July 2016

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« Are GP Oriented EMRs Appropriate for Specialists? | Main | CMA Journal: Getting to the Electronic Medical Record »


Dave Sellers

It is more true than ever. While interviewing prospective new physicians, the things that are important to them are: how close to home is the clinic, what hours will I be required to work, how many on-calls per month are there? All "life style" questions. They also want to understand how the "team" works. Collaboration is also very important.

We are just designing a new clinic floor space due to an expansion this summer. The Physicians, Nurse Practitioners, Pharmacist all wanted to be in the same room so that they can easily communicate. For privacy and logistic reasons the Social Worker and Dietitian elected to have separate offices. This means our Examination Rooms are multifunctional and used by the Dr's, NP's and pharmacist to see patients. I like the pictures posted. Ours will be similar. We will have 23 examination rooms when construction is complete.

In a multidiscipline environment that we have, we couldn't work efficiently without an EMR today.

Dave Ludwick

Many practices have been in their locations for several decades at this point - long before the advent of computers. The layout and size of rooms has not easily accomodated the introduction of computer hardware. Wall mounted monitors are a good way to save space but still require the CPU to be located nearby, constrained by the length of cables. The docs in my PCN who seem to have had the most success in adopting an EMR have used laptops/tablets. Their concern was that they did not want to overhaul the space to accomodate the computer.

I also found that invariably, the ideal physical location for the monitor was not the ideal location for patient/provider interaction, thereby compromising the patient's experience.

Jasper Burger

Remember that dentists charge about $200 for a basic check-up with cleaning - of this time the dentist will spend only about 2-3 minutes with you. No wonder they can have such nice furnishings. Also compare us to the optometrist or vet charging about $85 per eyecheck or "cat check". In my bottomline unfortunately I get paid to do patients as fast as possible with the minimal input cost to be efficient. Not many professionals today can operate profitably with the fees we get per visit. Medical practice today is on a fine point balance of efficiency leaning over to the troubled waters of litigation....

As for the mixed group practices - only working in BC if you get the alternate pay-system which is in jeopardy due to the government's latest figures pointing to no more efficiency at higher cost. So we keep on running the numbers...

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