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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,

Published in: Technology, Business

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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