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More Hospitals Give Their Doctors Access to Physician Information Systems

To win the business of admitting physicians, many hospitals now provide physicians with access to their patient's treatment records via mobile devices.  This begins with hospitals transitioning to electronic medical records (EMRs).  Once that is accomplished, a growing number of hospitals offer "physician information systems" that allow doctors to view patient medical record through various types of mobile devices.

Physician information systems cover a wide range of functions, including allowing physicians to capture charges on the go for more efficient billing, to view lab results, vital signs, allergies and medications, and to sign off on certain procedures.  These functions are usually carried out on mobile devices such as PDAs and smart phones.

The two market leaders in the mobile physician information system space are Thomson Healthcare  (which purchased MercuryMD in 2006) and PatientKeeper.  Other mobile physician products come from EMR vendors, such as Meditech and Cerner.

Some hospitals are taking advantage of changes in the Stark Law to offer EMR systems to local physicians.  Atlanta-based Alegent Health offers its admitting physicians an ambulatory EMR system.  "We found that about 80% of the physicians wanted the practice management component as well, so we had to circle back to give them that too," said Ken Lawonn, Senior Vice President and CIO of Alegent Health.   "The ability to integrate what the physicians are doing in their offices will breed some loyalty... it will make life easier for the clinicians, and we believe we'll see better outcomes with our patients.  And that's where we're going to be judged going forward."

Another idea emerging from the use of physician information systems is that hospitals should work with their hospital competitors to adopt systems that work at either hospital, thus making life easier for clinicians.  Mercy Medical Center  in Cedar Rapids, Iowa, took this approach, said CIO Jeff Cash.  Physicians "are going to steer patients to you based on your clinical care, on the level of technology you offer, on the nursing care.  So let's make the playing field even."

Laboratory test results are already an integral part of physician information systems.  Expect these systems to be configured so that physicians can order laboratory tests and other procedures directly from their mobile device in the near future.  Progressive laboratories will want to research and support physician information systems in their service area.

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