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DIGITAL TRANSFORMATION OF MEDICAL RECORDS
EMR & CHALLENGES
Deenadayalan Sekar
BCA, DMRSc, PGDHM, BSc MRM,
Certification on Patient Confidentiality
Head of Medical Records
MEDRECON 2018
CBHI Objective
• CBHI is the National Nodal Institution for Health Intelligence in the country with broad
objectives to:
• Maintain and Disseminate the (i) National Health Profile (NHP), (ii) Health Sector Policy
Reform Options Database (HS-PROD), (iii) Inventory and GIS Mapping of Govt. Health
Facilities in India, etc.
• Review the Progress of Health Sector Millennium Development Goal (MDG) in India.
• Annual Road Safety Profile of India.
• Facilitate Capacity Building & Human Resource Development, and
• Need Based Operational Research for Efficient Health Information System (HIS) as well
as use of Family of International Classification in India & South East Asia Region.
MEDRECON 2018
HERA – INDIA OBJECTIVE
• To work for legislative and legal validity for the profession.
• To send quarterly news letter to all the registered members about the latest development in the
profession, Govt. orders relevant to our profession, job opportunities in the profession in India and
abroad and all matters of general interest.
• To offer consultancy on establishment and training of manpower in health records to private hospitals,
nursing homes etc., and give accreditation so that a general standard in health records and HIM can be
achieved.
• To have liaison with International Organizations of Health Records and the WHO in order to know the
latest developments in disease classification systems and other information management programs so
that it can be communicated to the members.
• To help all private hospitals and nursing homes to develop a retention policy for medical records and also
help them to in matters of release of information to patients, their legal attendants, Court etc, on
medico-legal and non-medico legal cases. j.
• To provide latest development in Health Information Management.
MEDRECON 2018
Why Digital
Technology Adoption
Why Transformation
Oren Harari
Banking
Automobile Industry
Insurance Industry
Healthcare Industry
Wide Scope for the Transformation
in the Healthcare Industry
MEDRECON 2018
Doctor can’t treat the patient without touching them.
Emotional Status
Multiple Complex process
No robots can be used for Nursing care (Personalized care necessary)
Restriction for using computers among Medical Staffs
and Many more reasons of not having 100% healthcare solutions.
MEDRECON 2018
DIGITAL TRANSFORMATION PROCESS
File Room
Medical
Records
Department
Health
Information
Department
MEDRECON 2018
BEAUTIFYING THE CANDLES
AFTERBEFORE
MEDRECON 2018
Initiation of Digitization Process &
Planning
MEDRECON 2018
OVERVIEW
Retrieval & Access
Default / Manual
Configuration
Access Rights Maintain Confidentiality
Uploaded in Server
Indexing as per Episodes (Visit Number)
Automatic Indexing through Barcode
Integration tool
Live Scanning
Medical Records
PROCESS WORKFLOW
Medical Records
OP & Follow up
Papers
Visit wise Scanning
Automatic barcode
segregation and Scanning
Bulk Scanning Process and
Auto Segregation
Customizable Document Management
System (DMS) Software Development
& Implementation
EMR Implementation
MEDRECON 2018
• File movement Stopped Completely
• Motivated Doctors to use EMR and to view the
Digitized records (Scanned) through HIS
• Monitoring the Performance and Feedback collected
for improvement
MEDRECON 2018
Feedback
Feedback
Feedback
TRANSFORMATION IN MEDICAL RECORDS ACTIVITY
• Medical Records Staff before digitization and EMR
implementation more focused on file movement and tracking of
files.
• After digitization process initiated more focused on data
analysis on how doctors are entering the EMR.
• Continuous data been provided for improvement in
documentation.
• Few examples:
• Usage of Abbreviations
• Analyzing of Patient family education documentation
• Analyzing of Pain Scale Documentations
• Analyzing of Care Plan documentation
• Tracking of missing reports
• Coordinating with insurance submission team for scanning the approval
copies and relevant manual reports to reduce the rejections in claims
• Inappropriate usage of Copy and Paste functions states to
have policy on Copy and Paste functions in EMR and
reviewing and monitoring the use.
• Doctors are using unauthorized abbreviations
• Skipping mandatory columns by applying “.” “,” and
other digits.
• Doctors are more focused in EMR entries and spending
less time with patient.
Challenges
Integrated
Care
Model
Centralized
Medical Records
(Physical
Records)
Patient can walk-in
to any branches
(Seamless access to
Medical Records
both EMR &
Physical Records)
Cross
consultation
across
branches
IT
EMR
ACHIEVED SUCCESSFUL TRANSFORMATION PROCESS
A BIG THANK YOU
MEDRECON 2018

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Deena ppt digital transformation of Healthcare Records

  • 1. DIGITAL TRANSFORMATION OF MEDICAL RECORDS EMR & CHALLENGES Deenadayalan Sekar BCA, DMRSc, PGDHM, BSc MRM, Certification on Patient Confidentiality Head of Medical Records MEDRECON 2018
  • 2. CBHI Objective • CBHI is the National Nodal Institution for Health Intelligence in the country with broad objectives to: • Maintain and Disseminate the (i) National Health Profile (NHP), (ii) Health Sector Policy Reform Options Database (HS-PROD), (iii) Inventory and GIS Mapping of Govt. Health Facilities in India, etc. • Review the Progress of Health Sector Millennium Development Goal (MDG) in India. • Annual Road Safety Profile of India. • Facilitate Capacity Building & Human Resource Development, and • Need Based Operational Research for Efficient Health Information System (HIS) as well as use of Family of International Classification in India & South East Asia Region. MEDRECON 2018
  • 3. HERA – INDIA OBJECTIVE • To work for legislative and legal validity for the profession. • To send quarterly news letter to all the registered members about the latest development in the profession, Govt. orders relevant to our profession, job opportunities in the profession in India and abroad and all matters of general interest. • To offer consultancy on establishment and training of manpower in health records to private hospitals, nursing homes etc., and give accreditation so that a general standard in health records and HIM can be achieved. • To have liaison with International Organizations of Health Records and the WHO in order to know the latest developments in disease classification systems and other information management programs so that it can be communicated to the members. • To help all private hospitals and nursing homes to develop a retention policy for medical records and also help them to in matters of release of information to patients, their legal attendants, Court etc, on medico-legal and non-medico legal cases. j. • To provide latest development in Health Information Management. MEDRECON 2018
  • 11. Wide Scope for the Transformation in the Healthcare Industry MEDRECON 2018
  • 12. Doctor can’t treat the patient without touching them. Emotional Status Multiple Complex process No robots can be used for Nursing care (Personalized care necessary) Restriction for using computers among Medical Staffs and Many more reasons of not having 100% healthcare solutions. MEDRECON 2018
  • 13. DIGITAL TRANSFORMATION PROCESS File Room Medical Records Department Health Information Department MEDRECON 2018
  • 15. Initiation of Digitization Process & Planning MEDRECON 2018
  • 16. OVERVIEW Retrieval & Access Default / Manual Configuration Access Rights Maintain Confidentiality Uploaded in Server Indexing as per Episodes (Visit Number) Automatic Indexing through Barcode Integration tool Live Scanning Medical Records
  • 17. PROCESS WORKFLOW Medical Records OP & Follow up Papers Visit wise Scanning Automatic barcode segregation and Scanning Bulk Scanning Process and Auto Segregation
  • 18. Customizable Document Management System (DMS) Software Development & Implementation EMR Implementation MEDRECON 2018
  • 19. • File movement Stopped Completely • Motivated Doctors to use EMR and to view the Digitized records (Scanned) through HIS • Monitoring the Performance and Feedback collected for improvement MEDRECON 2018
  • 23. TRANSFORMATION IN MEDICAL RECORDS ACTIVITY • Medical Records Staff before digitization and EMR implementation more focused on file movement and tracking of files. • After digitization process initiated more focused on data analysis on how doctors are entering the EMR. • Continuous data been provided for improvement in documentation. • Few examples: • Usage of Abbreviations • Analyzing of Patient family education documentation • Analyzing of Pain Scale Documentations • Analyzing of Care Plan documentation • Tracking of missing reports • Coordinating with insurance submission team for scanning the approval copies and relevant manual reports to reduce the rejections in claims
  • 24. • Inappropriate usage of Copy and Paste functions states to have policy on Copy and Paste functions in EMR and reviewing and monitoring the use. • Doctors are using unauthorized abbreviations • Skipping mandatory columns by applying “.” “,” and other digits. • Doctors are more focused in EMR entries and spending less time with patient. Challenges
  • 25. Integrated Care Model Centralized Medical Records (Physical Records) Patient can walk-in to any branches (Seamless access to Medical Records both EMR & Physical Records) Cross consultation across branches IT EMR ACHIEVED SUCCESSFUL TRANSFORMATION PROCESS
  • 26. A BIG THANK YOU MEDRECON 2018