Question

Updox that is not integrated to an EHR

  • 12 August 2020
  • 7 replies
  • 291 views

Userlevel 5
Badge +2

We use Updox and Epic - They currently are not integrated, but we still make great use of them.

What EHR do you have that is not integrated and how is it going for you ?


7 replies

Userlevel 6

I do at least 10 telemedicine neurology consults a day on new cases in up to a total of 200 hospitals potentially each with different EMRs, and I have to also put my notes into another custom telemedicine documentation tool.  I have found its almost “better” to be working in a universal inbox that is not “integrated” (other than the last mile of seamless save into notes section) because ironically all of the workflow like printing notes to share out with individuals, receiving the faxed H and P and uploading the PDF into our custom emr. etc...is all so generic that its very efficient across mutiple different environments I interact with  And the well managed address book of patient family members, and referring providers and mid levels across multiple hospitals but with a singular text/outreach and audio-video chat is fabulous

Userlevel 5
Badge +2

Dr. Barbash - Out of those 200 hospitals, how many are you doing Refer and Share with ?

Userlevel 6

None

if i tried to send a refer share to a hospital person they would not have any idea what it is and would assume they needed IT to agree to new technology. Eventually?  Absolutely 

But i dont need to.  Secure Text and Mobile Video only requires one healthcare professional to individually connect with another and it works all the time   Because its one provider directly engaging another!  Beautiful

 

 

 

 

Userlevel 2

I have Practice Fusion;  so clearly we are married to PF and will not change but we are also now married to Updox and likely will not change.  Sooooooo we would like to see much tighter integration between the two.  And also in the wings is our state sanctioned IHE CRISP which requires separate login for prescription monitoring, pulling labs and reports when our patients see other providers or end up in the hospital etc.  So now with a patient in front of me either virtually or in person, perhaps as a followup from the hospital, I or my already stretched thin staff would need to be logged into my EHR, logged into Updox, logged into CRISP and then start searching for the missing data and then copying/pasting and/or printing to updox printer from CRISP to get a report from CRISP which then needs to go into document pending;  basically a real mess; yes it is doable but NOT in real time when the patient is in front of me which is what happens in primary care where we are the tip of the spear.  PLUS I have not yet figured out a way to easily identify and send my notes to the patient’s multiple specialists to keep them in the loop.  PF is broken when it comes to this; other consultants, hospital and other surgery centers  don’t know what direct messaging is; I can’t reach out to hundred of specialists some of whom I barely know and try and convince them to use the preferred sharing method of Updox as they likely have their own preferred methods for sharing and receiving.  Ultimately the only obvious way to me to allow these integrations of disparate systems is through our state IHE CRISP;  they seem to have the ability and the technology and resources to do it but the key is they need the likes of PF aka Allscripts and Updox to reach out to and have meaningful discussions with them; unless and until that happens they are content to continue generating more and more detailed reports of health care that has already happened then helping us at the tip of the spear to integrate all this information in real time to prevent unnecessary usage and promote better outcomes.

Userlevel 6

I do telemedicine all over the US as part of a large neurology telemedicine service and while i agree with all the above, one tip is that I have been building my address book over the years of other physicians regardless of what state, hospital, organization or specialty they are in.   Any time I want to securely share with them  all I need is to have gotten their mobile phone number ONCE and i put it in the address book  From that point forward if i have a note or records, etc to share with them i click  Text/Secure Text, and send it to them (of course the easy way to get anything into the workspace is use the PRINT TO UPDOX feature while you are in your EMR or in CRISP or any system.  Just a hint, it really works nicely

Userlevel 2

Thx for the tip;  for me if i really need a specialist’s attention I just call or text the old fashioned way though the info though acknoweledged at the time does not necessarily make it from the specialists phone into the patient chart on their end for future reference; your secure texting seems to be the same idea but more “secure” but likely more steps for the recipient;  Updox does help us deal with getting the “firehouse” of information from hospitals and specialists into our EMR BUT again I don’t see an easy path for my notes to end up in the other provider’s charts.  The only thing close to that kind of bidirectional functionality would be via our HIE CRISP which serves a tristate area.  Almost all providers are linked at some level to CRISP if only to check for narcotic prescription use and/or ER visits;  Again CRISP is content to use their resources to create and slice and dice more and more reports to a cadre of bureaucrats who wish to analyze usage.  They DO have the ability to facilitate bidirectional flow but for that to happen entities such as EMR vendors or Updox need to reach out to them and forge partnerships.  Since our EMR vendor Practice Fusion aka Allscripts is seemingly not interested we would need Updox to reach out to CRISP

Userlevel 6

I use many different messaging tools and the nice thing about the Refer and Share of Updox is that if the specialists see many cases with you and you send a refer and share link to them, they do get to setup a free no-commitments updox user ID, they can receive a message with the embedded note in it to their desktop, easily save and upload to their EHR  “if they want to do this”  I agree that for the sporadic one-time only case nothing is worth registering for a new system, but if its a repeat event, the time saved on both ends isworth it,  same reason I have many different messaging accts...if the person on the other end uses one and if i dont have to pay to register and i share alot of cases with them, its worth the initial few steps

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