Technology's role at Metro Medical:

"I started in health care as an EMT volunteering for our local first aid squad in Middletown, New Jersey. I became a Registered Nurse working in critical care and trauma. After graduating from my Adult Nurse Practitioner program I joined the New Jersey Air National Guard and was deployed to Iraq in the summer of 2006. These experiences laid the foundation for Metro Medical Direct."

Technology's role at Metro Medical:

"In my practice I utilize web-based technology to help contain my overhead cost with respect to support staff. I use a MacBook, and connect with my portable WiFi modem to Practice Fusion, my electronic fax and the Medfusion patient portal (which allows me to conduct email consultations, confirm requested appointments and respond to patient messages and charge credit cards for payment). I also utilize a webcam for follow-up appointments that do not require a physical exam, for health behavior counseling sessions and patient education. The e-prescriber in the Practice Fusion EMR allows me to electronically send scripts to pharmacies and have them delivered to that patient's home.

The feature of allowing me to customize scripts with the patient demographics allows me to create a PDF that I can fax for non-medication requests for DME and services like physical therapy as well as test requests."

Implementation experience:

"Another major draw of practice fusion was the fact that I could go live in 5 minutes. I was very intuitive that I never really had to watch the tutorial videos."

Benefits of using Practice Fusion:

"Practice Fusion has allowed me to access my patient medical records from anywhere at any time. So that even phone calls can be documented in close to real-time. It has also allowed me to stay up to date with my patients even when I was away. The secure messaging allows an additional benefit with maintaining continuity of care among my covering nurse practitioner and registered nurses."

House call challenges:

"Portability and turnaround time are my biggest challenges. I need to communicate to my patients and prospective patients that they are not getting a lesser standard of care just because the care is in their home. People unfortunately have come to expect a certain level of inconvenience with their health care. Hopefully, patients will come to realize that they are getting a better quality of care because it is in their home. They are not exposed to the germs of other sick people, and there bed is probably more comfortable than the waiting room."