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Overview of
Electronic Medical
RecordsDr Sanjoy Sanyal
MBBS, MS, MSc, ADPHA, ADHRD
Staff seminar in Seychelles medical col...
Table of contents
• EMR – General considerations
• EMR – Screenshots from companies
• EMR – Specialty-specific examples
• ...
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 aut...
Electronic medical record
• Evaluation and Management (E & M)
electronic guidelines should be built into
the code system
•...
EMR Inter-relationships
Framework of EMR solutions
Stages of EMR complexity
1
2
3
0
eMAR
CDR is the central pivot
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
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
‘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
Conclusion
• EMR is not about just installing a few
computers and storing patient data
• EMR has to be integrated with PMS...
Automated clinical workflow
Automated clinical workflow
Automated clinical workflow
Conclusion
• EMR is ultimately geared towards
reducing errors, improving safety and care
and cutting costs of healthcare
Governmental mandate
• “By computerizing health records, we can
avoid dangerous medical mistakes, reduce
costs, and improv...
Conclusion
• A parallel can be envisaged in our own
setup
• Every organization (hospitals, educational
institutions etc) s...
References
• HemiData: www.hemidata.com/emr.html
• The Aesculapius Research Group:
http://www.aesculapiustech.com/articles...
References
• Veterans Affairs (VA): http://www.va.gov
• Advanced Medical Billing and Accounting
Solutions (AMBAS): http://...
References
• Residential Treatment Solutions (RTS):
therts.com/EMR4RTC.php
• MDS Medical Software:
www.mdsmedicalsoftware....
Overview of Electronic Medical Records
Overview of Electronic Medical Records
Overview of Electronic Medical Records
Overview of Electronic Medical Records
Overview of Electronic Medical Records
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Overview of Electronic Medical Records

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Overview of Electronic Medical Records

  1. 1. Overview of Electronic Medical RecordsDr Sanjoy Sanyal MBBS, MS, MSc, ADPHA, ADHRD Staff seminar in Seychelles medical college in March 2008
  2. 2. 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
  3. 3. Definition • ISO TC 215 defines an EHR as “a healthcare record in computer processable format.”
  4. 4. 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
  5. 5. Electronic medical record • Evaluation and Management (E & M) electronic guidelines should be built into the code system • Should be compliant with HIPAA policies
  6. 6. EMR Inter-relationships
  7. 7. Framework of EMR solutions
  8. 8. Stages of EMR complexity 1 2 3 0 eMAR CDR is the central pivot
  9. 9. EMR – Nuesoft Xpress
  10. 10. ChiroChart EMR – MediPro
  11. 11. EMR frontscreen – MediNotes
  12. 12. EMR – Veterans Affairs VA – DoD
  13. 13. EMR – MS Office OneNote
  14. 14. EMR – FileMed
  15. 15. EMR – Data Center
  16. 16. EMR – NextGen
  17. 17. EMR face sheet – AMBAS
  18. 18. EMR progress notes – AMBAS
  19. 19. EMR configuration – AMBAS
  20. 20. MedicsRIS – ADS
  21. 21. MedicsDocAsst EMR – ADS
  22. 22. MedicsDocAsst EMR – ADS
  23. 23. EMR – Medinformatix
  24. 24. RTS EMR – Customized page
  25. 25. RTS EMR – Tabbed menus
  26. 26. RTS EMR – Access rights
  27. 27. RTS EMR – Time savers
  28. 28. RTS EMR – Governance
  29. 29. RTS EMR – Electronic sign
  30. 30. Automated patient q’aire – ADS
  31. 31. MDA allergy EMR – ADS
  32. 32. MDA Int Medicine EMR – ADS
  33. 33. MDA pain Mx EMR – ADS
  34. 34. MDA pain Mx EMR – ADS
  35. 35. MDA pain Mx EMR – ADS
  36. 36. Cardiology EMR – MDS
  37. 37. Cardiology EMR – MDS
  38. 38. Chiropractic EMR – MDS
  39. 39. Dermatology EMR – MDS
  40. 40. Dermatology EMR – MDS
  41. 41. Pediatric EMR – MDS Medical
  42. 42. Pediatric EMR – MDS Medical
  43. 43. Pediatric EMR – MDS Medical
  44. 44. Oncology EMR – Synergy
  45. 45. Oncology EMR (Patient chart)
  46. 46. Oncology EMR (Complaints)
  47. 47. Oncology EMR (Diagnosis)
  48. 48. Oncology EMR (Staging)
  49. 49. 3-D EMR Mapping Engine
  50. 50. ‘Bugle’ patient database – ARG
  51. 51. PMS – Nuesoft Xpress
  52. 52. PMS patient info – AMBAS
  53. 53. PMS scheduler – AMBAS
  54. 54. PMS online charge slip – AMBAS
  55. 55. PMS + EMR – MedInformatix
  56. 56. EPM appointment scheduling
  57. 57. Automated docu distribution
  58. 58. Accounts – Medinformatix
  59. 59. Collections – Medinformatix
  60. 60. Automated remittance module
  61. 61. Real time claim status
  62. 62. PMS – Scheduling screen
  63. 63. ADS MedicsElite – Patient Demog
  64. 64. ADS MedicsElite – Finance
  65. 65. ADS MedicsElite – Scheduler
  66. 66. ADS MedicsElite – PDA access
  67. 67. EMR data entry in PDA
  68. 68. Conclusion • 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
  69. 69. Automated clinical workflow
  70. 70. Automated clinical workflow
  71. 71. Automated clinical workflow
  72. 72. Conclusion • EMR is ultimately geared towards reducing errors, improving safety and care and cutting costs of healthcare
  73. 73. Governmental mandate • “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. • April 2004 Bush issued an executive order to computerize USA medical health records by 2014. Our ability to meet the 2014 date is highly doubtful
  74. 74. Conclusion • A parallel can be envisaged in our own 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
  75. 75. References • HemiData: www.hemidata.com/emr.html • The Aesculapius Research Group: http://www.aesculapiustech.com/articles/Electro • HIMSS Analytics: http://www.himssanalytics.org/PDFFiles/ • Nuesoft Xpress: http://www.nuesoftxpress.com/products/ • MediPro: http://www.medipro.com
  76. 76. 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/
  77. 77. 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

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