Dr. Raymond Miranda, Central Valley Pediatrics
"You have a great product that far surpasses any of the templates out there. As a pediatrician, with extended providers, this software allows me to create a standard of care. It is important that an EMR be created around that standard and you offer that and more. My trainer is wonderful and she has a great amount of knowledge and enthusiasm. That encourages me. Also your implementation team is spot on with service and how they work with our IT people. Both trainer and implementation team have to date been excellent.
I am excited about Praxis and believe you to be the gold standard. The others do not impress and I have seen them first hand."
Dr Subash Iyer
"If you ever need a pediatrician reference for how Praxis can improve your quality of life, reduce your stress, and improve the way you practice medicine, please don't hesitate to have them call me. This software Praxis has changed my life and I love it! Thank you."
N. Aquino, M.D., Cardiology, Hialeah, FL
"It is really an honor to have been one of the early users of Praxis; it has allowed me to live your dedication and passion towards this revolutionary idea since its early inception.
Yes, changes are the only constant in our midst but Infor-Med has shown a remarkable flexibility, adaptability and pliability to cope with such changes while maintaining our sovereign thinking as physicians. Thank you.
Praxis had survivived Bush SR., Clinton, Bush Jr. and now Mr B. Obama and their intrusions in electronic medical records. Regulations based on transient political interest had not affected the quality of Praxis, on the contrary they have challenged the Concept Processor making it get better and far superior to the popular Templates.
Such Templates sooner or later will be proven inadequate and perhaps illegal in patient care and the physicians who embraced those templates will realized the superiority of Praxis.
Keep on going; the light will be shed in this issue sooner rather than later."
Bob Comeau, M.D. - (A letter from a physician client using Praxis to an EHR consultant!)
"Dear Mr. [Name Removed]:
It was great to see you again after about 18 years. Yvonne my nurse who remembers you also appreciated the visit. Thank you for spending time with us.
I am always thrilled to show a demonstration of PRAXIS to anyone at anytime! I am not a professional demonstrator and I receive no benefits from PRAXIS or the Infor-Med Corporation. Since 2002 my enthusiasm for the PRAXIS program continues to grow. This increasing enthusiasm is the same feeling I have for medicine when I first starting wearing “the white coat” 33 years ago. PRAXIS allows me to practice genuine medicine not constricting my creative abilities whereby giving exceptional care to all my patents. Isn’t this what is taught in medical school, excellent care, or has there been a paradigm shift in my job description?
The evolution of PRAXIS was started with Richard Low, M.D. about 20 years ago. At a training convention for PRAXIS users, Dr. Low told us PRAXIS started as a hobby and then became his passion and this is the same passion as some doctors have for medicine. The evolution of PRAXIS is physician directed and this is the key point. This is why PRAXIS “Kicks Ass” (please excuse the vulgarity) on all physician EMR surveys. Praxis received first place rankings in the American Academy of Family Physicians' (AAFP) in a 2009 survey of 2,012 physicians participated in the study of 142 different EMRs.
There is a dichotomy in the EMR industry, theory vs. the real world. We see this dichotomy with our troubled economy or in the health care debate. This reminds me of my experience working 3 years as a senior surgical resident with extremely sick patients in a busy surgical intensive care unit in New York City; theoretically the patient looked great, but died! You can have a check list comparing the different EMR’s and choosing the one with the most checked boxes. Who makes the boxes to be checked, the doctors, some government agency, self appointed agency, or an association with the intention of secondary gain? You remember, Dr. Al [Name Removed] my former partner? He sadly passed away in an MVA in rout home after delivering a baby. He worked with the FBI prior to medical school and would always say, “Bob if you do not understand something just follow the money”.
Not to cast dispersions on any one EMR but as an example of many, on 02/02/2010, I went to a presentation (Dinner & Wine) by [Name Removed] EMR. I feel their EMR is substandard to PRAXIS. They stated they use Microsoft Word and Dragon and told the audience these programs are proprietor to their EMR and “imbedded” in their EMR software. PRAXIS has the same abilities and more. On their web site they even have the Microsoft Logo and I wonder if Bill Gates shares in their profits? I feel I could do the same medical documentation with Microsoft Word without this EMR program just by cutting and pasting into a form and then saving these templates in my Word document files for the next patient. They told us “our EMR was the only one on the market which could do the multiple diagnoses”. PRAXIS had this capability for multiple assessments back in 2002 with the primitive yet excellent 2.19 PRAXIS version which I started on.
What was interesting their marketing was excellent! They had various sponsors for the total package: A local IT firm (major sponsor), bank for loans and leases, speaker on the EMR Government incentive, Cloud computing, backup and disaster recovery. “With this support we can get you up and running in no time and our EMR is easy to learn.” It is my feeling; sadly many MD’s will buy into these marketing schemes by the various EMR companies because all the boxes are checked on the list. Yet later frustration will set in because in the real world these programs do not work and then are uninstalled. I do not know of any established PRAXIS user who understands the Concept Processor uninstalling the program. Uninstalling PRAXIS to me would be unimaginable like murdering a friend or turning off HAL (without the defect) the computer in the movie 2001. These dog and pony shows or circus events are being market thought out the country resulting in disasters to physicians.
Obviously what is spurring this colossal marketing campaign for EMR’s is the government incentive program. Government incentive for EMR’s I feel will turn out to be like the “Cash for Clunkers”. In theory it looks great. You only have to talk to the car dealers to see they were screwed by the government.
When the government tries to interfere with the supply and demand hypothesis disaster often follows. Look at the housing bubble in regards to the Housing Reinvesting Act. This allowed anyone to buy a home and the demands for homes exceeded the supply and a bubble was created. The same thing is happening now with the government incentive program for EMR’s and the artificial EMR bubble is being created. Emerging marginal EMR programs with an excellent check list are marketing and preying on the physician. All bubbles burst. It will be interesting to see which EMR programs survive and the ones who have an excellent check list go bankrupt.
I was disappointed with the statement you made after my demonstration because I felt I failed. Paraphrasing your comments, all EMR’s are about the same with similar features. You are partially correct because all EMR’s except PRAXIS uses template technology. The Concept Processor is unique to PRAXIS and the heart of the program. I am frustrated because you did not understand the Concept Processor and this really bugged me. I thought back to my experience in learning the Concept Processor. When I switched from a confining template system to PRAXIS at first I was not impressed. I thought it was only a cleaver template system using the stealth name of Concept Processor. I read the manual cover to cover twice while on vacation in Mexico. After online training which was not difficult and using PRAXIS for a few months in the office, I then had the “eureka moment”. With this revelation all the different parts of the program magically came together. At the last PRAXIS training convention talking with other experienced users they also related a similar magical experience in learning the program. Dr. Low elegantly demonstrates this with a series of Venn diagrams showing the central core as the physician’s unique concept of a diagnosis. This concept is continually evolving in the program as medicine changes. Different physicians may have a different concept of the same diagnosis or a different thought process and PRAXIS adapts to how the physician thinks. We are not all trained in one medical school and all physicians do not think the same. I am not an expert in computers but I think PRAXIS is similar to a neural network. PRAXIS mimics how I think when I see a patient. Even today I have “mini eureka moments” where I make a new discovery in PRAXIS improving how I care for patients.
It is hard to describe a revelation and this is why PRAXIS is different from all EMR’s. It was great to see you again and do not wait 18 years to come back. I hope your medical management consulting group continues to prosper.
Bob Comeau, MD.
Max Benjamin, M.D.
"After drifting from template EMRs to template EMRs between 1998 to 2006,including a nephrology EMR,my practice finally found Praxis.
I always felt that specialists were under higher pressure to generate intelligible notes and convey the subtleties of a case because besides the insurance companies and the state boards,our notes a destined to fellow doctors who are our life line.Praxis has been very satisfying in that regard.I have read and reread the white paper on Datum. I was impressed by the intellectual sophistication of the concept behind it."
David Hopper, M.D., Family Practice, Oxford, AL
I enjoyed the recent seminar and very much enjoyed learning about Praxis and your passion for it.
I really don't think there is a comparably structured EHR product out there. Praxis seems to be "The Intelligent EHR" physicians can remake to their own liking.No template can even come close--
Might I make a suggestion?
In the future hopefully there will come a time with demand and increasing sales when Praxis infrastructure will be sorely taxed and there will be a need to expand dramatically. Maybe if you gave Praxis physicians the opportunity to buy shares and own a signifigant portion of your corporation, Praxis would both get needed capital and also be supported by the docs who use it, believe in it, and care about it. Better to do this than to turn to venture capital that would demand major control and could influence the product adversely in other ways.
I chose Praxis over other systems because of its unique qualities. Those same qualities would make it worth a very hard look as a stockholder in addition to being a user. I feel other Praxis physicians would be also very interested in any such agreement.It would obviously be in participating physcians interests to keep Praxis healthy, growing, and getting better with age.With Praxis thus fortified and improved,a future public offering would be the next logical step to continue to make Praxis stronger and more useful in the delivery of healthcare.
Just some thoughts-- Praxis is just too good to be kept a relative secret forever.
Thanks for all you do--
John Sundheim, M.D., Internal Medicine, Whiting, NJ
"The most important reason for an EMR is it improves your ability to practice medicine. Yes, it allows you to upcode to 99214's, but in my opinion this outmoded system from medicare will be short lived. It seems unfair to reward someone financially for having a machine which can output alot of meaningless verbiage or a template with all the right "checkpoints".
The benefits of an EMR were recently brought home to me when I entered a note by hand (the patient was 99 and I decided four years ago that she was too old to waste "MB's"). This experience highlighted to me how much Praxis organizes my thinking. First - it forces me to review the list of medications and their entry into the note requires only a few clicks (we ask our patient's to bring a list each visit). A quick review of the problem list and past medical history focuses my thoughts on the job at hand for today. The HPI forces me to ask the pertinent questions to my geriatric patients. Multiple problems are easily handled by combining assessments or using multiple assessments. If set up correctly and thoughtfully; this allows for quick and meaningful note entry. It also reminds you to ask the right questions.The ability to set up "virtual assessment" allows you to extract the necessary tests for lets say an anemia w/u with one or two rapid clicks. Health maintainance reminds you to repeat needed tests and when.
Agents are quick notes which flash in front you before a visit to remind you to bring up certain issues or order certain tests etc.
To use an EMR correctly you need to invest the time. It needs to be loaded with the correct information (otherwise garbage in - garbage out). It needs to allow you the flexibiltiy to easily format it in a way that fits your mode of practice. My approach to a patient (whether correct or incorrect is a matter of opinion) has developed from many years of practice. I don't want pre-made templates to dictate otherwise.
I have found Praxis to excel since it is molded to my style and only my style. It is blank on arrival - but easily populated - the only limitations are your own cognitive abilities and typing skills. But even that can be overcome by online textbooks and good medical assistants."
Daniel Griffin, M.D., Internal Medicine, Fort Collins, CO
"As a physician using an EMR, not only is PRAXIS the best electronic medical record out there--I say this as I spent two months of forty-hour weeks devoted to this important choice--but also the best supported. As a physician I realize that down time and delays with support just can't be tolerated. PRAXIS dramatically improves my quality of care...the satisfaction of my patients, and the satisfaction of my colleagues to whom I refer my patients. And...the efficiency and effect on my bottom line is darn impressive. I have even come up with some tricks for doing an intake prior to the visit which allows me to very quickly perform a new patient visit and in less than an hour they are through the process and exclaiming how exciting it is to see a doctor who can sit and listen and not have to rush them through. I don't think I have to comment on the financial side of doing two level 4's on new patients in an hour and then at the end of the day being done; no end of the day dictation catch-up or review because its done while I am in the room.
Curtis E. Harris, M.S., M.D., J.D., Practicing Endocrinologist, Professor of Medical Law University of Oklahoma, Oklahoma City, OK
Doctor Curtis Harris is not only a practicing physician (Endocrinologist), and also an attorney and a Professor of Medical Law at Oklahoma University, but also happens to have a Masters in Computer Sciences and is a Praxis client.
"PRAXIS has much greater utility and flexibility... than a template-driven program. In addition, PRAXIS has another very valuable feature that you may not have considered: that is, enhanced legal protection for the busy practitioner. Good documentation is critical to properly defend a physician against a malpractice claim. However, it is not only important to record what was done, but also to show the logical progression of thought that lead to a diagnosis or course of action. PRAXIS requires the physician to record his thinking process, and to refine the logic with each new patient. By focusing on the difference between patients, the record necessarily reflects why one given diagnosis or therapy was chosen over another. This in turn allows the defense attorney to use the record to assert the uniqueness of the patient, and why this therapy was chosen for this patient. Since a physician is not held to be a guarantor of a cure of a good result, but instead must choose an acceptable treatment based on the information available to the physician at the time the choice was made, clear documentation of what was known is usually an adequate defense.
There is another related problem that is latent in every template-driven program that is not present in PRAXIS. The templates in other systems are subject to discovery and to use against the defending physician. Imagine how pleased a plaintiff's attorney would be to find that a physician's entire practice could be reduced to a series of simple statements. Suddenly, the art of medicine is diminished, and the defending physician appears to be a mere technician in the way he practices, forcing all his patients into a single mold. However, since PRAXIS is based on the examination of previous patients, these records are not subject to discovery since they are protected by physician-patient confidentiality. While the process by which a physician using PRAXIS to enter data is discoverable, that process is little different than what is now done without PRAXIS.
While several other systems provide for such things as accurate and legible recording of notes and prescriptions, it is the flexibility and theory behind PRAXIS that will, in the long run, provide the best legal protection for the practicing physician."
Michael Simpkins, M.D.
"Dear Dr. Low:
Despite being extremely busy, the past two weeks have proven to be somewhat enlightening. I have had the opportunity to speak with a few people (both physicians and practice managers) who have used different EHR products. Over the past few years I have researched and reviewed many EHR programs, and felt reasonably comfortable in my knowledge of most of the leading ones. However, in the past couple of weeks I have done more detailed research and review, and have come to two conclusions: One, EHR programs are "TNTC" (too numerous to count), and quite a few companies think that if they combine a computer with any type of medical record-keeping then they have the right to call themselves an "Electronic Medical Record." And two, by far the most common complaint with physicians using an EMR product is the limitations associated with a template-based system.
It is somewhat embarrassing on my part that I have not familiarized myself with Praxis more in the past. But at the same time it demonstrates the potential market for Praxis, especially if we are able to "get the word out" about the benefits of the program and how it differs from literally all of the other EHR/EMR programs on the market. As a physician who does consulting (medical-legal and medical computer applications), it is hard enough for me to keep abreast of the rapidly-changing marketplace. I cannot imagine how a physician in a busy clinical practice could even hope to keep up with his choices for EHR/EMR programs. Unfortunately they end up buying a system for all the wrong reasons, and too frequently end up going back to their hand-written or dictated charts. And some of these physicians are unlikely to ever try another EMR system because of the "bad taste" left in their mouths from their previous purchase.
As I mentioned to you in our phone conversation last week, I worked for a company that sold (a competitor), and a good portion of my time was spent demonstrating the program and setting up templates - either designing them from the ground up or modifying existing ones. Although I became very adept at this, it was nonetheless a laborious, time-consuming, and often-times frustrating process - for me - someone who worked with the program every day. I can only imagine how it would feel to be an overworked clinician trying to master the process of designing and/or modifying these templates; even if these tasks are indeed mastered by the physician, it will still be a time-consuming process. And no matter how much time is spent on the template, or how complete and thorough the content and design is, there will always be a patient whose complaint(s) does not fit into the neat little box that templates utilize and require.
Of course, none of this is an issue with Praxis EMR. Like any powerful software program the learning curve of Praxis can be, at times, rather steep and difficult for some users. But as in real life, to obtain anything worth having you have to work for it, and the more work and effort you put into it the more you will get in return. The nice, and unique, thing about Praxis is that unlike other EMR programs, once the physician puts in the initial work required, the software works for them and with them. They no longer have to worry about working to design a new template or to modify an existing template, just because a particular patient’s presentation does not fit neatly into their little “template box.”
Obviously I am “preaching to the choir” here. As you can probably tell, I am excited about the possibilities and opportunities we have in front of us. I am very much looking forward to learning more about Praxis and putting that knowledge, in addition to what I have learned over the past 10-12 years, to work for not only Praxis, but for physicians and clinicians as well.
Michael Simpkins, M.D."
Allen S. Uhlik, M.D., Diplomate, American Board of Internal Medicine, Copperhill TN
" I am fascinated with the idea of a Concept Processor, I thought I was very much against loading my own medical knowledge in the computer. I have since found that it is actually essential that you load your own information. It is fascinating to put a diagnosis down, watch it load, make a couple of adjustments, and all of a sudden the chart is done for that patient. As I sit here dictating this letter, I am still looking at the other (template) system sitting on my shelf."
Cecelia Hissong, M.D., Family Medicine, Dearborn, MI
"The new Medicare coding requirements are so complicated and time consuming you will spend half again as much time figuring out the correct code as you spend with the patient - PRAXIS will be miles ahead of any other program in dealing with this. PRAXIS is the one tool which will make practicing medicine easier. Now, at 58 years of age and after 30 years of practice, if I can get it, you youngsters out there can do the same. It takes perseverance...and patience...and it will come. The rewards will far surpass the cost."
J. Craig Barnett, MD FACC, Cardiology, Lake Mary, FL
"The most important aspect of medical office software, after billing, would be the creation of the patient data in a way that not only maximizes care but also minimizes your time doing this. Therefore, out of my experience as a cardiologist and software developer, I would highly recommend PRAXIS as the single best way to do that today."
Thomas C. Davies, M.D., Family Medicine, Farmville, VI
"This is an amazing program that greatly surpasses my expectations. I really found PRAXIS worth it in terms of reduced fatigue and improved quality of records, which is also how I justified it. There have been very few things to come along to make my practice life easier - this is one of them so I grabbed it. The requirements from HCFA (now CMS) are bizarre, elaborate and unnecessary...I see PRAXIS as a way to match the challenge. This is a great program and the commitment of PRAXIS to continually improve it on a short cycle should serve as a model for software development."
Lewis Lipson, M.D., Cardiology, Chevy Chase, MD
"(PRAXIS) has the potential for coming close to being an "ideal" EMR. I am hopeful that PRAXIS may initiate a whole new approach to EMRs that will be much more physician-friendly. The level of interest and support from the company is impressive because the developers seem sincerely devoted to improving the product based on users' feedback. PRAXIS is unique in being a physician-created program; the developers are incredibly responsive to problems and suggestions."
Ronald S. Haxton, M.D., Diplomate of the American Board of Pediatrics, Mission Viejo, CA
"You have created a revolutionary and inexpensive computer charting system that could become the universal standard. Anyone with a serious interest in practicing high quality medicine and an interest in computers needs to look at PRAXIS. There is nothing else that even comes close. It is the best system that I have found for medical practice note-keeping because it is far superior to any of the 'template' systems and has superb flexibility characteristics. I have recommended (PRAXIS) to many physicians. It is a program that any physician with a modicum of computer literacy would see as the answer to his practice needs. You are limited only by your imagination, intelligence and time as to what you can do with PRAXIS. When you get into PRAXIS you will love it. Using it is 'addictive'. When you realize how much you can do to generate a superb medical record and be reminded of all of the details that are so important to quality medical practice with speed and documentation for the snoopers, you will be glad you got involved."
John Davis, M.D., Family Medicine, Birmingham, AL
"It took us many years to learn to think along the lines of the medical model, and it will take you time to learn to think along the lines of the concept processor. But if you try, I'm sure you will feel it was worth the effort."
Michael Moses, M.D., Endocrinology, Parkersberg, WV
"I have little doubt in my mind that PRAXIS is superior hands-down to ALL other means of charting...once used even for a short time, (PRAXIS) becomes the most effective, accurate and "honest" way to do charting in your office."
James Sills, M.D., Family Medicine, Hamed, KY
"I am a busy Family Physician and on July 1 will have been at it 40 years. PRAXIS shows me a way I can get back to "hands on" medicine; sit and talk to people again, and document everything with a mouse click. E&M guidelines be damned! PRAXIS has found a better way. I used the single-user PRAXIS for a long time, but only with the network version have I begun to realize its true value. The learning curve is steep, but PRAXIS has made medicine fun again by helping me generate great records with less effort every day. I love PRAXIS. It keeps beautiful records. I can document everything from the Past History, Surgical History, Family history, medication records...and do all of this effortlessly. With the Present Illness and ROS, I've documented well enough to finally be paid for what I do. Yes...you can teach an old dog new tricks. I'm a good example."
William Stuppy, M.D., Family Practice, Los Angeles, CA
"PRAXIS has become as much of a tool in my practice as the stethoscope. I am a family practitioner and have built up a huge database of patients with this wonderful tool. Now it takes me an amazing 40 seconds to build a chart."
Rafael Sanchez-Montserrat, M.D., Pulmonologist
"The features of PRAXIS cannot be obtained in any other pre-designed formats type of program. It may take an extra effort to start running the program but it is an intelligent program that can be perfectly customized to our individual needs or styles."
George Liu, M.D., Surgery, Corbin, KY
"It is outstanding, and easy to use. The beauty of the program is that it can document so much better than we can ever dictate or write...and all is included for review. The concept engine is brilliant and VERY easy to use."
Cary Zietlow, M.D., Internal Medicine, Indianapolis, IN
"PRAXIS is a powerful tool. It takes time. Even a hammer takes some time to be used well by the skilled artesan. Just wait, as a referring doctor gives you a compliment about how quickly you got the latest note to them. Then they know EXACTLY why you sent them the patient and their job is easier/faster. Now I get new patient referrals because of this courtesy. None of us learned the art of heart sound auscultation over night! PRAXIS has much more potential. It will become an extension of your patient management just as your auscultation abilities did. I am VERY pleased I have this program."
Richard Folan, M.D., Gastroenterology Associates of Colorado Springs, CO
"Your enthusiasm is what 'sold' me on Praxis when I jumped in last Fall. We all need an EMR like praxis, not just another database program."
Roger Ven Torres, M.D., Internal Medicine, New Berlin, WI
"Personally, this 3.0 version is a newer product rather than an ordinary upgrade. I really lucked out on this EMR! ...Eagerly awaiting full implementation of Praxis 3.0 into my system".
John R. Adair, M.D., Ardmoor, OK
From those whose "sound bites" have graced our ads and articles through the years....
"...PRAXIS will revolutionize Medical Records...."
Anselmo H. Humaran, M.D., Miami, FL
"Praxis has been a very helpful program for my practice. It is very easy to utilize, making my work very simple. The program is a revolutionary way to help me learn new concepts while working. This is the best investment I have made to help my practice."
Joseph C. Eichel, M.D., Family Practice, Zanesville, OH
"It appears to me that the success of family medicine in the near future revolves around information management. I have been quite pleased that PRAXIS has taken the first step in creating a tool which allows me to actively blend current medical data into my active patient files. This allows me to become more aggressive in my work-ups. It helps me to avoid forgetting the details of treatments I learned six months ago. But is much more practical than template software which is awkward to reconfigure when there are subtle changes in patient presentation. It provides a way to annotate my treatments with literature references and is quite helpful in medico-legally supporting my treatment choices. If the success of medicine in the future revolves around information management. ... Praxis has taken the first step...."
Clayton Reynolds, M.D., Lakeside Medical Associates, Lancaster, CA
"..."PRAXIS is an electronic engine that not only creates a chart, it takes us physicians to a position of control in the world of medical records ... PRAXIS appears to be the ideal 'student' in that it retains everything it is taught ... It is also the perfect professor because it teaches and reminds the user of how previous cases were handled. PRAXIS is the perfect servant; it does what it is commanded, not usurping the role of the user, who always remains in complete control. It is an artificial intelligence engine whose knowledge is derived from the physician-user. The potential for its use in patient, medical, nursing student, and continuing medical education ... is therefore astounding. I anticipate that PRAXIS will become the gold standard in the field of electronic medical records."
Bruce W. Cummings, D.O., Associate Director, Emergency Services, Holy Cross Medical Center, Mission Hills, CA
"As the Chief of a very busy Urgent Care Center, I had been actively looking for an electronic medical record system ... I was immediately impressed (with PRAXIS). It is such an easy program to learn, even my most computer illiterate physicians should not have any problem. The Urgent Care physicians are convinced that the PRAXIS program will decrease their medical risks by vastly improving their documentation.... Keep up the good work! "
Daphne Favroth, M.D., Urgent Chief, Dallas County
"I am writing you to express my great satisfaction with ... PRAXIS ... from my practice of Emergency Medicine. Our Emergency Department sees 30,000 patients per year. We obviously cannot afford this "luxury " (of dictating charts) so we handwrite the majority of charts. I hope this product reaches the medical community soon, it will be very much appreciated by physicians and administrators!"
Doctor John Schwab, Diplomate American Board of Family Practice, Akron, NY
"... all my requirements were met with PRAXIS. ...PRAXIS will allow (us) more time to be doctors, instead of writers of medical paperwork who also see patients."
A. Gomez,. M.D., Diplomate of American Board of Internal Medicine and American Board of Ambulatory Medicine, East Dundee, IL
"...as many times as I called for support and nothing but the utmost of support was given to me. Keep up the great work."
Bradley Binnington, M.D., Binnington Surgical Service, St. Louis, MO
"Other programs with fixed templates would be stilted and not reflect my peculiar verbiage and use of grammar."
Todd R. LePine, M.D., Internal Medicine, Stockbridge, MA
" I have been using PRAXIS now for several months on a limited basis, primarily for documenting school physicals, routine physicals, etc. For the most part I am very pleased with its performance. The concept of PRAXIS as a concept processor is truly revolutionary."
Lorne Bigley, M.D., Family Practice, Lacey, WA
" I see between 25 and 30 patients per day. I now enter about 75-80% of my notes using PRAXIS, and I do it between patients. My nurse informs me that it hasn't slowed me down, but I think it takes about 2-3 minutes to do a note, where before it would take 1-2 minutes. For 1 minute more time, I save about $3 for transcription costs. That's a great deal if you think about it. My quarterly costs for transcription were $2400. With PRAXIS, I see this cost going down to $500-$800."
Martin Wiseman, from the Cardiovascular Associates of Cleveland, OH
"I guess you have taken the concept that the customer is always right to the next level - if the customer is right, let the customer tell you how to design the program!"
Phil Rhyne, M.D., Family Practice, Monument, CO
"I have a chronic auto-immune disease and when it flares, I may be bedridden for days. This kept me totally disabled for a few years, but about two years ago, we opened a solo practice and are trying to keep things going. It has been tough and finances are not good -- if the only doctor is out sick one third of the year, money won't come into the practice as it should and must. Several weeks ago, I had a flare of this illness and was out for three weeks. About that time, the state Medicaid fund ran out and reimbursement stopped (that's about 35% of our income). If this had happened three in January 2004, we would have had to lay off our staff and close our practice. Why didn't we have to do that in late March? We had Praxis 3.0!
Using Praxis 3.0 and gotomypc.com, my staff could take messages and do telephone triage (Agents), my nurse could do Nursing Assessments (Protocols & Agents), I could review lab and diagnostic results (Agents), and refills for patients who had to be rescheduled were handled with ease. Our practice didn't make a profit, but our losses were not as horrific as they would have been and the disruption to patients, staff, local pharmacies, and to one not so chipper physician (me) was minimized. Had we not been able to do this, our financially anemic office would have closed (and it might not have been a temporary closure). Praxis 3.0 quite literally saved my practice!!! ... know that in a very small town in Georgia there is a tired, often sick, Family Practice doctor who firmly believes that you folks are wonderful and who offers comments /criticism with care, respect and the firm belief that Infor*Med and Praxis are the best in the business!!"
Joe Merritt, MD, OB-GYN, Oklahoma City, OK
Another...which makes Praxis v3 the absolute best out there. From the hospital (or anywhere with internet) I can access my office Praxis program. I call up my Admitting Note assessment, pick a subgroup (suffix) and print the note to the hospital printer. If I had a fax modem set up and designated as a printer I could print to the fax modem at the office and have the pages faxed to me or anywhere I choose. I can use the internet connection with Praxis while doing the new visit... takes all of about 2 minutes to do this generally.
Jaime Wong-Dominguez, Medical Student, Coos Bay Clinic
"I'm the third-year med student Dr. Peter Lund (Coos Bay Clinic) recently e-mailed you about. I want to tell you that Praxis has helped me to work efficiently and has even taught me a lot about medicine! My rotation with Dr. Lund is coming to an end--I leave on Wed., 3/15.
I'm writing a short paper and presenting it to OHSU Rural Health faculty and students on Fri., 3/17. My paper is tentatively titled "Transforming Rural Primary Care: Electronic Medical Records (EMR) in Coos Bay, Oregon." I plan to review the literature on transitioning to EMR, and to focus on how it's going for Bay Clinic using Praxis."