overview of electronic medical records
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TRANSCRIPT
Overview of Electronic Medical RecordsDr Sanjoy Sanyal
MBBS, MS, MSc, ADPHA, ADHRD
Staff seminar in Seychelles medical college in March 2008
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
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 automate tests, medication, submission of diagnostic / procedure codes
• Should include error checking rules to avert allergies / cross reactions
Electronic medical record
• Evaluation and Management (E & M) electronic guidelines should be built into the code system
• Should be compliant with HIPAA policies
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 / EPM
• EMR is all about automating WORKFLOW process
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 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
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
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
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/
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