A thoughtful response to my piece on good business vs good medicine. The commenter argues that the fundamental problem is our dependence on the insurance system. Consequently, our health-care system is slanted against good medicine. It is the insurance companies that forces good business on our medical practice, and the physicians are unwitting pawns. Take a read:

The assumption is that somehow good business and good ...

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Thinking about my schedule

Some big changes in the coming months. First we're switching to an EMR. After that, there's the increasing pressure by management to see more patients - not to mention having our compensation structure more directly correlate with our productivity RVUs. I'm thinking of changing my schedule structure - currently it's the standard 15-minute blocks with 30-minute physicals. Many advocate the modified-wave structure. Looks good ...

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The switch to EMR

So the big deal in my practice is the transition to an EMR in the upcoming months. Finally. Our administration has chosen the HealthMatics EMR by A4 Health Systems.

The plan will be to carry these laptops into the exam room, and in an ideal situation, directly enter notes into templates while doing the history.

Anyone have any experience with this system? ...

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