Overview and Demo Overview and Demo CanadianEMRCanadianEMR

Alan Brookstone, MDAlan Brookstone, MD

Presented at New Brunswick Medical Society Presented at New Brunswick Medical Society Conference January 10-11, 2008 Conference January 10-11, 2008

What is CanadianEMR?What is CanadianEMR?

CanadianEMR is an online resource CanadianEMR is an online resource for physicians who are considering for physicians who are considering the purchase of an EMR or who the purchase of an EMR or who have purchased an EMRhave purchased an EMR

www.canadianemr.cawww.canadianemr.ca EMR Comparisons, EMR Ratings EMR Comparisons, EMR Ratings

(Consumers Reports) and Expert (Consumers Reports) and Expert Discussion – Blog with >900 Discussion – Blog with >900 discussionsdiscussions

Information to Support Information to Support DecisionsDecisions

There is a lack of trustworthy There is a lack of trustworthy independent timely information independent timely information for:for: Selection of EMRsSelection of EMRs Measuring performance of EMRsMeasuring performance of EMRs PlanningPlanning Product DevelopmentProduct Development Demonstrating the value of EMRs – Demonstrating the value of EMRs –

Medical Associations / GovernmentMedical Associations / Government

How is CanadianEMR How is CanadianEMR Maintained?Maintained?

Content on Blog – by physiciansContent on Blog – by physicians EMR Vendor Profiles – by vendorsEMR Vendor Profiles – by vendors EMR Ratings – by physiciansEMR Ratings – by physicians There is a user customizable e-There is a user customizable e-

mail reminder for raters and mail reminder for raters and vendorsvendors

Web site by CanadianEMR teamWeb site by CanadianEMR team

Home Page

Blog

Blog Archive

To Dec 2003

EMR Tools from

Multiple Sources

CanadianEMR BlogCanadianEMR Blog

900+ Postings and Discussions900+ Postings and Discussions Since Dec 2003Since Dec 2003 All are still ‘open’All are still ‘open’ Physicians or Users of EMRs are Physicians or Users of EMRs are

invited to contributeinvited to contribute All can ask or suggest questionsAll can ask or suggest questions Multiple topics…e.g.Multiple topics…e.g.

Exam room configurations; Patient Exam room configurations; Patient carecare

Physician Driven

Discussions

Vendor Profiles

Click on a Logo and View a Profile

Profiles include

Multimedia

Easy and Standardized

Navigation to Find the Information You

Need

Sign Up ProcessSign Up Process

There are two OptionsThere are two Options Sign up as a visitor (physician or Sign up as a visitor (physician or

non-physician) and use the non-physician) and use the Comparison EngineComparison Engine

Sign up as physician with an EMR Sign up as physician with an EMR -Rate the EMR and use the -Rate the EMR and use the Comparison EngineComparison Engine

Signup Page Select Y if you are

a Physician using an EMR or

N if you are a Visitor or

Physician not using an EMR

Physicians can Rate any EMR product

available in Canada

How Does the Star Rating How Does the Star Rating System Work?System Work?

5 Star Rating System5 Star Rating System ‘‘EMR Consumer/User Reports’EMR Consumer/User Reports’

1.1. Purchase ExperiencePurchase Experience

2.2. Implementation ExperienceImplementation Experience

3.3. Support ExperienceSupport Experience

4.4. UsabilityUsability

5.5. Clinical SatisfactionClinical Satisfaction 3 Questions per category3 Questions per category Total of 15 questionsTotal of 15 questions

Select 1-5 for Each Question

1 is Low and 5 is

High

Example OutputExample Output

Comparison EngineComparison Engine

Login or Create a Free

CanadianEMR Account

Select an EMR Product and click View

Product

Select by Province,

Conformance Tested or

Specialty and click Search

Compare 2 products

Side-by-Side by using Drop-down

Menu

Email a Side-by-Side

Comparison to a Colleague or

Co-worker

Compare Products by

Multiple Criteria including

Key Comparison Key Comparison CriteriaCriteria

Province specific featuresProvince specific features Practice sizePractice size Ownership and licensingOwnership and licensing Data conversionData conversion Training & SupportTraining & Support Interfaces availableInterfaces available Scheduling and BillingScheduling and Billing PrescribingPrescribing

Comparison DataComparison Data

Total = 35 EMR Vendors in marketTotal = 35 EMR Vendors in market Comparison Information so far on 14 Comparison Information so far on 14

EMR ProductsEMR Products

Wolf Medical SystemsWolf Medical Systems NightingaleNightingale

Practice SolutionsPractice Solutions ClinicareClinicare

P&P Data SystemsP&P Data Systems OptimedOptimed

ABELSoftABELSoft Jonoke (2 products)Jonoke (2 products)

EMISEMIS HealthscreenHealthscreen

PurkinjePurkinje OSCAROSCAR

MedOffisMedOffis

Data Management Data Management PolicyPolicy

All data is All data is strictly anonymizedstrictly anonymized and and aggregatedaggregated

Read Privacy Policy and Terms & Read Privacy Policy and Terms & ConditionsConditions

Individual Physician rating data is Individual Physician rating data is NOT shared with vendorsNOT shared with vendors

Vendors of EMRs are not allowed Vendors of EMRs are not allowed to sponsor the siteto sponsor the site

Anonymized data is used for Anonymized data is used for rankingsrankings

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

3 to 6 months 6 to 12 months 12 to 18 months 18+ months Just Looking

Intention to Purchase Data Intention to Purchase Data Oct 21, 2007 – Jan 8, 2008Oct 21, 2007 – Jan 8, 2008

Registered users indicating an Registered users indicating an intention to purchase (3-6mths, 6-intention to purchase (3-6mths, 6-12mths, 12-18mths and 18+mths) 12mths, 12-18mths and 18+mths) represent:represent: 627 physicians627 physicians 1155 staff1155 staff Practice managersPractice managers represent a subset of represent a subset of

107 physicians and 236 staff107 physicians and 236 staff What does this represent in terms of What does this represent in terms of

intention to purchase per segment?intention to purchase per segment?

Intention to Purchase Data Intention to Purchase Data Oct 21, 2007 – Jan 8, 2008Oct 21, 2007 – Jan 8, 2008

Intention Intention to to

Purchase Purchase (months)(months)

3-63-6 6-126-12 12-1812-18 18+18+ TotalTotal

PhysicianPhysicianss

385385 177177 5555 1010 627627

StaffStaff 661661 396396 8888 1010 11551155

Intention to Purchase Data Intention to Purchase Data Oct 21, 2007 – Jan 8, 2008Oct 21, 2007 – Jan 8, 2008

Rater Location n=109

AB13%

BC32%

MB2%

NB3%

NL1%

NS5%

ON33%

PE0%

QC5%

SK6%

ABAB 10.4%10.4%BCBC 13.0%13.0%MBMB 3.6%3.6%NBNB 2.3%2.3%NLNL 1.6%1.6%NSNS 2.9%2.9%NTNT 0.1%0.1%NVNV 0.1%0.1%ONON 38.5%38.5%PEPE 0.4%0.4%QCQC 23.9%23.9%SKSK 3.1%3.1%YTYT 0.1%0.1%

Canadian Population

Location of Raters Location of Raters Oct 21, 2007 – Jan 8, 2008Oct 21, 2007 – Jan 8, 2008

October 21, 07 – Jan 8, 08October 21, 07 – Jan 8, 08 10,877 Visits10,877 Visits 42,461 Page Views42,461 Page Views 8,779 Visits (216 Cities in 8,779 Visits (216 Cities in

Canada)Canada) System StatisticsSystem Statistics 5,131 EMR Comparisons5,131 EMR Comparisons 5,184 Vendor Profile views5,184 Vendor Profile views

CanadianEMR Statistics CanadianEMR Statistics Oct 21, 2007 – Jan 8, 2008Oct 21, 2007 – Jan 8, 2008