Overview of Electronic Medical Records - Sanjoy Sanyal
 

Overview of Electronic Medical Records - Sanjoy Sanyal

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Gives an overview of Electronic Medical Records (EMR) / Electronic Health records (EHR) / Patient Health records (PHR), with company screenshots and specialty specific EMR examples. Presented at a ...

Gives an overview of Electronic Medical Records (EMR) / Electronic Health records (EHR) / Patient Health records (PHR), with company screenshots and specialty specific EMR examples. Presented at a seminar in Seychelles in 2008.
Very useful for Informatics professional, Medical professionals, Healthcare administrators. This is a constantly evolving issue, and some things mentioned here may have undergone modification since the time of their original publication.
Tags: emr, mapping engine, Electronic Medical Record, EMR, Electronic Health record, HER, Patient Health record, PHR, Sanjoy Sanyal,

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Overview of Electronic Medical Records - Sanjoy Sanyal Overview of Electronic Medical Records - Sanjoy Sanyal Presentation Transcript

  • Overview of Electronic Medical Records Dr Sanjoy Sanyal MBBS, MS, MSc, ADPHA, ADHRD Staff seminar in Seychelles medical college in February 2008
  • Table of contents
    • EMR – General considerations
    • EMR – Screenshots from companies
    • EMR – Specialty-specific examples
    • EPM / PMS – Automated clinical workflow integration
    • Conclusion – Relevance to us
    • References
  • General considerations
  • Definition
    • ISO TC 215 defines an EHR as “a healthcare record in computer processable format.”
  • Electronic medical record
    • Should document history, examination, diagnoses intuitively , rapidly , efficiently
    • Should automate tests, medication, submission of diagnostic / procedure codes
    • Should include error checking rules to avert allergies / cross reactions
  • Electronic medical record
    • Evaluation and Management (E & M) electronic guidelines should be built into the code system
    • Should be compliant with HIPAA policies
      • [ HIPAA : Health Insurance Portability and Accountability Act ]
  • EMR Inter-relationships
  • Framework of EMR solutions
  • Stages of EMR complexity 1 2 3 0 eMAR CDR is the central pivot
  • Company screenshots
  • EMR – Nuesoft Xpress
  • ChiroChart EMR – MediPro
  • EMR frontscreen – MediNotes
  • EMR – Veterans Affairs VA – DoD
  • EMR – MS Office OneNote
  • EMR – FileMed
  • EMR – Data Center
  • EMR – NextGen
  • EMR face sheet – AMBAS
  • EMR progress notes – AMBAS
  • EMR configuration – AMBAS
  • MedicsRIS – ADS
  • MedicsDocAsst EMR – ADS
  • MedicsDocAsst EMR – ADS
  • EMR – Medinformatix
  • RTS EMR – Customized page
  • RTS EMR – Tabbed menus
  • RTS EMR – Access rights
  • RTS EMR – Time savers
  • RTS EMR – Governance
  • RTS EMR – Electronic sign
  • Specialty-specific
  • Automated patient q’aire – ADS
  • MDA allergy EMR – ADS
  • MDA Int Medicine EMR – ADS
  • MDA pain Mx EMR – ADS
  • MDA pain Mx EMR – ADS
  • MDA pain Mx EMR – ADS
  • Cardiology EMR – MDS
  • Cardiology EMR – MDS
  • Chiropractic EMR – MDS
  • Dermatology EMR – MDS
  • Dermatology EMR – MDS
  • Pediatric EMR – MDS Medical
  • Pediatric EMR – MDS Medical
  • Pediatric EMR – MDS Medical
  • Oncology EMR – Synergy
  • Oncology EMR (Patient chart)
  • Oncology EMR (Complaints)
  • Oncology EMR (Diagnosis)
  • Oncology EMR (Staging)
  • 3-D EMR Mapping Engine
  • Automated workflow integration
  • ‘ Bugle’ patient database – ARG
  • PMS – Nuesoft Xpress
  • PMS patient info – AMBAS
  • PMS scheduler – AMBAS
  • PMS online charge slip – AMBAS
  • PMS + EMR – MedInformatix
  • EPM appointment scheduling
  • Automated docu distribution
  • Accounts – Medinformatix
  • Collections – Medinformatix
  • Automated remittance module
  • Real time claim status
  • PMS – Scheduling screen
  • ADS MedicsElite – Patient Demog
  • ADS MedicsElite – Finance
  • ADS MedicsElite – Scheduler
  • ADS MedicsElite – PDA access
  • EMR data entry in PDA
  • Summary
    • EMR is ultimately geared towards reducing errors, improving safety and care and cutting costs of healthcare
    • EMR is not about just installing a few computers and storing patient data
    • EMR has to be integrated with PMS / EPM
    • EMR is all about automating WORKFLOW process
  • Automated clinical workflow
  • Automated clinical workflow
  • Automated clinical workflow
  • Governmental mandate
    • April 2004 Bush issued an executive order to computerize USA medical health records by 2014.
    • “ By computerizing health records, we can avoid dangerous medical mistakes, reduce costs, and improve care ”;
      • President George W. Bush; 2004 State of the Union address.
    • Our ability to meet the 2014 deadline is highly doubtful
  • Conclusion
    • A parallel can be envisaged in every organizational setup
    • Every organization (hospitals, educational institutions etc) should aim for automated workflow integration
    • It requires an attitudinal shift
    • We are still quite a way off
  • References
    • HemiData: www.hemidata.com/emr.html
    • The Aesculapius Research Group : http://www.aesculapiustech.com/articles/ElectronicMedicalRecords.htm
    • HIMSS Analytics: http://www.himssanalytics.org/PDFFiles/
    • Nuesoft Xpress: http://www.nuesoftxpress.com/products/
    • MediPro: http://www.medipro.com
  • References
    • Veterans Affairs (VA) : http:// www.va.gov
    • Advanced Medical Billing and Accounting Solutions (AMBAS) : http://ambas.net
    • Advanced Data Systems (ADS) : http://www.adsc.com/ris.asp
    • Medinformatix : http:// www.medinformatix.com /Products/
  • References
    • Residential Treatment Solutions (RTS): therts.com/EMR4RTC.php
    • MDS Medical Software : www.mdsmedicalsoftware.com /
    • Synergy EMR : www.synergyemr.com/product_overview.htm
    • Charette RN : Visualizing Electronic Health Records With "Google-Earth for the Body" http://spectrum.ieee.org/jan08/5854
  •