This document discusses the pros and cons of web-based electronic health record (EHR) systems. It outlines key advantages such as secure remote access, automatic updates, security and backups. Challenges include reliable internet access and potential server downtimes. The author shares their experience transitioning to a web-based EHR, including operating across two offices on the first day. Sample templates and a soap note are included, and interoperability benefits like sharing information between locations and with hospitals are highlighted.

1. An Introduction to
Web- or Cloud-Based EHRs
By Andrew J. Bronstein, MD
Board Certified Orthopaedic, Hand & Microvascular Surgeon
The Bronstein Hand Center
www.bronsteinhandcenter.com
Las Vegas, NV

2. Pros
 Securely login from anywhere
 Nothing to install, nothing to
maintain
 Easy updates
 Bank-Level security and
encryption
 Automatic backups

3. Pros
Protection against natural and in-house
disasters and data theft
Scalability for growing practices
Accessibility and collaboration within a
practice or practices

4. Cons
 Requires a live, reliable,
preferably fast Internet
Connection
 Server downtime
 May not be interoperable with
all Web-based EHR systems

5. My Story
 Trials, tribulations, and cost of
adopting a local system

6. Adopting the Web-Based EHR
 Started on a Sunday
 Operated in Two Offices on
Monday

7. Sample Templates Used in My Practice

15. Sample SOAP Note
To view this Sample SOAP Note at your own
pace and at a larger size, click on the image if
you’re viewing the online handout or paste this
URL into your browser:
http://slideshare.net/andrewbronstein/sample-soap-note

16. Realizing Interoperability
 In 2 locations, sharing patient
information with staff
 Hospitals
 Other physicians
 Home
 On vacation

17. View My Video on Interoperability
 Getting Information from the office to the
hospital
 Retrieving information at the hospital
 Chart notes worked on in the hospital
 Getting information from the hospital to
the office
 Retrieving information from the hospital
and adding to the patient’s chart

18. View My Online Video on Interoperability
To view the video again online,
paste this URL into your browser:
http://vimeo.com/70248649