Chart Talk – Matt Richard

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EHRtv Interviews the Vice President of Mighty Oak Technology about their EHR, Chart Talk

Category: Uncategorized
Date: July 18, 2011
Views:9,363 views

Amy Hamilton: I am Amy Hamilton with EHRTV. Today, I have the pleasure of speaking with Matt Richard, Vice President of Mighty Oak Technology. Thank you for taking the time to speak with me today, Matt.

Matt Richard: Thanks for having me, Amy.

Amy Hamilton: So, as you know, 2011 is a big hear for At a Station and Meaningful Use. As the developer of a fully certified EHR, how did you address Meaningful Use?

Matt Richard: We took a broad look at the topic of Meaningful Use. There are 25 points that Medicare and CMS want you to address. We looked at and we took the broad picture and kind of broke it into three subjects – that there is patient information, interoperability, and clinical quality measures – three general groups that everything can be broken down into. So, our goal was to take all the Meaningful Use requirements and time together and create as much interaction between the three as possible. So, when we addressed Meaningful Use, we tried to make it as easy as possible for the doctors and physicians and staff to understand what Medicare is looking for. There has been a lot of confusion, a lot of misunderstanding. So, we really wanted to interpret what meaningful use is and bring it and make it accessible.

Amy Hamilton: Can you give me a couple of examples of how you did the integration of the multiple points of meaningful use in HER?

Matt Richard: Sure. I think one of our biggest successes was the integration of clinical quality measures, clinical decision support rules and patient education. We have the clinical quality measures that are required by Meaningful Use; out National Quality Forum endorsed the measures which pretty much endorsed a certain set of events to happen after a diagnosis or finding like BMI is out of the range. So, we tied in the clinical decision support rules to give alerts when a patient has the diagnosis to prompt the doctor at the point of care of what they need to do – if the need to counsel them on nutrition or exercise or prescribe antihistamine medications. The doctor is able to even develop their own quality measures. The doctor is able to develop their own clinical decision support rules, provide patient education, all tied in with one tab right in Chart Talk. So, we really tried to take a holistic approach and take the really spirit of what Meaningful Use was going for and implemented in an understandable way.

Amy Hamilton: So, in your opinion, what is the spirit of Meaningful Use?

Matt Richard: Meaningful Use addresses a standardization of what doctors are talking to their patients about, information that is being gathered on the patients and general health problems in America that need to be addressed today such as obesity and diabetes and also the way that doctor interacts with their staff to be able to have alerts pop up at the point of care to be able to have measures of how their performance is being rated. You see Medicare has been moving into the Pay for Performance system for a long time and Meaningful Use really addresses that.

Amy Hamilton: So, I understand that Chart Talk for Meaningful Use has Dragon Medical built in. Can you touch on that a little bit more?

Matt Richard: I won’t say it’s built in but it’s highly integrated throughout the program. You can navigate the whole program with your voice and then we have built in smart commands so you can grab structured data from parts of the program to put in your documentation like ‘get vitals’, ‘get medications’ – you can grab all the data on a patient with one quick command to make it very intuitive, very easy for the physician to use speech recognition in the way they have always dreamed of using it.

Amy Hamilton: Great. Sounds like you have really streamlined the process for them I assume that has helped you a lot in acceptance of adopting the EHR in certain clinics.

Matt Richard: Absolutely, absolutely. People really like the speech recognition interface; and with the affordability and the speed and power of computers these days, it is amazing the results that you can get with the speech recognition software.

Amy Hamilton: Well, I would love to see more and see how it works.

Matt Richard: Great. Thank you. What I will do, a new note for an existing patient just by talking to the computer.

‘Select Tyler’ – ‘Synopsis’ – ‘Visits’ – ‘New’. Patient states that she has always been overweight. She is very frustrated with trying to diet. Her 20-year class reunion is next year and she would like to begin working toward a weight loss goal that is realistic.

Objective: ‘Get vitals’.

Assessment: Obese at 183% ideal body weight, hypercholesterolemia.

Plan: ‘Get previous plan’.

‘Select follow-up in one week’. Follow up in one month. Write prescription.

Amy Hamilton: Wow! That was really amazing. No wonder physicians love Chart Talk for Meaningful Use so much.

Matt Richard: Thank you.

Amy Hamilton: Thank you so much for setting the time to talk to us about Meaningful Use, At a Station, and your fully certified EHR Chart Talk for Meaningful Use.

Matt Richard: Thanks for having me.

Amy Hamilton: I am Amy Hamilton with EHRTV. Today we were speaking with Matt Richard, the Vice President of Mighty Oak Technology. Thank you for watching.

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