With beginning of 2012, DocAsap proudly announces the launch of fully revamped website at DocAsap.com.  The new website is designed to be more users friendly while continuing to help patients get timely doctor or dentist appointments.

The streamlined site structure and navigation ensures that all information is just one or two clicks away. By enabling patients to quickly research medical practitioners and reserve appointments instantly online, DocAsap seeks to radically expedite and simplify the process of seeing a doctor or dentist.

New components of the website include:

• Differentiated UI experience with enhanced usability and navigation flow
• Enhanced search and filtering capabilities to enable finding the right doctor in the easiest way
• Comprehensive , dedicated web pages for Doctors and Practices to enable easy single point access to all required information

DocAsap.com has always focused on helping patients get timely care. Users can quickly search doctors and dentists, review provider’s bios and validated patient reviews, filter appointments that best match visit reason, insurance, schedule and location requirements and book instantly using a robust and intuitive website. DocAsap.com then manages all email and phone reminders as well.

The average wait time for core specialties in Philadelphia is 25 days surveyed by the firm Merritt Hawkins & Associates. And for some specialties such as dermatologists and obstetrician-gynecologists the wait time is around 45 days.  With DocAsap, patients are able to get timely appointments, majority of DocAsap users’ book appointment within one or two day.

For Medical practices DocAsap’s helps getting new patients. It reduces improves patient experience through 24X7 convenience of appointment scheduling. Additionally, DocAsap greatly reduces manual scheduling work done by the practitioners and their administrative assistants.

Currently, DocAsap is offering timely appointment with primary care physicians, obstetrician-gynecologists, psychiatrist, Pediatrician and dentists in Greater Philadelphia area and provides access to top doctors including University of Pennsylvania Health System.

We are super excited to begin this new year with much hope and success.

The Government’s vision to create a Health Information Exchange (HIE) has the potential to provide a comprehensive patient history at the point of care. In addition to this data exchange, Internet and “meaningful use” of electronic health records will have a positive and significant impact on the delivery of healthcare and its associated costs. This new arrangement will improve the collaboration among providers and health facilities.  The integrated medical groups like Kaiser Permanente, the Mayo Clinic, the Cleveland Clinic, and University of Pittsburgh Medical Center are extensively utilizing technology to improve access.  These big groups are combining doctors, clinics, hospitals and often some insurance and capturing the financial savings from electronic health records.

However, despite all the benefits, adoption of technology is slow in most of the small practices.  It is surely a change in “status-quo”, and as such small practices do not get financial incentives to use computerized medical records and for some practices it is very time consuming process to convert paper records into electronic records.

“And there are privacy and patient centered concerns as well” said Dr. Donald Tavakoli; a Philadelphia based Psychiatrist. “Obviously for psychiatrists, mental health issues and therapy notes raise a major concern of “discoverability” and differ from the rest of medicine (at least in some people’s minds).  Not to mention, typing with a patient in front of you, which happens a lot with electronic systems, takes away from the doctor patient relationship.  On the other hand, legibility, access to records, and streamlining for billing purposes can increase efficiency and decrease redundancy in testing etc.”

Dr. Tavakoli said “technology being incorporated into practice is a good thing as it increases access (as DocAsap proves), increases efficiency, and decreases risk of errors.  And at the end of the day, it is inevitability.  Increasingly, I’m hearing about things like Ipad’s being considered as notepads for clinicians, which could offer simply touch screen checklist items to mark off during evaluations, this not only reduces medical error but healthcare costs as well.  And it is possible increased technology and Electronic record systems dovetails with increased “checklist” medicine.  The big concern is that in healthcare, sometimes the art of medicine can have immeasurable value, and the doctor patient relationship is crucial (and mental healthcare tops that list, especially with psychotherapy, but it is true in all of medicine).”

Please check Dr. Tavakoli’s profile at DocAsap

We recently came across an interesting article that discusses the challenges of locating the right information to help select a primary care physician.  Some interesting points:

• Determine if your insurance is compatible with the doctor’s practice.
• What is the doctor’s hospital affiliation? Is the doctor affiliated with a reputable, nearby hospital?
• How convenient is the doctor’s office to your home?

In the coming weeks, DocAsap will be launching with primary care, allowing you to find this information, and more, with ease.

An interesting NYT poll indicates that America’s growing frustration with the rising cost of care is driving them to support government-based solutions rather than those from private insurers.  Many prominent voices in healthcare seem to agree that the existing pay-per-procedure insurance model does not promote efficiency, providing proverbial wind to the Obama administration’s reformist sails until the Congressional Budget Office released costly estimates on the universal health plan.

HealthBeat argues that the government can provide universal access to care in way that does not jeopardize the country’s financial health or raise overall health care costs.  If the Obama administration can get doctors and insurance companies at the same table to emphasize efficiency-based rather than volume-based compensation, maybe the cost of care in the U.S. can decrease over time.  Still, major efficiencies will take time to materialize, necessitating tax increases to pay for the plan.

The NYT poll shows that Americans’ willingness to shoulder higher taxes is largely partisan, with Democrats supporting them and Republicans more mixed.  If tax increases are indeed necessary to bankroll universal health access in the short-term, we are likely in store for a long battle in Washington on this issue.  Stay tuned.

One interesting HCIT-related clause in the $787 billion stimulus bill states that the Feds will work toward the “Promotion of the interoperability of clinical data repositories or registries.” While the still-evolving HL7 and other patient data standards are getting the most push from interoperability advocates, there is not currently a universally agreed-upon standard for storing and sending patient data in the U.S. much less internationally.  In W. Ed Hammond’s Health Affairs article on data interoperability, he highlighed the main obstacles of data standardization so far, such as doctor’s idiosyncratic ways of storing patient information, the still-evolving nature of HL7, and the difficulty in getting EMRs to support one data format.   The stimulus bill currently has those issues in mind by letting the CCHIT and HITSP work together under the auspices of the ONC to pick a data standard, and only reimbursing CCHIT-certified EMR purchases.

This data standardization push is welcome, as the current reality is that doctors and patients have a very hard time keeping track of past clinical data unless the patient has stayed in the same hospital network his or her entire life.  Currently, the biggest repository of patient data resides with the payers (i.e., insurance companies and Medicare and Medicaid), as they typically can aggregate data from hospital and doctor visits, pharmacy benefit managers, and wellness/disease management programs across various providers over time.  However, for patients who are part of regional insurance companies who move to a new region, or simply those who switch insurance providers, many will most likely will lose their clinical data forever, as there is no easy way for a patient to record and transfer data their health data to a new provider.   While the EMR and data interoperability initiatives imbedded in the stimulus bill eventually seek to help doctors provide better care by having access to past clinical data and help patients hold on to their personal health record, these benefits will be years in the making.  Still, the stimulus bill gets high marks from us in its extensive protections of data privacy, as those sharing patient data for marketing or non-sanctioned purposes can be severely penalized.