August 3, 2025 • 33 mins
In this episode of the My DPC Story Podcast, Dr. Ricky Haug joins Maryal as they dive into the latest trends in Direct Primary Care (DPC) technology, fresh from the 2025 DPC Summit. The focus is on the "Battle of the EHRs," where Dr. Haug, an experienced DPC physician with a multi-location, multi-provider practice, shares his firsthand insights on choosing and optimizing Electronic Health Records (EHR) systems for DPC clinics. The discussion covers key findings from the DPC Summit's EHR survey, highlighting what features doctors value most, such as ease of use, patient communication, AI integration, and workflow efficiency. The conversation also touches on common challenges, tech stack evolution, patient portal satisfaction, and the importance of adopting DPC-focused solutions to enhance both patient and staff experience. Whether you're launching a new practice or scaling up, this episode provides practical advice for navigating EHR decisions in DPC, making it a must-listen for physicians seeking to streamline operations and improve patient care. For full survey results and resources, visit mydpcstory.com/magazine.
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Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Maryal Concepcion, MD (00:04):
Direct Primary care is an innovative
alternative path toinsurance-driven healthcare.
Typically, a patient pays theirdoctor a low monthly membership
and in return builds a lastingrelationship with their doctor
and has their doctor availableat their fingertip.
Welcome to the My DPC Storypodcast, where each week you
(00:26):
will hear the ever so relatablestories shared by physicians who
have chosen to practice medicinein their individual communities
through the direct primary caremodel.
I'm your host, MarielleConception.
Family, physician, DPC, owner,and former fee for service.
Doctor, I hope you enjoy today'sepisode and come away feeling
inspired about the future ofpatient care direct primary
(00:49):
care.
Well, I am still in New Orleansphysically, and Dr.
Houg is joining me from his netof the woods in Pennsylvania.
We have just come from the 2025DPC summit and Dr.
Houg and many people who were inperson got our battle of the EHR
(01:12):
results.
We have our Toolkit magazine.
If you have not gotten a copy orif you weren't at Summit, you
can go to mighty pcstory.com/magazine and you can
check out a digital copy there.
But.
Dr.
Ho has joined us today to.
Give his perspective on the datathat the battle of the EHR said,
(01:32):
as well as him as a veryseasoned DPC physician with
multiple people working at hisclinic, clinicians and support
staff.
He.
Had, just a fun time hangingaround and asking the different
EHR vendors at the summit abouttheir products.
And so this conversation is allaround the EHR and his opinion
(01:55):
as a seasoned DPC doctor, aswell as the data from the
magazine.
So thank you so much Dr.
Hogg, for joining us today.
Ricky Haug, MD (02:00):
Thank you for having me.
It's good to see you again sosoon.
Maryal Concepcion, MD (02:04):
I know.
It's awesome.
tell us a little bit about yourpractice for people to
understand in terms of howyou've transitioned over time
from you opening to where youare now and in terms of how your
EHR has helped you servepatients as well as yourselves
to manage those patients
Ricky Haug, MD (02:22):
Sure.
Yeah.
So I opened in 2016 and, startedwith 30 people or something.
And and then over the yearswe've grown not only in terms of
the number of patients, thenumber of docs, but also
expanding in, 2022 into a secondlocation.
(02:44):
So, that was an adjustment,especially in the EMR where
you're trying to figure out twodifferent inventories, two
different messaging.
Systems you have, team membersin one location, team members in
another location, portals, allthat sort of thing.
So that was kind of aninflection point on okay, where
are we?
And then also from a billingstandpoint, everything has
(03:04):
gotten a lot more complicatedfor us.
So we've been kind of managingthat and, and communication
platform.
So I started initially justwith.
An an EMR.
And then over time we've addedcommunication platforms, billing
platforms, and we're still,always trying to see how to
(03:26):
maximize the efficiency of allof those things.
Maryal Concepcion, MD (03:30):
This is so important because I think
that, especially coming off ofDPC Summit where there's a lot
of people who are coming tolearn about DPC, there's a lot
of people who are learning aboutthe tools we have available to
us in DPC and the people who arealready planning their opening
date as well as people who arelooking in our battle.
It was insane.
(03:51):
Over 20% of the respondents inour survey, we had 214 people
taking our survey.
Said that they were looking toswitch EHRs.
So here, I'd love if you cantell us a little bit more about
what overall goal you wanted toachieve by adding different
parts of your tech stack, likeyou talked about, especially
(04:11):
because you have multiplephysicians, multiple locations,
and multiple years and multiplepatients.
Ricky Haug, MD (04:18):
Yeah, I mean, I think with each development, as,
as you grow and as not only adoctor but a business owner,
you're constantly thinking aboutokay, how can we streamline the
workflow not only for ourpatients, not only for me, but
for the entire team?
How can we make this much moreefficient?
(04:38):
Then more user friendly forpatients.
And then from a billingstandpoint, how do we make sure
that we can run all the reportswe need to run and manage all
the finances the way we need to.
So it kind of came in differentiterations, but I would say the
first one was with thecommunication platform, because
(04:58):
when you start adding multipledocs, you have to have a way to
kind of filter those messages,text messages to each person
individually.
And and then also, if we hadprescription refills or triage
questions, we wanted to be ableto filter that to our nurse.
And then if it was more admin orsomebody who was interested in
(05:20):
joining the practice, we wantedthat to go to, we, we call it
our patient care coordinator.
And so it's just how do you makesure that you're able to get
those messages as efficiently tothe proper person who can, can
answer that.
Maryal Concepcion, MD (05:34):
Totally.
And I think about as you'retalking about that workflow how
many clicks does it take to dothose, and how many clicks could
it take if workflows wereoptimized?
So.
I would love here if you cantell us about your experience at
DPC Summit because again, youare a person who has a practice
(05:58):
that probably many people whowent to DPC Summit will be very
soon here because.
So many people are looking forDPC, and I'm just wondering if
you can walk us through what arethe important things that you
were listening for or what arethe things that you were asking?
Because we had an entire articlerooted in Dr.
Jalen Pritchards, how to Choosean EHR that grows with your
(06:20):
practice And it had, a worksheetwhere you could ask questions.
But my biggest thing that I wasvery intentional about was.
A whole column of what do otherTBC doctors say about the EHR
that you're talking to?
And so, highlighting yourversion of these answers, what
types of things were you pickingup on and interested in and
(06:42):
hopeful for or frustrated with?
Ricky Haug, MD (06:44):
Sure.
Yeah.
Yeah, the, the conference, Imean, the conference was awesome
this year and I, I wasn't ableto go last year, but I.
Did go two years ago and, andmany of them before that.
And it was just remarkable tosee the growth.
Like I, I mean, going in thefirst lecture, I couldn't
believe how many people were inthe room.
(07:05):
And the number of vendors, Imean, back in 2016, I think
there were like five vendors atthe conference.
And now there were, I don't knowhow many 50.
But part of why I wanted to go,I mean, there's always new
things you can learn.
There's only always new waysthat we can become more
efficient.
And, and the beauty of themovement is that it's becoming
(07:27):
so popular that there's just anumber of companies now that are
looking to target direct primarycare and how can they totally
help direct primary care getbetter.
So, so yeah, it was, it wasgreat to see all the, all the
different vendors and, I waslooking at different EMRs that
weren't even in existence in2016.
So, things have come a long way,and partly for me was kind of,
(07:51):
adopting new technology.
So what kind of AI tools areincorporated because, we, we
have an interest in that and alot of our docs in terms of
helping with notes, but also, aIis so sophisticated, you can
actually say, Hey, can you, pullin my last two office notes and
the hospital discharge summaryand write a, a brief summary,
(08:14):
prior to my visit here, or thosesorts of things.
So there's so much power.
AI is going to be able toincorporate into making our
lives a little easier and alsomore efficient.
With office notes and, andpopulation management and that
sort of thing.
So I wanted to look at kind ofwhere things were in the AI
(08:36):
space, where different companiesare looking to move that.
I population health type things.
And, and part of that is becauseof working with businesses is
when.
When you start to work withbusinesses that are a little bit
larger, it's nice to have somesort of data.
And I, I'm not, I'm not talkingabout all the mip, all the, that
(08:59):
kind of stuff I'm talking about.
Like how many times did theycome into the office?
How many times did they text youcan even look at what kind of
new diagnosis were, did you havejust like what is the engagement
data, right?
And I think that's reallyimportant.
I think it's also nice as nowthat we have so many patients
who are at like 2,500 patients,it's how do you make sure that
(09:22):
you're not letting people fallthrough the cracks?
So if there's a way you couldsay.
Which one of my diabeticpatients has not had an A1C in
the last four months.
And then you can send out amessage, say, Hey, you're due
for your blood work.
Get that in or who hasn't gottentheir colonoscopy, and can we
reach out and say, Hey, you knowwhat, notice that you haven't
(09:44):
had your colonoscopy, but we'lldo, and what kind of tools can
help us do that?
So that was one of the things Iwas looking for.
And then, a big thing too islike just how user friendly it
is on.
Mobile phone because we're outand about.
And if you're the one runningthe practice, yeah, you're in
the office seeing patients, butsometimes you're at meetings,
(10:04):
you're working with vendors,you're doing admin time at home
and you want to be able to likequickly on the fly, be able to
take care of patient care onyour phone.
Maryal Concepcion, MD (10:14):
It's so true.
And especially because we areso.
Not eight to five in the officebecause we have to be a type of
people anymore in DPC, that,that accessibility, it's
absolutely something that wasechoed in the battle of EHR data
that we, we have from thisyear's survey.
And I'm wondering here too,what, as you talk about ai, I I,
(10:39):
I would love to just hear yourtake on how this enhances the
patient's experience becauseit's part of how they love our
practice is how they love ourtech.
And I do feel that that impactshow people, either stay or churn
at a practice.
It's not going to be the highestthing that it impacts churn, but
(10:59):
I do think that it does impactchurn, especially with word of
mouth.
If a person has a bad techexperience.
Ricky Haug, MD (11:05):
Yeah, I, I agree.
I think, well, I will say justthe accessibility over
messaging.
I mean, patients absolutely lovethat, and it's a, it's a, it's a
big separator from the largeuniversity health system based
primary cares that a lot of uscame from.
(11:27):
Where you can handle so manythings just by doing quick.
I mean the amount of patients Itook care of this morning just
by texting them patients,sending pictures over about
rashes and we, I could quicklywrite'em back, make a
suggestion.
Say, Hey, send me a picture nextweek.
And they didn't have to leavetheir house or work to go do
(11:48):
that that visit that that,people love that.
And that's a, that's somethingthat will want them to stay with
your practice.
'cause they know they can't getthat type of convenience
elsewhere.
I think the, the ai, I mean,one.
As it continues to morph, it'sgonna be really helpful with
triaging and quickly triagepatients and help all of us make
(12:09):
decisions easier, but also, justthe engagement in in the office
visit.
I mean, I think one of thethings that we do really well in
DPC versus other places is, wetake time with patients, we look
'em in the eye, we sit down anddo that.
But if you're you, if you'resitting there typing a note, I
mean it does still can take awayfrom that.
(12:30):
Whereas if you're have a AIscribe where you can just sit
and put your computer down andjust.
Be really present.
I mean, that can even, take thatdoctor patient relationship to
the next level there.
So I do think there's a, a realvalue in how that can, can
continue to foster that greatrelationship, which then fosters
(12:52):
all the patients telling alltheir friends and family and
people in town how great yourpractice is.
Maryal Concepcion, (12:59):
Absolutely.
And it's.
It, it totally feeds into theculture of accessibility.
And so it, it is reallyimportant to look at a DPC
focused EHR versus a non DPCfocused EHR one that's really
focused on coding and optimizingcodes and and billing.
And so here I'm wondering,thinking about, because you've
been in practice for over eightyears now, you're nearing a
(13:22):
decade of practice.
Like we talked about.
You have multiple doctors,multiple staff, multiple
locations.
I'm wondering if you couldreflect on your own journey in
the beginning to now.
Was there anything that you hadas you were building your tech
stack thought this is okay, it'sgood enough, but looking back
(13:43):
now, you're like, I wouldn'thave gone with that.
Had I known this or had I knownthat?
Ricky Haug, MD (13:50):
Hmm.
I mean, I don't know if there'sanything where I wouldn't have
gone with that.
I, when I started out, I, well,one is usually you don't
starting with a bunch of money,so you have to think about okay,
how can I have a tech stackthat's going to meet my needs,
(14:13):
but not.
Break the bank and I, I optedfor, an all-in-one management
tool.
Had portal inventory management.
I could set up like my phone.
It had some texting feature.
And.
And, and then could also manageour subscriptions.
(14:33):
And I just like the idea ofeverything together in one
system.
And, and that worked for awhile, but then you get to the
point where.
It's not meeting the needs ofthe communication platform the
way we would need.
And so then, I looked intoadding a communication platform
and then it's, and then as wecontinue to expand and, and we
(14:55):
opened a second location and hadmultiple providers where we're
trying to, calculate.
What their income is and, andall of those things.
We needed a billing platformthat is gonna be able to really
handle all of that.
And so, I I, I don't really haveany regrets in terms of like
that.
I mean, I think it was just moreof there's a transition over
(15:17):
time and you start adding stuff.
Now the question I'm having isis am I doing it the most
efficient way?
Or now that we've kind ofexpanded and tacked on a added
all these things on, is there adifferent way where I can even
make this more efficient andbetter?
So I think, like all of us,we're always looking at, okay,
(15:38):
what can we do here?
I mean, changing your EMR is amajor overhaul.
It's a little anxiety producing.
So it's not something I wouldever take lightly, but.
You also have to think about,well, how's the technology
changing and what might be abetter fit?
Maryal Concepcion, MD (15:55):
So here, thinking in a completely utopian
world, if a patient were to comeinto your practice all the way
to follow up after their firstappointment how, what is the
perfect workflow for your teamat Core Family Practice?
Ricky Haug, MD (16:14):
Well, so if it's a patient who's interested in
joining the practice anddecides, yeah, I want to sign
up, then I like them to be ableto sign up online, complete
their registration, initialdocuments, everything's ready to
go, automatically uploaded intothe the EMR.
(16:35):
Once that patient signs up,they're, they're automatically
uploaded into the EMR, thebilling platform and
communication platformseamlessly.
We don't have to manually changethings.
Then typically we will reachout, obviously and set up an
initial appointment.
Then when we have them come inand do their initial
appointment, I mean, it'd begreat to just spend an hour with
(16:58):
that patient.
Ideally all the records are in,obviously doesn't always happen,
but and then you can sit thereand have a nice conversation.
We do have patients do an intakeform prior to coming in and then
have that populate the chart.
Personally, it, I would like itto populate the chart a little
(17:18):
better than it's currentlydoing, but that would be nice.
And then that way you come inand everything's already
preloaded and, and all that.
And then we can sit and kind ofgo through an initial visit.
If we had ai, which could helpproduce that note and, and and
also.
Patient summary at the end.
(17:39):
So at at the end, that patientsummary, I like to load on the
portal and that way I feel likewe're both on the same page in
terms of what the game plan isand something where really easy
for the patient where they canget on and they could access
that.
I mean, if it's an app orsomething, that would be great,
but something where they can.
Say, okay, this is my medicalhome.
(18:00):
This is where I go, and I canget all my information real
easily.
And then if I have questions, Ican send a quick message and
that message will be sent rightto my doc so they can answer it.
If I, if I need a follow up, Ican either call the office or
send a message, or I could goonline and maybe schedule an
appointment and get my follow upbooked.
Maryal Concepcion, MD (18:22):
Totally, and this is very similar to how
our workflow works at Bigtree mdand also how you guys have
intentionally designed yourworkflow to work so far.
What about the backend in termsof, you go through the patient
experience like you described.
They have their after visitsummary.
But then they need labs.
They need orders executed on.
(18:43):
What's your ideal workflow, orhow are you doing it now?
Or what would you like to do inthe future so that your
efficiency is optimized?
Ricky Haug, MD (18:54):
Well, so for medications, either we would
dispense in house.
And so with that, obviously youwanna make sure that your
inventory's well managed andthat, any kind of ancillary
charges, whether they're labs ormeds, would be seamlessly billed
through your billing platformrather than you having to
(19:16):
reenter that into the billingplatform.
I want all the systems to talktogether and link so that you're
not having any of your teammembers doing additional work
that really isn't providing.
Any really real value, some,admin tasks that, that should be
gone.
(19:36):
That just leads to potentialmistakes.
So how to maximize that to makesure that your EMR system is
communicating very efficientlywith.
All the platforms.
I mean, that, that's somethingthat I'd really like to do.
And then we, so we eitherdispense in house or I can
scribe the med to the patient'spharmacy and lab work.
(19:57):
Some patients decide to gettheir labs at our office.
So on the, when they're leavingthe office, we'll have'em
schedule with our nurse or we dohave a phlebotomist who comes in
part-time to, to help.
With PE people love gettingtheir labs in the office, so
just to kind of give more timefor that and and then I'll put
the orders in the chart so whenthey go see the nurse or
(20:20):
phlebotomist are already inthere, and so they know what the
orders are.
Maryal Concepcion, MD (20:24):
That's awesome.
And I hope that it just givessome people, especially the
listeners out there who arenewer to where DPC workflows,
it's, it's very familiar interms of how we did things in
fee for service, but this isstuff that is definitely is and
can be even more streamlined.
And, and here I I wanna pointout one of the, the sections
(20:47):
that we had in the toolkit inthe Battle of the EHRs was
highlighting satisfaction ofdifferent features and when it
comes to patient portal overall.
And the people who answered thequestions on how good are
patient portals of the DPC spacetalking about their own EHR,
that was our lowest score, a2.94 out of five.
And so it's i, I go back to thisis a tool that we have that our
(21:12):
patients engage with.
It is part of how our patientsexperience the access to our
care.
I have a DPC doctor, and then Iliterally had to email her to
say.
I don't know how to cancel anappointment'cause there was no
portal.
And it's a huge thing for me'cause that is totally extra
work.
Mm-hmm.
So I would love to then to focuson the battle of the HR because
(21:37):
now you got a copy.
And again, if you did not get acopy, go to mighty pc
star.com/magazine and look atthe, the results in full.
But looking.
In general at the results andbeing able to reflect on your
almost decade and practice withthe demographics at your clinic
(21:57):
that you have, I'm wondering ifthere's anything that really
stood out to you as oh,absolutely.
Or, that really surprises me.
Anything in particular thatstood out for you from the
battle results?
Ricky Haug, MD (22:08):
Well, I think.
I mean, I don't know if there'sanything that stood out as
shocking I mean, patients dolike the portal.
They like to be able to have.
Access to their chart and, lookat hey, what, what are my recent
labs?
What are, my vaccines, my,because they things come up and
they have like camp forms tofill out, not that.
And if they can go on and say, Igot all my information right
(22:31):
there.
I didn't need to call anybody.
I didn't need to get anythingsent to me.
They like the messaging.
What surprised you in theresults?
Maryal Concepcion, MD (22:39):
Yeah, so I think that one of the things
that stuck out immediately wasOver 20% of people who are
looking to switch that one like.
It just gave perspective, andthis is only 214 people who
responded to the survey And thenI do, one of the things that I
really loved was, looking at thetop five reasons why people
(23:02):
choose or why people leave anEHR.
That was really fascinatingbecause I, I think about these
things that you're talking aboutworkflows, how the patient
engages, what you would like itto do.
It, it's very much in alignmentwith what everybody else is
saying.
Like the reasons to choose anEHR.
65% of people said they wouldchoose an EHR, or they did
(23:24):
because.
Ease of use.
And then when you look at thereasons why people left limited
customization, 32% said thatthat was a reason to leave.
That it is difficult to use.
Their EHR 42% responded that itis difficult to use.
So they left their EHRI mean,what I love about how we looked
at the data and what it shows isliterally this is our community
(23:47):
saying.
This is the stuff that we needto make sure that our practices
and our patients have goodaccess and good experience.
So those are the things thatinitially stood out.
And then I think the other thingthat stood out to me was that.
Even though there was a quoteunquote champion in terms of the
(24:08):
number of categories at thisparticular HR one I, I still
think that if you actually readthe entire.
EHR Battle, you can see howthere's no clear winner in this
race that we still need moreinnovation everybody's brain
works differently.
Some people need a portal, likeI am totally in that boat.
(24:30):
Other people do not need aportal.
Other people Work well in a wordpad.
I will die before I ever use aword pad ever again.
So it's like there are I, Ithink it's so relatable and it's
very representative.
And this was just our first yeardoing this.
So those are the things thatstuck out for me.
Ricky Haug, MD (24:46):
And there's a lot of new players, right?
So, yeah.
Part of it is well, in the nextfew years, I'm sure as the
innovation changes and as newercompanies come in, they're gonna
come up with, a lot of newthings.
But I think that, um.
usability, like how well is itworking for me and my patients
(25:06):
and, I mean that, that's alwaysgonna be a, a major factor and
quite frankly, like probablywill change as needs change over
time.
And, and how well did the EMRsuggest to it?
Okay.
But it is surprising how manypeople look at changing.
But you know, at the end of theday, no EMR is gonna be perfect.
And like you said, they're veryunique.
(25:28):
People work in little differentways.
For people who were kind of usedto being in the system for a
while, sometimes you needsomething that's still a little
bit kind of like that becauseyou've, that's how you've grown
up using that, this and that.
And then other people are gonnacome out and say, I want
something totally different.
What I love about the EMRs fordirect primary care is that they
(25:53):
are not necessarily centered onbilling.
Whereas like you, it's not aboutlike, how can we code this to
get the most money outta theinsurance company?
They can, they have the freedomto say, how can we make this
patient centric as much aspossible so that it, it works
(26:13):
better.
Maryal Concepcion, (26:14):
Absolutely.
When you say that, I think abouthow when you're really focused
and your entire business modelis focused on patient.
Accessibility, affordability,quality, all the tenets of DPC,
everything else falls in suitwith that, right?
If that is your mission, itreally helps you see where there
(26:35):
are problems, it helps youimprove.
And it literally is tied to thefact that we.
Get to make the decisions atthese businesses, we do not have
to deal with using Cerner orEpic for another gush dang day.
Right.
So it's so empowering to be ableto not only want change, but
also to make change.
Ricky Haug, MD (26:54):
Yeah.
Yep.
And then the beauty of owningyour own DPC is you don't have
to like go through 17committees.
If you wanna change your EMR,yeah, it might be a headache,
but you, you can just decideHey, I think, I think our
business model's change going ina different direction.
We need to to do this.
And you just implement ityourself and do it.
Maryal Concepcion, MD (27:13):
I love that.
So if there are listeners whoare coming off of a summit and
they're like, okay, I learned aton of things, where do I get
started with my tech stack afterour conversation?
Thinking about what we've saidand thinking about your
experience, what would you sayto that doctor who's in the
planning to year three andpractice when it comes to Tech
(27:34):
Stack rooted in an EHR?
Ricky Haug, MD (27:36):
Well, I mean, I think number one, I mean if
you've already started yourpractice and you're a couple
years in, think about like whereare your limitations in your
efficiency?
What are things where you feellike, you know what, I feel like
we're getting hung up here.
And, and then.
Start looking at ways because,'cause there's a lot of
(27:58):
different ways you could, youcould address that.
I mean, if you're, if you're newto D PC and you're coming out
with a practice, try'em all.
Because again you might want anall-in-one, you might not want
an all-in-one and you wanna putpieces together.
You, there's, there all havedifferent pluses and minuses.
So try out all of them and seewhich one seems to be.
(28:20):
Get you in your groove the most?
Because I, I think, I think itis a lot of it is very person
dependent on the way that youthink, the way that you feel
like your flow should go andthat sort of thing.
So I, I would encourage peopleto just look into all the
different options and try.
Maryal Concepcion, MD (28:38):
I love that.
And yeah, that is, that isexactly why we're having this
conversation.
That's exactly why the toolkitand the battle of the EHR exists
to help people have more inputas to the opinions of our
community to help them.
Understand and find relatabilitywhen they're choosing tech.
And I will say there's an entirearticle entitled Battle Tested,
(29:01):
the EHRs that really get youthrough Year Zero to three.
And the amazing.
Paula to, who is the clinicmanager at Car Direct Care talks
about shifting from one EHR toanother.
And it's, like you said, it'snot a fun experience.
There's a quote in here that isnot too friendly for little ears
(29:22):
that people said about thetransition and so that matters.
We.
In this magazine we talk aboutthree different practices.
Dr.
Hoke is a rural college townphysician in Ohio.
Dr.
Sarah Schuster is in a urbanpractice of multiple physicians,
and then Dr.
Phil Boucher has a practicethat's pediatrics in Lincoln,
(29:43):
Nebraska and is very techfocused.
So, there's so many.
Ways to just reinforce that thisdecision to choose an EHR is so
personal.
Mm-hmm.
And you're not locked inforever, but just do know that
there's more information.
Rewind.
Listen to Dr.
Hogg's, comments here.
And just be intentional aboutyour.
(30:06):
Practice and your patientsbecause it literally affects
both you as the practice owneror a physician at the practice
as well as your patients for theperpetuity of your DPC practice.
Ricky Haug, MD (30:17):
Yeah, yeah.
But, but like you said, you,you, you're gonna, you're gonna
modify those systems.
You're gonna modify yourworkflows constantly.
We can always improve, right?
We can always get better.
Maryal Concepcion, MD (30:29):
hundred percent.
Awesome.
Thank you so much for coming ontoday and talking and reflecting
about your experience at the DPCsummit.
Ricky Haug, MD (30:37):
Yeah, thanks for having me.
Good to see you.
Maryal Concepcion, MD (30:42):
Thank you for listening to another episode
of my DBC story.
If you enjoyed it, please leavea five star review on your
favorite podcast platform.
It helps others find the show,have a question about direct
primary care.
Leave me a voicemail.
You might hear it answered in afuture episode.
Follow us on socials at thehandle at my D DPC story and
join DPC didactics our monthlydeep dive into your questions
(31:03):
and challenges.
Links are@mydpcstory.com forexclusive content you won't hear
anywhere else.
Join our Patreon.
Find the link in the show notesor search for my DPC story on
patreon.com for DPC news on thedaily.
Check out DPC news.com.
Until next week, this isMarielle conception.
Direct Primary care is an innovative
alternative path toinsurance-driven healthcare.
Typically, a patient pays theirdoctor a low monthly membership
and in return builds a lastingrelationship with their doctor
and has their doctor availableat their fingertip.
Welcome to the My DPC Storypodcast, where each week you
(00:26):
will hear the ever so relatablestories shared by physicians who
have chosen to practice medicinein their individual communities
through the direct primary caremodel.
I'm your host, MarielleConception.
Family, physician, DPC, owner,and former fee for service.
Doctor, I hope you enjoy today'sepisode and come away feeling
inspired about the future ofpatient care direct primary
(00:49):
care.
Well, I am still in New Orleansphysically, and Dr.
Houg is joining me from his netof the woods in Pennsylvania.
We have just come from the 2025DPC summit and Dr.
Houg and many people who were inperson got our battle of the EHR
(01:12):
results.
We have our Toolkit magazine.
If you have not gotten a copy orif you weren't at Summit, you
can go to mighty pcstory.com/magazine and you can
check out a digital copy there.
But.
Dr.
Ho has joined us today to.
Give his perspective on the datathat the battle of the EHR said,
(01:32):
as well as him as a veryseasoned DPC physician with
multiple people working at hisclinic, clinicians and support
staff.
He.
Had, just a fun time hangingaround and asking the different
EHR vendors at the summit abouttheir products.
And so this conversation is allaround the EHR and his opinion
(01:55):
as a seasoned DPC doctor, aswell as the data from the
magazine.
So thank you so much Dr.
Hogg, for joining us today.
Ricky Haug, MD (02:00):
Thank you for having me.
It's good to see you again sosoon.
Maryal Concepcion, MD (02:04):
I know.
It's awesome.
tell us a little bit about yourpractice for people to
understand in terms of howyou've transitioned over time
from you opening to where youare now and in terms of how your
EHR has helped you servepatients as well as yourselves
to manage those patients
Ricky Haug, MD (02:22):
Sure.
Yeah.
So I opened in 2016 and, startedwith 30 people or something.
And and then over the yearswe've grown not only in terms of
the number of patients, thenumber of docs, but also
expanding in, 2022 into a secondlocation.
(02:44):
So, that was an adjustment,especially in the EMR where
you're trying to figure out twodifferent inventories, two
different messaging.
Systems you have, team membersin one location, team members in
another location, portals, allthat sort of thing.
So that was kind of aninflection point on okay, where
are we?
And then also from a billingstandpoint, everything has
(03:04):
gotten a lot more complicatedfor us.
So we've been kind of managingthat and, and communication
platform.
So I started initially justwith.
An an EMR.
And then over time we've addedcommunication platforms, billing
platforms, and we're still,always trying to see how to
(03:26):
maximize the efficiency of allof those things.
Maryal Concepcion, MD (03:30):
This is so important because I think
that, especially coming off ofDPC Summit where there's a lot
of people who are coming tolearn about DPC, there's a lot
of people who are learning aboutthe tools we have available to
us in DPC and the people who arealready planning their opening
date as well as people who arelooking in our battle.
It was insane.
(03:51):
Over 20% of the respondents inour survey, we had 214 people
taking our survey.
Said that they were looking toswitch EHRs.
So here, I'd love if you cantell us a little bit more about
what overall goal you wanted toachieve by adding different
parts of your tech stack, likeyou talked about, especially
(04:11):
because you have multiplephysicians, multiple locations,
and multiple years and multiplepatients.
Ricky Haug, MD (04:18):
Yeah, I mean, I think with each development, as,
as you grow and as not only adoctor but a business owner,
you're constantly thinking aboutokay, how can we streamline the
workflow not only for ourpatients, not only for me, but
for the entire team?
How can we make this much moreefficient?
(04:38):
Then more user friendly forpatients.
And then from a billingstandpoint, how do we make sure
that we can run all the reportswe need to run and manage all
the finances the way we need to.
So it kind of came in differentiterations, but I would say the
first one was with thecommunication platform, because
(04:58):
when you start adding multipledocs, you have to have a way to
kind of filter those messages,text messages to each person
individually.
And and then also, if we hadprescription refills or triage
questions, we wanted to be ableto filter that to our nurse.
And then if it was more admin orsomebody who was interested in
(05:20):
joining the practice, we wantedthat to go to, we, we call it
our patient care coordinator.
And so it's just how do you makesure that you're able to get
those messages as efficiently tothe proper person who can, can
answer that.
Maryal Concepcion, MD (05:34):
Totally.
And I think about as you'retalking about that workflow how
many clicks does it take to dothose, and how many clicks could
it take if workflows wereoptimized?
So.
I would love here if you cantell us about your experience at
DPC Summit because again, youare a person who has a practice
(05:58):
that probably many people whowent to DPC Summit will be very
soon here because.
So many people are looking forDPC, and I'm just wondering if
you can walk us through what arethe important things that you
were listening for or what arethe things that you were asking?
Because we had an entire articlerooted in Dr.
Jalen Pritchards, how to Choosean EHR that grows with your
(06:20):
practice And it had, a worksheetwhere you could ask questions.
But my biggest thing that I wasvery intentional about was.
A whole column of what do otherTBC doctors say about the EHR
that you're talking to?
And so, highlighting yourversion of these answers, what
types of things were you pickingup on and interested in and
(06:42):
hopeful for or frustrated with?
Ricky Haug, MD (06:44):
Sure.
Yeah.
Yeah, the, the conference, Imean, the conference was awesome
this year and I, I wasn't ableto go last year, but I.
Did go two years ago and, andmany of them before that.
And it was just remarkable tosee the growth.
Like I, I mean, going in thefirst lecture, I couldn't
believe how many people were inthe room.
(07:05):
And the number of vendors, Imean, back in 2016, I think
there were like five vendors atthe conference.
And now there were, I don't knowhow many 50.
But part of why I wanted to go,I mean, there's always new
things you can learn.
There's only always new waysthat we can become more
efficient.
And, and the beauty of themovement is that it's becoming
(07:27):
so popular that there's just anumber of companies now that are
looking to target direct primarycare and how can they totally
help direct primary care getbetter.
So, so yeah, it was, it wasgreat to see all the, all the
different vendors and, I waslooking at different EMRs that
weren't even in existence in2016.
So, things have come a long way,and partly for me was kind of,
(07:51):
adopting new technology.
So what kind of AI tools areincorporated because, we, we
have an interest in that and alot of our docs in terms of
helping with notes, but also, aIis so sophisticated, you can
actually say, Hey, can you, pullin my last two office notes and
the hospital discharge summaryand write a, a brief summary,
(08:14):
prior to my visit here, or thosesorts of things.
So there's so much power.
AI is going to be able toincorporate into making our
lives a little easier and alsomore efficient.
With office notes and, andpopulation management and that
sort of thing.
So I wanted to look at kind ofwhere things were in the AI
(08:36):
space, where different companiesare looking to move that.
I population health type things.
And, and part of that is becauseof working with businesses is
when.
When you start to work withbusinesses that are a little bit
larger, it's nice to have somesort of data.
And I, I'm not, I'm not talkingabout all the mip, all the, that
(08:59):
kind of stuff I'm talking about.
Like how many times did theycome into the office?
How many times did they text youcan even look at what kind of
new diagnosis were, did you havejust like what is the engagement
data, right?
And I think that's reallyimportant.
I think it's also nice as nowthat we have so many patients
who are at like 2,500 patients,it's how do you make sure that
(09:22):
you're not letting people fallthrough the cracks?
So if there's a way you couldsay.
Which one of my diabeticpatients has not had an A1C in
the last four months.
And then you can send out amessage, say, Hey, you're due
for your blood work.
Get that in or who hasn't gottentheir colonoscopy, and can we
reach out and say, Hey, you knowwhat, notice that you haven't
(09:44):
had your colonoscopy, but we'lldo, and what kind of tools can
help us do that?
So that was one of the things Iwas looking for.
And then, a big thing too islike just how user friendly it
is on.
Mobile phone because we're outand about.
And if you're the one runningthe practice, yeah, you're in
the office seeing patients, butsometimes you're at meetings,
(10:04):
you're working with vendors,you're doing admin time at home
and you want to be able to likequickly on the fly, be able to
take care of patient care onyour phone.
Maryal Concepcion, MD (10:14):
It's so true.
And especially because we areso.
Not eight to five in the officebecause we have to be a type of
people anymore in DPC, that,that accessibility, it's
absolutely something that wasechoed in the battle of EHR data
that we, we have from thisyear's survey.
And I'm wondering here too,what, as you talk about ai, I I,
(10:39):
I would love to just hear yourtake on how this enhances the
patient's experience becauseit's part of how they love our
practice is how they love ourtech.
And I do feel that that impactshow people, either stay or churn
at a practice.
It's not going to be the highestthing that it impacts churn, but
(10:59):
I do think that it does impactchurn, especially with word of
mouth.
If a person has a bad techexperience.
Ricky Haug, MD (11:05):
Yeah, I, I agree.
I think, well, I will say justthe accessibility over
messaging.
I mean, patients absolutely lovethat, and it's a, it's a, it's a
big separator from the largeuniversity health system based
primary cares that a lot of uscame from.
(11:27):
Where you can handle so manythings just by doing quick.
I mean the amount of patients Itook care of this morning just
by texting them patients,sending pictures over about
rashes and we, I could quicklywrite'em back, make a
suggestion.
Say, Hey, send me a picture nextweek.
And they didn't have to leavetheir house or work to go do
(11:48):
that that visit that that,people love that.
And that's a, that's somethingthat will want them to stay with
your practice.
'cause they know they can't getthat type of convenience
elsewhere.
I think the, the ai, I mean,one.
As it continues to morph, it'sgonna be really helpful with
triaging and quickly triagepatients and help all of us make
(12:09):
decisions easier, but also, justthe engagement in in the office
visit.
I mean, I think one of thethings that we do really well in
DPC versus other places is, wetake time with patients, we look
'em in the eye, we sit down anddo that.
But if you're you, if you'resitting there typing a note, I
mean it does still can take awayfrom that.
(12:30):
Whereas if you're have a AIscribe where you can just sit
and put your computer down andjust.
Be really present.
I mean, that can even, take thatdoctor patient relationship to
the next level there.
So I do think there's a, a realvalue in how that can, can
continue to foster that greatrelationship, which then fosters
(12:52):
all the patients telling alltheir friends and family and
people in town how great yourpractice is.
Maryal Concepcion, (12:59):
Absolutely.
And it's.
It, it totally feeds into theculture of accessibility.
And so it, it is reallyimportant to look at a DPC
focused EHR versus a non DPCfocused EHR one that's really
focused on coding and optimizingcodes and and billing.
And so here I'm wondering,thinking about, because you've
been in practice for over eightyears now, you're nearing a
(13:22):
decade of practice.
Like we talked about.
You have multiple doctors,multiple staff, multiple
locations.
I'm wondering if you couldreflect on your own journey in
the beginning to now.
Was there anything that you hadas you were building your tech
stack thought this is okay, it'sgood enough, but looking back
(13:43):
now, you're like, I wouldn'thave gone with that.
Had I known this or had I knownthat?
Ricky Haug, MD (13:50):
Hmm.
I mean, I don't know if there'sanything where I wouldn't have
gone with that.
I, when I started out, I, well,one is usually you don't
starting with a bunch of money,so you have to think about okay,
how can I have a tech stackthat's going to meet my needs,
(14:13):
but not.
Break the bank and I, I optedfor, an all-in-one management
tool.
Had portal inventory management.
I could set up like my phone.
It had some texting feature.
And.
And, and then could also manageour subscriptions.
(14:33):
And I just like the idea ofeverything together in one
system.
And, and that worked for awhile, but then you get to the
point where.
It's not meeting the needs ofthe communication platform the
way we would need.
And so then, I looked intoadding a communication platform
and then it's, and then as wecontinue to expand and, and we
(14:55):
opened a second location and hadmultiple providers where we're
trying to, calculate.
What their income is and, andall of those things.
We needed a billing platformthat is gonna be able to really
handle all of that.
And so, I I, I don't really haveany regrets in terms of like
that.
I mean, I think it was just moreof there's a transition over
(15:17):
time and you start adding stuff.
Now the question I'm having isis am I doing it the most
efficient way?
Or now that we've kind ofexpanded and tacked on a added
all these things on, is there adifferent way where I can even
make this more efficient andbetter?
So I think, like all of us,we're always looking at, okay,
(15:38):
what can we do here?
I mean, changing your EMR is amajor overhaul.
It's a little anxiety producing.
So it's not something I wouldever take lightly, but.
You also have to think about,well, how's the technology
changing and what might be abetter fit?
Maryal Concepcion, MD (15:55):
So here, thinking in a completely utopian
world, if a patient were to comeinto your practice all the way
to follow up after their firstappointment how, what is the
perfect workflow for your teamat Core Family Practice?
Ricky Haug, MD (16:14):
Well, so if it's a patient who's interested in
joining the practice anddecides, yeah, I want to sign
up, then I like them to be ableto sign up online, complete
their registration, initialdocuments, everything's ready to
go, automatically uploaded intothe the EMR.
(16:35):
Once that patient signs up,they're, they're automatically
uploaded into the EMR, thebilling platform and
communication platformseamlessly.
We don't have to manually changethings.
Then typically we will reachout, obviously and set up an
initial appointment.
Then when we have them come inand do their initial
appointment, I mean, it'd begreat to just spend an hour with
(16:58):
that patient.
Ideally all the records are in,obviously doesn't always happen,
but and then you can sit thereand have a nice conversation.
We do have patients do an intakeform prior to coming in and then
have that populate the chart.
Personally, it, I would like itto populate the chart a little
(17:18):
better than it's currentlydoing, but that would be nice.
And then that way you come inand everything's already
preloaded and, and all that.
And then we can sit and kind ofgo through an initial visit.
If we had ai, which could helpproduce that note and, and and
also.
Patient summary at the end.
(17:39):
So at at the end, that patientsummary, I like to load on the
portal and that way I feel likewe're both on the same page in
terms of what the game plan isand something where really easy
for the patient where they canget on and they could access
that.
I mean, if it's an app orsomething, that would be great,
but something where they can.
Say, okay, this is my medicalhome.
(18:00):
This is where I go, and I canget all my information real
easily.
And then if I have questions, Ican send a quick message and
that message will be sent rightto my doc so they can answer it.
If I, if I need a follow up, Ican either call the office or
send a message, or I could goonline and maybe schedule an
appointment and get my follow upbooked.
Maryal Concepcion, MD (18:22):
Totally, and this is very similar to how
our workflow works at Bigtree mdand also how you guys have
intentionally designed yourworkflow to work so far.
What about the backend in termsof, you go through the patient
experience like you described.
They have their after visitsummary.
But then they need labs.
They need orders executed on.
(18:43):
What's your ideal workflow, orhow are you doing it now?
Or what would you like to do inthe future so that your
efficiency is optimized?
Ricky Haug, MD (18:54):
Well, so for medications, either we would
dispense in house.
And so with that, obviously youwanna make sure that your
inventory's well managed andthat, any kind of ancillary
charges, whether they're labs ormeds, would be seamlessly billed
through your billing platformrather than you having to
(19:16):
reenter that into the billingplatform.
I want all the systems to talktogether and link so that you're
not having any of your teammembers doing additional work
that really isn't providing.
Any really real value, some,admin tasks that, that should be
gone.
(19:36):
That just leads to potentialmistakes.
So how to maximize that to makesure that your EMR system is
communicating very efficientlywith.
All the platforms.
I mean, that, that's somethingthat I'd really like to do.
And then we, so we eitherdispense in house or I can
scribe the med to the patient'spharmacy and lab work.
(19:57):
Some patients decide to gettheir labs at our office.
So on the, when they're leavingthe office, we'll have'em
schedule with our nurse or we dohave a phlebotomist who comes in
part-time to, to help.
With PE people love gettingtheir labs in the office, so
just to kind of give more timefor that and and then I'll put
the orders in the chart so whenthey go see the nurse or
(20:20):
phlebotomist are already inthere, and so they know what the
orders are.
Maryal Concepcion, MD (20:24):
That's awesome.
And I hope that it just givessome people, especially the
listeners out there who arenewer to where DPC workflows,
it's, it's very familiar interms of how we did things in
fee for service, but this isstuff that is definitely is and
can be even more streamlined.
And, and here I I wanna pointout one of the, the sections
(20:47):
that we had in the toolkit inthe Battle of the EHRs was
highlighting satisfaction ofdifferent features and when it
comes to patient portal overall.
And the people who answered thequestions on how good are
patient portals of the DPC spacetalking about their own EHR,
that was our lowest score, a2.94 out of five.
And so it's i, I go back to thisis a tool that we have that our
(21:12):
patients engage with.
It is part of how our patientsexperience the access to our
care.
I have a DPC doctor, and then Iliterally had to email her to
say.
I don't know how to cancel anappointment'cause there was no
portal.
And it's a huge thing for me'cause that is totally extra
work.
Mm-hmm.
So I would love to then to focuson the battle of the HR because
(21:37):
now you got a copy.
And again, if you did not get acopy, go to mighty pc
star.com/magazine and look atthe, the results in full.
But looking.
In general at the results andbeing able to reflect on your
almost decade and practice withthe demographics at your clinic
(21:57):
that you have, I'm wondering ifthere's anything that really
stood out to you as oh,absolutely.
Or, that really surprises me.
Anything in particular thatstood out for you from the
battle results?
Ricky Haug, MD (22:08):
Well, I think.
I mean, I don't know if there'sanything that stood out as
shocking I mean, patients dolike the portal.
They like to be able to have.
Access to their chart and, lookat hey, what, what are my recent
labs?
What are, my vaccines, my,because they things come up and
they have like camp forms tofill out, not that.
And if they can go on and say, Igot all my information right
(22:31):
there.
I didn't need to call anybody.
I didn't need to get anythingsent to me.
They like the messaging.
What surprised you in theresults?
Maryal Concepcion, MD (22:39):
Yeah, so I think that one of the things
that stuck out immediately wasOver 20% of people who are
looking to switch that one like.
It just gave perspective, andthis is only 214 people who
responded to the survey And thenI do, one of the things that I
really loved was, looking at thetop five reasons why people
(23:02):
choose or why people leave anEHR.
That was really fascinatingbecause I, I think about these
things that you're talking aboutworkflows, how the patient
engages, what you would like itto do.
It, it's very much in alignmentwith what everybody else is
saying.
Like the reasons to choose anEHR.
65% of people said they wouldchoose an EHR, or they did
(23:24):
because.
Ease of use.
And then when you look at thereasons why people left limited
customization, 32% said thatthat was a reason to leave.
That it is difficult to use.
Their EHR 42% responded that itis difficult to use.
So they left their EHRI mean,what I love about how we looked
at the data and what it shows isliterally this is our community
(23:47):
saying.
This is the stuff that we needto make sure that our practices
and our patients have goodaccess and good experience.
So those are the things thatinitially stood out.
And then I think the other thingthat stood out to me was that.
Even though there was a quoteunquote champion in terms of the
(24:08):
number of categories at thisparticular HR one I, I still
think that if you actually readthe entire.
EHR Battle, you can see howthere's no clear winner in this
race that we still need moreinnovation everybody's brain
works differently.
Some people need a portal, likeI am totally in that boat.
(24:30):
Other people do not need aportal.
Other people Work well in a wordpad.
I will die before I ever use aword pad ever again.
So it's like there are I, Ithink it's so relatable and it's
very representative.
And this was just our first yeardoing this.
So those are the things thatstuck out for me.
Ricky Haug, MD (24:46):
And there's a lot of new players, right?
So, yeah.
Part of it is well, in the nextfew years, I'm sure as the
innovation changes and as newercompanies come in, they're gonna
come up with, a lot of newthings.
But I think that, um.
usability, like how well is itworking for me and my patients
(25:06):
and, I mean that, that's alwaysgonna be a, a major factor and
quite frankly, like probablywill change as needs change over
time.
And, and how well did the EMRsuggest to it?
Okay.
But it is surprising how manypeople look at changing.
But you know, at the end of theday, no EMR is gonna be perfect.
And like you said, they're veryunique.
(25:28):
People work in little differentways.
For people who were kind of usedto being in the system for a
while, sometimes you needsomething that's still a little
bit kind of like that becauseyou've, that's how you've grown
up using that, this and that.
And then other people are gonnacome out and say, I want
something totally different.
What I love about the EMRs fordirect primary care is that they
(25:53):
are not necessarily centered onbilling.
Whereas like you, it's not aboutlike, how can we code this to
get the most money outta theinsurance company?
They can, they have the freedomto say, how can we make this
patient centric as much aspossible so that it, it works
(26:13):
better.
Maryal Concepcion, (26:14):
Absolutely.
When you say that, I think abouthow when you're really focused
and your entire business modelis focused on patient.
Accessibility, affordability,quality, all the tenets of DPC,
everything else falls in suitwith that, right?
If that is your mission, itreally helps you see where there
(26:35):
are problems, it helps youimprove.
And it literally is tied to thefact that we.
Get to make the decisions atthese businesses, we do not have
to deal with using Cerner orEpic for another gush dang day.
Right.
So it's so empowering to be ableto not only want change, but
also to make change.
Ricky Haug, MD (26:54):
Yeah.
Yep.
And then the beauty of owningyour own DPC is you don't have
to like go through 17committees.
If you wanna change your EMR,yeah, it might be a headache,
but you, you can just decideHey, I think, I think our
business model's change going ina different direction.
We need to to do this.
And you just implement ityourself and do it.
Maryal Concepcion, MD (27:13):
I love that.
So if there are listeners whoare coming off of a summit and
they're like, okay, I learned aton of things, where do I get
started with my tech stack afterour conversation?
Thinking about what we've saidand thinking about your
experience, what would you sayto that doctor who's in the
planning to year three andpractice when it comes to Tech
(27:34):
Stack rooted in an EHR?
Ricky Haug, MD (27:36):
Well, I mean, I think number one, I mean if
you've already started yourpractice and you're a couple
years in, think about like whereare your limitations in your
efficiency?
What are things where you feellike, you know what, I feel like
we're getting hung up here.
And, and then.
Start looking at ways because,'cause there's a lot of
(27:58):
different ways you could, youcould address that.
I mean, if you're, if you're newto D PC and you're coming out
with a practice, try'em all.
Because again you might want anall-in-one, you might not want
an all-in-one and you wanna putpieces together.
You, there's, there all havedifferent pluses and minuses.
So try out all of them and seewhich one seems to be.
(28:20):
Get you in your groove the most?
Because I, I think, I think itis a lot of it is very person
dependent on the way that youthink, the way that you feel
like your flow should go andthat sort of thing.
So I, I would encourage peopleto just look into all the
different options and try.
Maryal Concepcion, MD (28:38):
I love that.
And yeah, that is, that isexactly why we're having this
conversation.
That's exactly why the toolkitand the battle of the EHR exists
to help people have more inputas to the opinions of our
community to help them.
Understand and find relatabilitywhen they're choosing tech.
And I will say there's an entirearticle entitled Battle Tested,
(29:01):
the EHRs that really get youthrough Year Zero to three.
And the amazing.
Paula to, who is the clinicmanager at Car Direct Care talks
about shifting from one EHR toanother.
And it's, like you said, it'snot a fun experience.
There's a quote in here that isnot too friendly for little ears
(29:22):
that people said about thetransition and so that matters.
We.
In this magazine we talk aboutthree different practices.
Dr.
Hoke is a rural college townphysician in Ohio.
Dr.
Sarah Schuster is in a urbanpractice of multiple physicians,
and then Dr.
Phil Boucher has a practicethat's pediatrics in Lincoln,
(29:43):
Nebraska and is very techfocused.
So, there's so many.
Ways to just reinforce that thisdecision to choose an EHR is so
personal.
Mm-hmm.
And you're not locked inforever, but just do know that
there's more information.
Rewind.
Listen to Dr.
Hogg's, comments here.
And just be intentional aboutyour.
(30:06):
Practice and your patientsbecause it literally affects
both you as the practice owneror a physician at the practice
as well as your patients for theperpetuity of your DPC practice.
Ricky Haug, MD (30:17):
Yeah, yeah.
But, but like you said, you,you, you're gonna, you're gonna
modify those systems.
You're gonna modify yourworkflows constantly.
We can always improve, right?
We can always get better.
Maryal Concepcion, MD (30:29):
hundred percent.
Awesome.
Thank you so much for coming ontoday and talking and reflecting
about your experience at the DPCsummit.
Ricky Haug, MD (30:37):
Yeah, thanks for having me.
Good to see you.
Maryal Concepcion, MD (30:42):
Thank you for listening to another episode
of my DBC story.
If you enjoyed it, please leavea five star review on your
favorite podcast platform.
It helps others find the show,have a question about direct
primary care.
Leave me a voicemail.
You might hear it answered in afuture episode.
Follow us on socials at thehandle at my D DPC story and
join DPC didactics our monthlydeep dive into your questions
(31:03):
and challenges.
Links are@mydpcstory.com forexclusive content you won't hear
anywhere else.
Join our Patreon.
Find the link in the show notesor search for my DPC story on
patreon.com for DPC news on thedaily.
Check out DPC news.com.
Until next week, this isMarielle conception.
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