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To: Charlie Smith who wrote (19797)	3/23/2001 7:52:45 PM
From: Ausdauer	Read Replies (1) \| Respond to of 60323

Charlie, regarding allscripts, I think one thing you have to remember... ...is that there are still a lot of middle-aged and older physicians who are pretty set in their ways. I don't anticipate that many will be quick to adopt a handheld PC for script writing or other functions until they do away with personalized (paper) prescription pads and integrate more function into the handheld. The nurses in our clinic are handling much of the direct patient contact lately including prescription refills. Having said that, my sister said that her primary care clinic was approached by a company that would set up a central patient database (pt. demographics, insurer information, prior scripts, allowed drugs (formularies for each insurer),...) that each physician could "sync" to each day. At the end of the visit they check off prescription refills and they are automatically screened for errors, okay'd and printed off. The best part about the whole deal is that each doc gets a free Cassiopeia. I am not sure any medical records or tests are available through the device. Also, although voice dictations are possible, they are handled separately by a contracted service. Thus, facets of patient care remain fragmented. Personally it would be great to have a handheld device that could access old clinic notes, lab reports, hospitalization summaries, drug allergies and prescription history,... and could also be used for voice dictation. Problem is that one often is reviewing records and labs when dictating, so one device is unlikely to suffice for everything. I think in the future a wireless tablet PC may be the ticket. I also think it would be great if the patient had a data card they could plug into a kiosk in the waiting area that automatically updated all of the current medical record so that it could be pre-retrieved in a distilled and concise fashion and then reviewed during the patient encounter rather than having to sit down at a PC and individually look up labs, clinic notes, x-ray reports,... Also, the pt. could then carry the information securely on the data card for future visits, hospitalizations, ER visits, travel,... I think digitalization of the medical clinic is a few years away, but we are becoming less and less reliant on the paper chart. Aus