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12 Best Otolaryngology EMR Software Shortlist

Here's my shortlist of the very best EMR software solutions to streamline your otolaryngology practice:

  1. NextGen Healthcare - Best for intuitive patient charting and robust EHR
  2. Athenahealth - Best for comprehensive practice management and patient engagement
  3. Q.D. Clinical - Best for a personalized user experience and ease of use
  4. AdvancedMD EMR - Best for telehealth services and seamless patient appointment scheduling
  5. Epic EMR Software - Best for interoperability and expansive health record access
  6. EclinicalWorks - Best for its AI-powered virtual assistant and extensive feature set
  7. PrognoCIS - Best for customization options and e-prescription capabilities
  8. ChartLogic - Best for voice recognition features and fast note-taking
  9. MedWorxs - Best for streamlined workflow management and reporting
  10. CareCloud - Best for its sleek user interface and robust patient portal
  11. ENT-Cloud - Best for ENT specialty-focused EMR features
  12. Praxis EMR - Best for its AI-driven template-free documentation

As an experienced medical professional and technologist, I understand the labyrinth that otolaryngology practice management can be. The need for swift, efficient, and streamlined workflows while maintaining the highest patient care is paramount. That's where the magic of Otolaryngology EMR software steps in.

This software, in essence, is your comprehensive digital assistant, helping manage everything from patient records to appointment scheduling. It brings a plethora of benefits, including improved clinical workflows, enhanced patient experience, and a significant reduction in administrative burden.

Are you constantly juggling patient charts, struggling with appointment management, or losing time over billing and coding? You're not alone - these are common pain points in our field. But, with the right EMR software, such challenges become seamless tasks. Explore these options, each uniquely crafted to meet varying practice needs, and discover the best fit for you. With the right tool, otolaryngology practice management becomes less of a hurdle and more of a dance.

What is Otoloaryngology EMR Software?

Otolaryngology EMR software is a specialized electronic medical record system tailored for the needs of otolaryngologists, also known as ENT practice (Ear, Nose, and Throat) specialists. It's used by doctors, clinicians, nurses, and administrative staff within these practices to manage a range of tasks that are unique to the field of otolaryngology.

These tasks include managing patient medical records, scheduling appointments, referrals, processing billing and coding, and tracking patient outcomes. With specific features like customized ENT EMR templates and image management, this software offers an efficient, streamlined solution for managing the complexities of an otolaryngology practice.

Overviews of the 12 Otolaryngology EMR Software

1. NextGen Healthcare - Best for intuitive patient charting and robust EHR

NextGen Healthcare otolaryngology EMR software interface
NextGen Healthcare's dashboard

NextGen Healthcare's robust EHR software offers a comprehensive solution that revolutionizes the charting process, empowering healthcare providers with enhanced efficiency and improved clinical workflows. With its advanced features and user-friendly interface, NextGen Healthcare's EHR solution is designed to streamline tasks, optimize documentation accuracy, and elevate overall patient care.

Why I Picked NextGen Healthcare:

As I delved into the world of otolaryngology EMR systems, NextGen Healthcare emerged as a beacon of reliability and efficiency. It effortlessly tackles the intricate task of patient charting with an interface that's intuitive and easy to navigate. In my judgment, what sets it apart is its robust specialty-specific EHR system that adeptly manages all aspects of a patient's health record. Hence, I deemed it best for those who require a system focused on intuitive patient charting and robust otolaryngology EHR.

Standout features & integrations:

NextGen Healthcare has many features, but a few standouts include integrated practice management for simplified administrative tasks and advanced clinical automation that helps reduce manual input. Additionally, the tool's connectivity features deserve special mention, with options for lab integration, ePrescribing, and patient portals to provide comprehensive patient care.

Pricing:

NextGen Healthcare follows a quote-based pricing model, and the exact pricing information is available upon request.

Pros:

  • Streamlines administrative tasks with integrated practice management
  • Enhanced clinical automation reduces manual input
  • Comprehensive connectivity features for well-rounded patient care

Cons:

  • No free version or trial available
  • Quote-based pricing model may not suit all budget ranges
  • Some users may find the system complex to navigate initially

2. Athenahealth - Best for comprehensive practice management and patient engagement

Athenahealth otolaryngology EMR software interface
Athenahealth's EMR dashboard

Athenahealth presents itself as an all-in-one solution for managing all aspects of medical practice, from patient records to billing and beyond. It was named 2022 Best in KLAS for both Small Practice Ambulatory EMR and Practice Management (PM). It aligns particularly well with the need for comprehensive practice management and enhanced patient engagement, which is paramount in today's patient-centric healthcare landscape.

Why I Picked Athenahealth:

The reason I selected Athenahealth is that it provides a comprehensive set of tools that streamline both administrative and clinical workflows, promoting a seamless practice management experience. Furthermore, it champions patient engagement with a robust patient portal and communication tools. Given these capabilities, I believe Athenahealth is best suited for practices seeking a comprehensive solution for practice management and patient engagement.

Standout features & integrations:

Athenahealth brings a wide array of features to the table, including cloud-based access, integrated billing, and scheduling, as well as real-time reporting and analytics tools that provide valuable insights into practice performance. The system also integrates with numerous third-party applications and systems, ensuring a cohesive and interconnected healthcare IT ecosystem.

Pricing:

Athenahealth uses a quote-based pricing model, so detailed pricing information can be obtained upon request.

Pros:

  • Cloud-based access allows for flexibility and ease of use
  • Integrated billing and scheduling simplify administrative tasks
  • Robust reporting and analytics tools provide key insights into practice performance

Cons:

  • No free trial or free version available
  • Pricing model might not be suitable for small practices
  • Some users may find the system complex at first

3. Q.D. Clinical - Best for a personalized user experience and ease of use

Q.D. Clinical otolaryngology EMR software interface
Q.D. Clinical's EMR software in action

Q.D. Clinical is an EMR software that offers an approachable and user-friendly platform for managing patient records, scheduling, and other administrative tasks. It's best suited for practices looking for software with a personalized user experience and ease of use.

Why I Picked Q.D. Clinical:

As I compared different otolaryngology EMR software, Q.D. Clinical stood out because of its commitment to delivering a personalized user experience. Its user-friendly interface eases the often-complex process of record management and administrative tasks. Therefore, I chose it as the best tool for those seeking a personalized user experience and an easily navigable platform.

Standout features & integrations:

Q.D. Clinical shines with features like quick data entry, customizable views, and advanced search capabilities that help users quickly locate patient health information. Furthermore, it offers essential integrations with laboratories, pharmacies, and other healthcare organizations, thus creating a unified system for all healthcare-related information.

Pricing:

Q.D. Clinical operates on a quote-based pricing model, so the exact pricing can be obtained upon request.

Pros:

  • Quick data entry reduces the time spent on manual data input
  • Customizable views allow users to tailor their experience
  • Advanced search capabilities help quickly locate patient information

Cons:

  • No free trial or free version available
  • Quote-based pricing may not be suitable for all budgets
  • Some users may find the setup process a bit challenging

4. AdvancedMD EMR - Best for telehealth services and seamless patient appointment scheduling

AdvancedMD EMR otolaryngology EMR software interface
Screenshot of the AdvancedMD EMR dashboard

AdvancedMD EMR is a medical software platform designed to manage patient records, offer telehealth services, and streamline appointment scheduling. This tool is especially beneficial for practices that want a comprehensive solution for telehealth and patient scheduling.

Why I Picked AdvancedMD EMR:

While evaluating different EMR software options, AdvancedMD EMR caught my eye due to its extensive telehealth and patient scheduling capabilities. The system's ability to smoothly integrate these aspects into the practice's daily workflow makes it a standout option. I chose it as the best for practices prioritizing telehealth services and efficient scheduling.

Standout features & integrations:

AdvancedMD EMR boasts features like virtual office visits, online patient scheduling, and automatic reminders, which help practices deliver efficient patient care. It also integrates well with billing systems, practice management solutions, and other medical software, facilitating a smooth workflow.

Pricing:

Pricing starts from $729 per provider per month, billed annually. The exact cost may vary depending on the size and needs of your practice.

Pros:

  • Comprehensive telehealth capabilities
  • Efficient appointment scheduling and automatic reminders
  • Smooth integrations with other systems

Cons:

  • High starting price may not be affordable for all practices
  • No free plan or trial available
  • Initial setup may require time to get acquainted with all functionalities

5. Epic EMR Software - Best for interoperability and expansive health record access

Epic EMR otolaryngology EMR software interface
The user dashboard from Epic EMR

Epic EMR Software is a multi-faceted platform for medical practitioners looking to expand health record access and enhance interoperability. The tool excels in connecting different healthcare providers, allowing them to share vital patient information securely.

Why I Picked Epic EMR Software:

I picked Epic for its well-established reputation and proven excellence in facilitating interoperability among diverse healthcare systems. It's this ability to connect and share information across numerous health entities that set Epic apart. Thus, I deem it the best for expansive health record access and interoperability.

Standout features & integrations:

Epic's key features include a comprehensive patient portal, telehealth capabilities, and robust interoperability with other healthcare systems. This last feature, in particular, allows seamless data exchange with labs, pharmacies, and other hospitals, providing an extensive reach in patient health record access.

Pricing:

Epic does not disclose its pricing publicly. They require potential users to get in touch directly for a tailored quote. Hence, it's a case of "Pricing upon request."

Pros:

  • Extensive interoperability features
  • Robust patient health record access
  • Comprehensive patient portal

Cons:

  • Pricing is not transparent
  • No free tier or trial offered
  • The system might be complex to navigate for first-time users

6. EclinicalWorks - Best for its AI-powered virtual assistant and extensive feature set

Eclincalworks otolaryngology EMR software interface
Eclincalworks's calendar and scheduling feature

EclinicalWorks is an integrated suite of applications designed to manage medical practice operations. The standout feature of this tool is the AI-powered virtual assistant, which automates many tasks, aligning with its extensive set of features.

Why I Picked EclinicalWorks:

I selected EclinicalWorks primarily for its AI-powered virtual assistant. The role of AI in healthcare is growing, and EclinicalWorks stands out in effectively leveraging this technology. Its virtual assistant streamlines numerous processes, making it the best choice for practices seeking extensive features backed by advanced tech.

Standout features & integrations:

EclinicalWorks' most notable features include the AI-powered virtual assistant, a telehealth service, and a comprehensive electronic health record system. The tool also integrates seamlessly with several medical billing applications, labs, pharmacies, and radiology centers, enhancing its functionality.

Pricing:

The starting price for EclinicalWorks is $449/user/month. This price point includes full access to the software's extensive features and capabilities.

Pros:

  • AI-powered virtual assistant enhances productivity
  • Comprehensive feature set covering numerous aspects of medical practice management
  • Seamless integration with other health systems and billing applications

Cons:

  • Higher starting price compared to other EMR tools
  • No free version or trial period available
  • The vast number of features might be overwhelming for new users

7. PrognoCIS - Best for customization options and e-prescription capabilities

PrognoCIS otolaryngology EMR software interface
A screenshot of patient records in PrognoCIS

PrognoCIS Electronic Medical Records (EMR) software by Bizmatics Inc. is an ICD-10 compliant, Meaningful Use (MU), and MACRA-certified EMR software that offers an incredible platform for technology solutions that help medical practices. Its flexibility and digitization of prescription management align with its distinctive appeal for customization and advanced e-prescription features.

Why I Picked PrognoCIS:

In my judgment, PrognoCIS stands out because of its high degree of customization and its unique e-prescription capabilities. It is ONC 2015 certified EHR and was eligible to attest for MIPS and became eligible for incentives.

I chose this tool for the list due to the freedom it provides users to tailor the platform to their specific needs. Additionally, the e-prescription feature significantly simplifies the medication ordering process, aligning with its excellence in this aspect.

Standout features & integrations:

Key features of PrognoCIS include its highly customizable interface and robust e-prescription capabilities, including electronic faxing of prescriptions directly to pharmacies. The tool also integrates well with billing and practice management software, further expanding its functional breadth.

Pricing:

The pricing for PrognoCIS starts at $250/user/month, making it a premium option for practices looking for a highly customizable EHR system with e-prescription capabilities.

Pros:

  • Extensive customization options to fit specific user needs
  • Strong e-prescription capabilities for streamlined medication management
  • Integrates well with billing and practice management software

Cons:

  • No free version or trial available, limiting pre-purchase evaluation
  • The high degree of customization may require a learning curve for users
  • Starting price is higher than some other EHR tools on the market

8. ChartLogic - Best for voice recognition features and fast note-taking

ChartLogic otolaryngology EMR software interface
Patient records in ChartLogic EMR

ChartLogic is an electronic health records (EHR) system known for its voice recognition and quick note-taking capabilities. It is an ambulatory EMR suite offering Electronic Medical Records (EMR), Practice Management (PM), and Revenue Cycle Management (RCM) solutions, along with quality features such as e-prescribing (e-Rx) and patient portals. Its ability to convert speech into written notes efficiently helps healthcare professionals maintain detailed records without disrupting patient interaction.

Why I Picked ChartLogic:

My selection of ChartLogic was driven by its innovative use of voice recognition, setting it apart from other EHR systems. This tool provides an effective solution for medical professionals who need to document patient information accurately and quickly. Its excellence in fast note-taking and voice recognition features fulfills this need effectively.

Standout features & integrations:

ChartLogic's standout feature is its voice recognition capability, which enables medical professionals to capture patient notes quickly and accurately. Additionally, it integrates well with numerous practice management systems, further enhancing its functionality and ease of use.

Pricing:

Pricing for ChartLogic begins at $279/user/month. It's an investment, but for those who value efficient documentation processes, it could prove beneficial.

Pros:

  • Voice recognition feature allows for quick and accurate documentation
  • Seamless integration with various practice management systems
  • Offers a free demo for users to evaluate its capabilities

Cons:

  • No free version or trial, which limits pre-purchase evaluation
  • The cost per user may be prohibitive for smaller practices
  • The focus on voice recognition might overlook other functionalities

9. MedWorxs - Best for streamlined workflow management and reporting

MedWorxs otolaryngology EMR software interface
Keeping track of your records is extremely simple with MedWorxs

MedWorxs is an Electronic Health Records (EHR) system that emphasizes workflow management and reporting. Its efficient design and effective report generation make it a practical tool for healthcare practices seeking to optimize their operations.

Why I Picked MedWorxs:

MedWorxs caught my attention due to its focus on streamlining workflow management, a feature that distinguishes it from other EHR software. I find that MedWorxs is especially suited for healthcare practices that prioritize operational efficiency and rely heavily on reporting for decision-making.

Standout features & integrations:

MedWorxs stands out for its workflow management capabilities, helping healthcare practices manage tasks more efficiently. Furthermore, its robust reporting features provide valuable insights for decision-making. MedWorxs also offers significant integration with labs, imaging centers, and pharmacies, further extending its usefulness.

Pricing:

Pricing for MedWorxs starts at $299/user/month, emphasizing the software's focus on delivering comprehensive functionality and value.

Pros:

  • Excellent workflow management capabilities
  • Robust reporting features for informed decision-making
  • Significant integration with other healthcare entities

Cons:

  • No free version or trial offered
  • Starting price may be high for smaller practices
  • Lack of advanced features like voice recognition or AI assistance

10. CareCloud - Best for its sleek user interface and robust patient portal

CareCloud otolaryngology EMR software interface
Billing feature from CareCloud's EMR

CareCloud is a comprehensive EHR system with a clean, intuitive interface and a patient portal for improved patient engagement. It facilitates efficient clinical documentation, patient management, and billing, all in a user-friendly design.

Why I Picked CareCloud:

In assessing various EHR systems, I was particularly drawn to CareCloud for its sleek interface and robust patient portal. The ease of use combined with a comprehensive patient portal can significantly improve user experience and patient engagement, which are key for successful healthcare management.

Standout features & integrations:

CareCloud is best known for its modern, user-friendly interface, which helps reduce the learning curve associated with EHR systems. Moreover, its robust patient portal empowers patients by giving them access to their demographics, patient history, appointments, and billing information. As for integrations, CareCloud works well with numerous billing services and other healthcare systems, enhancing its effectiveness in the healthcare setting.

Pricing:

Pricing for CareCloud begins at $349/user/month, reflecting its rich functionality and high-end design.

Pros:

  • User-friendly interface that facilitates easy navigation
  • Robust patient portal for enhanced patient engagement
  • Extensive integrations with other healthcare systems

Cons:

  • No free plan or trial available
  • Relatively high starting price
  • Lack of advanced features like AI assistance

11. ENT-Cloud - Best for ENT specialty-focused EMR features

ENT-Cloud otolaryngology EMR software interface
The ENT-Cloud website homepage

ENT-Cloud is a dedicated electronic medical record software developed exclusively for ear, nose, and throat (ENT) specialists. Its focus on ENT-specific features makes it an ideal tool to manage, track, and improve the overall patient care process within an ENT practice.

Why I Picked ENT-Cloud:

In the realm of EMR software, ENT-Cloud holds a unique position due to its specialized nature. I chose it because of its concentrated focus on ENT functionalities. Its standout feature of having tailored modules and workflows for ENT practices justifies why I believe it is "Best for ENT specialty-focused EMR features." It differentiates itself from others by addressing the particular challenges faced in the ENT specialty.

Standout features & integrations:

ENT-Cloud is designed with a range of useful features like e-prescribing, billing, and coding assistance, surgery scheduling, patient portal, and imaging integration. These features streamline the practice management process, making it easy and efficient. The software also integrates well with several other platforms, providing a seamless flow of data and helping to deliver a more coordinated and efficient patient care experience.

Pricing:

ENT-Cloud does not list its pricing publicly, so for accurate and detailed pricing information, you need to contact the vendor directly. Therefore, it's "Pricing upon request."

Pros:

  • Dedicated ENT-specific features
  • Comprehensive functionality (billing, scheduling, e-prescribing)
  • Seamless integration with various platforms

Cons:

  • Pricing is not transparent
  • May have a steeper learning curve due to specialized functionalities
  • Limited usability for non-ENT specialties

12. Praxis EMR - Best for its AI-driven template-free documentation

Praxis EMR otolaryngology EMR software interface
Patient record sample from Praxis EMR

Praxis EMR is an Electronic Health Records system that employs artificial intelligence to learn from each physician's practice. It is specifically known for its template-free documentation, which enables highly personalized and detailed patient notes.

Why I Picked Praxis EMR:

The reason I chose Praxis EMR is due to its unique approach to documentation. Unlike most EHR systems that rely on rigid templates, Praxis EMR uses AI to adapt to a physician's specific style and preferences. It stands out for its ability to deliver highly personalized patient notes, making it ideal for doctors seeking a more tailored and flexible approach to documentation.

Standout features & integrations:

Praxis EMR boasts an AI-driven approach that learns from each physician, leading to more personalized patient care. It also offers a Concept Processing feature that helps doctors save time by avoiding repetitive data entry.

Praxis EMR can integrate with a variety of systems, including billing software and laboratories, ensuring smooth data flow across different platforms, whether via Computers, iPad, Tablets, or mobile devices (Andriod/ios).

Pricing:

The pricing for Praxis EMR starts from $259/user/month (billed annually). This price reflects the unique AI-driven, template-free features the software offers.

Pros:

  • AI-driven, template-free documentation for more personalized patient notes
  • Concept Processing feature to save time on data entry
  • Integrates with a variety of systems for smoother data flow

Cons:

  • No free tier or trial period
  • Higher starting price compared to some other options
  • The AI-driven system may take time to adapt to individual practices, requiring initial time investment

Other Otolaryngology EMR Software

Below is a list of additional otolaryngology EMR software I shortlisted but did not reach the top 12. Definitely worth checking them out.

  1. DrChrono - Good for comprehensive practice management and patient care
  2. Compulink Healthcare - Good for its tailored approach to specialty practices
  3. Dr. First - Good for medication management and patient safety
  4. iSalus - Good for its telehealth capabilities and customizable templates
  5. Juno EMR - Good for its Canadian-focused data management and billing integration

Selection Criteria of Otolaryngology EMR Software

When choosing the ideal otolaryngology EMR software, a few key criteria should not be compromised. Over the years, I have personally tried and evaluated dozens of EMR tools, and in this case, I was really focused on certain specific functionalities, which I'll delve into below.

Core Functionality

  • Specialty-specific templates: The software should include customizable templates tailored to otolaryngology, aiding in accurate and efficient diagnosis and treatment.
  • Integrated practice management: A comprehensive tool should merge electronic medical records with practice management, facilitating smooth scheduling, billing, and reporting.
  • Clinical decision support: Tools should assist with decision-making, using patient data to suggest tests and treatment plans and identify potential issues.

Key Features

  • Telehealth capabilities: With the rise of virtual healthcare, having integrated telehealth features is essential for modern otolaryngology practice.
  • Medication management: This feature helps track prescriptions, check drug interactions, and monitor patient compliance.
  • Robust patient portal: A comprehensive patient portal allows for secure messaging, appointment scheduling, access to medical records, and eligibility, improving patient engagement.
  • Compliance with regulations: The software should be HIPAA compliant, ensuring the privacy and security of patient data.

Usability

  • Intuitive user interface: A clean, organized interface is important for otolaryngology EMR software. This includes the ability to easily navigate through patient records, templates, and other functionalities.
  • Ease of implementation and onboarding: The software should provide ample resources for training and implementation, ensuring a smooth transition for the staff.
  • Quality customer support: Prompt and effective customer support is crucial to address any technical issues and ensure the smooth operation of the software.
  • Role-based access: The system needs to have easy-to-configure role-based access, ensuring that only the appropriate staff members can view or edit sensitive patient data.

Most Common Questions Regarding Otolaryngology EMR Software

What are the benefits of using otolaryngology EMR software?

There are several benefits to using EMR software that's specifically designed for otolaryngology:

  • Improved Efficiency: Specialty-specific templates and automation features can speed up documentation, reducing administrative burden.
  • Enhanced Patient Care: Integrated practice management and clinical decision support tools help streamline workflows and improve decision-making, leading to better patient outcomes.
  • Robust Patient Engagement: A comprehensive patient portal can improve patient satisfaction by providing easy access to scheduling, secure messaging, and medical records.
  • Secure and Compliant: Most EMR software is designed to meet HIPAA regulations, ensuring the privacy and security of patient data.
  • Cost Savings: Over time, the efficiencies gained from using EMR software can result in significant cost savings for the practice.

How much does otolaryngology EMR software cost?

The pricing of otolaryngology EMR software can vary widely based on the practice size, the features included, and whether the software is cloud-based or installed directly onto the practice's servers.

What are the pricing models for otolaryngology EMR software?

Most otolaryngology EMR software follows a subscription pricing model, often charged per provider on a monthly or annual basis. Some may offer a one-time purchase option, especially for on-premise installations.

What is the typical range of pricing for otolaryngology EMR software?

The cost can range from $100 to $500 per provider per month, though this can be higher for software with advanced features or customization options.

What are the cheapest and most expensive otolaryngology EMR software options?

Some of the more affordable otolaryngology EMR software options, such as DrChrono, start from around $200 per provider per month. On the higher end, options like Compulink Healthcare can cost $500 or more per provider per month.

Are there any free otolaryngology EMR software options?

Free options are rare in the specialized field of otolaryngology EMR software, but there are some platforms that offer a limited free trial or demo version, like Kareo and Modernizing Medicine (ModMed). These can be a good way to test the software's functionality before making a financial commitment.

Other EMR Software Reviews

Summary

Navigating the field of otolaryngology EMR software can be challenging, but the rewards of finding the right fit for your practice are significant. From increased efficiency and patient satisfaction to regulatory compliance and cost savings, specialty-specific EMR software can bring numerous benefits and profitability.

Here are three key takeaways to guide your selection process:

  1. Specialization Matters: Not all EMR software is created equal. For otolaryngology, it's crucial to select a solution that offers specialty-specific features such as otolaryngology-specific templates and coding.
  2. Integration and Interoperability are Essential: Your chosen software should integrate seamlessly with other tools your practice uses. Whether it's a billing system, a patient portal, or a practice management solution, the best otolaryngology EMR software will enhance, not hinder, your existing workflows.
  3. Usability Impacts Adoption: Even a feature-rich software suite won't do your practice much good if it's difficult to use. Look for a solution that offers an intuitive interface, clear documentation, and responsive customer support. After all, your goal is to spend less time managing software and more time caring for patients.

What do you think?

I've tried to cover a wide range of otolaryngology EMR software in this article, but the tech landscape is vast and constantly evolving. If you're using a tool that you believe should have made the list, I'd love to hear about it.

Please don't hesitate to get in touch and share your experiences. Your insights could help other medical professionals find the software solution that's just right for them.

By John Payne

John Payne is the co-founder and company director of Symphony Health. With over 20 years of management experience John is working alongside his wife, Dr. Kate Payne to build a multi-site Medical Practice where staff work collaboratively for the good of their patients. John is passionate about improving access to quality Healthcare in North Vancouver and sharing best practice with other people managing medical practices.