What to Look for in an Electronic Medical Records/Electronic Health Records solution

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Electronic Medical Records/Electronic Health Records Software is used to allow health care providers to replace paper patient charts. An effective EMR/EHR solution must provide secure health records storage, facilitate easy entry and interfacing of a variety of information types such as lab results, physicians' notes, and patient e-mails, and manage the flow of the information through the office and to outside providers as it is needed.

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What to Look for in an Electronic Medical Records/Electronic Health Records solution

  1. 1. Memorial Hospital Quarterly Meeting – What to look for in an EMR Tips used at Dr. John Dormois’ Practice
  2. 2. What matters most in an EMR <ul><li>It must improve your efficiency: </li></ul><ul><ul><li>Don’t become a data entry person! </li></ul></ul><ul><li>You should be able to access your charts from anywhere w/o downloading software. </li></ul><ul><li>Outside information from Pharmacies, Labs, Hospital and other sources should drop into your EMR. </li></ul><ul><li>Communicating patient information in your practice and to other providers should be simple and fast. </li></ul><ul><li>It should shift the focus of control back to you and your patients. </li></ul>
  3. 3. Improving Your Efficiency <ul><li>Beware of the drop down box! </li></ul><ul><ul><li>If you are required to document your encounter with drop down boxes you may be clicking ~100 times per note. </li></ul></ul><ul><li>Look for systems that can: </li></ul><ul><ul><li>Import your existing transcribed notes into the EMR. </li></ul></ul><ul><ul><li>Build your templates within minutes not weeks. </li></ul></ul><ul><ul><li>Recycle the parts that you want from your previous encounter notes. </li></ul></ul><ul><ul><li>Utilize the patient to enter the subjective portion of the encounter information. </li></ul></ul>
  4. 4. Anytime, Anywhere Access <ul><li>Look for a web-based platform: </li></ul><ul><ul><li>Caution! Beware of the ASP (Application Service Provider). You will want to keep your data onsite. </li></ul></ul><ul><li>Avoid systems that require you to download software on every remote PC. </li></ul>
  5. 5. Outside Information Connectivity <ul><li>Standard functions to look for: </li></ul><ul><ul><li>Pharmacy Prescription interface </li></ul></ul><ul><ul><li>Major Lab interfaces </li></ul></ul><ul><ul><li>Automated incoming & outgoing faxing </li></ul></ul><ul><ul><ul><li>Make sure you can combine any EMR information for outgoing faxes – some systems can only send static chunks of info. </li></ul></ul></ul><ul><ul><li>Scanning to the EMR </li></ul></ul><ul><ul><li>Any external electronic file should be able to be viewed from the EMR. (Ex: Radiology Images, Reports, In-patient Notes) </li></ul></ul><ul><li>NOTE: Look for systems that bundle these features in the base cost versus add-on costs! </li></ul>
  6. 6. Communicating Patient Information <ul><li>You should be able to send any document to other staff members or to your patients. </li></ul><ul><li>The system should re-assign documents if a provider is out of the office. </li></ul><ul><li>More advanced systems allow: </li></ul><ul><ul><li>Communication with other practices using the same system. </li></ul></ul><ul><ul><li>Method for patient to share record with other providers. </li></ul></ul><ul><ul><li>Viewing capability to approved providers (eg. Hospital). </li></ul></ul>
  7. 7. Reconnect Providers & Patients <ul><li>Take advantage of systems that are integrated with a Patient Portal </li></ul><ul><li>You will be able to: </li></ul><ul><ul><li>Get messages in the patient’s own words. </li></ul></ul><ul><ul><li>Avoid phone tag. </li></ul></ul><ul><ul><li>Send normal labs electronically; avoiding phone call. </li></ul></ul><ul><ul><li>Reduce calls to the office and staff levels. </li></ul></ul><ul><li>Patients will be able to enter the subjective findings which will auto-populate your note: </li></ul><ul><ul><li>Note: Make sure your note is in prose and not in computer language! </li></ul></ul>
  8. 8. Billing System Integration <ul><li>Make sure the EMR can: </li></ul><ul><ul><li>Interface with your billing system, </li></ul></ul><ul><ul><li>Interface with your billing service’s system, or </li></ul></ul><ul><ul><li>Has it’s own billing system. </li></ul></ul>
  9. 9. Future/Bonus Functions <ul><li>Integrated Clinical Decision Making Tools will be helpful, especially for P4P. </li></ul><ul><li>Insurance pre-certification when patients schedule appointment online. </li></ul><ul><li>Online bill payment for patients. </li></ul>
  10. 10. Results at Dormois, LLP <ul><li>Over 10,000 existing notes from MSWord imported into the EMR – operational w/ EMR on day 1. </li></ul><ul><li>Paperless environment w/ rapid access to all patient eCharts. </li></ul><ul><li>Gained 1 hour per day while seeing the same number of patients . </li></ul><ul><li>Time savings from EMR has resulted in increased revenues with the same number of hours worked. </li></ul>

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