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	<title>Comments on: My take: Electronic records, limiting care, Jarvik, loan forgiveness</title>
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	<link>http://www.kevinmd.com/blog/2008/03/my-take-electronic-records-limiting.html</link>
	<description>medical blog</description>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2008/03/my-take-electronic-records-limiting.html/comment-page-1#comment-84200</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Fri, 14 Mar 2008 01:12:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2008/03/my-take-electronic-records-limiting-care-jarvik-loan-forgiveness.html#comment-84200</guid>
		<description>There is and I Use a EMR Program that is easy to implement and inexpensive.&lt;br/&gt;It&#039;s called Amazing Charts. at Amazingcharts.com I invite any small practice to look it over. generally $1500.00 and $ 500.00 per year for full support and off sight backup&lt;br/&gt;&lt;br/&gt;Ken Brown ARNP</description>
		<content:encoded><![CDATA[<p>There is and I Use a EMR Program that is easy to implement and inexpensive.<br />It&#8217;s called Amazing Charts. at Amazingcharts.com I invite any small practice to look it over. generally $1500.00 and $ 500.00 per year for full support and off sight backup</p>
<p>Ken Brown ARNP</p>
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		<title>By: Wendell Murray</title>
		<link>http://www.kevinmd.com/blog/2008/03/my-take-electronic-records-limiting.html/comment-page-1#comment-84182</link>
		<dc:creator>Wendell Murray</dc:creator>
		<pubDate>Thu, 13 Mar 2008 13:46:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2008/03/my-take-electronic-records-limiting-care-jarvik-loan-forgiveness.html#comment-84182</guid>
		<description>&quot;...My take: The primary reason why adoption of electric records is so low. The physician takes a tremendous financial risk for little, if any, return on investment. A poor business investment if there ever was one...&quot;&lt;br/&gt;&lt;br/&gt;This is patently false. If physicians try to implement EMR systems themselves they almost almost invariably fail. These failures are the cases which tend to be circulated among other physicians and publicized. &lt;br/&gt;&lt;br/&gt;There are virtually universally positive financial returns (on the order of 25-200% annually) and quality of service improvements that EMR implementations engender if the software selected is good and it is professionally implemented. That is the fact not the false hearsay. &lt;br/&gt;&lt;br/&gt;The requirements are that physicians have good advice and competent assistance in selecting and implementing an EMR system. There is an excellent open-source product called OpenEMR that requires no software license fees and minimal investment in hardware. The VOE - the physicians office version of the Veterans Affairs VistA system - is also excellent, but not generally appropriate to smaller practices. There are 20 or more excellent commercial products usable by any size of practice.</description>
		<content:encoded><![CDATA[<p>&#8220;&#8230;My take: The primary reason why adoption of electric records is so low. The physician takes a tremendous financial risk for little, if any, return on investment. A poor business investment if there ever was one&#8230;&#8221;</p>
<p>This is patently false. If physicians try to implement EMR systems themselves they almost almost invariably fail. These failures are the cases which tend to be circulated among other physicians and publicized. </p>
<p>There are virtually universally positive financial returns (on the order of 25-200% annually) and quality of service improvements that EMR implementations engender if the software selected is good and it is professionally implemented. That is the fact not the false hearsay. </p>
<p>The requirements are that physicians have good advice and competent assistance in selecting and implementing an EMR system. There is an excellent open-source product called OpenEMR that requires no software license fees and minimal investment in hardware. The VOE &#8211; the physicians office version of the Veterans Affairs VistA system &#8211; is also excellent, but not generally appropriate to smaller practices. There are 20 or more excellent commercial products usable by any size of practice.</p>
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		<title>By: secretwave101</title>
		<link>http://www.kevinmd.com/blog/2008/03/my-take-electronic-records-limiting.html/comment-page-1#comment-83997</link>
		<dc:creator>secretwave101</dc:creator>
		<pubDate>Wed, 05 Mar 2008 04:32:00 +0000</pubDate>
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		<description>The omniscient Gov also TAXES their loan forgiveness &quot;grants&quot;.  Not only is this absurd - they give you money and then take it right back - but it makes the grant amount that much smaller.  It is also deplorably deceptive.</description>
		<content:encoded><![CDATA[<p>The omniscient Gov also TAXES their loan forgiveness &#8220;grants&#8221;.  Not only is this absurd &#8211; they give you money and then take it right back &#8211; but it makes the grant amount that much smaller.  It is also deplorably deceptive.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2008/03/my-take-electronic-records-limiting.html/comment-page-1#comment-83991</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Wed, 05 Mar 2008 01:09:00 +0000</pubDate>
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		<description>More peanuts?</description>
		<content:encoded><![CDATA[<p>More peanuts?</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2008/03/my-take-electronic-records-limiting.html/comment-page-1#comment-83978</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Tue, 04 Mar 2008 17:34:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2008/03/my-take-electronic-records-limiting-care-jarvik-loan-forgiveness.html#comment-83978</guid>
		<description>&quot;Complete loan forgiveness is the only language that will speak to newly graduated doctors.&quot;&lt;br/&gt;&lt;br/&gt;Give us more, give us more!</description>
		<content:encoded><![CDATA[<p>&#8220;Complete loan forgiveness is the only language that will speak to newly graduated doctors.&#8221;</p>
<p>Give us more, give us more!</p>
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		<title>By: Supremacy Claus</title>
		<link>http://www.kevinmd.com/blog/2008/03/my-take-electronic-records-limiting.html/comment-page-1#comment-83969</link>
		<dc:creator>Supremacy Claus</dc:creator>
		<pubDate>Tue, 04 Mar 2008 11:47:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2008/03/my-take-electronic-records-limiting-care-jarvik-loan-forgiveness.html#comment-83969</guid>
		<description>1. There are no data of macro-benefit of EMR. It is garbage science and rent seeking by Google and Microsoft.&lt;br/&gt;&lt;br/&gt;2. Want to save money? Ask a doc. You get 10% off from ending defensive medicine, 25% off from ending pointless end of life tormenting care, another 25% off from getting healthier habits. That&#039;s  60% off without any loss of quality or restriction of access to valid care.</description>
		<content:encoded><![CDATA[<p>1. There are no data of macro-benefit of EMR. It is garbage science and rent seeking by Google and Microsoft.</p>
<p>2. Want to save money? Ask a doc. You get 10% off from ending defensive medicine, 25% off from ending pointless end of life tormenting care, another 25% off from getting healthier habits. That&#8217;s  60% off without any loss of quality or restriction of access to valid care.</p>
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