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We have been swamped at Medscribbler with inquiries but like all EMRs the sales are slow. Its not that docs don't like our system, most go "wow", "this is it". Then we get them to move to an in depth demo. In the in depth demo we get things like (and I am not exaggerating) "You don't color code your appointments by reason? Our current scheduler does? "When you get color coded appointments let us know." We could add this with a little effort but we have learned that even including these "ideas" does nothing but add cost without sales. A smokescreen to the real probllem.
For example, another EMR company includes a template maker which is indeed interesting but I suspect only a few dedicated EMR docs would attempt it. The lack of document management points to a woefully inadequate EMR. Basically it looks like every other EMR. Another indicator of the real problem.
Almost every EMR is the same. In fact Medscribbler is the same as many, except it is really still the first and the best at embedded handwritng on a Tablet PC.
Another example of the problem. Every week we get an offer from a doctor who wants to make us "millionares" by giving us their "ideas" (never mind that almost all of them are already in Medsacribbler.) They say all we have to do is dedicate our designers and engineers full time to their ideas and then spend a bundle on marketing but don't expect investment from them, their ideas are valuable!
What is the problem? I think it is the fact that medicine is by nature creative and problem solving. Docs look at EMRs not as a tool but as a problem, so instead of approaching EMRs as "I need a tool", this is the best I can find, they are approached as how many things can I do with this and how many problems can I think of for the EMR.
We have all used a dime for a screwdriver, and yes it worked. No the dime was not inadequate for that task but we won't want ot use it everyday. But do we really need that $35 motorized screwdriver to tighten a chair screw once a year? And would we refuse to fix our chair because we didn't have a motorized screwdriver?
The result of this thinking is slow sales of many truely useable EMRs and a lot of doctors making their own creation that they personally are very happy with even with obvious shortcomings. EMR companies keep adding to the cost with no return for rarely used features. Medcomsoft is a good example of this - except for no embedded handwriting for the Tablet that sucker has everything - but forget a low cost and useablity because of all the features. I think they recently dropped their cost. It is unlikely they will ever get their $35 million invested back.
So I think that there has to be some way for docs to step outside of their training and mental mindset to make EMRs an everyday reality. It may come with government intervention - which will mean a great deal of unhappiness.
That's my 2 cents for a while!
PS. Please don't call with a "new idea" but do please call for a demo or download Medscribbler Lite for free - we have many docs using the free version full time - seems more psychiatrists than others.
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