So, Ryan and I were both just going to talk a little bit about our experiences with ACQUIRE, and I was just going to start off. So I use ACQUIRE, but I also use my own EMR, and in my EMR we're using a lot of the quality measures that I think most people use, you know, did you get your flu shot, BMI, blood pressure, those types of measures. The reason that I'm doing both measures is, or both systems, is to make sure that ACQUIRE works, but the other reason is because there are mid-levels in my office, and it's a surgical system, and I can't collect data for my PA and my nurse practitioner. So in order for me to get, to start using ACQUIRE, so I'm part of a large group, but I submit my data as an individual, so I use a group tax ID number, but my own MPI number. I had to go and talk to our CEO and say, hey, I'm signing this contract with our tax ID number. Are you okay with that? And he said, yes, I'm fine with that, but you need to talk to IT and make sure that IT is okay with it. So then I had to talk to our IT department, and their concern was really, hey, are you creating more work for us, right, which makes sense because they're doing an awful lot getting the system ready for everyone else in the organization, which involved a couple of conference calls with the OGS staff, but that was all pretty easy to do. And then once IT said, okay, we had to have these conversations making sure that everyone felt okay with putting quality data in a different registry without consenting, and everyone came around and we all agreed, but it does make people uncomfortable, and it is a long conversation sometimes. And then, you know, once you have everything set up, for me, it took a while to kind of create a process. The way that I do it in the office is my surgery scheduler, when she schedules a surgery, actually on the day of surgery, just in case surgeries cancel, she adds in the patient identifier, so all of that patient ID name and the identifier and the insurance is in the system. And then I actually only go in once. I go in a month after surgery, and I enter all my data at that point in time. I have a pretty robust surgical volume, but it's not so huge that I'm not going to remember what I did the last month, and a lot of these measures I do pretty consistently. One of the questions that somebody asked me is, do I do my own data? And I do enter it all at this point, but really the reason that I do that is because I'm trying to create a system so that I can task someone else to do it. My PA will probably do it, but I think what's going to have to happen is I want her to look in one place to get all of the data elements, right? And so then I have to change the way that I do my dictation, right? So in my indications, I say, yes, I'm doing a sacrocopalpexy, yes, I offered this patient a pessary, yes, she tried a pessary for several months, it didn't work because of whatever. So all of that information is there, and somebody isn't going back looking through the chart, which I think adds error, complexity, and time. And this is all, you know, Acquire has not been around for that long. It's all very much a work in progress at this time and figuring out just how to make it work. It is duplicate entry. It would be nice if it could just be gleaned from all of the information that you're putting into various systems at this point, but it's, you know, that is still futuristic, so yeah.

ACQUIRE

electronic medical record

EMR system

data collection

mid-level practitioners