incentives or Medicaid Incentives. The criteria and incentive amount differ slightly.
If you have questions about an electronic medical record (EMR) and the stimulus package contact Bradford-Scott Data Corporation and let our medical consultants get you started on the way!

Do you e-prescribe? If not, you are missing out!
E-prescribing is a great feature of electronic medical record system(EMR) and is listed as a phase I meaningful use requirement for ARRA reimbursement.
Medicare will provide incentive payments to eligible providers who e-prescribe under the Medicare Improvement and Extension Act (MIPPA). You do not have to participate in PQRI or sign up to qualify for e-prescribe incentives, but you must follow the reporting requirements on the Centers for Medicare & Medicaid website. Qualifying providers will receive an incentive for the calendar year, so the sooner you start, the higher incentive amount you can receive?
Sage Intergy is offered by
Bradford-Scott Data Corporation, a Channel Partner of SAGE. Give us a call today to find out how to get started!
Meaningful What? Stimulus What? Who's on first? Can somebody explain this in 500 word or less?
Let me break down Meaningful Use as simply as I can.
- $19 billion have been allocated by the federal government to encourage the health care industry to adopt information technology (more specifically an Electronic Health Records System).
- To be eligible to get some of the $19 billion you must do 3 things
- Be an eligible professional or hospital
- Implement a certified EHR product between 2011 and 2014
- Use it in a Meaningful Way
Okay, are you still with me? Then let's go one level deeper. Let's make some assumptions:
- You are an eligible professional (doctors of medicine, etc.)
- You have or will have a certified EHR system. (All vendors in the medical software industry will have to get their software certified (including CCHIT) or go out of business. We are going to assume your system is or will be certified)
There are two types of incentive programs (The Medicare way or the Medicaid way). You can pick either but you can't choose both at the same time!
- Medicare: Physicians that treat Medicare patients can receive up to $44,000 payable over 5 years.
- Medicaid: Physicians that treat Medicaid patients are eligible for up to $63,750 payable over 6 years
Are there strings attached? Of course. And the biggest string is called 'Meaningful Use'. The Government isn't going to just give you some cash for buying or even implementing an EHR system. You have to prove to them that you can use it in a meaningful way that improves patient health care. And they plan to accomplish this string by outlining 25 objectives and ways to measure those objectives. Most of the measurements are percentage based. (For Example: At least 50% of all clinical lab tests whose results are in a positive/negative or numerical format need to be recorded in the EHR as structured data.)
For a complete list of these objectives, I recommend that you check out CMS or contact Bradford-Scott. One important note: The Meaningful Use definition is still under a proposed state and can be commented on until March.
That's it. That's the nutshell. Oh, and there is one more catch. Starting in 2015, those physicians who choose to not participate will receive a 1% reduction in their Medicare allowed charges. This reduction will increase by 1% each year up to a maximum of 5%.
So the moral of the story is that if you have plans on implementing an EHR/EMR system don't wait. If you begin using it in a meaningful way in 2011 you are going to get more incentive payments than implementing in 2014. And if you don't implement by 2015 you are going to lose Medicare reimbursements.
Do you need help on what to do next? Whether you are cardiology, orthopedics, or family practice, contact Bradford-Scott and ask about our Sage Intergy EHR system and how it can help you prove your meaningful use and improve patient care.
(and I kept it under 500 words!)

Missing your security blanket with EMR?
Let's face it, most physicians are not ready to commit to an electronic medical record system (EMR).
A big portion of this unrest is due to change. As a physician you have probably been documenting your charts and following almost the same office flow since you left medical school. Any changes in the office have not really impacted how you actually practice medicine.
It's time to face your fears and our Intergy software can help you make this transition.
SAGE Intergy EHR V5.5 is CCHIT 2008 certified and has templates for specialties like cardiology, orthopedics, OB/GYN as well as family practice, pediatrics, internal medicine and others. These templates can be easily customized to fit your workflow.
Another distinct advantage of Intergy is the Medcin database. The system will recommend and E & M coding value utilizing the Medcin findings selected in your encounter. Many physicians find that they have been under coding and that leads to better reimbursement - as well as security in the event of an audit.
Besides the efficiencies you will gain using an EMR, there is also stimulus money available for providers who meet the criteria - icing on the cake!

Contact
Bradford-Scott Data Corporation and let our medical consultant team give you the confidence to make a change.
Have you put your plans for an electronic medical record system (EMR) in "time out" until the Meaningful Use law goes into effect?
If so, the wait is almost over, as the law is currently in the comment period. Once Phase I criteria has been signed into law, the push will be on as everyone will want to get their share of the stimulus money.
Here are a few things to consider:
TIME: Implementing an EMR is not an overnight process. First things first - commit your time! Converting paper processes into electronic ones requires that you determine what steps you currently do and then setup the most effective way to reconstruct those electronically. With a proposed list of 25 criteria for Phase I, you can easily see that time will be a factor.
CHANGE: Everyone from the receptionist to the physician will be affected. Don't make the mistake of thinking that an EMR system will only affect the physician. Take the time to get the staff invested, so they respond positively to changes in the office. Try short meetings or lunches to review where everything stands - it's a great way to soothe anxiety.
SUPPORT: When you select your EMR software, it's also important to pick the correct vendor. Bradford-Scott Data Corporation provides excellent service and support to our clients. Sage Intergy EHR V5.5 is CCHIT 2008 certified and has existing templates for multiple specialties and is easily customizable. We use a blend of onsite, webinars, classroom and computer based training to take you live on our Intergy EHR system. Our trainers will work with you to make the transition from paper to an electronic world.
Talk to one of our medical consultants today and see why Bradford-Scott Data Corporation customers are successful with EMR.

My favorite part of the Winter Olympics is men's figure skating. Last night Evan Lysacek won the gold medal for the U.S. defeating the defending champion Yevgeny Plushenko.
As a physician, you should be on the quest for gold in an electronic medical record system(EMR). You actually have a lot in common with Evan - he is a fierce competitor, dedicated to his sport and shows a blend of willing to do what it takes combined with good sense and aesthetics in his program.
Start planning your hunt for the gold! There is a lot of competition with many different EMR systems, but you need to consider what product will offer the most functionality for your office. Look for a system that has existing templates that are easily modified for your specialty and is CCHIT certified.
Be sure to select a vendor who excels in customer support! Don't underestimate the value of what your vendor will bring to the table. Implementing an EMR takes time and commitment. Your vendor will be there coaching your staff, providing their experience with support and training.
Let
Bradford-Scott Data Corporation start you on your way by talking with one of our medical consultants.
In many of my blogs I write about our medical claims software, Intergy by Sage and our electronic medical record system, Intergy EHR by Sage. Then I thought, who is Sage? What do they offer? Why are we aligned with them? Here's what I found:

Intergy and Intergy EHR are products developed and marketed by Sage North America. SNA has existed for quite some time as shown by the following statement from their company biography:
Sage North America began not as one company, but as the efforts of many entrepreneurs who built their successful products and businesses with a sincere focus on their customers. Today, our company represents the culmination of that combined entrepreneurial spirit, drive, and vision.This means that Sage is not small potatoes. As a whole, Sage North America supports 3.1 organizations in North America! And SNA is a subsidiary of its parent company, The Sage Group. According to Sage's website:
The Sage Group, plc, is a world-leading supplier of accounting and business management software to small and medium-sized businesses (SMBs). Because of the size of the company backing Intergy and Intergy EHR, we benefit by enjoying massive R&D budgets. This means that these products are always on the forefront of technology and are adding new features all the time. Take a minute to look at the specs for
Intergy by Sage and
Intergy EHR by Sage by clicking the links, and contact
Bradford-Scott Data Corporation through this blog or at 317-713-2065.
Cheers,
Mike

I love Christmas - all the fun of decorating, buying gifts and the anticipation when Christmas finally arrives. Have you put electronic medical records(EMR) on your Christmas list?
Give yourself a gift this year - one that will keep on giving as you'll reap the benefits of:
More time:
- efficient use of your time with patients/staff
- improved patient care
More money:
- better documentation equals better coding for higher reimbursement
- incentives for e-Prescribe
- ARRA - stimulus package- qualify for money for implementation and meaningful use of an electronic medical records software
So what are you waiting for? This is the best time to purchase an electronic medical record system. Talk to one of our medical consultants at
Bradford-Scott Data Corporation today our Sage Intergy EHR V5.5 is CCHIT 2008 certified and have a Merry Christmas!
What does the American Recovery & Reinvestment Act do for me? This act will allocate approximately 19.2 billion dollars to accelerate the use of electronic medical record systems(EMR) by physicians and hospitals. Using an EMR system will provide many benefits to your patients and practice, such as:
Enhanced quality of healthcare
Improved patient health information security
Expanded coordination of care between physicians, hospitals and labs
Reduced healthcare costs
The incentives are determined on a per eligible provider basis. Funds will be distributed through Medicare or Medicaid to eligible providers based off the calendar year and paid the following year. The incentive payments will begin in 2011.
The act also allows for payment adjustments beginning in the year 2015 and continuing on in the following years for providers of services who were not a meaningful EMR user. The reduction would start with 1 percent and can go as high as 5 percent.
What is an eligible provider (EP)? Eligible professionals are designated in the act as only those defined in the Social Security Act - which includes a doctor of medicine, osteopathy, surgery, dental medicine, podiatric medicine, optometry or a chiropractor.
What do I need to do to receive incentive payments from Medicare? Demonstrate meaningful use of a certified EMR/EHR
What does "meaningful use" and "certified EMR/EHR" mean? The qualification criteria for the incentives are still in development and are anticipated to be announced by the end of December 2009. This rule is expected to define HIT standards, policies, implementation specifications, time frames, and certification requirements.

Now that you know the basics, you need to start looking for the right software for your office. Sage Intergy EHR V5.5 is CCHIT 2008 certified, national EMR system, is
Bradford-Scott Data Corporation's flagship product.
We provide excellent customer support and service for practice management and electronic medical record software - give us a call and let us help you on your way.

While it is true that everyone was initially excited by the prospect of getting incentives over five years for implementing an electronic medical record product (EMR), the government delays to clarify what qualifies have given some doctors cold feet!
Add that to the fact that Medicare payments are decreasing, the economy is still in a recession, many physicians are adopting a wait and see stance.
The list below focuses on the key points of the legislation that is anticipated to be released in late 2009. The Centers for Medicare & Medicaid (CMS) are working with the Office of the National Coordinator for Health Information Technology (ONC) to provide the bill with the proposed criteria.
- Meaningful use
- HIT standards
- Policies
- Certification Requirements
- Implementation Specifications
- Time frames
As a physician, what should I be doing now?
Keep informed with announcements made by
CMS regarding EMR and the stimulus package.
Start looking for an electronic medical record system now! Make a list of your requirements to compare different packages.
A great place to start your search is with
Bradford-Scott Data Corporation. We are a Channel Partner for SAGE, a nationally recognized company, and offer Intergy EHR by SAGE.
Sage Intergy EHR V5.5 is CCHIT 2008 certified, has templates created for over 20+ specialties, and can be customized to suit your work flow.
In addition, Bradford-Scott Data Corporation has a support team who focuses on excellent customer service/support and will be there to help guide you on your way.
I have to say that on the whole, we really are a funny race - simply because we are so contradictory. Take a look around and you will see someone with an ipod, cell phone, playing video games, watching TV or using a computer - after all, it is the age of technology. Right?
Hmm, look at the health industry. When it is so vital that the patients' information about their condition, medicines, etc be accurate and available, we are bound by columns of paper charts(if you can find them), sticky notes for patient messages, illegible notes and prescriptions.

What is everyone waiting for? Here are some of the reasons I've heard:
- No time
- Costs too much
- Heard too many stories of failed implementations
Stop and take a look at the facts.
Studies have shown that using an electronic medical records system, EMR, will increase your efficiency, decrease office costs and improve patient care.
Still concerned about cost?
The American Recovery & Reinvestment Act (ARRA) offers an incentive (up to $44,000 over 5 years) for physicians to implement an approved electronic medical record system.
Failed implementations? yes, there are some out there. A successful implementation takes 2 things -
- commitment from the office - from the doctor on down and
- a vendor who provides excellent support and training
Bradford Scott Data Corporation has a reputation of providing excellence to our customers for over 25 years. Our medical team has what you need to provide consulting, training and ongoing support to help you get the most value out of your system - customized for your practice. Talk to one of our medical consultants today and find out how you can make a change!
Video on the progression of information technology, researched by Karl Fisch, Scott McLeod, and Jeff Bronman, remixed
I have seen the above video about a dozen times. It has been sent to me in email and while surfing the internet I have come across a few websites making reference to it. I am a sucker for statistics so it completely sucks me in to watching it just one more time. Some of the things mentioned amazed me like "For students starting a four year technology program this means that half of what they learn in their first year will be outdated by their third year of study." It is both exciting and a little scary to be living in such exponential times. In the medical world, it is no different. There are so many advances in both the technology and the knowledge gained from research each day. You can even download an app for your iPhone to look at X-rays!
The change to a paperless world is no longer the wave of the future, it's the today. Now is the time, especially with the stimulus package, to buy an Electronic Health Records system.
Bradford-Scott Data Corporation offers Sage Intergy EHR V5.5, which is CCHIT 2008 certified, that will make you wonder just how you managed to get along for so many years without it.
Call 317.713.2065 to set up a demonstration of what our systems can do for you.

It seems that when talking to practices, many doctors are still leery of moving to an electronic medical record. They recount horror stories of other doctors who purchased a system and it's basically packed away in a closet. Despite the potential reimbursement offered by the stimulus package many docs find they are still on the fence.
Here are two of the simplest mistakes made when it's time to purchase an electronic medical record system.
Selecting the right EMR system for your practice. Choose one that offers the most functionality for your specialty
. Compare your top picks to each other. Our Sage Intergy EHR V5.5 is CCHIT 2008 with specialty templates already included for Orthopedics, OB, Cardiology -just to name a few, and of course, Family Practice and Pediatrics.
Select a vendor who is unparalleled in customer support. Make no mistake about this, making the change to an EMR product is stressful for the entire office. You will need to have a support solution with experienced trainers who are available to advise and guide you through the process.
Bradford-Scott Data Corporation offers a unique training-to-live process, talk to one of our medical sales consultants today at 317.713.2065!
You're busy and you need an electronic health records system (EHR) that can not only keep pace, but that is specific to your specialty! One that provides instant access to images, and the ability to quickly document key physical exam findings, range of motion measurements, and pain scale values.
With Intergy EHR by Sage, orthopedic practices can:

• Move quickly between patients, accessing multiple open charts at once
• Streamline documentation by using encounter note templates, customized for each major joint, the spine, and physical therapy evaluations
• Record measurements for range of motion and capture values for pain scales
• Document tests performed and include physicians' assessments of results
• Improve inter-office communication, particularly for offices with diagnostic capabilities such as X-ray, MRI and CT
• Use health reminders and alerts for preventive treatments
• Easily add, change or renew medications and use medication "favorites" by diagnosis
That's not all! Sage Intergy EHR V5.5 is CCHIT 2008 certified and meets all of the requirements for stimulus (ARRA) rebates! Couple all of that with the outstanding service and support from Bradford-Scott and you can't lose! We are a turnkey operation providing software, hardware and training, as well as implementation and support to our clients. All of this, plus exceptional customer service, results in accomplishments becoming less feasible for our competitors.
Do you know of any practices or physicians that are...
• New to your area?
• Building a new office or expanding?
• Breaking away from a hospital network?
• Unhappy with their current system or service?
• Currently seeking an
EHR (Electronic Health Record) system, a
Practice Management system, an automated patient messaging system (
PhoneTree), or a
Paperless Office system?
To submit your referral, please provide the following information for your practice as well as the referred practice:
• Organization Name
• Contact Name
• Phone Number
• Email Address (if available)
With the approval of The Stimulus Plan and the training and support of Bradford-Scott Data Corporation, there has never been a better time to implement EHR!
Tip 1: Clarify and Define Your Needs
Look at the way you practice now. Contemplate the things that are the things that you feel are working well for the practice, and the things that you would like to improve upon. Both will be important in your search, regardless of your specialty. When you are looking for an Electronic Medical Records software package, you will want one that is flexible enough to approximate the work flow elements that make your office run well today, and improve upon the ones that hinder your performance. Selecting an EMR software is much like building a house, think about where you want to keep your toothbrush.
Tip 2: Don't Do It All By Yourself
In every office that I visit, there is usually a person designated to the offices search for EMR systems. While this is a very good thing, and every office needs a champion, others should be involved in the process as well. Someone who will be using the billing portion of the system should be involved, as well as someone from the nursing staff and the physician staff. Every aspect of the practice will need to be considered in order to maximize the value that the system will bring to the practice. Furthermore, changing systems and / or adding an Electronic Medical Record System is a big change for an office. The transition always goes more smoothly when the entire office feels like they have been heard or are part of the process. Not everyone needs to be involved in every step of the process, but any good EMR vendor should do a survey of as many members of the staff in order to customize a demo for the office, and representatives from each area of responsibility should make time to sit in on the software demonstration.
Tip 3: Look for a GREAT vendor
This could, quite possibly, be the most important factor in your search. Look for a GREAT, not just a good, vendor. There are a lot of different software packages out there, and not all are created equal, however, too many times, offices focus only on the software and don't pay as much heed to the vendor that they will be working with. Your EMR software vendor will be a company that you will have a close relationship with for many years to come. They will be every bit as important as your accountant, your lawyer or even your personal financial adviser. Take the choice very seriously. Pay close attention to the steps that the vendor takes during your selection process. How thorough are they? How is their service and support? How is their training? Always speak with a reference that has worked with the company before, but know that the vendor will probably not give you the name of a practice that has had a bad experience. Your best bet is to rely on your own observations. The only predictor we have of future performance is past performance. Observe how things are handled during you process.
Tip 5: Make Mine CCHIT
The Certification Commission for Healthcare Information Technology is looking out for you. CCHIT certification is a very costly process for the EMR software developer, but consistent certification gives their clients piece of mind that the functionality that they need will be available both today and in the future. As we move forward into an electronically managed health care system, there are certain functionality that will be very important. With the CCHIT stamp of approval, you can be confident that your vendor / developer will be able to meet your needs. Furthermore, it is believed that the requirements for EMR products required for offices to receive their stimulus package reimbursement will match the CCHIT certification standards. Certification lasts for three years. Make sure your vendor is up to date.
Tip 6: Keep it Together
You will have increased functionality if you practice management / billing system is fully integrated with your EMR software. Information will flow freely between the office and clinical staffs, allowing for increased work flow efficiency. Beware software packages that tour themselves as fully integrated merely because they are both sold by the same vendor or developed by the same developer. Many times, they merely write a program called an interface to pass SOME data back and forth between the pm / billing and EMR systems. This is no different than writing an interface to pass some data back and forth with your current pm / billing system. Ask that your software be truly integrated and share a single database.
Tip 7: Be the Cheerleader. Keep the Enthusiasm High!
EMR searches can be very time consuming. There are a lot of factors to consider, but keep your enthusiasm for the project high. As the champion, the staff will pick up on your energy, and it will help carry you all through the implementation. Remember, choosing your EMR vendor and software is only the first step. At times, the road will seem difficult, but once you reach the destination, you and your entire staff will be happy you set out on your EMR adventure.