Overview of Electronic Medical Records

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Overview of Electronic Medical Records

• Dr 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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General considerations
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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
CDR is the central pivot
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eMAR
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Company screenshots
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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
15
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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Specialty-specific
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Automated patient qaire 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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Automated workflow integration
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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/Electronic
  MedicalRecords.htm
• HIMSS Analytics http//www.himssanalytics.org/PDF
  Files/
• Nuesoft Xpress http//www.nuesoftxpress.com/produ
  cts/
• 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/r
  is.asp
• Medinformatix http//www.medinformatix.com/Produc
  ts/

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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.h
  tm
• Charette RN Visualizing Electronic Health
  Records With "Google-Earth for the Body"
  http//spectrum.ieee.org/jan08/5854

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