What a Clever Way of Finding Out the Truth

I had several web-conferences and phone conversations with a most unusual practice manager of a perio-pros practice in British Columbia.  I phoned her two weeks after providing her with a list of DecisionBase users for her to contact.  She commented that after speaking with only two of them, she had enough information to report to her doctors.  She had not spoken with any of the doctors whom I had provided for her, but to their dental assistants.  She only asked them one question: “If the doctor told you that starting next week the practice would be going back to using paper records, what would your reaction be to that change?”  She said that the first reaction of both assistants was to scream.  Then they both said that they would most likely look for a position with another practice or they would rally the staff to convince the doctor that this change would not be acceptable   I thought that this was a very clever way of finding out the level of satisfaction with DecisionBase in these practices.

Category: EMR, News, Perio, topnews · Tags:

Patient Satisfaction: It’s All About Communication

While having lunch with a new user of DecisionBase in a small town in Marin County, I listened to his description of a woman he examined that morning.  She was a hospital administrator in her mid-fifties referred for examination and treatment of her periodontal condition.  At the conclusion of the examination, while he escorted her to the patient coordinator’s desk in the front office, back in the exam room his dental assistant created the chart notes, the letter to her referring dentist, the procedure specific pre-op and post-op instructions for that specific surgery and the informed consent for her to read and sign.

By the time the dentist and patient arrived at the patient coordinators desk, she had a copy of the referral report, the pre-op and post-op instructions and the informed consent documents ready for the patient.  The patient made the following comment:  “In the 26 years I have been in hospital administration, I have never seen the equivalent of this level of patient communication following an examination.  I am very impressed with your ability to provide me with all of this information so efficiently.”

Category: Blog, EMR, News, Perio, topnews · Tags:

Let’s put Windows XP in perspective

DecisionBase feels fortunate to have IT partners like CherryTopIT who put their clients first

We thought we should share their views on HIPAA and Windows XP

  

CherryTopFridayThoughts – March 21, 2014

– Special Edition –

Let’s put Windows XP in perspective after April 8, 2014

As we approach April 8, 2014, the Windows XP end of life, extended support, and the release of security updates, we would like to help put this in perspective and where you may stand.

Unlike the “hype” you may have received from IT companies anxious to get your attention and to sell you things the use of Windows XP after April 8, 2014 (according to the California Dental Association) will not, in and of itself, be a HIPAA violation. The CDA clearly explains this in their article dated January 27, 2014, which you can find here:

http://www.cda.org/NewsEvents/Details/tabid/146/ArticleID/2004/Clarifying-HIPAA%E2%80%99s-impact-on-using-Windows-XP-in-the-dental-office.aspx.

 

I have long felt this was the correct position, but, without the corroboration of a gigantic organization like the CDA, their legal resources and incumbent international scrutiny, I did not feel comfortable in sharing this opinion.

Should you decide to continue to use your XP computers, the following article by Jefferson Graham in USA Today on March 20th is worth your review

http://www.usatoday.com/story/tech/columnist/talkingtech/2014/03/20/windows-xp-antivirus-software/6578647/

 

Will Windows XP be gone completely from your office, or from many others, by April 8? 

I sincerely doubt it.

  • There are many i-CAT capture machines running Windows XP. I know of no clients who have received a call from Imaging Sciences making them aware of the need to change their operating systems or update their computers before April 8th.
  • I have not been informed that Carestream is rushing to replace any of their CBCT capture systems, many running Windows XP, on networks we manage.
  • Several of our clients have Vatech or Planmeca CBCT capture systems, and, as of this moment, I am unaware of any campaign to replace these systems, many running Windows XP.

 

Yes, you as the provider of care are responsible for the privacy of your patients’ data.

 What should we do now in light of HIPAA, Microsoft, and your aging systems?

One: Create and document a plan to move beyond Windows XP for functional as well as security reasons. This, according to the CDA, will satisfy HIPAA requirements. (Yes, we eventually need to replace all of your Windows XP PCs.)

Two:  Add network perimeter defense and Internet access control with a filtration firewall like the NETGEAR UTM (Unified Threat Management) device. You already have a barrier (firewall) separating your network from the outside world, making it hard to break in to your network, but it is not filtering the data that is being brought in constantly by access to the Web. This UTM has four filtration engines. This device was tested, along with five others, and found to be 99.7% effective against 3700-plus random threats. We have slowly begun rolling this UTM out to our clients over the last year, observing the performance and results, and it is working very well. This provides a robust, but not complete solution.

Three: Get on the latest version of Symantec Endpoint Protection (formerly Symantec AntiVirus) and keep it up-to-date. In the past you purchased Symantec AntiVirus software for your network and server when we replaced your server every five years or so. You received signature updates for the life of the product without additional fees. This was before the serious ramp-up in malware and other threats. Things are much more complicated now. SEP watches each system for signatures and signs of a problem, but, unlike the firewall, it has the ability to watch the computer code being executed. Heuristics. A yearly subscription for the daily updates and version updates is now critical.

 

What, specifically, needs to be done before April 8, 2014 to be HIPAA compliant?

We can help you

·         Begin the HIPAA assessment process.  Detail your computers, network equipment, software and operating systems.  Outline what you plan to change and on what projected timeline.  A paragraph or two in length, this will begin the full HIPAA assessment process with the most pressing issue, the retirement of Windows XP.

·         Significantly increase your perimeter protection with the NETGEAR UTM firewall.

·         Bring Symantec Endpoint Protection current and keep it there.

·         Lastly, identify and plan for a full assessment of security considerations and best practices as detailed in HIPAA and subsequent revisions. Change is good. But on your schedule and on your budget.

Thanks for your support

Looking forward to the arrival of spring and the opportunity to have many more springs serving you and your practice. I hope you have a great weekend! 

W. Dick Luchtman  http://www.cherrytopit.com/

Category: AAP, EMR, News, OMS, Perio · Tags:

Learn more about e-Prescribing in DecisionBase

DecisionBase has collaborated with DoseSpot to offer its e-prescribing functionality to DecisionBase users.  DoseSpot’s features include:

  • See a list of all medications prescribed for your patient in the last 12 months
  • Write any prescription by brand or generic name and submit it electronically to the patient’s pharmacy
  • Compare a list of a patient’s medications with drugs you wish to prescribe and view a drug interaction report.
  • The DoseSpot e-prescribing program is SureScripts certified and complies with the requirements for meaningful use standards.
  • The federal mandate called for under the ACA 2009 act calls for all healthcare providers to be using electronic records and e-prescribing by the end of 2014
  • Currently over 80% of all prescriptions are electronically submitted using e-prescribing.  By the end of 2015 it will be close to 100%.

Category: EMR, News, OMS, Perio · Tags:

DecisionBase and iConfiDent are working together

DecisionBase is your Patented Checklist-based Clinical Records Software

iConfiDent allows you to collaborate online and grow your dental implant referrals

You can now create, edit, view and archive your iConfiDent treatment cases right from your DecisionBase software.

Learn more about DecisionBase at

The DecisionBase Website

Learn more about iConfident at

The iConfiDent Website

 

Category: checklists, EMR, News, OMS, Perio · Tags:

My doctor’s experience with an EMR

I spent an interesting visit with my internist yesterday for a periodic exam.  She and her two colleagues have implemented the use of an EMR into their practice as have almost 90% of physicians in private practice in the U.S.  As an EHR developer for dentistry, I have been very curious about her opinions of how the process has gone.

Certainly the financial incentives offered by the HITECH Act of 2009 made their decision to convert from paper charts to digital records more attractive.  She does not like the amount of typing she has to do to enter notes – admitting that she is not a good typist.  But, that said, looking back on the process and where they are today, she and her partners would never go back to paper charts.  They are now realizing the benefits gained from digital records that were never envisioned from a background of paper chart use and they also appreciated the increase in administrative efficiency that the practice had achieved.

This reminded me of a conversation with one of DecisionBase’s users in Rockwall, Texas who commented after 3 years of using our EHR: “Dr Rhodes, while feeling very grateful about what you have created, I feel that in some ways you are similar to a drug pusher: Once hooked on your software, there is no way I would ever go back to paper records.”

So won’t you share your comments of how DecisionBase have impacted you and your practice?

Category: Blog, checklists, EMR, OMS, Perio · Tags:

DecisionBase Software Has Received Approval of the First U.S. Patent for a Comprehensive Electronic Clinical Record (EHR) for Dentistry

http://www.businesswire.com/news/home/20120215006596/en/DecisionBase-Software-Received-Approval-U.S.-Patent-Comprehensive

OAKLAND, CA. Dental software developer DecisionBase has received approval of its patent application for the KNOWLEDGE BASED CLINICAL DENTAL RECORD.  Previous development of dental software has concentrated on practice administration and radiographic imaging. This piece of the information puzzle will finally allow for the elimination of the paper chart.    Currently two specialty versions of this electronic clinical dental record are being marketed: DecisionBase for Periodontics and DecisionBase for Oral Maxillofacial Surgery with a growing user group throughout the U.S., Canada and the United Kingdom. DecisionBase for Dentistry is currently under development for use in general dentistry. The DecisionBase EHR’s unique characteristics include its Patient Profile which provides an instant overview of a patient’s critical clinical information.  It also uses check list based Smart Forms to provide an intuitive way to create clinical narrative notes without typing.   Clinical information is easily shared with other treating dentists or physicians by an automated process for converting chart notes into a variety of reports, without typing and then transmits them to other healthcare providers.
According to Dr. Paul Rhodes, CEO of DecisionBase, “The ease with which clinical information can be generated, exported and imported will be particularly valuable when a dentist and surgeon are working together to provide dental implant services.” In a Wall Street Journal article, Melinda Beck reports “There is growing evidence that oral health problems, particularly gum disease, can harm a patient’s general health as well, raising the risk of diabetes, heart disease, stroke, pneumonia and pregnancy complications.”  The ability for all medical and dental users of an EMR/EHR to share information will open up a new ability for physicians and dentists to collaborate in educating their patients as well as practicing more prevention and better care.

Over 50% of physicians in private practice have converted to the use of EMR/EHRs according to a NCHS National Ambulatory Medical Care Survey.  The HITECH Act of 2009 requires all healthcare providers to use EMR/EHRs by 2014. This and the younger generation of doctors who have grown up with computers, smart phones, tablets and social networking will drive this conversion to digital information management in dentistry.

Category: EMR, News, OMS, Perio · Tags: , , ,

Tom Goetz of Wired Magazine compliments Dentistry for successfully educating and motivating a patient to better oral health.

He goes on to show how medicine in general can use graphical presentation of medical data (lab results) to make it easier for patients to understand their health status and by doing so, better motivate them to act on this new information. Just  like how the bar graphs of pocket depths on the tooth graphics in the DecisionBase periodontal chart use color and graphics to show people the depth (severity) of their problem.

Category: checklists, EMR, News, OMS, Perio · Tags: , ,

Interview of Dr. Atul Gawande: The Power of Checklists

Dr. Atul Gawande is an Endocrine Surgeon and New Yorker magazine journalist who has described how check lists have enhanced healthcare on Charlie Rose’s TV show. He has uniquely applied checklists to medical practice in hospital ICU’s and surgical OR’s which have resulted in enhanced quality of care by reducing errors.

This use of checklists is at the heart of how you create chart notes in the DecisionBase clinical digital chart where it could help to increase the attention to detail that has enhanced healthcare in hospitals.

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