Getting to know physicians

As one of the leading providers of Electronic Health Records (EHR) in Canada and the US, we at Nightingale decided we needed to get to know our target audience a little better. We recently conducted a detailed survey of close to 300 physicians across North America to learn what keeps them up at night, how they feel about Electronic Medical Records, and where they see the value of an EHR in their clinic.

The results of our survey will be revealed in the next couple of months, and I can assure you that we uncovered some really interesting information. For example:

We wanted to know what keeps physicians up at night.  We asked physicians to rank the following based on what they find to be the most concerning, to the least. Beginning with the most concerning issue, here is what physicians are thinking:

  1. Highest Concern – I am concerned that I do not know all the medications my patients are on
  2. I feel disconnected from my practice when I am remote and cannot access lab results and patient records
  3. I cannot quickly identify high risk lab results from normal results that I receive on a daily basis
  4. I feel that I am not spending enough time with each patient
  5. Least Concerning – I feel I am not providing my patients high enough level of service

In summary, physicians felt they were able to spend enough quality time with their patients, but were most concerned about having the right medical information available on a timely basis – lab results, medication information and test results. The results were very similar between physicians in Canada and the US and between general practitioners and specialists.

Would access to an EMR help?  We will share more of the results next week….

No patient records were harmed in the making of this case study.

Recently,  we met up with Moe Jiwan, Director of Operations at Uptown Health Centre, to talk about a flood at their Richmond Hill location. This incident was more of an inconvenience than a catastrophe because the clinic’s patient records were stored in the cloud.

Jiwan is a big supporter of web-based technology, and is often surprised by the misconceptions some physicians have about storing information online. Jiwan’s been on Nightingale for several years, and when I asked him about some of the cons of an ASP EMR model, he responded, “I’m still trying to look for them.” But there’s always a “What if?” For example, a common question we’re often approached with, “What if the Internet goes down?” Moe’s response?  “That’s what the Rogers stick is for.”

It was a typical day at the clinic when Moe Jiwan, Director of Operations  at Uptown Health Centre, was frantically alerted of a flood by one of their physicians on staff at the Richmond Hill location. Mr. Jiwan quickly ran to investigate. It seemed the flood originated where the hot water tank and plumbing were located. The insurance company was called and the claims adjuster was in a panic – concerned about saving the clinics’ health records because of the water damage inflicted on the clinic’s laptop computers.

Mr. Jiwan restrained a chuckle. With great pleasure, he assured the insurance adjuster that there was no need to shut down his computers and save his hard drive, as there were no servers on site storing patient information. It took some time for the insurance adjuster to accept the fact that the records were stored safely and soundly in the cloud, thanks to Nightingale’s true ASP model. The insurance company approved Mr. Jiwan’s request to replace only the damaged laptops, and within a couple of hours, the clinic was up and running again. Mr. Jiwan and the insurance adjuster both agree that a cloud based, ASP EMR is the better way.

This wasn’t the first time Jiwan experienced a flood at his clinic. Previously, he had been with a local-based EMR, which stores patient information on servers located in your clinic. Patient records were lost, but Jiwan gained a new perspective on how to best protect your records.

You can read more case studies here.

In Layman’s terms

Recently, Nightingale appeared in The Medical Post’s EMR & Technology supplement feature article, EMR buying for dummies. The article, written by David Godkin, is the physician’s guide to smart EMR buying, breaking down the basics of the EMR vendor screening process, including what to look for in your EMR vendor, as well as the immediate benefits of going paperless.

The article offers up some great anecdotes from some of Nightingale’s own. Our client, Dr. Margaret Bertoldi, describes how her day-to-day has improved since the implementation of her EMR.  She writes:

“I find the billing to be much easier on an electronic chart because I just bill as I go, as opposed to having a billing sheet at the end of the day that I have to fill out on one more piece of paper.”

Nightingale VP, John Bodolai, also makes an interesting observation.

“Fast forward after six months to a year and physicians actually become faster. Because they’ve got access to information more easily and find templates and things of that nature actually speed up their workflow.”

The article also features some great quotes from other physicians, and provides some great insights to help you figure out which vendor is right for you. If you haven’t had a chance yet, check out the article here. It’s definitely a must read.

What our clients have to say

At the Third Annual User Conference, we had an opportunity to ask our clients some important questions about EMR implementation, their experiences, and what advice they have for anyone else considering the adoption of an EMR. See below.

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Nightingale goes to Deerhurst

This is our first blog post and while we may be new to blogging we’re experts in EMR/EHR technology. We are excited to kick off this blog by writing about our recent Annual User Meeting for Canadian EMR customers that took place earlier this month at the Deerhurst resort in Huntsville, Ontario.

Our third Annual User Conference consisted of over 100 clients and users of our EMR. This interactive forum turned out to be a great opportunity for users to have their say, as well as some good treats, with informative sessions on Tips and Tricks, Billing, scheduling, and more.

Guests arrived on the evening of Friday, June 3rd, and were greeted with cocktails and h’ordeuvres at our welcome reception. As part of the entertainment, we featured the launch of our new twitter account, and twitter novices were able to setup accounts, given quick tutorials on tweeting, what the social media phenomena is all about, and also had an opportunity to win a free Kobo e-reader with the submission of their new or existing twitter handle (example: @NGH).

We kicked things off bright and early on Saturday morning with a moving talk given by physician and WarChild Canada co-founder Dr. Samantha Nutt, who discussed the perils of women and children living in war-torn countries around the world. After a full-day of presentations, computer labs, and networking, everyone was deserving of a little R&R, and attended our evening banquet dinner for a delicious meal and some fun activities to follow.

Before guests began heading home on the following Sunday, it was a half-day packed with more sessions , including an informative discussion on the Disclosure of Medical Errors – Legal Obligations and Practical Considerations delivered by Lawyer Paula Trattner (Osler, Hoskin & Harcourt, LLP).

All in all, a great weekend filled with great clients who we consider integral members of our Nightingale community. We look forward to what’s sure to be another successful event next year.

2011 Nightingale User Meeting

Customers and Staff at the 2011 Annual User Meeting


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