Some time ago, our practice was not enough space for our medical records office. We like to rent more space. I reviewed electronic medical records (EMR) systems in ophthalmology before, and it seemed time to go less paper had arrived. Since then we have been working on reducing our ties with paper records.
A total conversion to an electronic medical record system requires a large investment of time and money. Our practice, of medium size with nine physicians and more than one hundred employees in five locations, has the resources necessary for this type of objective. But what can a smaller practice to take such a big project?
EMR Software require input data. Then, store the data electronically in a database. Then, this information may be used in almost limitless ways. The limits are defined only by the imagination of users and software. A more flexible EMR system can be intimidating to novice users, including most doctors. However, when a system has been set-up and custom modified, it can be very powerful. In fact, the degree of front-end customizations often correlate with the rewards of back-end user to use the system.
Thus, if a practice wants to avoid the upfront expense and effort to adapt these EMR systems, what can you do?
Some medical practices have become products of EPM and EMR, but are not using to its full capacity. Staff members noting as they normally would, then scan the system. This is a 'scanning solution. Many EPM system has a module for scanning photos, paper records, or letters, regardless of whether or not REM. The result is an electronic medical record or EMR, called REM / HME.
Because not require user input is not really an EMR system. This type of system has the advantage that the practical use of existing EPM for processing paper documents, without the cost of a new EMR system.
By shredding documents after they are scanned, a practice that eliminates the need for additional storage. There is a downside to this, though: because the clinical data is not entered in the system can not be recovered and used in a meaningful way. For example, the system would not be able to follow the trends of interocular pressure, or to remind all patients with the same diagnosis or prescription medications. This information is valuable for pay for performance testing and auditing of information.
An independent analysis solution would be a cheaper alternative: the solution offered by SRS Software (http://www.medcomsys.com) is a good example. The solution may be a temporary measure as a practice EMR system selects a whole, or in the case file of a large volume of paper records. No data entry is needed here, as it is a digital version of handwritten documents. The benefits of using a scanning solution includes the short learning curve, cost reduction, and the lack of the need for major changes to normal operations. Compared with EMR systems, these solutions scan have an implementation rate of success higher.
EHR Software
Practices that are unwilling to leave the comfort of keeping paper records still have some options available to increase the efficiency and readability of the letters. Often use practices handwritten notes on sheets of paper or blank line. These are often written by doctors. Unfortunately, these records are often misunderstood in the audits of the information, saving time to make quick notes could end up very expensive in the case of an error. In contrast, the use of various forms required for field verification and circuit of the signs, symptoms and clinical findings is preferred. This ensures that billing and coding of the components are properly noted in the documentation.
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