Custom EHR: benefits, key features, and a development guide
November 8, 2023
There are a plethora of customizable add-ons helpful to specialists within a particular medical practice. After all, the functionality and interface of a dental EHR will differ drastically from a surgical EHR. Discuss your needs and ideas with your software provider to learn what features are feasible to embed right now and what would be better to integrate down the line:
Scheduling & reminders
These features help staff manage their tasks effectively by providing a task management dashboard and connecting it to the appointment scheduling functionality. You can also enable notifications so neither doctors nor patients forget about an appointment, vaccination, re-fill, or other procedures.
Analytics & reporting
This functionality enables healthcare workers to see patterns in patients’ conditions and predict potential risks. It also helps assess a particular treatment, analyze and forecast the effectiveness of a prescribed treatment, and find connections between patients’ health and other factors (for example, their demographics).
Medical information resources
You can enhance the quality of care by outfitting your EHR with built-in compendiums about various health conditions, international disease classification, medical research, drug usage, controlled substances, treatment plan templates, and other valuable information. Make sure it is easy to access and navigate to save your personnel’s time.
You can integrate your electronic health record software with video or audio conferencing tools to facilitate primary care virtual sessions.
Billing & financial management
Financial modules make it easier for specialists to charge for their services by integrating appointment scheduling modules with billing, insurance, and subscription plan management systems.
How to choose the right EHR software development option?
Custom software development can greatly boost most practices’ productivity, however, it doesn’t mean everyone should get an EHR designed from scratch. There are many possible ways to tune your healthcare solution to better suit your clinical and business needs.
Need a customized EHR?
Itransition supports care providers at any stage of their EHR implementation journey, whether they plan to adopt a custom system or upgrade their legacy software.
Our team specializes in re-engineering legacy EHR software to make them fit modern healthcare industry regulations and challenges, developing and connecting additional modules to out-of-the-box solutions, and tuning EHR platforms to make them more specialty-oriented. We work closely with medical professionals to understand how they want to expand their EHR capabilities. Then we develop additional modules from scratch or build upon various third-party integrations.
Custom EHR development
We craft brand new electronic health record systems precisely for organizations operating in specific areas of healthcare. Our Healthcare Center of Excellence constantly develops its expertise, implementing the most innovative technologies in EHR software. Our experts ensure top-level security, reliability, usability, and flexibility of a custom solution, with our client’s budget and specifics in mind. We also integrate EHRs in clients’ ecosystems, providing post-development support and user training.
Custom software is more than just another mundane tool for medical providers. Our clients use custom EHRs as a means to offer truly unique and innovative services.
Custom EHR vs off-the-shelf solution
Custom EHRs, as well as ready-made solutions, have their unique advantages and limitations. It’s crucial to consider both before starting the implementation.
Tailored to your organization’s clinical specialization Based on your clinicians’ requirements and feedback Personalized, user-friendly interface Integrated with value-adding third-party apps and medical devices Faster upgrades
Standardized Faster and cheaper to implement Doesn’t require much work from the adopter Abundant pre-made training materials Large community of users that can give advice
Typically more expensive Usually takes longer to implement Requires developing personalized training materials Possible obstructions in data transfer between custom and off-the-shelf EHRs
Overloaded with unnecessary features Cumbersome interface Hard to integrate with other software and hardware Often lacks features for specific practice needs Slow to incorporate innovations into
Outline the basics of your custom EHR implementation, including its interface, features, and capabilities. Assemble a team consisting of a project manager, a business analyst, clinicians that represent all end-users, and an IT department expert to decide which EHR workflows should be updated or automated and how its interface should look. By the end of this step, the development team offers a solution with functionality that fully covers or even exceeds the client's expectations, creates system architecture and comes up with the basic design, defines the tech stack, and gives recommendations about the necessary changes to the organization’s hardware and software.
Custom EHR development takes from 4 to 12 months, depending on the provider, the scale of the organization, and the system’s complexity, and consists of three major steps:
- Creating the roadmap and delivering a custom EHR solution.
A detailed plan with well-defined milestones for the EHR system’s development will help you and the development team stay on the same page. At this stage, developers create a working prototype with the most essential modules, send the working solution to clinicians for initial feedback, and make changes to processes and the system if needed.
- Integrating with other healthcare applications.
Healthcare providers that go for a custom EHR usually need it to be connected to other healthcare solutions: practice or hospital management software, lab systems, or BI tools. Development team ensures the data flow is unobstructed and secure between all of these tools.
- All-round quality assurance.
A custom EHR solution stores sensitive information. Therefore, it is crucial to ensure its compliance with HIPAA, GDPR, PIPEDA, and other standards and the security of patient information before going live. Also, to get a properly performing solution, relevant functional and non-functional testing is conducted throughout the entire development and implementation cycle.
Once custom EHR software is fully developed and tested, its quality and security are assured, and feedback from clinicians is taken into consideration, the system is ready to be integrated with other medical software.
When your EHR system is fully operational, you can proceed with data migration and personnel training. First and foremost, aim to train primary users, not experts. Start with educating the personnel on basic EHR commands, provide necessary security training, and conduct more in-depth sessions for those who need additional skills.
Custom EHRs require due maintenance, regular assessment and optimization, or upgrades if needed. This way, one system can serve a healthcare organization for an extended period of time, growing and evolving. Contact your technology partner to know exactly which post-implementation support is available to you, or hire a support team that will cover these needs.
Custom EHR deployment types
We can deploy a custom EHR system in the cloud environment, with most data stored on external servers or exclusively inside the healthcare organization’s own IT infrastructure. Both deployment methods have their pros and cons, so it’s crucial to evaluate both and decide which one suits your operations.
- Lower upfront costs but potentially higher TCO over the years of usage
- Relatively fast setup
- More possibilities for a data breach, however, our experts employ the newest technologies to ensure the highest level of security
- May require a business associate agreement (BAA) with the cloud provider
- Easily integrated with other apps via APIs, connectors, and other tools
- Can be scaled on the go
- Data security and backups are the vendor’s responsibility
- The majority of support services can be provided remotely, making them fast and effective
- Requires stable internet connection and can be accessed remotely
- Fewer data management and control options
Custom EHR cost factors
EHR costs vary even for out-of-the-box EHR solutions, and more so for custom-made ones. The research by Software Path suggests that a healthcare provider should expect to pay around $1,000 per EHR user, although this number is very relative.
Scheme title: Average budget per user for EHR software
Data source: softwarepath.com — What practices look for when selecting EHR, 2022
There are five major factors that determine a custom EHR system’s cost:
Although the upfront EHR system cost might be higher than expected, keep in mind that healthcare practices typically reduce their spending in other aspects after installing it. Custom electronic health records system recaptures its implementation costs within a year by facilitating laboratory testing, clinical procedure scheduling, and prescription ordering.
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Why turn to custom EHR development?
There are three essential upsides to custom EHR systems that set them apart from platform-based solutions.
A user-friendly interface
EHR interface-related challenges like chaotic screen transitions and numerous mouse clicks are serious disruptors for clinicians who have to refocus multiple times in a row. Moreover, the need to interact with such effort-intensive EHR systems can cause clinician burnout, according to a Mayo Clinic study. The researchers matched System Usability Scale (SUS) scores with burnout rates and found that the lower the SUS score, the higher the burnout rate and vice versa. Being burnt out, clinicians can mix up patient data like height and weight in interface fields. This leads to diagnosis and treatment mismanagement and, eventually, patient harm.
To prevent such issues, providers rely on electronic records management software or adopt EHRs with interfaces customized specifically to fit particular organizations’ workflows.
Scheme title: SUS score vs. clinician burnout correlation
Data source: mayoclinicproceedings.org—The Association Between Perceived Electronic Health Record Usability and Professional Burnout Among US Physicians
Get more value from your EHR with customization
Healthcare providers are under a lot of pressure to adopt electronic health records from regulatory organizations and competitors. Despite much evidence suggesting that EHRs enhance patient care, boost doctors’ efficiency, and help improve profitability, practitioners are anxious to adopt this solution. Some are concerned about its high cost and security while others see mainstream EHRs as unfit for their highly specialized clinical environments. Custom EHR can be the key to dissolving some of these concerns. The ability to choose only necessary features for their software gives clinicians more control and makes operating the system easier. Although they might be more expensive than off-the-shelf ones, custom solutions deliver quicker ROI in the long run. Turn to Itransition’s healthcare experts to implement the best-fitted EHR solution, tailored for your practice.
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