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 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

    1. 1. Overview of Electronic Medical Records Dr Sanjoy Sanyal MBBS, MS, MSc, ADPHA, ADHRD Staff seminar in Seychelles medical college in February 2008
    2. 2. Table of contents <ul><li>EMR – General considerations </li></ul><ul><li>EMR – Screenshots from companies </li></ul><ul><li>EMR – Specialty-specific examples </li></ul><ul><li>EPM / PMS – Automated clinical workflow integration </li></ul><ul><li>Conclusion – Relevance to us </li></ul><ul><li>References </li></ul>
    3. 3. General considerations
    4. 4. Definition <ul><li>ISO TC 215 defines an EHR as “a healthcare record in computer processable format.” </li></ul>
    5. 5. Electronic medical record <ul><li>Should document history, examination, diagnoses intuitively , rapidly , efficiently </li></ul><ul><li>Should automate tests, medication, submission of diagnostic / procedure codes </li></ul><ul><li>Should include error checking rules to avert allergies / cross reactions </li></ul>
    6. 6. Electronic medical record <ul><li>Evaluation and Management (E & M) electronic guidelines should be built into the code system </li></ul><ul><li>Should be compliant with HIPAA policies </li></ul><ul><ul><li>[ HIPAA : Health Insurance Portability and Accountability Act ] </li></ul></ul>
    7. 7. EMR Inter-relationships
    8. 8. Framework of EMR solutions
    9. 9. Stages of EMR complexity 1 2 3 0 eMAR CDR is the central pivot
    10. 10. Company screenshots
    11. 11. EMR – Nuesoft Xpress
    12. 12. ChiroChart EMR – MediPro
    13. 13. EMR frontscreen – MediNotes
    14. 14. EMR – Veterans Affairs VA – DoD
    15. 15. EMR – MS Office OneNote
    16. 16. EMR – FileMed
    17. 17. EMR – Data Center
    18. 18. EMR – NextGen
    19. 19. EMR face sheet – AMBAS
    20. 20. EMR progress notes – AMBAS
    21. 21. EMR configuration – AMBAS
    22. 22. MedicsRIS – ADS
    23. 23. MedicsDocAsst EMR – ADS
    24. 24. MedicsDocAsst EMR – ADS
    25. 25. EMR – Medinformatix
    26. 26. RTS EMR – Customized page
    27. 27. RTS EMR – Tabbed menus
    28. 28. RTS EMR – Access rights
    29. 29. RTS EMR – Time savers
    30. 30. RTS EMR – Governance
    31. 31. RTS EMR – Electronic sign
    32. 32. Specialty-specific
    33. 33. Automated patient q’aire – ADS
    34. 34. MDA allergy EMR – ADS
    35. 35. MDA Int Medicine EMR – ADS
    36. 36. MDA pain Mx EMR – ADS
    37. 37. MDA pain Mx EMR – ADS
    38. 38. MDA pain Mx EMR – ADS
    39. 39. Cardiology EMR – MDS
    40. 40. Cardiology EMR – MDS
    41. 41. Chiropractic EMR – MDS
    42. 42. Dermatology EMR – MDS
    43. 43. Dermatology EMR – MDS
    44. 44. Pediatric EMR – MDS Medical
    45. 45. Pediatric EMR – MDS Medical
    46. 46. Pediatric EMR – MDS Medical
    47. 47. Oncology EMR – Synergy
    48. 48. Oncology EMR (Patient chart)
    49. 49. Oncology EMR (Complaints)
    50. 50. Oncology EMR (Diagnosis)
    51. 51. Oncology EMR (Staging)
    52. 52. 3-D EMR Mapping Engine
    53. 53. Automated workflow integration
    54. 54. ‘ Bugle’ patient database – ARG
    55. 55. PMS – Nuesoft Xpress
    56. 56. PMS patient info – AMBAS
    57. 57. PMS scheduler – AMBAS
    58. 58. PMS online charge slip – AMBAS
    59. 59. PMS + EMR – MedInformatix
    60. 60. EPM appointment scheduling
    61. 61. Automated docu distribution
    62. 62. Accounts – Medinformatix
    63. 63. Collections – Medinformatix
    64. 64. Automated remittance module
    65. 65. Real time claim status
    66. 66. PMS – Scheduling screen
    67. 67. ADS MedicsElite – Patient Demog
    68. 68. ADS MedicsElite – Finance
    69. 69. ADS MedicsElite – Scheduler
    70. 70. ADS MedicsElite – PDA access
    71. 71. EMR data entry in PDA
    72. 72. Summary <ul><li>EMR is ultimately geared towards reducing errors, improving safety and care and cutting costs of healthcare </li></ul><ul><li>EMR is not about just installing a few computers and storing patient data </li></ul><ul><li>EMR has to be integrated with PMS / EPM </li></ul><ul><li>EMR is all about automating WORKFLOW process </li></ul>
    73. 73. Automated clinical workflow
    74. 74. Automated clinical workflow
    75. 75. Automated clinical workflow
    76. 76. Governmental mandate <ul><li>April 2004 Bush issued an executive order to computerize USA medical health records by 2014. </li></ul><ul><li>“ By computerizing health records, we can avoid dangerous medical mistakes, reduce costs, and improve care ”; </li></ul><ul><ul><li>President George W. Bush; 2004 State of the Union address. </li></ul></ul><ul><li>Our ability to meet the 2014 deadline is highly doubtful </li></ul>
    77. 77. Conclusion <ul><li>A parallel can be envisaged in every organizational setup </li></ul><ul><li>Every organization (hospitals, educational institutions etc) should aim for automated workflow integration </li></ul><ul><li>It requires an attitudinal shift </li></ul><ul><li>We are still quite a way off </li></ul>
    78. 78. References <ul><li>HemiData: www.hemidata.com/emr.html </li></ul><ul><li>The Aesculapius Research Group : http://www.aesculapiustech.com/articles/ElectronicMedicalRecords.htm </li></ul><ul><li>HIMSS Analytics: http://www.himssanalytics.org/PDFFiles/ </li></ul><ul><li>Nuesoft Xpress: http://www.nuesoftxpress.com/products/ </li></ul><ul><li>MediPro: http://www.medipro.com </li></ul>
    79. 79. References <ul><li>Veterans Affairs (VA) : http:// www.va.gov </li></ul><ul><li>Advanced Medical Billing and Accounting Solutions (AMBAS) : http://ambas.net </li></ul><ul><li>Advanced Data Systems (ADS) : http://www.adsc.com/ris.asp </li></ul><ul><li>Medinformatix : http:// www.medinformatix.com /Products/ </li></ul>
    80. 80. References <ul><li>Residential Treatment Solutions (RTS): therts.com/EMR4RTC.php </li></ul><ul><li>MDS Medical Software : www.mdsmedicalsoftware.com / </li></ul><ul><li>Synergy EMR : www.synergyemr.com/product_overview.htm </li></ul><ul><li>Charette RN : Visualizing Electronic Health Records With &quot;Google-Earth for the Body&quot; http://spectrum.ieee.org/jan08/5854 </li></ul>

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