Mohr T et al. 2008 "The second time around."

Mohr T. The second time around. Health Manag Technol 2008;29(9):22-25.

To describe the integration of a new electronic medical record (EMR) with an existing practice management (PM) system at Pediatric Partners, a single-site medical practice in San Diego, California. The practice aimed "to streamline office workflows and then create a detailed training, implementation and support plan prior to implementation."

Type Clinic
Primary care
Type Specific
Small and/or medium
Other Information
Nine locations were involved in the study.
Type of Health IT
Electronic medical records (EMR)
Context or other IT in place
A practice management system by the same vendor was already in place.
Workflow-Related Findings
"With our EMR and PM system now on the same network-based platform, we leveraged the clinical document management service to integrate all the moving parts of our practices - scheduling and billing, automated coding, and clinical task management - into a single clinical workflow system."
"Our group was now able to address any new workflow issues and eliminate administrative errors via a new "Virtual Clinical Back-Office" managed by the vendor's network. This back-end service began intercepting all inbound faxes and reports coming into all office locations as each one went live, converting them into electronic documents and then categorizing them into clinical work buckets that were built directly into each physician's workflow."
"Our new EMR service was able to scan and categorize every incoming fax, then match specific clinical documents to existing patients and patient orders. ... [T]he EMR service now managed the connectivity to our labs and pharmacies, which significantly reduced the number of calls into our practices."
"We were now part of a network-based EMR that provides all of our locations with continually updated payer-specific coding rules, and evaluation and management coding reviews at the point of care. This helps our providers optimize reimbursement and begin dealing with new practice-specific, pay-for-performance (P4P) payer contracts. This was why one of our core objectives was to select a fully Web-based system."
"With our EMR and PM service being part of a larger national network, all 74 of the 2007 [Physician Quality Reporting Initiative] PQRI reporting measures were automatically built into our operating system's rules engine and alerted our staff to which PQRI measures applied to them. This was a tremendous help in our ability to participate in the program as well as helping to maximize participation and reimbursement ... under the program."
Study Design
Study Participants
Clinical and administrative staff participated.