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Praxis EMR: Podiatry Case Study (August 2008)

 
 
PHYSICIAN PROFILE
 

Name: Damien M. Dauphinée, DPM, FACFAS, CWS

Specialty:
1) Reconstructive Foot and Ankle Surgery
2) Diabetic Limb Salvage
3) Hyperbaric Medicine

Clinic: Complete Foot and Ankle Care of North Texas, PA

Website: www.completefootandanklecare.com

Location: Denton and Lewisville, Texas

Background: Dr. Dauphinée has been practicing reconstructive foot and ankle surgery in North Texas since 1999. He is a graduate of the University of Notre Dame (1992) and attended The Scholl College of Podiatric Medicine (Rosalind Franklin University of Medicine and Science) in Chicago.
Dr. Dauphinée completed his podiatric surgical residency in Santa Ana, CA and St. Louis, MO. He is a Fellow of the American College of Foot and Ankle Surgeons, the College of Certified Wound Specialists and the Association of Extremity Nerve Surgeons. Dr. Dauphinée incorporated Praxis EMR in late 2005 and his associates have fully incorporated the EMR in 2008.

Praxis Electronic Medical Records (EMR) - Podiatry Case Study
 

“I now feel that even after linking the system to our accounting software, fully utilizing Scanaway to incorporate outside documents and beginning to link to our local labs, I’m still just scratching the surface of what this EMR can do for our practice”.

 
 ▪ EMR Decision
 

Why use an EMR?
The ability to better control workflow and eliminate daily useless tasks like retrieving and filing paper charts was enough for me to insist on an EMR. We have two busy offices connected by a T-1 line and run Praxis EMR to centralize our patient information. Patients are seen in one office primarily, but may need to be seen in our other office and the paper charts being faxed from one place to another was quickly becoming a huge waste of time.

Why Praxis EMR (current 4.0 user)?
The ability for the EMR to learn your tendencies and the incredible flexibility that the program affords was our original draw. I now feel that even after linking the system to our accounting software, fully utilizing Scanaway to incorporate outside documents and beginning to link to our local labs, I’m still just scratching the surface of what this EMR can do for our practice.

 
 ▪ The Advantages of PRAXIS and Podiatry
 

“Praxis never lets me forget important patient case-specific information. During a patient visit, this allows me to spend time getting to know my patients rather than trying to find the same information on a template-based system that does not document using MY words”.

Easier and more effective patient-doctor communication
I am utilizing the tablet in the room with the patient and creating the vast majority of my notes and prescriptions, printing out patient education forms and instructions all while I’m talking with the patient. The ability for Praxis to allow me to compile patient medications, allergies and prescribe medications using the drug database has made me much more efficient, and documenting patient visits much more enjoyable. Praxis never lets me forget important patient case-specific information. During a patient visit, I can therefore spend time getting to know my patients rather than flipping through a cumbersome paper-chart to remember if the patient had previously complained about plantar fasciitis or tarsal tunnel. Or even worse, trying to find the same information on a template-based system that does not document using MY words.

Streamlined Primary Care/Referral Docs with Praxform
The referral letter Praxform has made me a better communicator with my primary care/referral docs.

“The ‘busywork’ activities such as transportation, storage and other costs that have been eliminated by Praxis, have allowed us to remain leaner from a personnel position helping the bottom line every month”.

Unmatched Online Support
The new online support has made our docs and my technician very happy. The ability to address technical issues in a timely fashion with quick access to the right people is crucial. Additionally, the “busywork” activities such as transportation, storage and other costs that have been eliminated by Praxis have allowed us to remain leaner from a personnel position helping the bottom line every month.

“By reducing time wasted through using paper charts, and the reduced efficiency of medical practice intrinsic to the rigidity of template-based EMR systems, Praxis has made our practice much better organized, more efficient and more professional”.

I save nearly 3 hours on documentation on current patient visits. I’m done with documenting by 5:30 instead of writing/dictating until 7:30 or 8pm every night. By reducing the waste of time that is inherent with paper charts, and the reduced efficiency of medical practice intrinsic to the rigidity of template-based EMR systems, Praxis has made our practice much better organized, more efficient and more professional.

 
 ▪ Final Thoughts
 

Our overall satisfaction has been very high with Praxis EMR. The Knowledge Exchanger and the online chat room for technical support will undoubtedly reduce the learning curve for future users. The whole concept of agents has streamlined and protected internal communication between doctors, medical assistants and business office staff alike. Template-based EMR’s just don’t do this. Praxis means I can be home for dinner and sleep better knowing my documentation is complete, comprehensive and precise.

“Praxis means I can be home for dinner and sleep better knowing my documentation is complete, comprehensive and precise”.

 
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