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Any free EHR out there?

  • 1.  Any free EHR out there?

    This message was posted by a user wishing to remain anonymous
    Posted 03-06-2018 08:56
    This message was posted by a user wishing to remain anonymous

    I have been using Practice fusion for the past 10 years for free. Happy w it but now they want to charge $99/m. I am semi retired from my practice and see about 5 pts a week. Mostly doing acupuncture, cash based practice. Do not do Meaningful use, do not write many rx or labs. Maybe go back to paper? I can use Office ally for scheduling which I think is free


  • 2.  RE: Any free EHR out there?

    Posted 03-07-2018 17:01
    Besides Practice Fusion that is going to a Paid model in June, I am aware of:

    1. OneTouch EMR - Free - https://www.onetouchemr.com/
    2. talkEHR - Free - https://www.talkehr.com/
    3. OpenEMR - Free - http://www.open-emr.org/ - System is not hosted by an outside company. It is installed on the local system, or on your network.
    I have not made a side by side comparison as of yet.

    I also am on Practice Fusion, including their ePrescribing with ECPS.
    So, I also need to evaluate a new vendor for ePrescribing.

    The above 3 EHR/EMR choices do have ePrescribing. From the websites, the ePrescribing functionality seems to read:
    1. OneTouch EMR - Free - https://www.onetouchemr.com/
      Has free BASIC eRx, "advanced" is with charge
    2. talkEHR - Free - https://www.talkehr.com/
      Electronic Prescription - Free *Charges may apply for EPCS
    3. Three known options for e-prescribing in OpenEMR.
      - Newcrop, a subscription service, is well integrated into OpenEMR.
      - Allscripts is quite good and requires no fees.
      - Weno Exchange is well integrated and requires no fees.
      (NOTE: 1. Needs some manual integration to get running.
                     2. Controlled Prescription component may require PAID subscription)
    Other ePrescribing alternative I found are:
    1. https://cms.officeally.com/Services/OA-Rxe-Prescribing.aspx - OfficeAlly
    2. https://www.iprescribe.net/#/main/landing - Dr. First
    3. https://eprescribe.allscripts.com/ - Allscripts ePrescribe

    But at this point, I don't know of their EPCS functionaity, nor cost.

    I hope to make a side by side spreadsheet at some time in the future, and share.
    If anybody has some "free" time we can make a shared spreadsheet (Google Sheets? or Excel Online?), and make it a group effort.

    Thoughts / Recommendations?

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    Milton (Moshe) Stern, M.D.
    MILTON MOSHE STERN MD PLLC
    Staten Island, New York
    ¤º°`°º¤ø¤º°`°º¤ø¤º°`°º¤ø¤º°`°º¤ø¤º°`°º¤ø¤º°`°º¤ø¤º°`°º¤ø
    He [Hillel] used to say: If I am not for myself, who is for me?
    And if I am only for myself, what am I?
    If not now when? (Avot 1:14)
    ¤º°`°º¤ø,¸¸,ø¤º°`°º¤ø,¸¸,ø¤º°`°º¤ø,¸¸,ø¤º°`°º¤ø¤º°`°º¤ø¤º°`°º¤ø
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  • 3.  RE: Any free EHR out there?

    Posted 03-08-2018 06:55
    Thanks
    Here in MAine  E rx of controlled substances was mandated last July  You could get a 6 mo waiver
      Dr First was offered to Medical association members as a stand alone til or if  your emr got e-rx for controlled substances As I recall we got a discount but it was $50 or 100 a month Do not recall exactly.
    E rxcontrolled is really good to have   It is of course OMT(one more thing) as you have to have two factor security First one had to have an administrator in your practice certify you The EMR companies told us little practices to have our spouses or recptioists-I used my biller- to get administrative privileges in the EMR- which we gave them, and certify us then take it away DUMBER THAN DUMB
     then you have to download an app or here also the hosptial employees get a little device- the purpose of each is to generate a random number every thirty  second  that you put in.


    I run a practice where noone ever gets ritalin oxycodone suboxone etc without a visit ever BUt in the case of a snowstorm delaying me from flying home I can now send in 1 days worth by internet so Il ike that  USed to be a pain of begging pharmacists then coming in and faxiing hard copy etc  Or redoing hard copy if I left off  chronic pain vs acute  or for adhd or any of the other OMTs I have to put on  there I  have to now  write an exemption code for anyone getting over 100 MME of anything It has been  mind boggling up here for months ​

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    Jean Antonucci
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  • 4.  RE: Any free EHR out there?

    Posted 03-08-2018 09:57
    ​I am currently trying talkEHR and it is definitely not ready for prime time use.  There are so many glitches in the EMR that I would not recommend it for a long term solution for anyone.  I should have listened to the post prior who said they were not impressed with the demo.  They were right.  This program is not very user friendly and also freezes and breaks down a lot.  They say they have all these features but many of them do not work or do not work correctly. You can sign up to eprescribe control substances but that was another mess.  Lab integration is likely not going to happen even though they say that is also free.  It's free because you can't get integrated. I am on the phone with them daily about different problems.  It is very disruptive to the work flow.  So, I would not use it, even if it is free.  As someone also said correctly, you get what you pay for.  That being said, I think it is worth the $100 a month for Practice Fusion with all it's quirks.

    I did demo the onetouch EMR also and found that system to be more clunky than talkEHR.  Plus, you really need the paid version to get the features that were available with Practice Fusion.



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    Cindy Go
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  • 5.  RE: Any free EHR out there?

    Posted 03-10-2018 04:11
    Hello,

    I am just about to start my practice and looking for a low cost EMR. Was thinking about Practice Fusion but now...want to keep my expenses low.

    I heard about LiveClinic - here is a link to their website. https://liveclinic.com/.

    I have NOT looked into it all- but I was asking around for a low cost option. I was told that they charge per pt encounter. I also need to find a functional low cost/no cost e-prescribing option. I live in NY.


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    Val Madhava
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  • 6.  RE: Any free EHR out there?

    Posted 03-11-2018 09:24
    I have been with Practice fusion since I started my practice 2.5 yrs ago. I hate computers and set up took me no more than 10 minutes. I have been happy with them. I am sure that I am not using 100% of the capabilities. E prescribing, lab interface, populates my flow sheets !! Which goes into my notes( quest, labcorp bioreference)reminds me of screenings and quality measures, there is a lot of clicks, I am seeing about 12- 15 patients every day. I will continue with PF for $99.00/ month, now I can afford it. Allscripts is a big player. I think this will give me continuity and stability, at least right now, that I,m still growing. I will learn in the future how to dictate because I am not good in creating templates.  The couple of templates that I have work good for me.
    Blessings from above!!





  • 7.  RE: Any free EHR out there?

    Posted 03-12-2018 03:49
    I use Amazing Charts which is inexpensive but not free. EMRs are such huge time & money wasters that I think the most important thing is efficiency for as little money as possible, though it may not be free.

    I use Amazing Charts in the cloud with Updox and EZClaim. It’s efficient but a bit clunky. I’m happy to share more if it would be helpful. I pay about $180 per month total for those 3 things. Single provider micropractice in Albuquerque NM.

    Anita Sloan-Garcia MD

    Sent from my iPhone




  • 8.  RE: Any free EHR out there?

    Posted 03-12-2018 11:49
    Just wondering if we can uncouple EMR's from eprescribing, as there seem to be few free EMR's?

    Does anyone know if we can get e-prescribing capabilities without needing to get an EMR? I was thinking that since I live in NY and we need to e-prescribe but since I am going to be a cash based practice, I may not need an EMR.

    Thanks for your thoughts.


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    Val M
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  • 9.  RE: Any free EHR out there?

    Posted 03-13-2018 05:30
    Not  using an EMR seems dicey business.
     An EMR checks med interactions,  yes sends your meds to pharmacy -no more"I lost it" and you have to do it over and if you prescribe controlled substances paper scripts are abusable
     EMRs have tickler systems, allergies
     PMH etc     Not to use an  EMR would  mean paper charts?
     A paper chart cannot  prevent you form prescribing pen vk to a pen allergic patients  or remind you about pneumovax etc   For malpractice reasons alone  we need those systems.
    It is a shame how much money they suck out of us
    Our professional societies have failed us

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    Jean Antonucci
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  • 10.  RE: Any free EHR out there?

    Posted 03-13-2018 08:08
    Edited by Elizabeth Weeks 03-13-2018 08:09
    I use paper charts and e-prescribe using MDToolbox which checks for allergies, interactions, and insurance coverage. In my search they were the cheapest but also easiest to use without hidden fees or ads which are littered throughout "free" e-prescribing programs. Other options for e-prescribing that I looked at were RxNT and Rcopia but they were more expensive.

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    Elizabeth Weeks
    Apple Tree Medicine, PLLC
    Williamsburg VA
    7573783952
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  • 11.  RE: Any free EHR out there?

    Posted 03-13-2018 08:39
    eDoctor and RxNT can be purchased without getting the EMR.





  • 12.  RE: Any free EHR out there?

    Posted 03-13-2018 08:52
    Regarding a free EMR...

    I think a perfectly workable idea is to use a word processing program such as LibreOffice/OpenOffice (open source, free) to produce text files (.txt) for notes.  You then create a file structure where each patients folder is named by their medical record number.  These patient folders would have subfolders for Labs, Radiology, Notes, Other, Insurance, Orders, etc.  You can use Updox to connect incoming faxes to this file system and send the various .pdf files to their appropriate folders.  Each file is named for the test(s) so you can find what you are looking for easily.  The notes are saved with the date as the file name.  The word processor gives you the option to dictate into the file, use templates, or type.  You can also use pen/paper on a template and scan those into the Notes subfolder.  This system would be very secure and would last forever since .txt and .pdf files will probably never go away.  It would not use much memory.  The .txt files are searchable in case you ever want to do some population management.  Another trick would be to save a generic note for each patient with their history/problems, allergies and meds.  This note would be opened every visit with the rest of the visit info filled in but would be saved with a different name.  This would eliminate much of the duplication of adding PMH to each note.

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    Michael Barron
    Barron Family Medicine
    University City MO
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