I have to admit the implementation was not as easy as I expected. Finally, a system that appeared to be designed by a dermatologist with all my goals in mind. There was definitely a lot of interest in the product and I was immediately impressed. Then I stumbled upon the Modernizing Medicine booth at the AAD meeting In New Orleans. When I started evaluating EHR systems at different dermatology meetings in 20, I did not see a single system that met any of those goals. Finally, I wanted a system that would allow me to maximize face time with the patient and minimize the drudgery of all the paper work associated with patient care. I also wanted to be more accurate and complete with my documentation, and preferably be more productive. I set a goal to find an EHR system that would make me more efficient, but still allow the convenience of documenting the visit on an anatomical figure like most dermatologists have done for years. I quickly realized that it was not easy to find a system out there that could match the efficiency of the single page progress note with anatomical figures that my practice like many others had been using for years. I always thought that when I left the military and entered private practice 16 years ago, I would adopt an EHR system very soon. I was using a paper chart system prior to switching to EMA in 2011, and now have almost 12000 visits documented in EMA. I am in a 2 person general dermatology and Mohs surgery practice. Need a drag and drop feature from one provider's schedule to another. Canceling appointments requires too many clicks. Would like to be able to choose a default schedule that could be user preset that would load with some sort of default button, or at the very least have the system keep the memory sticky of the way I had it loaded when I left that screen. Each time I go to the schedule I have to reload every doc. The schedule grid was not optimally designed for a multi-provider practice that wants to "view all providers here today". I also need to be able to make recurring blocks, to be able to choose the date in the block window and not have to go to that date in order to block (which if you're in a week view is a PIA), and need to be able to choose a date range. The schedule block feature should be granular not all users should have that permission. Needs a delete option of "from today's date forward" and not just "delete all" or "delete this single one". The templating is simplistic and clunky as far as edits to existing template. As an administrator I'm spending way too much time changing the templating daily. Inactivating an account should disable it from a scheduling perspective. When an account is inactivated users are still able to set appts. The list is long, but here are a few highlights: -Desperately need permissions granularity by user and by appt category (preference group). Integration with Relatient for appointment confirmations CONS Medical documentation is vital (EMA), and the billing portion of the PM has understandably received more attention and more advancement than the scheduling portion.
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