overview of electronic medical records
DESCRIPTION
TRANSCRIPT
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Overview of Electronic Medical RecordsDr Sanjoy Sanyal
MBBS, MS, MSc, ADPHA, ADHRD
Staff seminar in Seychelles medical college in March 2008
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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
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Definition
• ISO TC 215 defines an EHR as “a healthcare record in computer processable format.”
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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
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Electronic medical record
• Evaluation and Management (E & M) electronic guidelines should be built into the code system
• Should be compliant with HIPAA policies
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EMR Inter-relationships
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Framework of EMR solutions
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Stages of EMR complexity
1
2
3
0
eMAR
CDR is the central pivot
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EMR – Nuesoft Xpress
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ChiroChart EMR – MediPro
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EMR frontscreen – MediNotes
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EMR – Veterans Affairs
VA – DoD
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EMR – MS Office OneNote
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EMR – FileMed
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EMR – Data Center
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EMR – NextGen
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EMR face sheet – AMBAS
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EMR progress notes – AMBAS
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EMR configuration – AMBAS
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MedicsRIS – ADS
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MedicsDocAsst EMR – ADS
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MedicsDocAsst EMR – ADS
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EMR – Medinformatix
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RTS EMR – Customized page
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RTS EMR – Tabbed menus
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RTS EMR – Access rights
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RTS EMR – Time savers
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RTS EMR – Governance
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RTS EMR – Electronic sign
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Automated patient q’aire – ADS
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MDA allergy EMR – ADS
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MDA Int Medicine EMR – ADS
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MDA pain Mx EMR – ADS
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MDA pain Mx EMR – ADS
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MDA pain Mx EMR – ADS
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Cardiology EMR – MDS
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Cardiology EMR – MDS
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Chiropractic EMR – MDS
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Dermatology EMR – MDS
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Dermatology EMR – MDS
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Pediatric EMR – MDS Medical
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Pediatric EMR – MDS Medical
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Pediatric EMR – MDS Medical
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Oncology EMR – Synergy
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Oncology EMR (Patient chart)
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Oncology EMR (Complaints)
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Oncology EMR (Diagnosis)
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Oncology EMR (Staging)
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3-D EMR Mapping Engine
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‘Bugle’ patient database – ARG
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PMS – Nuesoft Xpress
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PMS patient info – AMBAS
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PMS scheduler – AMBAS
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PMS online charge slip – AMBAS
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PMS + EMR – MedInformatix
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EPM appointment scheduling
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Automated docu distribution
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Accounts – Medinformatix
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Collections – Medinformatix
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Automated remittance module
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Real time claim status
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PMS – Scheduling screen
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ADS MedicsElite – Patient Demog
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ADS MedicsElite – Finance
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ADS MedicsElite – Scheduler
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ADS MedicsElite – PDA access
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EMR data entry in PDA
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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
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Automated clinical workflow
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Automated clinical workflow
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Automated clinical workflow
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Conclusion
• EMR is ultimately geared towards reducing errors, improving safety and care and cutting costs of healthcare
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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
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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
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References
• HemiData: www.hemidata.com/emr.html
• The Aesculapius Research Group: http://www.aesculapiustech.com/articles/ElectronicMedicalRecords.htm
• HIMSS Analytics: http://www.himssanalytics.org/PDFFiles/
• Nuesoft Xpress: http://www.nuesoftxpress.com/products/
• MediPro: http://www.medipro.com
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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/
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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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