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NBA Implements Cerner EHR – NFL Implements eCW

Posted on December 17, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Over the past couple weeks, a number of major athletic organizations have announced that they’re standardizing their healthcare documentation using EHR software. The NBA is using Cerner’s EHR and the NFL is using eCW’s EHR.

At first blush these announcements remind me of Walmart selling eCW at Sam’s Club and Costco selling Allscripts EHR. Everyone wondered why Costco and Sam’s Club were selling EHR. The obvious answer was that it was a great PR move by eCW and Allscripts. Although, I did hear about one doctor that hijacked an EHR selection process thanks to a Costco mailing. I think that’s the exception.

While big popular sports organizations like the NBA and eCW might be great PR for a company, it is really interesting to consider the unique healthcare needs of a sports league. The first thing that came to my mind was actually whether the teams would want to have their athletes’ health data on one platform. Often, the health of their players is part of their strategic advantage. Certainly there are a lot more rules about disclosure of injuries, but teams still play the injury card before games, in trades, and when signing new players. I imagine the staff doctors for the teams have to be careful how and what they document in the EHR if it’s going to be available to other teams. And we thought privacy was an issue in general EHR use. It’s much more complicated when you have millions of dollars riding on a player.

From a big data perspective, I’m interested to see if either of these leagues will be able to leverage the EHR data they collect in order to deal with the long term health issues of players. This is particularly true in the physically brutal NFL. I’m sure readers are familiar with the long term concussion questions and research that’s happening with the NFL. Not to mention the ongoing battle against the use of steroids and other performance enhancing drugs. Can a unified EHR help to provide a basis for research and understanding of the health consequences of playing in the NFL?

When I start to think about all the medical devices that are coming out, they’re really interesting in an NFL context as well. Imagine all the health data from various devices being sucked into the league’s EHR. When I talked with FitLinxx at the mHealth Summit, they said that the Boston Red Sox used their activity tracking device the year they won the World Series (Seems like Boston might want to consider using it again). From what they described, The Pebble (their activity tracking device) was a great way for the trainer to keep track of compliance with the fitness regiment they suggested. Should this data be in the league’s EHR? I can see health reasons to do so, but it does go back to the question of teams’ competitive advantages.

I bet device makers would love to compare professional athlete’s use of their devices against all of the other data that’s being collected by regular users. Would make for some pretty compelling charts if I could compare my health indicators against Lebron James or Peyton Manning.

What’s also interesting to consider about a major sports league using an EHR is a connected PHR. In these situations you want your players to be well connected to the doctor and you have a real financial interest in their compliance with doctors orders. PHR in this case could make a lot of sense. Although, I wonder if many prima donna athletes would balk at the idea. Well, at least they can have their agent or assistan log in for them.

I do wonder what special features Cerner and eCW were asked to do for the NFL and NBA. Of course, not much of it would likely be useful for the rest of us.

Phreesia Makes Going to the Doctor Easier

Posted on I Written By

Katie Clark is originally from Colorado and currently lives in Utah with her husband and son. She writes primarily for Smart Phone Health Care, but contributes to several Health Care Scene blogs, including EMR Thoughts, EMR and EHR, and EMR and HIPAA. She enjoys learning about Health IT and mHealth, and finding ways to improve her own health along the way.

The other day, we had to visit the doctor after hours. Because of this, we went to the local “instacare.” However, as soon as we realized it wasn’t going to be so “insta,” with an hour and a half wait, my husband and I decided to drive about 10 minutes to another after-hours facility. We ended up at the wrong one, but decided to stay as soon as we discovered they took our insurance.

First off, I was immediately impressed with the office. The staff was extremely friendly and professional. Especially because at the first place we went, the receptionist was eating an egg roll as she tried to get our information. Secondly, I noticed right away that they had some sort of tablets sitting at the front desk, and I was really hoping I would get a chance to use one and check it out. None of the doctor’s my family usually go to have any type of technology like that (I think I’ve mentioned how my OB/GYN is about as ancient as they come,) so I was excited to see this here. As soon as the receptionist scanned my insurance card, she handed me one of the tablets and asked me to fill out the information on the tablet. I readily agreed and went back to my seat.

When I say down, my husband saw what I was holding and said, “I bet you love this. You can totally write a post about it,” so, I thought I would.

The tablets that the office used are called Phreesia, the patient check-in company. They are bright orange, and a series of questions are asked. The questions ranged everywhere from insurance ID numbers, symptoms, past medical history, and allergies. It includes automatic insurance verification, to reduce the instance of denied claims, and the patient can swipe their debit card on the machine and pay their deductible. Here are a few of there other features listed on the site:

  • Simplify your check-in with a selection of expertly-designed specialty-specific interviews
  • Automate the administration, scoring, and reporting of clinical scales before patients enter the exam room
  • Collect sensitive healthy information with proven technology
  • Obtain a legible list of medications and drug allergies
  • Obtain patient consent for managed care initiatives

Phreesia offers different varieties of the product for all kinds of specialties  so any practice could probably find use for it. It’s also secure, so patients and providers alike can be confident about inputting information.

After using the tablet, I was definitely converted. So much, that I was very tempted to switch my family over to this practice. One thing that I always hate doing is having to tell a receptionist all of my personal information, and sometimes the details of why I’m there. I would much rather have my privacy, and be able to provide as much or as little details as I wanted. I felt like I was able to be more thorough in the descriptions of past medical history, as well as about why I was coming in. Overall, I love that some practices are implementing this kind of system, and I hope to see it more often. When I worked at a therapy clinic, I always loved the little PDA’s that we handed out for patients to answer questions — something like Phreesia.