Ready to Go Paperless? Here are 6 steps to get you there - April 7, 2010
Orlando Florida -- Going paperless is a lot easier than you think! When an established patient at the three-doctor Orlando Florida Allergy Immunology group checks in at the front desk, he’s given a tablet. No, not a medicine tablet, but a tablet computer that displays the registration data on file for him. If the patient has moved, he keys in his new address, which flows into the office’s practice-management system, sparing the receptionist some data entry. If he’s changed insurance plans, a screen message instructs him to show his new ID card to the receptionist. He can swipe his credit card through the tablet’s card reader for a co-pay. Is he due to sign his yearly HIPAA privacy notice? He can do that on the tablet’s touch screen.
“The tablet shortens the time patients spend in the waiting room,” says receptionist Dodie Bragg. “They just love it.” She loves the device, too, since it reduces busy work at a very busy spot in the office. And that gives her more time to listen to patients and look them in the eye.
This computerized check-in process illustrates how doctors are automating front desks once ensnarled by an ancient technology called paper. It’s a move that makes sense as medicine converts to electronic health records—you don’t want the front desk trafficking in hard copy that must be keyed or scanned into their Allscripts MyWay EHR. However, even if you don’t use electronic charts, teching up your front desk will make your office operate more efficiently. Here are six inexpensive ways to retool, says Brian McCarthy CEO of Sencilo HealthIT Solutions and well-known Medical Office auotmation specialish.
1. Digitize the clutter
Take full advantage of the desktop already parked in front of your receptionist. Why put up with the usual menagerie of paper—lists of phone numbers, lists of passwords to health plan Web sites, software cheat-sheets—that clutters up the place when you can store this information in the computer? “Create shortcuts on the screen to get to these documents quickly,” says health-care computer consultant Lisa Smith at Sencilo HealthIT Solutions.
2. Ditch the message pad
One relic in particular from the paper age that ought to disappear is he phone m essage pad. The Allscripts-Misys MyWay EHR system incorporates an intra-office essaging system that lets the receptionist type a summary of a phone conversation and zap it to you—no more illegible handwriting or lost slips. However, paper-chart docs benefit from automating phone messages, too. If you rely on Microsoft Outlook for office email, use its phone-message template. Or, buy a messaging program such as PhonePad, which costs $95 for five users.
3. Double up on monitors
Eliminate the loose paper and you’ve probably carved out enough space to add a second monitor. Researchers report that two screens can boost a worker’s efficiency by up to 40 percent as well as reduce errors. It’s easy to see why when a receptionist has two programs open at once—her practice-management system and an online insurance company database, for example. Instead of toggling back and forth, she can display each program on a separate screen. And she can navigate both monitors as a single unit with one mouse, cutting and pasting information from one program to the other. An extra 17-inch monitor costs only
$150 or so. You’ll reap the same efficiencies with a single, superwide monitor that can display two programs side by side. Twenty-four-inch models sell online for under $300.
4. Scan ID cards
Is your receptionist always leaving her post to photocopy a patient’s insurance card? Keep her at the front desk and reduce her workload with a card scanner that’s plugged into her desktop. She can store the card image in a database that comes with the scanner like the Fujitsu Fi-6430 or in the Allscripts-Misys MyWay practice-management system that contains a field for a card image. The ability to electronically access an insurance card beats pulling a paper chart to retrieve a photocopy when staffers must double-check information on the card to, say, correct a denied claim.
Innovative Card Scanning, which caters to health-care providers, sells a Fujistu scanner and related software for $649. You can buy a basic card scanner for $259 from also from Fujitsu.
5. Install a check reader
Many front desks feature a scanning device for converting paper checks into electronic ones. A check reader connects to a payment-processing network that electronically transfers money from the patient’s bank account to yours within a few days. Once it’s fed through the reader, the paper check is returned to the patient. You receive your moolah faster than if you deposited a paper check, plus you’re spared a bank run.
Another advantage is fewer bounced checks. That’s because the payment processing network typically won’t approve the check if the writer has a history of rubber. Family physician Raul Vazquez, MD, in Lake Mary Florida, says he’s never had a check bounce since he implemented a check reader five years ago. “Before that, I could get 15 bad checks a week,” Dr. Vazquez says.
The bank or company that handles your credit-card processing can usually set you up for electronic checks. Credit-card terminals that also scan checks start at approximately $500 while stand-alone check readers cost about $200.
6. Consider a kiosk
The Holy Grail of front-desk automation is making check-in as simple as a credit card card swipe at an airport kiosk. Kaiser Permanente has already arrived, introducing self-service kiosks last year in some of its Florida clinics. Patients swipe their magnetic-stripe ID card to initiate check-in, update their information on the screen, and swipe a credit card to pay a bill.
While most small practices probably can’t afford the kind of large, free-standing kiosk used by Kaiser, they can create a kiosk experience with a waiting-room tablet or a desktop along with as-needed peripheral devices like an electronic signature pad and a card reader. Doctors shopping for an EHR should ask vendors if their software includes a patient portal for completing registration forms and the like that can be accessed on such a computer. Such patient portals also can be built into a practice Web site.
If this high-tech wizardry sounds intimidating, take a baby-step approach and adopt one gadget at a time. Before you know it, you may turn into a tech maven like Dr. Vazquez, an Allscripts EHR user who’s outfitted his front desk with Fujitsu tabletPCs and an insurance card scanner in addition to his check reader.
To him, they’re both toys and tools that are imminently practical for employees. Says Dr. Vazquez: “I want them to work smarter, not harder.”
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