90.Which EHR is right for you?
Spencer Dupre (00:00)
Yo, yo, yo everybody. What is up? Welcome back to another episode of the what now podcast, Spencer and Zach. We're on our Dolo cast. I'm currently editing our episode with Colton wood that should come out today.
ZT (00:14)
You're listening to this next week.
Spencer Dupre (00:15)
You're listening to this the week after Colton Woods episode. So, what's up Zach? How are you?
ZT (00:23)
What's up, man? Doing great. Post-Hirox. Feeling good.
Spencer Dupre (00:26)
Nice dude, yeah I saw that. I just bought a weight vest. I'm gonna get into weight vesting, I guess. What do you use to rock? You just have a backpack.
ZT (00:32)
Little ruck action.
Nice. just, I did an hour of work this morning.
no, I have a weighted vest. I have the rogue, rogue weighted vest. Mm-hmm.
Spencer Dupre (00:43)
Nice, which one do you have?
nice. The plate carrier.
That's what I got too. I got the Echo plate carrier. It was so weird, dude, like, because the plate carrier took like a month for it to come out and then the plates for it, I wasn't going to get for like six weeks. And that's for like the standard one, which is like technically cheaper. But then the upgraded one, the Echo version, it was like $60 less for the whole setup and I could get it in two days. But it's like technically like the premium one. I guess the regular plate carrier is so popular that
ZT (00:58)
Mm-hmm.
Spencer Dupre (01:15)
They're like, yeah, we're just going to jack up the price on this. Causing effect, supply and demand.
ZT (01:20)
Not a bad, not a bad. Yeah,
no, I love rucking. That's something I did a lot during 75 hard last year. And then I think I was just burnt out from doing, I think I wrecked every day.
Spencer Dupre (01:33)
I thought wrecking was just with a backpack.
ZT (01:36)
Rucking is with any weight on your back, from what I've understood. Yeah.
Spencer Dupre (01:39)
So it's just walking with weight.
But what if the weight is on the front? Isn't that considered a rep?
ZT (01:45)
I considered it a rook. have half of my weight on the front. I don't know. didn't, there's like, I think it would be stupid to say it has to be a backpack because I could go wreck backpack is crazy expensive. but I mean, we, even started a rut club for a second with our practice. Yeah. Trying to create community. Yeah.
Spencer Dupre (01:47)
See.
Yeah, I don't know. Maybe if you want to be legit.
You tell me about that. Yeah, nice.
Cool. Well, all right. Let's just keep talking about what we were talking before we hit record, because this is valuable conversation. So what we were talking about previously, before we press record for you people, is EHRs. And I've actually had people message me, and I think we just had a big long thread in our fraternity group chat about which EHR people are using, all of those kind of things.
ZT (02:16)
Hehehehe
Mm-hmm.
Spencer Dupre (02:34)
Three years in, that's crazy dude, we're starting our third year in practice. It's pretty wild. Three years in the practice, where have you been in terms of the EHR spectrum? I've been back and forth between a bunch. I've looked into all of them.
ZT (02:40)
Mm-hmm. That's wild.
Yeah, I've looked into most of them as well. So I, when I was doing my independent contracting in Dallas, I was with Kyra HD. I really loved it. Cloud-based, really nice user interface. Notes were super smooth. Two-way texting, like it was, I really liked it. And then when I opened on my own, I went with Jane, because that's what everyone else was doing. And it was great.
So I opened with Jane and I am not as software savvy as Spencer. So a lot of the limitations in Jane from a high volume side of things caught up with me pretty quickly. So we switched over to Platinum. Platinum had told me they would be cloud-based. So I switched over to Platinum in October of 23 with the knowledge or with what was told to me that Platinum would be cloud-based by June of 24.
And I guess really quick, should we talk about the difference between like server and cloud base for those that might not be aware.
Spencer Dupre (03:58)
Yeah, I mean, pretty much what I was gonna say is that it's 2025 if you're, EHR, if you are starting to practice. Now, this is totally different conversation. If you've been in practice and you're OG and you're like, if you're unk status, if you consider yourself unk then, which is I guess what the kids mean like for old, but if you consider yourself,
ZT (04:09)
Yeah.
Mm-hmm. Yeah.
Spencer Dupre (04:24)
in that realm and you already have a server-based software, then just keep rocking it because it's a hassle to switch. No matter if you switch from cloud to no matter what software you switch to, it is a pain. So don't do it if you don't have to. So I knew that. And so I dug in so deep to all the different EHRs. I think I demoed 12 of them, but it's 2025 to make my point.
ZT (04:36)
Mm-hmm.
Yeah. Yeah.
Spencer Dupre (04:54)
make sure that there's no reason that your EHR isn't cloud-based. Like there's no reason to have a server. I just, don't see any reason, any situation in where it's beneficial to have a server-based EHR unless you've have been in practice for 20 years and that's how you do it. And even if I was in practice for 20 years and I was going to start another practice, I would just get that same software in its cloud version. Or like if it didn't have a cloud version, I would just find a different one.
ZT (05:01)
Mm-hmm.
Yeah.
Yeah.
Mm-hmm.
Spencer Dupre (05:24)
and put it in that second practice. There's no way I would be rocking on another server. There's no way.
ZT (05:28)
Right.
so platinum is now March, 2025 as mentioned June, 2024 is when they're supposed to be cloud-based, still not cloud-based.
Spencer Dupre (05:40)
So can you define what cloud-based is and what server-based is?
ZT (05:43)
Yeah. So from my understanding, server is basically your EHR has to be connected to the wall. If that makes sense. So you can't go home, do notes. can't, everything is, has to be done in the office. Um, for us, because of our office layout, I actually had to invest close to six to $7,500 just to make it like adequate for server based. Yeah. Yeah. Um, so that was painful.
Spencer Dupre (06:03)
Jeez. All your cat five cables and stuff running through the ceiling and the walls and pain.
ZT (06:13)
it's made our front desk look, I mean, not, appealing from the backside. just cause there's so many wires and blah, blah. but we did it and it's not that I regret it, but, it was definitely the harder way around it. because we platinum was server-based, and so we made that switch. and then cloud-based is your EHR is everywhere you go, right? It's just like.
Spencer Dupre (06:19)
Ratsnest.
ZT (06:43)
your photos on your phone, how everything goes up into the cloud. Same idea. probably be good for us to have someone on that can actually speak technology terms a whole lot better, but it's still very HIPAA compliant. there's no issues from like a security standpoint, but you can take your EHR with you.
Spencer Dupre (07:04)
Yeah, from my understanding, the difference between cloud and server-based is like, so server-based, a server is a place that all of your data is stored in. whether you're on the cloud, quote, or in a server, so server-based EHR is going to mean that that server is in your physical office space. So you have to be connected to it, whether through it's a
Wireless signal, you have to be in range of that server, whether you're hardwired in through like a cat five cable, which is like the blue ethernet cables, or you are like connected to it via wifi or something like that. You have to be like in the vicinity. Cloud base is where the servers are hosted in some warehouse in the middle of nowhere and everything is stored there. So whether you're on the cloud or not,
ZT (07:33)
business.
Mm-hmm.
Spencer Dupre (07:56)
You just access that server through the internet rather than through a hard local network. That's what I understand. Servers, this is the big thing, like servers, you have to continually build upon your storage. So it's like back in the OG days, like when you had a flash drive and your flash drive was full, you're like, have this one gigabyte flash drive and then I fill up that flash drive. Now I have to get another flash drive and another flash drive and another flash drive. Where cloud.
ZT (08:01)
Mm-hmm.
Spencer Dupre (08:26)
Everything is just stored online and whoever owns it, the powers that be, maybe it's God, just owns the cert. It just has control over that and they continually update it as you need. So cloud-based EHRs, you can log in on your phone. You can take your laptop and log in at the coffee shop. You can do all those kinds of things. The thing that's nice is that with a server-based EHR, you'll have to back up a server. So basically to like create an insurance.
ZT (08:44)
Mm-hmm.
Spencer Dupre (08:55)
behind your data to where you don't lose people's records, you have to download everything that you have to like a hard drive, but then you store that like in a filing cabinet somewhere. And you have to do that over and over and over again, that continually updated to make sure you don't lose your stuff. Cloud-based, everything is automatically updated, automatically saved. They're always cheaper too, like because like the servers, you got to install it, you got to program it. It takes hardware that you have to buy like.
ZT (09:04)
Mm-hmm.
Mm-hmm.
Yeah,
like just so like, like our transition and I don't know if this is normal time, if this is more time, but it took us. So we probably, we went with platinum for sake of numbers. Say we went with platinum October 1st of 2024. It took us until about Christmas. So three full months to fully transition, have the setup, have everything.
basically uploaded and ready to go from a technology standpoint, from notes, from everything. So it was quite the upheaval of transitioning from that because of the server base. So if you're...
Spencer Dupre (10:01)
Yeah,
because I mean, basically you have to take it and program it. You're basically just taking a whole computer and you're programming it to do what you want. It's like having a blank slate of a computer is just tough. yeah, I mean, and I have tried to switch EHRs. I think we talk about it in like, dude, I think we talk about it like episode like eight about me switching EHRs like a long time ago.
ZT (10:09)
Mm-hmm.
Mm-hmm.
I think so. You're about
ready to switch too.
Spencer Dupre (10:30)
Dude, I was working on switching and it was just, it was just not it, dude. I was working on switching for the sake of having an integrated payment processor. And Jane has an integrated payment processor, but I didn't love its features. And then I ended up meeting my payment solutions guy. And I actually have an AI computer that has a Jane account. His name is Robo Joe. And cause our payment guy, his name is Joe. Joe's also the guy that,
Which do, we should get Joe on here at some point so that we can talk about payment processing and what to look for in terms of your payment fees and how to reduce your cost on what you pay to merchant services. Because he has helped us with that. think like, do you like on our record months, like just to give you guys like some perspective, when I was with another payment company and we did 20K a month, I was paying like three grand in payment processing fees.
I was taking that home and then whenever we did 60K in one month, we paid 1500. So I paid half of the merchant fees to bring in. Just another company that because merchant services, it's all about like your compliance to merchant services has like something that's like kind of parallel to HIPAA, but it's called like FDIC compliance and your FDIC compliance is.
ZT (11:36)
Who were you with before?
Thank you guys.
Spencer Dupre (11:55)
It basically ensures that you're not having fraudulent transactions. And the more information you put in and the better you set up your merchant processing stuff, the more FDIC compliant you are, the more compliant you are, the less risk you have, the less risk you have, the less they charge you. by making sure that you're good across the board there, you can reduce your transaction costs a lot. Whereas if you're with some of the bigger transaction companies,
ZT (12:09)
see.
Spencer Dupre (12:21)
like Square, Stripe, or all those kind of places, they're just going to charge you more just for the convenience things. They're all still super compliant like that, but they just charge you a ton because they can't. Whereas if you go with somebody local or somebody with my guy like Joe, who he works a lot with medical providers, he just controls the rates a lot better. And so it gives me a good deal. But anyway, that's a totally different thing that you never think that you'd have to learn about.
ZT (12:23)
Yeah.
Mm-hmm.
Thanks.
Spencer Dupre (12:51)
Yeah, so I mean, that was one of the biggest things I was going to switch and I was just looking at and like, dude, switching EHRs is just brutal. So, yeah, so what is like, okay, so you went from Jane and we'll talk about like why I'm with Jane and stuff later, but we'll kind of wrap up your story here. What is, so you were with HD and then you switched to Jane. We all know why you switched with Jane. So why did you switch from Jane to Platinum? And then why are you looking to switch from Platinum?
ZT (13:08)
Mm-hmm.
Mm-hmm.
Spencer Dupre (13:20)
to HD.
ZT (13:22)
Looking back, I really have no idea why I switched from Jane to Platinum. I think, well, I kind of do. We had gotten to a higher volume standpoint. And I think like before we started the recording, I'm not as tech savvy as you are. And so figuring out how to end. there's really two big reasons. One, there were some tech sides that I can't remember what exactly they were.
but it was also hard ish for my CA office manager at the time to really track care plans because it's not meant for that. and platinum and most chiropractic specific EHRs, can pre-program your, care plans into it. So it keeps track of it for you, even down to like, Hey, they've been coming in twice a week for six weeks. need, and I'll give you an alert. They're switching to once a week. and with Jane, was.
difficult, so he would basically have to backtrack almost every visit, like where are they at, where are they out on their care plan? I did not love that because it was really easy. The higher volume we got for people to have extra visits, not transition correctly, mis-progress exams, those sorts of things. and so that was a big reason we switched. and I think there was a third reason, but it was so long ago that I
Spencer Dupre (14:27)
Mm-hmm.
ZT (14:49)
don't really remember. And so we switched to Platinum. One thing with Platinum was it didn't necessarily have text reminders built into it like Jane does. It's a great feature of Jane. So text reminders in regards to appointments, whether it's 24 hours, two hours, or four. So we had to bring on SCAD as well. So that was another.
Spencer Dupre (14:50)
Yeah.
ZT (15:17)
The that I thought was cool, every other chiropractic office was using Sked. So I was like, let's use Sked. And so they set up our point reminders. We had two-way texting with Sked or we have two-way texting with Sked. Basically another feature that Jane didn't have that I did like the appeal of was that people could text our exact number that's connected to our landline. So they're not having to look, I get this text reminder.
Do I text back to reschedule or do I have to find another text? So it's really efficient on the patient side of things. And I think if you've been listening to the podcast, you know, that's something Spencer and I are both big on is really making it as easy as possible for the patient or the customer journey. And then, yeah, go from there as well. So those were all some of the big things for us switching. And it's not that I've disliked platinum, but it's just still server-based and we're basically using sked.
for two-way texting, I don't really love their forms personally. So we're not using their forms. We still use platinum's forms. And again, I'm not very tech savvy. So I'm sure there are people out there like, what do mean you don't like sked's forms or whatever? It's just something we just liked our platinum forms. Yeah.
Spencer Dupre (16:31)
It's all preference, It's just,
I mean, it's do you like this or do you like not? There are some people I'm sure that are listening to this that are like, I was with Jane. I can't stand it. I'm with, the thing is, your software is going to be a reflection of your systems. Your systems are a reflection of your personality and the culture of your practice. so if it doesn't fit, then it probably doesn't fit. Jane, hear, is really tough on the insurance side of things.
ZT (16:42)
Mm-hmm. That's just how EHRs are.
And that was another, another thing too, is we, we do provide a lot of super bills. We do a lot of, I don't want to say we do a lot of, but we work with PIP cases. like personal injury protection, not necessarily like PI cases, but, um, in Texas, a lot of people have, uh, personal injury protection when they get in a car accident, whether they're at fault or not. Um, so they'd like to use that. Um, and so that requires us to keep all of that and
Spencer Dupre (17:01)
And.
ZT (17:28)
Platinum does a phenomenal, when it comes to like super bills and hexa forms, Platinum's got that down. And Jane does not. So it was a big, yeah.
Spencer Dupre (17:36)
Yeah, I have no idea what a hexaform is.
So yeah, I have no idea what that is, but.
ZT (17:41)
You
Spencer Dupre (17:44)
Okay, so then what's prompting you? Okay, so tell me like what's your biggest pro? Because I feel like, know, the biggest con with platinum is like you're saying is like it's server based, right? So limited storage, you got to be in the office to do it only accessible to office, which is great. helps. It forces you into some work life balance, but it's good. Okay, so what's the biggest pro with platinum? Obviously, super billing and charting insurance compliance is good.
ZT (17:49)
Mm-hmm.
Mm-hmm.
limit storage.
Yeah, for sure.
Yeah, super billing charting. I
think it's made for care planning offices. I mean, our patients are just there. They're basically once they sign on to care, they finish report of findings. We, sign up for a 20 visit care plan. put 20 visit in, and it just maps out their plan for us. yeah. So love that aspect. their, their customer support is pretty good. I do really like that and
Spencer Dupre (18:29)
Nope, chiropractic specific.
ZT (18:41)
Any other pros?
note taking is is quick it's not laborious so that's also a pro as well yep
Spencer Dupre (18:53)
All right, so
OK, and so I'm going to go back to HD, or thinking about HD.
ZT (18:57)
Contemplating looking at HD,
maybe Genesis I know is another one thrown out there.
Spencer Dupre (19:04)
Dude,
I was looking into one of them and I've been following them on Instagram because their Instagram is kind of fun. But it's called Kyro Spring. It reminds me like it's like if HD and Jane like had a child basically. Kyro Spring, yep. I've been, their marketing has been good. Their branding is good. It's a pretty small company from what I've seen. So it's kind of on the up and up.
ZT (19:21)
Mmm. Cairo Springs.
Spencer Dupre (19:34)
I know that some of our friends at TWP use Dr. Chrono, and they really like Dr. Chrono. know that Ricardo, shout out Ricky if he listens to this. I know he started out with Kyrocat.
ZT (19:40)
with me.
Yeah,
I don't know if they're still going.
Spencer Dupre (19:51)
I don't even know. I haven't looked into that one. But I've been really happy with Jane, honestly. My team's really happy with Jane.
ZT (20:01)
And that was, that was
another thing that said like from a aesthetic and just like user interface, Jane is so, I don't say simple, but it's so smooth and platinum looks like it's a dinosaur. Like when it's like, so the way our office is kind of set up, if you're leaving our office, like if you just got adjusted and you're walking to the front desk, you can kind of see our computers. and platinum is just so ugly. And I'm just like, man, that's just tough on the eyes, tough on the eyes.
Spencer Dupre (20:08)
It's so nice dude, it's smooth like...
Yeah.
ZT (20:32)
Plus you got all our wires, but Jane is very smooth.
Spencer Dupre (20:35)
Yeah, so I mean I could talk about, do you have anything else to add about those guys?
ZT (20:41)
Mm-mm.
Spencer Dupre (20:42)
Well, yeah, dude, I mean, honestly, I think that gives a lot of insight just like and having used multiple EHRs like I think it gives you what did you what have you learned about your systems? Like to you. Okay, so now that you've gone we've been through three EHRs in our last three years What is your number one? Must-have in an EHR for you that you're looking for So you're seeing adults with back pain some PI cases or you know personal injury cases
ZT (20:51)
Mm-hmm.
I think.
Mm-hmm.
Spencer Dupre (21:12)
You know, seeing a lot of those kind of things. Your people, probably have great benefits. So they want a super bill, but yeah, we don't want to submit directly because we're cash and cash is king. Also shout out cash practices if you're, if you are cash, cause it's, it's a, it's a real hustle out here for cash practices, but so yeah, what's your one must have in your type of practice?
ZT (21:18)
Mm-hmm. Mm-hmm.
It did be.
Man, one must have. I think-
Spencer Dupre (21:39)
Yep.
What's your deal breaker?
ZT (21:44)
One.
Spencer Dupre (21:45)
Yep, if you go and let's say you interview the next 20 EHR companies, if they don't have this one thing, what is your deal breaker?
ZT (21:53)
I mean, I think we said,
mean, cloud-based, think moving forward is, the deal breaker for sure. And then on top of that is, is more so keeping my staff in mind as well. Um, and then big vision. So we still want to grow to multiple clinics. Um, I think that's something else with platinum I don't know about. Um, but I never really asked with it being server-based, like that would suck to have to go into each and every.
Spencer Dupre (22:21)
And you got to put a server in each one.
ZT (22:22)
per server
in each one. so if we ever wanted to, if we ever had the opportunity similar to what my wife's practice is doing, where they have that satellite location, like that's just not, not an option for us. Right. so that's a, that's a big one. and then that third thing I talked about is really not just from a like care plan tracking ability and the, and the super bills and everything, but how efficient and easy is it for staff to run?
cause it might be really nice on my end, but they're the ones dealing with it on a day to day. like one thing I loved about, about Jane is how nice the weekly view was. so when my office manager is on the phone booking a new patient, they could see the full week where as if they're in platinum, they can't, there's not really a weekly view. so they have to kind of click through each day to look at when openings are. and I know.
Spencer Dupre (22:57)
100%.
ZT (23:19)
Having used Kira HD, that's something they offer as well, is that weekly view.
Spencer Dupre (23:23)
Yep. I, yeah, that's great. That's super insightful. Yeah, dude. At this point, like I said, I think at the beginning we've hammered it home, but dude, if you're a server-based, like I said, immediate, it's like, I'm looking the other way. If you're a server-based EHR, sorry, if you guys are listening and you own a server-based EHR, but it's 2025. I mean, I think I feel confident about saying that.
ZT (23:36)
Mm-hmm. Mm-hmm.
Mm-hmm.
Spencer Dupre (23:48)
let's
get everything on the cloud. At least from a consumer side of things, maybe from a safety and HIPAA compliance type of thing, that's more, it's better to have a server-based. I don't know the reasons why you would choose to not, to or to not be server-based, but from the consumer side as a startup, like, yeah, I'm not even looking at a server-based thing. Okay, dude. So yeah, I'm with Jane and...
ZT (24:06)
Mm-hmm.
You've kind of become the Cairo master of Jane from a high volume standpoint.
Spencer Dupre (24:19)
Maybe dude, I don't know man. I just figured that like, okay, so this is how I tell people to approach Jane. I really like Jane for all of the features it has. I think their customer support is phenomenal. I'm really happy with their willingness to take feedback and actually execute on it. Like there are some things that like have been on the Jane forums that they're like, hey, we're working on it.
ZT (24:48)
Mm-hmm.
Spencer Dupre (24:49)
I had the
founder, we actually listened to a podcast with her and we had to write a paper on it or something like that in school. I remember at one point the founder of Jane, but she's super transparent on the Facebook group about, this is why we can or can't do these features. I know everybody's asking about it, but it's just not feasible for us. So she's super transparent and honest. They're Canadian, so like they're super nice. So I really respect that of them. This is how I tell people to approach Jane.
is Jane was started for chiropractors, but then they scaled and they expanded to being able to just be a EHR for providers. And so what is, so the language of chiropractic is not necessarily embedded into Jane. So like instead of,
ZT (25:30)
Mm-hmm.
Spencer Dupre (25:45)
Cairo HD saying, what's their care plan? It just says a package. And so you have to wrap your mind around the fact that like, these are the same things, but it's just not the same words. Right? That's like, that's like, like, that's like saying the cart, like the grocery cart. But I grew up saying the buggy because I'm from the South. And so I've always called it a buggy, but it's the same thing.
ZT (25:49)
Mm-hmm.
Mm-hmm.
Spencer Dupre (26:15)
is should we just call it two different things? So same feature. What I like about Jane is that you can change all of the language. You can't change packages and memberships and stuff, but I mean, whatever, you just figure it out. And so you just kind of have to think outside of the box a little bit when it comes to how to get this to operate like a true chiropractic software. And so we don't take our payments inside of Jane. One, because I thought that the payment processing was very expensive.
ZT (26:25)
Okay.
you
Mm-hmm.
Spencer Dupre (26:45)
And two, the biggest issue I have with the payment processing is that you cannot redeem visits out of a package until it's paid in full. So then you do have to backtrack your care plans. And this is where a lot of people have qualms with it. But we have a couple of friends that are using Jane and they have a great workaround and it's been good for them. it takes a little bit, there's a little bit of a learning curve to set up the billing properly, but once you get it down, it's pretty simple.
ZT (27:04)
Mm-hmm.
Spencer Dupre (27:15)
And so basic, like the issue is, like if I sell you 24 visits and you're on a 24 visit care plan and I apply that to you, it'll tell you that you owe, like that you cannot use that, those 24 visits until you pay it off in full. So like if my 24 visits is $2,000 and you're paying $500 a month for the next four months until you have four total payments, I can't apply your visits to that. So then I'd have to go back.
after the four months and just count all your visits into that package to make sure that you use them all. So that's kind of inefficient there. In Jane too, the charting kind of sucks. actually, but this is what I love about Jane is that they sent a client survey out and they said, hey, you know, we want to hear like what you think could be improved in Jane. And I wrote them like a pretty actual, like extensive paragraph, cause I'd like to see this changed.
ZT (27:45)
Mm-hmm.
Spencer Dupre (28:10)
about the charting experience. And then they reached out to me a week later and they're like, Hey, we actually really liked your feedback. Are you willing to get on a call? And I'll get on a call with them at 1230 today with their director of their charting department to talk about how we can improve their charting. And so like, that's pretty cool that they're just even willing just to hear me out. It's a 30 minute call, but that's great. So their willingness to grow and do like, since I've been with them for the last three years, they've added so many more features. Like they just added a time sheet.
where your employees can clock in and clock out of Jane. And so now you don't have to pay the extra whatever it is, $20 in your payroll software to do clock in clock out. That's really nice. They also made it to where all of your itemized receipts and super bills are automatically uploaded to the patient's chart. And so they don't have to reach out to you and say, hey, can you send me a super bill for every one of my visits to the last year? They can just see that in their portal and download it automatically.
ZT (28:48)
Mm-hmm. Mm-hmm.
Mm-hmm.
Spencer Dupre (29:08)
all of their receipts every time. That's really cool. Jane, everybody says that it's not very capable for high volume, but we're seeing about 300 a week right now and it's fine for us. Like we have no issues. The day chart, the day view, it kind of sucks like for the charting and stuff. I wish you could expand it over just a little bit. Like that would be super helpful. But I think the reason that a lot of people
ZT (29:10)
Nice.
It's nice.
Spencer Dupre (29:36)
get really upset with Jane when it comes to high volume is because the screen gets really busy because most, this is what I've learned too, most EHRs when you look at the week, you're looking at it day to day. So your whole screen just shows you one day's worth of visits. On Jane, the default screen is the whole week. all Monday through Friday. And so the appointments get really, really, really, really, really tiny when you start to book people in multiple appointments in the same slot. All you have to do is expand
that day view and then it looks just like all of the other softwares. So like Caitlin, when she was working at Serving Life, Serving Life uses Kyro Touch because Denise's OG, they have server-based Kyro Touch because she had it forever ago and it works great for them. And so Kate was saying like, Kyro Touch was just so much cleaner, Kyro Touch was just so much cleaner. And I was saying like, well, yeah, Kyro Touch, you're just looking at one day's worth of patients. Whereas in this, we're looking at almost the whole week. So we just switched to the day view.
ZT (30:07)
Mm-hmm.
Mm-hmm.
Spencer Dupre (30:35)
and now it looks the same, right? And they're like, okay, that makes sense. And so it's like, yeah, so you just kind of have to like think outside of the box. Like we have to on Jane a little bit, cause it's not chiropractic specific, you know? And like a lot of times it's like functional medicine that's using it or estheticians or PTs.
ZT (30:52)
Yeah. I've had like,
like therapists, like it's all over the board. Yeah.
Spencer Dupre (30:58)
Yeah, right. so like they have, some people have three hour long appointment slots. And so like, yeah, they don't need that many places right there, right? Some chiropractors also do hour long appointments. So not every single software is made for high volume chiropractic in mind. Half of the people that are listening here probably aren't high volume, you know? And that's fine. And so I really like how Jane is willing to work with you. The best features I think that Jane has is one,
ZT (31:02)
Hmm.
Mm-mm.
Mm-hmm.
Spencer Dupre (31:26)
They do automatic or appointment reminders and you can put as many of them as you want and you can do email and text reminders. If you listen back in our episodes, we were gonna switch to Kyro Touch because I wanted the integrated payment processor because I was spending all my time literally just going backlogging all these payments and it was taking me literally hours a week. Yeah, I literally hired somebody to do that at one point and it was taking forever. So then I built out this AI robot and it's perfect.
ZT (31:32)
Mm-hmm.
That's enough.
Yeah. I mean, you hired someone to do that at one point.
Spencer Dupre (31:55)
There's no, it's like, it's the best money, it's the best $200 I spend each month. But Jane, you can put as many reminders as you want. And in Carvotouch, that was like an extra $60. And you could only have either an email or a text. You get one or the other for 60 bucks extra.
ZT (32:09)
Hello.
Mmm.
That's something people, you might be listening to me like, is that a big deal? That's something that's at least for us, not every patient mentions it, but a lot of patients when they first start care, they're like, thank you so much for like the 24 hour texts and email reminders, two hour, like people actually like really love that.
Spencer Dupre (32:31)
Yep. Yeah,
we switched all of our appointment reminders because people were like, getting a, I get a ton of emails, dude. I never checked my email. And so I, I took off all of our email reminders and we have three text reminders because we have a very hyper local practice. So most of our people live within a 10 to 20 minutes of our practice, if not five minutes of our practice. And so people were asking like, Hey, do you have a 30 minute appointment reminder that I can get?
And so we send a 24 hour one, a two hour one and a 30 minute appointment. And what I like about Jane is I can change the language in each one of those. And so like one of them says like, Hey, can't wait to see you tomorrow at blah, blah, blah, blah, blah. And then like, um, I can put like, woohoo, today's the day you're getting adjusted. See you in two hours. And then be like, um, see you just a bit, like at 30 minutes or something like that. And I can change all that. And then what's cool is like, since we moved.
I just changed the language in our text reminders to say, don't forget, we're at our new address and drop the address in there. so that's really nice. What I also really like is that I can have all kind of different forms and I attach them to different types of appointments. So when a pregnant mom comes in and we schedule her, it just takes a step out of our...
ZT (33:35)
Yeah, that's something really nice with Sked too is you can, Sked is really easy to customize those as well.
Mm-hmm.
Spencer Dupre (33:54)
It takes a step out of our front desk and our staff's time because when we book that prenatal initial visit, they automatically get sent the pregnancy paperwork. And so now there's no, you're not able to accidentally send the wrong forms. Because sometimes, you know, we were busy, we'd actually press the wrong things, send the wrong form. And so now a kid is getting the adult form or the dad is getting the pregnancy form and those kinds of things. And so that's all sitting there. That's nice.
ZT (33:55)
last time.
Mm-hmm.
You
Spencer Dupre (34:21)
Dude, I really like a lot of the stuff. And then the biggest thing is like when we were interviewing, cause we were thinking about switching from Jane too, to kind of beef up our volume. I had my office manager actually research all of our EHRs and then set, she had to go and set up the different demos and stuff. And then she did talk to them and did all that stuff. And I was like, it's your choice. And she was like, I think that Jane just has more features.
ZT (34:39)
Mm-hmm.
Spencer Dupre (34:49)
It has, it's an easier user interface and all of our problems are the same, just in a different color, basically like with the other EHRs. So I've been super happy with Jane. I tried to switch to HD at one point. I tried to switch to Kyro Touch and I just couldn't outweigh the benefits of it because a lot of the features that Jane has included by default, you have to add in as a plugin. You have to say, okay, then I need this software to help out with this or I need this software to help out with that. And I like having everything in one software at a time.
ZT (34:55)
Mm-hmm.
Mm-hmm.
Yeah. I think that's, that's a big thing too. was just keeping it all. And that's another reason why I'm considering that switch to HD is because I don't like that. Like with HD from what I remember is all the texting in the calendar, everything was all like on the home screen. so you're not having to toggle back and forth where like our front desk has to toggle between platinum and sked and it could be.
Spencer Dupre (35:46)
Yeah.
ZT (35:49)
20, 30 minutes before someone gets a text back because they're just not toggling back and forth. And not that we have to respond within 20, 30 minutes. but when someone trying to change an appointment or whatever, sometimes you want to want to respond as fast as you can.
Spencer Dupre (36:04)
Yeah, mean, Jane doesn't have two-way texting, but we use a different phone line. It's $15 a month. And we get five lines off of that. And it all goes to the same number. So we can have five people on staff. And all the phones ring at the same time. It's nice. And we use our personal phone. So then it saves me expense off of the phones.
ZT (36:10)
I'm sorry.
Mm-hmm.
Mm-hmm.
Mm-hmm.
Spencer Dupre (36:29)
And like from a business side, like when we hire or let go of people, I can add people and drop people off of that list and they don't have access to the contacts and stuff anymore. so I really liked that. I've looked, dude, I've looked so many times for new phone software and I just can't find one that is better than what we're using either. Right now we use index dude. It used to be sideline and then they have a business like brother company or sister company. It's this company, communications company called Pinger and they have this like one is called sideline.
ZT (36:34)
This means.
What phone software are you using?
Mm-hmm.
Spencer Dupre (36:58)
And then we use Index, which is their business version of Sideline. And it's been fantastic. It's $16 a month for five lines. It uses your existing phone line so then you don't have to go through the whole anti-spam texting thing. But since the caveat is since you can't do the whole, since you don't go through the whole anti-spam texting, you can't text blast people.
ZT (37:10)
Mm-hmm.
Mm-hmm.
Mm.
Spencer Dupre (37:23)
So I can't text everyone in my contacts saying, hey, the office is closed or hey, we're moving or anything like that. So that is a hurdle. But we just email blast people and we just tell people, hey, the big office announcements come in your email. And I like that anyway because I want people to be reading my email newsletters because marketing. So it kind of makes people pay attention to our emails a little
ZT (37:45)
Right. Right.
That's true. Yeah.
Spencer Dupre (37:52)
Yeah, I mean, dude, I mean, so that's really what we got.
ZT (37:58)
The HRs
are fun. It's a fun thing to work through.
Spencer Dupre (38:04)
Yeah, I can keep,
mean, the biggest thing I really like HD on the provider side of things, like it's really nice as a chiropractor to be looking at HD. I feel like they fall a little short on the patient side of things.
ZT (38:20)
I have my,
I have a demo call. you did a demo call with HD 2023.
Spencer Dupre (38:24)
Mm-hmm.
I did a demo call with HD at Thanksgiving this past year.
ZT (38:31)
Okay. So
yeah, because we both have questions for HD. So very well, I have questions that, and you've had questions.
Spencer Dupre (38:40)
No.
Yeah, and so I mean, I like, yeah, I've asked him about all those kinds of things. And when I had Logan demo them, like demo them, she had just said, like, it just seems like we would have to add a bunch of more softwares to do the same stuff that we're doing at Jane right now. And like, yeah, dude, who knows? I Jane has this new feature called like tables and stuff. So it'll say like on the schedule, it'll say like table one, table two, table three.
ZT (38:57)
Mm-hmm.
Mm-hmm.
Spencer Dupre (39:08)
And that's kind how we have our schedule divided up. And so we can kind of organize people towards not just this conglomerate and stuff. So we have one, that's like our consult room, and then another one that's our two tables and stuff. so kind of manage the schedule that way. I've just spent a lot of time. I've read the entire Jane guide. I've crawled through every inch of the software before I even had the demo with them, just where I knew all their features. But I like it. It works for us right now. It's simple, and it's cheap too. I'm grandfathered in that they're
ZT (39:17)
Yeah.
Mm-hmm.
Spencer Dupre (39:37)
old plan and before they raised their prices, they were saying like, hey, we're going to be raising prices. so you'll be grandfathered in at whatever you're currently at starting X date. And so I actually upgraded to the top tier Jane insurance plan, like with all of their features, just in case, like say like, you know, who knows if I'll maybe one day in the out of the nowhere, I'll just start taking insurance or all this stuff. So I upgraded to their top tier level.
ZT (40:01)
Right.
Spencer Dupre (40:06)
So I could get the grandfather pricing in there and I'm so that I'm paying actually about what it costs at their base plan for their top tier now, which is nice. So I took advantage of that. It's been great, dude. It's been solid.
ZT (40:19)
Nice. Yeah. think for me, the frustrating part is like, I'd love to stay with platinum if they were already cloud-based, but when you talk, when you're almost a year, a year later and we're still not cloud-based, it's frustrating.
Spencer Dupre (40:27)
Yeah.
What issue are you having with just the server thing other than the wires and stuff? What's your pain point around them being cloud-based?
ZT (40:39)
So like only
one of our computers is fast enough. we have multiple computers hooked up to the server, but because they're not, there's like a main computer. And so that's the computer I take notes on, but that's also our office manager's computer. So like, I would have to stay extra long to take notes or like half or just go stand off to the side. And so that's a really frustrating part. I know that is probably not an issue, but
for some offices, because I know like at my internship, yeah, but it's just frustrating. I don't know, I would really prefer a cloud-based.
Spencer Dupre (41:14)
You just get a second computer.
Well,
dude, it's nice because like, this is kind of what we're shifting into our, right now, Logan, she's kind of doing like two jobs. right now she's like all of our customer service stuff. And then she's also our, like just day-to-day office manager. And so right now on our big computer, she's like doing like the check in and check out, and then she's doing everybody's billing stuff on her personal laptop because she's like, it's just nice to be able to have all of it.
ZT (41:31)
Mm-hmm.
Spencer Dupre (41:48)
in front of me at one time. Like it would be like having multiple screens with multiple windows open, but it's just less clutter. But what's cool is like we just hired this girl, her name's Brittany, and she was a office manager for another chiropractic couple in California. They're moving here to be closer to family. And she already knows Jane. They use Jane at the other clinic. And so, and she's going to be like kind of our check in and check out.
ZT (42:13)
Mm-hmm.
Spencer Dupre (42:13)
And so what
happens is on day one, on day two is when people sign up for care, Logan's just going to take her personal computer into the consult room after the people sign up for care. And then she's going to say like, Hey, we're going to book out all of your visits for right there to one that takes a lot of congestion off of the front desk. gets her one-on-one time with new people. So they can start getting like more used to having like that concierge service. And then she can just open and close her laptop and get on the software. whenever, whenever she wants like.
ZT (42:20)
Nice.
Nice.
Mm-hmm.
Mm-hmm.
Spencer Dupre (42:43)
with a server-based thing, you can't do that. You have to have that computer hardwired into that station, which that's cool, dude, but we've moved offices three times. You've switched EHRs every year. I've moved offices every year. And so like...
ZT (42:49)
Mm-hmm.
Right. Yeah. Well,
I think, I think too, Jane is very multiple clinic oriented.
Spencer Dupre (43:03)
Yeah, it's,
it's super multiple clinic oriented, which is cool.
ZT (43:08)
And multiple providers, like if you added a massage therapist, I'm pretty sure you could just add them onto Jane. Maybe.
Spencer Dupre (43:14)
Yeah, you can. I've thought about
doing that. I've thought about doing that, and that's cool. But then you become liable for other documentation. rather just have like, I like to just keep everything clean. if I had, I don't know, maybe I'd have to learn more about it and stuff. like if I had, let's say like I would add massage therapy or something like that, I would probably still use Jane just for all the patient facing stuff. But I would just have my own account for it. Just.
ZT (43:21)
Mm. Yeah.
Right, right.
Okay.
Mm-hmm.
Spencer Dupre (43:45)
Because if it's a different business, I just want it to be separate to where everything is like separate and filed the way you work.
ZT (43:55)
It's not sexy, but it's, very important.
Spencer Dupre (44:00)
Dude, I think it's
fun. mean, it's like, it's the foundation of all of your systems. Like everything in your practice eventually is going to run through that EHR. It's a huge decision to make. And it's like, you can always switch. That's the biggest thing too, is like, you can always switch. It's a pain. It'll probably take you two, three months to kind of get it all up and running and transfer it over. And then you're paying double for whatever you're paying per month for the software. But that's why it's just do your research, do your demos. And a lot of these,
ZT (44:19)
Mm-hmm.
Spencer Dupre (44:28)
EHRs have their users guide online so that their customers can find it. Like when I interviewed HD, I actually, this is when I was sitting in the sauna. I would sit in the sauna and I would read through the HD user's manual, just like I did Jane, whenever I was first starting up, just so could look at all their features. Because dude, just like your iPhone, like there's so many hidden features in your iPhone, like you're just not using it to the fullest potential, right? Like, how many people use the Measure app on their iPhone?
ZT (44:38)
Thanks
Okay.
I'm sorry.
that I bet most people would let me know that you have a tape measure.
Spencer Dupre (45:01)
Dude, when I was moving offices right here, because it's cool, what you can do is you do the virtual reality tape measure. You put one pin and then you do the other one. And then you can take a screenshot and then you get a picture of the thing and the dimensions. Like, so, I mean, half of the people don't even use that on their iPhone, you know, and that was super handy, but like.
ZT (45:20)
I mean, can,
the measuring tape, there's a leveler, like, yeah.
Spencer Dupre (45:24)
Yeah, and like, so your softwares are all like that. And so it's really just up, you just read the user's manual, you know? Like, yeah, I didn't even know I had a 12 volt outlet in my glove compartment of my truck the other day because I just never looked there and I was like, I can like actually like plug something in right here. It's pretty sweet.
ZT (45:31)
Mm-hmm.
Right. Right.
Spencer Dupre (45:45)
So yeah, just do your due diligence, read up on the different softwares, figure out what's your goal. think Jane is really good for prenatal pediatric offices because moms are so busy that having a software that kind of takes care of everything in front of them, and it's super simple, that's really good customer experience. If you're gonna be doing a lot of insurance, if you're gonna be doing a lot of personal injury, if you need really heavily extensive documentation, I don't even know what that hex form, I think you called it, I don't even know what that is. And so if you need something like that,
it's good to have something that can get those done.
Um, yeah, so I mean.
ZT (46:21)
So it's fine. It's fine.
I know it works, works best for you, which I feel like is what we commonly come back to on the podcast is it's just the first, first few years in practice. It's figuring out your systems, figuring out what works best for you, figuring out how you're to get the best out of everything you're doing and then amplifying it from there.
Spencer Dupre (46:42)
Yeah, maybe we'll start doing more like product reviews like this. cause like I'm a huge Mac guy. will never have a windows computer in my practice ever.
ZT (46:52)
That's another issue with being server-based. Can't use Max.
Spencer Dupre (46:56)
Yeah, so all right guys. Y'all have a great day. Thanks for listening to the what now podcast peace
ZT (47:00)
Peace.