Electronic Health Record (FAQ’s)
What is an Electronic Health Record (EHR)?
An electronic health record is defined by the National Alliance for Health Information Technology as an electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be created, managed, and consulted by authorized clinicians and staff across more than one health care organization. In layman’s terms EHRs are computerized versions of patients’ clinical, demographic and administrative data. The records may include treatment histories, medical test reports and images stored in an electronic format. Although they sometimes are also referred to as electronic medical records (EMR), EHR is now the preferred term because its definition includes the ability to exchange information interoperably, while EMR does not necessarily have that ability.
What types of information might be stored on EHRs?
Anything that can be stored on paper medical records can be stored on EHR, but electronic records can be more comprehensive and flexible. For example, a patient’s electronic records could include all of the drugs prescribed to that person and all tests done on that person. They could then be viewed not only in chronological order but also arranged in any other manner, such as charts and graphs, that would allow the patient’s regular physician or any specialist to see trends and changes that could affect that person’s treatment.
What are the advantages of EHRs?
Storing health records electronically allows for quicker retrieval of more complete patient information by physicians and other providers. Electronic health records also make searching, tracking and analyzing information easier. Unlike paper records, they are not bulky, they don’t take up costly space and they don’t require labor-intensive methods to maintain, retrieve and file. Electronic health records also provide easier access at times of emergency and can be backed up easily to avoid loss during times of disaster, especially when linked into a health information network.
What else can physicians do with EHRs?
They can send reminders about scheduled tests, look at all test results over a five-year period and establish better profiles of each patient’s health. Additionally, over a period of time, once a database has been established, health data for certain demographic parameters, can be scrutinized and utilized for the establishment of general health trends in an area, or demographic population.
How secure are Electronic Health Records?
Just like paper records, electronic health records must comply with the federal Health Insurance Portability and Accountability Act (HIPAA) in regard to protecting patient privacy. Unlike paper records, electronic health records are encoded so that only authorized individuals can view them.
What is Health Information Exchange (HIE)?
Health information exchange (HIE) is the electronic movement of health-related information among organizations according to nationally recognized standards. HIE also sometimes is referred to as a health information network (HIN).
How would EHR/HIE be useful in an emergency?
When someone needs care in an emergency, that person might be far from home, unable to communicate or unable to remember key information, such as names and doses of prescription drugs. Allowing a physician to retrieve the patient’s records quickly and completely speeds the delivery of appropriate care, and avoids unnecessary duplicative testing, medical errors and extra costs. This is the ultimate goal the federal government has set for 2014.
How would EHR/HIE be useful in a disaster?
During such disasters as floods, hurricanes and wildfires, paper records can be lost or ruined. Electronic health records, however, can be backed up securely and stored in several locations. That permits their retrieval whenever and wherever necessary for medical treatment.
Why would EHR/HIE lead to less duplicative medical testing and a more efficient system?
When each physician involved in a patient’s care has all of that patient’s data readily available, medical tests that have already been performed do not have to be repeated unless new developments warrant them. This allows the physician to determine further course of treatment more quickly and accurately.
How secure would an HIE be?
State-of-the-art systems would be employed to secure records to the greatest degree possible and prevent access to unauthorized persons. Any system used must comply with the security provisions of the federal Health Insurance Portability and Accountability Act (HIPAA). HIPAA is the regulatory minimum, and state laws and regulations often supersede it.
Aren’t most doctors and other health care providers already using EHRs?
You might think so when you get computerized bills. But even though most providers have computerized their financial records, many of them are still keeping patient care records on paper.
What is e-Prescribing and how does it relate to EHR/HIE?
Electronic prescribing, or e-Prescribing, enables a physician to transmit a prescription electronically to a pharmacy. It also enables physicians and pharmacies to obtain information about a patient’s eligibility and medication history from drug plans. In many places, e-Prescribing is the first form of EHR/HIE being adopted.
Is this a national effort?
Yes. The federal government has set a goal for most Americans to have electronic health records by 2014. That goal includes establishing regional and national health information exchange networks that will ensure that complete health information is available for most Americans at the time and place of care, no matter where that is. The system would permit sharing information privately and securely among health care providers when authorized by each patient.
How would EHR/HIE improve patient safety?
When any physician treating a patient at any time and in any place has access to all the patient’s records, the physician can make more informed decisions based on complete information. Also, EHR/HIE systems can automatically alert health care professionals when there are conflicts between prescribed drugs. In addition, when medical information is stored electronically, problems with illegible handwriting on paper records and prescriptions are eliminated.
What principles of privacy and security would be followed?
The privacy standards in place under HIPAA also apply to electronic health information. As health information networks offer services that directly interface with consumers, additional privacy and security standards will be put into place. State-of-the-art technological safeguards are adopted by networks to protect information in relation to hardware and software operations.
What are the factors that are driving the need for EHRs in hospitals and physician practices?
According to the Medical Records Institute’s Sixth Annual Survey of Electronic Health Record Trends and Usage for 2004, the following factors, in priority order, are driving the need for Electronic Health Records in hospitals and physician practices:
Share patient information among health care
practitioners and professionals
|Improve clinical processes or workflow efficiency|
|Improve clinical processes or workflow efficiency||Improve quality of care|
|Reduce medical errors (improve patient safety)||
Improve clinical documentation to support
appropriate billing service levels
|Improve quality of care||Share patient information among health care practitioners and professionals|
|Facilitate clinical decision support||Reduce medical errors (improve patient safety)|
|Improve clinical data capture||Provide access to patient records at remote locations|
|Provide access to patient records at remote locations||Improve clinical data capture|
|Improve clinical documentation to support appropriate billing service levels||Establish a more efficient and effective information infrastructure as a competitive advantage|
|Meet the requirements of legal, regulatory, or accreditation standards||Contain or reduce healthcare delivery costs|
|Contain or reduce healthcare delivery costs||Meet the requirements of legal, regulatory, or accreditation standards|
|Establish a more efficient and effective information infrastructure as a competitive advantage||Facilitate clinical decision support|
What can I do with MD-net EHR?
MD-net EHR, a comprehensive practice management software platform, includes charting, scheduling, billing, e-Prescribing, lab integrations and secure messaging. With our simple five-minute set-up, you can access all these features without paying $40,000 or more for a comparable system.
Is the system secure?
Our EHR account is HIPAA-compliant and protected by the highest levels of encryption. We conduct regular third-party audits to ensure that your data is safe.
Which physician specialties can use the EHR?
Any practice can use our web-based physician office software. With flexibility and easy customization, MD-Net EHR tools are designed for more than 30 specialties, including family practice, obstetrics, pediatrics and psychiatry.
How long does it take to get set-up with an EHR account?
We offer one-day data uploads and can assist you with setting up an entire practice in a single afternoon.
What kind of hardware and computers do I need?
All you need to get started is a computer with internet access. If you are able to watch videos online, your system is ready for MD-Net EHR.
Is MD-Net certified for Meaningful Use?
Lloyds MD-Net is ONC-ATCB certified as a Complete EHR. You can use our free EHR account to qualify for $44,000 or more in Meaningful Use stimulus incentives.
How many users can I have in my practice?
There are no limits on the number of users, records or patients you can have in your MDnet EHR account. Our system will automatically grow with your practice.
Will I have ownership of my data?
Your practice always retains ownership of its data and you can export it any time you need to.
Why should I use a web-based EHR?
Our web-based infrastructure means that one secure login gives you access to your EHR anywhere, anytime. We take care of hardware, software and security for your practice. Our 99.9% Service Level Agreement ensures that your EHR account is always accessible.
Does your EHR have an e-prescribing facility?
Yes! Once your credentials are verified, you can e-prescribe to over 65,000 pharmacies across the US through our EHR account with just a few clicks.
Can I connect to labs?
Yes! We can integrate your EHR account with Quest, LabCorp, BioReference and numerous regional labs without any cost to you.
Why should I choose MDnet over other EHR’s?
The best reason for you to choose us is 1) The same reason why 100’s of other physicians have chosen MDnet and 2) Our knowledge of the US healthcare industry and our expertise In Revenue Cycle Management. We have been working for the US healthcare industry for several years and are thoroughly proficient in HER, Medical billing, Medical Coding, medical transcription. Over the years, we have mastered delivering great quality.
What do I do if I am not satisfied?
One of the secrets to our success is that we understand our client needs. We prevent unnecessary issues with efficient communication. We believe in doing things right the first time around. If, on the rare occasion, something falls between the cracks, we will work tirelessly to rectify the issue without delay. So far we have not had a customer that has left us because of quality.
However, If you are unsatisfied with our service, you may cancel our contract at anytime giving us 60 days notice without any cost or consequence to you.
Are you HIPAA compliant?
Yes, we operate in a sterile HIPAA environment. We keep track of all new code and regulatory changes and, keep ourselves updated and in compliance at all times.
Confidentiality and security of your records are maintained through a combination of encryption technology and established operating procedures. Our offices and processes are all completely HIPAA compliant
How much does your service cost?
We are extremely competitive as we need to be in today’s environment, so do not be afraid to ask us for an estimate. We will be happy to evaluate your needs and provide you with a fair estimate at no cost or consequence to your practice. What we will assure you is that we will beat whatever price you are presently getting.
Our fees vary depending on your specialty, practice size, data transfer requirements and type of training you wish your staff to receive. No matter which solution you choose, you will almost surely experience significant cost savings and an increase in your overall operation.
Click here for one of our no cost demo’s at your office. We will attend at any date/time of your convenience.
How long does it take to get started?
Once you sign the service agreement, we can generally start right away. Depending on your existing situation, we generally try and work closely with your existing billing company and/or billing office personnel to minimize any disruption to your office processes or cash flow.
How do we get started?
Step 1: With your agreement we will review your practice requirements.
Step 2: We will sign an agreement that is mutually satisfactory to both you and us.
Step 3: Our tech support personnel will contact your office manager and/or I.T. staff to set things up.
Step 4: We will work with your office manager, existing billing company and/or your office billing staff to ensure that claims that are already in the process of being processed are not disrupted
Step 5: We will hold your hand through the crucial set-up process ensuring a seamless and smooth transfer. Step 6: What is crucial to us during the transition phase is to prevent any disruption of cash flow to your practice.
Can data from my existing software be transferred and used?
This depends on how your existing software handles data exports. If your software can export all its data to an electronic format, we may be able to convert it into our formats at a small additional cost to you. If this cannot happen, but your existing software can print reports of patient demographics and Receivables, we can manually enter it into our database. Please call us to discuss your particular situation.
Can Lloyds also take care of my Medical Billing in addition to providing me the EHR service?
Lloyds are experts in Revenue Cycle Management. We would be happy to analyze your Medical Billing needs and provide you with a separate quote for our Medical Billing services. Go to the Medical Billing tab in this website for additional information about our billing service. Feel free to also click here for an appointment. We will be happy to visit your office and discuss your needs or issues.
Does MDnet offer eligibility checking?
Yes, MDnet can handle eligibility checking in real time. Lloyds can also offer you a service where we perform the eligibility check and reconfirm appointments the night before but this is charged separately and is not part of our EHR service.
Practices that do invest in advance eligibility checking reduce denied claims by as much as 50%. This also results in other efficiencies as no time is lost either at the front desk or by a physician seeing a patient that does not have the means to pay for services he/she is seeking.
Do you conduct any training programs for your staff ?
We believe that training is the key element in the process of establishing world class standards. Client specific training involves process specific training as well as training on technology platforms. This is a continuous process at Lloyds Solutions.