More than a bit late with the report this Quarter ( the move to my new office and the unexpected and sudden transition to a new EHR this month (with a second such transition to follow in December) hasn't been kind to my free tiome!
EXPENSES:
(well ahead of budget, but very little expenditure expected for Q2)
Games Played/Run:
EXPENSES:
January 2017
PDF copy of Impetus 2 $3.74
February 2017
Scarab beads, Sculpey, tools 26.05
March 2017
Old Glory Army Card $50
Old Glory Order (Elites for the French infantry in Bicorne, campaign dress, plus "energetic" bicorne set to use spare Bicorne command figures and Elites to make a 5th French Ligne in Bicorne), plus early Legere in side plumed shakos (to make 2 new early Legere units, using existing command figures) 2 x ECW Generals (add command figures for use with EXW TtS! variant), Assyrian 2-Horse Chariots (for Assyrian Generals), Phillistine spearmen and Libyan Bowmen (to bolster Canaanite Alliance troops) $174
Scenic Express (Lots of Tufts, some Hay bales) $88.83
Black Tree Designs (Early Imperial Roman Infantry - for now, as auxiliaries to Palmyran troops -30% off sale)) $123.83
HMGS Renew Membership (for Historicon - 4 games submitted) $25
Michaels (wood for hills and villages for Snappy Nappy Campaigns in a Day, foam paper, greenery) $80.52
Joann $70.10 (felt for five 4 x 6 foot tables)
1st Quarter Total = $523.47
PAINTING:
January 2017
8 British Cavalry Officers (Old Glory) 80 pts
16 British Hussars (Old Glory) 160 pts
Total 240 pts
February 2017
24 Canaanite Spearmen (12 rehab, 12 new) (? Foundry) 90 pts
1 Sphinx 30 pts
24 Spearmen (rehab) (? Foundry Hyskos) 60 pts
12 Bowmen (rehab) (? Foundry ? Hyskos) 30 pts
8 Slingers (rehab) (? Foundry) 20 pts
27 Hitite Axemen (rehab) (? Foundry) 68 pts
8 KGL Light Cavalry (Old Glory) 80 pts
Total 378 pts
March 2017
9 Assyrian LC (BTD) 90 pts
10 Canaanite Chariots (Rehab) 175 pts
2 new Canaanite officers 10 pts
9 Jugs
8 Prussian Landwehr Cavalry (Old Glory) 80 pts
Total 355 pts
1st Quarter Total = 973 points
Games Played/Run:
Nil this quarter
Certainly the painting focus of the 1st Quarter was the Canaanite rehab project. Thus some Army shots are in order:
A very respectable sized force.... and Ken sent me a few more odds and ends last week!
A nice force indeed, the ground work on the bases is well done.
ReplyDeleteThanks, John. I loathe basing, and resent the time it takes to do it really well, but these weren't too hard and i really like the end result!
DeleteNice force built at speed!I haven't spent anything yet this year, tomorrow is Salute so that is liable to change!
ReplyDeleteBest Iain
As you can see, until March I spent very little...
DeletePeter, that is a smart looking Canaanite army!
ReplyDeleteNo games in 2017.1? I am sure that will change as the fighting season begins with Snappy Nappy and Historicon. For me, gaming has seen a definite uptick in 2017.1. Quite a change!
Well,. I already ran the two games at HAVOC in April, and Barry and I have semi-planned a May game. Then there is Historicon...
DeleteNow you are back on track!
DeleteGreat progress. May I ask why you are having to switch EHRs twice in a year?
ReplyDeleteGreat progress. May I ask why you are having to switch EHRs twice in a year?
ReplyDeleteSure... he's the semi short version...
DeleteThe deal was that I would remain at my present office, and using my existing EHR, until the planned transition by the big group to their new, system wide EHR (Cerner) in October, at which time I would also move into newly renovated (and very, very nice) space in the hospital building itself. They would rent my existing office from me for 1 year, after which I would hopefully sell it off.
Only a few weeks into my employment, the VP for operations at my local hospital, a physician I've known well and worked with extensively clinically (Chief of ED services for many years) and administratively, and was key in some of the negotiations for my contract asks me if I would consider moving into the new space much sooner - as soon as the end of March! It seems the person they were going to place there, whom I would join in October, fell through, and it was kind of a big deal to him and the hospital to have a primary care doctor in that space as soon after it was ready as possible. I'm a team player kind of guy, and this is for the good of my hospital;, so I say OK; you're paying me rent until Feb 2018 either way, so no big deal. we can take my existing EHR with me to the new office, and transition to the new EHR in October as planned. Next the implementation of the new EGR gets put off another 2 months to December; rumor has it even that may be too soon, but the network CEO says it's Dec 1 come hell or high water (they are investing many millions of dollars in this transition to an EHR that will be used in all three hospitals, the 500 MDs/PA's etc of the Medical Group, and the VNA. Group starts rumbling about my transitioning to their OLD EHR "gradually", as it would have "advantages" for me... if I'm agreeable (yeah, right - I've adopted a new EHR once, and it's utter hell... and then I'm going to do it AGAIN in less than a year - hah!). I listen politely, do the demo, and say to myself "don't hold your breath on this one, guys!"
So, we send out ANOTHER letter to my patients advising them of the change in plans from October to mid April (4/14 to be exact). Many planning meetings take place, but the closer we get to the date, the less clear it is how they are going to work using my old EHR in the new space. We plan to remote into my old system form the new office.... IT says no, too much security risk (I can understand that). So then they plan to bring my entire system (which I own) physically over to the building. OK, some downsides as I still have charges to collect from my practice, but they will drop off rapidly; not ideal but we can do it. THEN IT says, NO, we can't even be connected to our own Internet connection, even if it is independent of the rest of the system. SO they propose, now less than two days before the move, to move my system over but run it just on an internal, isolated network, with NO internet connection. OK, well then my old practice cannot collect outstanding funds, receive EOB's, bill or rebill, I can't do payroll for remaning billing person, etc, either. I reluctantly agree, but within hours realize that this means that my system won't be able to send or receive electronic prescriptions, electronic lab and X-ray results, or even be updated or backed up to the cloud as it is nightly. Finally with now less than 24 hrs until the move, there is insufficient time to notify all the myriad necessary parties of the change, virtually guaranteeing loss of data, with potential enormous liability if something important gets dropped. I point this out, and they agree with me, so less than 16 hrs before the move we decide to leave my system where it is, remote into it using my personal private laptop for the first few days, and used the planned slack time we had incorporated into the schedule the first few days to allow us to settle into the new surroundings and new equipment, to instead crash train me and all my staff on the old Group EHR (Allscripts, which gets low ratings for user friendliness, and I now know why). So we move Friday 4./14, I do training 7 AM to 11 AM Monday, see a full slate of patients Monday afternoon without my Nurse (who is doing her training while i am working, and vice versa), enter my notes into my old system remotely using my own laptop (without a mouse, inefficient), then on Tuesday I see patients all morning, rush off to training again 1 to 5 PM, then see patients from 5:20 to 9PM again using my laptop remotely. As expected, Wednesday it took twice as long as usual to see patients, but as most of them have been with me fopr decades, they were very understanding, and I have to say the quality of the on site support all week has been excellent. I don't like Allscripts much as an EHR, but I can live with it... and then in less than 8 moths we will do it again. Thrills! And I have productivity based compensation, with all of this notably reducing my efficiency. It will all work out in the end, but the journey will be less than enjoyable!
DeleteOMG! Some day, doctors will be able to focus on patients again and EHRs will just be in the background. (I work for Medical Economics Magazine and we've been doing quite a bit of coverage of EHRs, hence my interest.) Best of luck with the changeover.
DeleteWhile I wouldn't go back to paper records, almost every visit feels like a fight with the EHR rather than it helping you, and of course starting a new one is *really* like that. Then there is the loss of (easy) electronic access to my last 10 years of accumulated patient data. Both my old and their old EHRs are MU-2 certified, and theoreticallyu should be able to at l;east exchange/import key data via an electronic summary of care. Doesn't work, hasn't worked for any real world EHR that I know of. I hope to get the Group to hold the feet of both EHR companies to the fire to MAKE it work, as otherwise they have committed fraud by attesting that it works when it doesn't. The real [problem is that our notes have become so bloated with worthless garbage to satisfy billing coding, risk management, Meaning(less) use, quality reporting, state controlled substance prescribing monitoring, immunization registries and goodness knows what else, that it's often hard to tell what the heck REALLY happened, and what the doc thought, and why. O course, that's just incidental to clicking all the boxes to generate data for all of the above .
DeleteMedical Economics is a great publication from the Doctor's standpoint; you should be proud to work for them!
What a spectacular and beautiful Canaanite army...Superb!
ReplyDeleteYou are far too kind, Phil!
DeleteIt's great to see the army arranged together in a group shot. They are a lovely-looking force.
ReplyDeleteI'm surprised you have managed to get as much done as you have, with the disruption to your practice.
Thanks, Laurence. Most of the painting was done BEFORE the transition; April's numbers may be pretty anemic. OTOH, it probably does account in part for the large $ amounts expenditures in March...
Delete