1. Electronic Medical Records Health Frontiers in Tijuana Elective 4/12/2011

2. What is an EMR? Implementation & Adoption of an EMR Online EMR Systems Practice Fusion Questions & Answers Presentation Agenda

3. The IOM 2003 Patient Safety Report describes an EMR as encompassing: – “a longitudinal collection of electronic health information for and about persons – Immediate electronic access to person- and population-level information by authorized users; – Provision of knowledge and decision-support systems that enhance the quality, safety, and efficiency of patient care and – Support for efficient processes for health care delivery.” What are Electronic Medical Records?

4. The 1997 IOM report “The Computer-Based Patient Record: An Essential Technology for Health Care” defines an EMR as: “A patient record system is a type of clinical information system, which is dedicated to collecting, storing, manipulating, and making available clinical information important to the delivery of patient care. The central focus of such systems is clinical data and not financial or billing information.” What are Electronic Medical Records?

5. The American Health Information Management Association defines three essential capabilities of an EMR: 1.To capture data at the point of care, 2.To integrate data from multiple internal and external sources, and 3.To support caregiver decision making. What are Electronic Medical Records?

6. EMR Advantages Improve Quality Care Avoid Adverse Drug Events Improve Quality Measures Improve Operational Efficiencies and use of human resources Disaster preparedness

7. Fear of the unknown; surveillance outcomes Resources, training/re-training, turn-over rates Doubts in clinical usefulness and accuracies Compatibility issues / Poor infrastructure Financial burdens Security gaps Barriers to EMR

8. Online EMRs http://openmrs.org/

9. Why Practice Fusion? Free Web-based Live in Five

10. About PF Over 50,000 users 5 million patients 1 million patient visits a month

11. Practice Fusion Community

12. Customized video training by user role accessible 24/7 through YouTube and Vimeo. Video Training

13. live chat support for doctors, medical students, nurses and staff while they are logged in to the EHR. Chat Support

14. Integrations with over 150 medical laboratories including Quest, LabCorp and BioReference. In Mexico??? Labs

15. Set up You will receive an email with username and temporary password – Go to website www.practicefusion.com/gowww.practicefusion.com/go a)Practice ID: joseluisburgosp will change to: HFiT b)Username: ________________ c)Password: ________________

16. Tutorials available Website: http://learn.practicefusion.com/physicians-learn-emr.html http://learn.practicefusion.com/physicians-learn-emr.html

17. Adding patients http://practicefusion.com

18. Search Existing

19. Potential matches will be listed below. If this patient is not a duplicate, and you would like to add the new patient, click “Create as new patient” at the bottom of the screen

20. Writing a SOAP Note

21. Click on Patient Actions

23. Select SOAP Note

25. Add information Free text goes in this box

26. Options

27. Add New Medication

28. Drug Interactions

29. Additional information on Meds

30. Save and print prescription

31. Save or Sign Note

32. Questions ?