Transcript Institute for Athletic Medicine Case Study

How gloEMR Has Improved My Practice
Institute for Athletic Medicine Case Study
Tom Perkins, D.O.
Partner – Institute for Athletic Medicine
Auburn Hills, Michigan
Institute for Athletic Medicine
• Orthopedic specialists
• Two-man practice
• Partners have 6 and 11 years
practice experience
• Work/life balance essential
– 10 kids between two doctors!
Practice Stats
• Average 105 patient encounters per week,
per provider
– 2 to 2½ days in clinic per week
• 50+ surgeries per month
– 80% at surgery centers
– 2 to 2½ days in surgery per week
• One PA, 6.5 FTE Staff
– 3.25 to 1 ratio
Institute for Athletic Medicine
We believe
that a high-quality
patient experience drives practice
growth and success.
We believe
that an efficient, clean,
and technologically-advanced office is
one of the major factors to a high
quality patient care and experience.
Medical and Business Philosophy
Best growth strategy:
Provide high-quality patient experience and care
We strive to:
• Dedicate exam room time to patients with no interruption
• Leverage technology to access patient information in real time
– History, surgery movies or photos, imaging data, patient education
• Minimize wait in reception and exam rooms
• Serve with unmatched courtesy and professionalism
• Present a modern clinic with professional look and feel
• Retrieve patient chart from anywhere in the practice
Meeting the Goals:
EMR Design and Selection Criteria
gloEMR purchase decision based on practice
philosophy and good ROI
Also we wanted:
• Great voice recognition, critical to efficiency
• Ability to dictate in an area outside exam room
• Workstation in every exam room
• Ability to maintain server in office for quick access
and control
• Improved documentation of patient encounters
– Match documentation with Billing
Aligned Labor to New
Work Flow = Increased efficiency
• Maintained FTE Ratio, realigned cost to new process
– We have Medical Assistant in room
• Documents history and medications
before we get in room
• Records HnP while we conduct the exam
• Frees doctor to focus exclusively on patient
– Result: The system has paid for expense increases many
times over in improved efficiency
– Allows me to see more patients per clinic day
Results After 30 Months
• 14 percent more patients seen on clinic days with same
FTE increasing our encounter/FTE ratio
• More surgeries resulting from more patient encounters
• Better documentation has led to increased billing
• Chart chase and associated costs eliminated
• Chart storage physical space reduced
• Higher confidence in documentation and compliance
• Time spent on paperwork down two hours per clinic day
We’re always home for dinner
Our Return On Investment with gloEMR
from gloStream
Cost
Quantity
Labor Savings per Encounter
$7.40
500
$3,699.00
Reduced Transcription Cost
$1000
2
$2,000.00
Reduced Chart Costs
$5.00
500
$2,500.00
Better Coding
$25.00
30
$630.00
Reduction in Postage
$.41
380
$155.00
Reduction in Envelopes/Labor
$.50
380
$190.00
Reduction in Prescription Order
$1.00
250
$250.00
Increase family Time
High
2 Hours/Clinic
Total Savings
Total
Priceless
$9,424.00
Monthly Investment
$2,700.00
Monthly Savings
$6,724.00
Lessons Learned
• Planning for Transition is Important
– Map Old Process to New Workflows
• Trusted local IT person is critical
– Make sure to have support agreement for hardware and network
– Software can be supported remotely
• Voice recognition really works - stay with it
• Staff resistance fades and productivity increases within
six months
• Patients value focused interaction with doctors
• EMR’s do work and Don’t be afraid of conversions