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Doctors: Computers in the lobby go a long, long way


So, a new IBM study suggests this week that patients are less likely to come back for wellness visits because they're annoyed by having to fill in repetitive paperwork. Sure, IBM and other tech vendors are going to promote studies that encourage you to spend money on technology--so I understand if you're skeptical--but I think there's something worth thinking about here.

It's as simple as this: Most people, these days, have very little reason to write anything lengthy out by hand unless they're filling out a form in a doctor's office (other than, perhaps, when they apply for a job). So when you put a form in front of them, it's an annoying, painful exercise in remembering how to write legibly for most of us cranky patients.

On the other hand, what if you put a few dirt-cheap, older-model laptops (or even cheaper PCs) in your front office and let people type and check off check boxes when they needed to fill out forms? Things could look very different. 

If your practice management system allowed it, patients could probably enter their data straight into your system, saving your office staff much time and energy and improving the quality of your data. Even if it doesn't, or you didn't want to set that up, you could just print the forms they created and re-enter what they did. At worst, they'd be happier, the information they provided would be more readable and probably, the forms would get filled in more quickly in most cases.

Besides, when idle, these same PCs or laptops could be used to advertise new services your practice is offering (such as laser hair removal), could offer access to medical information through your web connection (very simple if you have a wireless network) and so on. None of this is rocket science, to say the least. Hey, by setting up a simple web form, patients could schedule their own laser hair removal, massage or Botox appointments, and up your revenue without your having to lift a finger or tie up your staff!

Not only that, you might get more candid feedback on your practice's performance if you put forms on computers like this. When patients are just killing time, they're more likely to take a moment and tell you the truth about issues that don't come up in a clinical exam.

I could go on and on, but I'm sure you get the point. There's tons of opportunities here. What surprises me is that so few practices are doing this already. If you are trying something like this, would you drop me a line and tell me how it's been going? - Anne

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My son's orthodontist does this. When we enter the office, we go to the computer on the desk, select our name, and verify the information online. Very efficient and still personal, because the person at the desk (who is now entering payments and treatments, not demographic information) smiles and greets us as we check in on the computer. I think this has great possibilities, especially in clinics that treat the uninsured; computers would help these patients have a place to access their health information, make appointments, verify PHI and update it. There would be processes to work through, but I think it has potential.

When the premise is used in the context of orthodontia, laser hair removal, or botox injection, it seems reasonable to think that the concept is applicable. There is the presumption that the "customer" (i.e., patient) can type and will want to augument the staff. Outside of that elective environment, many customers want to be served, not to work.

Re Kathleen's example: Does that choice of your name mean from a pool of names of other patients? Does that reveal that I am a patient there too? Does that violate my privacy?

We see a ton of opportunities as well. Many practices nationwide are using Phreesia, the Patient Check-in Company™, for the very reasons stated in this article and more. Phreesia improves practice workflow by replacing patient clipboards with wireless, swipe-card enabled tablets (PhreesiaPads) that deliver interactive content direct to patients in the waiting room, while automating practices’ patient intake process.

Phreesia was designed with the patient in mind, and one of our primary concerns is improving the way they check-in at the clinician’s office. Sue, you commented that “many customers want to be served, not to work.” We couldn’t agree more. Phreesia makes checking-in an easier, quicker, and more pleasant experience for the patient. Phreesia is even easier for returning patients. Patients only need to verify, not re-enter information. Our solution also saves the office staff valuable time since the patient check-in information is automatically printed or downloaded to the practice’s computer.

Sue, in response to your concern about privacy violations—patients using Phreesia must answer several HIPAA-mandated identifying questions in order to check-in. Patients are never privy to the names or any other information regarding other patients. We are committed to safeguarding patient confidence in our products and services.

You can learn more about Phreesia at http://www.phreesia.com

How do you measure your pain? It is difficult. No lab tests or X-rays can convey to your doctor what you are feeling , it indicates findrxonline in his article about this topic.But even when pain is intense, many people struggle to find the words to describe it to the doctor. It is important to understand whether you suffer from acute or chronic pain.

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