Sunday, October 23, 2016

Slight Drop in ENT Productivity with Implementation of EMR

Technology is often viewed as a means to increase efficiency. In our modern society, there seems to be a form of technology to assist with all of our needs. Even ordering household essentials can be accomplished by pressing a button. This also applies to the work environment, where new systems and devices are implemented to help streamline processes. But, does technology always make us more efficient? The simple answer is, of course, no. A recent study showed this to be true for a number of otolaryngologists, whose productivity declined after the implementation of a new electronic system.

The system used is an electronic medical record, or EMR. An EMR contains all of a practice’s medical and clinical data. This system is thought to increase productivity by centralizing information and eliminating the need for paper charts. However, the study conducted followed five different otolaryngologists for two years—one year prior to implementation and one year following. Productivity was measured using “mean work relative value units (wRVUs)” and the average number of clinic visits. Data compiled during these two years showed each otolaryngologist experienced a slight decline in productivity.

Despite this decline, the use of an EMR system still provides many benefits to practices. EMRs allow practices to track data and progress over time, easily identify patients due for preventive or follow-up appointments, and centralize all of the practice’s data. Ear, nose and throat doctors benefit from these systems, as they can typically sort their patients by allergy, hearing, sinus, etc. An EMR is also used by ear, nose and throat clinics during the process of diagnostics and treatment.

So, while there was a noted decline in the efficiency after an EMR implementation, these systems are still very useful in a healthcare setting. Additionally, efficiency could increase after prolonged use of the system, as practitioners familiarize themselves with the new processes. If you are in need of treatment for a condition affecting the head or neck, we can help! Our staff is equipped with some of San Diego’s finest ear, nose and throat doctors. To schedule a consultation, call us today at (858) 909-0770.


Wednesday, October 12, 2016

Tips for Managing Allergies in School

When a child suffers from allergies, it can cast a fog over their day to day activities. This is true in academia as well, since they are likely to forgo certain activities or miss school due to allergy-related symptoms. As parents are unable to monitor their child’s exposure to irritants, they may also face additional stress when sending their children to school. By understanding the nature of your child’s allergies and working with the school’s staff, you can ensure your child’s allergies are handled properly. Here are a few tips to help you prepare for the school year:

1.      Get your child tested. In order to effectively address the needs of your child, you’ll first need to understand the nature of their allergy symptoms. An allergy test administered by one of San Diego’s ear, nose and throat doctors (ENT) will identify any existing allergies.
2.      Do your research. Once you’ve identified the source of your child’s allergies, you can prepare for situations where allergies may negatively impact your child.
3.      Talk with your health provider. Work with your ENT specialist to come up with a plan for managing your child’s allergies. Let them know of any circumstances where your child might be at risk of exposure.
4.      Speak with the school staff. Ask the administration what accommodations are available to children with allergies. Also familiarize yourself with the school nurse and other key staff members. Educate these individuals about your child’s allergies, and introduce them to your child. That way, he or she will know who they can come to in case they have a reaction.
5.      Prepare for an emergency. Equip your child’s classroom with the plan created by your allergist. Have your child’s teacher keep a written set of instructions, emergency contact information and any necessary medications on hand. That way, a severe reaction can be effectively managed.
6.      Discuss treatment options. Your ENT specialist will be able to provide personalized treatment options for your child. Treatments may include medications, exposure avoidance or immunotherapy.


Children with allergies can experience additional barriers in a school environment; however, you don’t need to face this on your own. By reaching out to an allergy expert and the school staff, you can ensure there is a support system for both you and your child. For help treating allergies, we welcome you to speak with our team at (858) 909-0770!