1. Overview of Electronic Medical Records Dr Sanjoy Sanyal MBBS, MS, MSc, ADPHA, ADHRD Staff seminar in Seychelles medical college in March 2008

2. 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

4. Definition ISO TC 215 defines an EHR as “a healthcare record in computer processable format.”

5. 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

6. Electronic medical record Evaluation and Management (E & M) electronic guidelines should be built into the code system Should be compliant with HIPAA policies

7. EMR Inter-relationships

8. Framework of EMR solutions

9. Stages of EMR complexity 1 2 3 0 eMAR CDR is the central pivot

11. EMR – Nuesoft Xpress

12. ChiroChart EMR – MediPro

13. EMR frontscreen – MediNotes

14. EMR – Veterans Affairs VA – DoD

15. EMR – MS Office OneNote

16. EMR – FileMed

17. EMR – Data Center

18. EMR – NextGen

19. EMR face sheet – AMBAS

20. EMR progress notes – AMBAS

21. EMR configuration – AMBAS

22. MedicsRIS – ADS

23. MedicsDocAsst EMR – ADS

25. EMR – Medinformatix

26. RTS EMR – Customized page

27. RTS EMR – Tabbed menus

28. RTS EMR – Access rights

29. RTS EMR – Time savers

30. RTS EMR – Governance

31. RTS EMR – Electronic sign

33. Automated patient q’aire – ADS

34. MDA allergy EMR – ADS

35. MDA Int Medicine EMR – ADS

36. MDA pain Mx EMR – ADS

39. Cardiology EMR – MDS

41. Chiropractic EMR – MDS

42. Dermatology EMR – MDS

44. Pediatric EMR – MDS Medical

47. Oncology EMR – Synergy

48. Oncology EMR (Patient chart)

49. Oncology EMR (Complaints)

50. Oncology EMR (Diagnosis)

51. Oncology EMR (Staging)

52. 3-D EMR Mapping Engine

54. ‘Bugle’ patient database – ARG

55. PMS – Nuesoft Xpress

56. PMS patient info – AMBAS

57. PMS scheduler – AMBAS

58. PMS online charge slip – AMBAS

59. PMS + EMR – MedInformatix

60. EPM appointment scheduling

61. Automated docu distribution

62. Accounts – Medinformatix

63. Collections – Medinformatix

64. Automated remittance module

65. Real time claim status

66. PMS – Scheduling screen

67. ADS MedicsElite – Patient Demog

68. ADS MedicsElite – Finance

69. ADS MedicsElite – Scheduler

70. ADS MedicsElite – PDA access

71. EMR data entry in PDA

72. 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

73. Automated clinical workflow

76. Conclusion EMR is ultimately geared towards reducing errors, improving safety and care and cutting costs of healthcare

77. 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

78. 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

79. References HemiData: www.hemidata.com/emr.htmlwww.hemidata.com/emr.html The Aesculapius Research Group: http://www.aesculapiustech.com/articles/Ele ctronicMedicalRecords.htm http://www.aesculapiustech.com/articles/Ele ctronicMedicalRecords.htm HIMSS Analytics: http://www.himssanalytics.org/PDFFiles/ http://www.himssanalytics.org/PDFFiles/ Nuesoft Xpress: http://www.nuesoftxpress.com/products/ http://www.nuesoftxpress.com/products/ MediPro: http://www.medipro.comhttp://www.medipro.com

80. References Veterans Affairs (VA): http://www.va.govhttp://www.va.gov Advanced Medical Billing and Accounting Solutions (AMBAS): http://ambas.nethttp://ambas.net Advanced Data Systems (ADS): http://www.adsc.com/ris.asp http://www.adsc.com/ris.asp Medinformatix: http://www.medinformatix.com/Products/ http://www.medinformatix.com/Products/

81. References Residential Treatment Solutions (RTS): therts.com/EMR4RTC.php therts.com/EMR4RTC.php MDS Medical Software: www.mdsmedicalsoftware.com/ www.mdsmedicalsoftware.com/ Synergy EMR: www.synergyemr.com/product_overview.htm www.synergyemr.com/product_overview.htm Charette RN: Visualizing Electronic Health Records With "Google-Earth for the Body" http://spectrum.ieee.org/jan08/5854 http://spectrum.ieee.org/jan08/5854