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Monday, September 06, 2010

 

 

 

Electronic Medical Record for Improving Patient Care

Physicians are facing increased pressures from every direction. Insurance companies and government regulations burden practices with increasing layers of paperwork while decreasing reimbursement. Higher patient expectations are resulting in increasing frustration, loss of control, higher overhead, and decreasing income. e-MDs Chart helps physicians meet these challenges.

Intuitive, Customizable.  e-MDs Chart allows swift and complete documentation at the point of care. Medication order entry reduces errors, resulting in better patient care. Integrated evidence-based guidelines assist the physician in providing optimal care for chronic diseases. This translates into better outcomes and higher patient satisfaction.

Increased Profitability and Rapid ROI.  Chart increases profitability by decreasing documentation time, justifying higher coding levels, prompting for complete charge capture, eliminating transcription expense, reducing paper costs, and decreasing malpractice exposure. Practice profitability is not necessarily dependent on seeing more patients to make up for reduced reimbursement. The key is increasing the efficiency of your current operational workflow without compromising quality of care. The combination of higher reimbursement for cognitive services, combined with saving hours each day in visit and documentation time and decreased expenses, routinely result in dramatic increases in revenue.

ROI from Time Savings Using e-MDs Chart and our patent pending FastForm to speed medical history gathering, real timesavings can be achieved. Streamlining patient flow and improving documentation accuracy may realize real efficiencies. The average time saved in documenting a patient visit with Chart is 5 minutes. New innovations including 'Short-cuts' and FastForm mean charting can be done in real-time, at the point of encounter, without longer appointments. Using structured data entry (such as templates), especially with the ability to save personalized versions of these templates in a pre-clicked fashion, results in minimal impact on provider workflow (speed). This facilitates the use of pre-prepared information when the majority of patient visits are for a group of diagnoses with similar patient presentations, exams, and treatment plans.

Annual Practice Statistics
Average time saved in documenting a visit    5 minutes
Average physician appointments per day    25
Total minutes saved per day
(25 visits x 5 minutes) 125
(2 hours)
Total days worked in 12 month period (5 days/wk x 48 wks) 240
Total hours saved per year (240 days x 2 hours) 480
Total weeks of work saved per year (480 hrs / 40 hrs/wk) 12 weeks

If the 2 hours saved each day using Chart to document visits is converted into more visits, you could see an additional 6 to 7 patients per day. Before managed care became so intrusive, you could net approximately $200 per hour for your efforts. Even with managed care, you should be able to average $50 per patient visit.
 
ROI from Time Savings
Additional patient visits per day    6.5
Total days worked in 12 month period (5 days/wk x 48 wks) 240
Additional patient visits per year (6.5 visits x 240 days) 1,560
Total ROI for First Year (1,560 visits x $50) $78,000

Alternatively, you can simply go home earlier every day and spend time with your family.

Six ways to Return on Investment

Improves Patient Care.  Integrated health maintenance and disease management rules alert physicians about outstanding tests and procedures. Built in clinical hints suggest best practices. Prescriptions are checked for drug-drug, drug-interaction, cross-sensitivity reactions and contra-indications, and easily let physicians find alternative drugs in the same class.

Streamlines or Eliminates Paper Processes.  Chart streamlines awkward paper processes and eliminates duplicate data entry. Messages, alerts, and reminders are automatically added to a patient's chart. Referral letters mail merge patient demographic details, as well as parts of the note. Chart follows an intuitive SOAP format and places all pertinent information on one screen, displaying the current progress note alongside the patient's health summary. FastForm technology cuts documentation time in half and allows physicians to have patient-entered documentation stored in a structured data record. Customizable templates, preloaded with routine answers, can serve as clinical protocols and allow one-click documentation as well as documentation of multiple complex problems. The script writer includes shortcuts that allow frequently used prescriptions to be written or refilled with just a click or two.

Integrated, Customizable Knowledge Bases and Reference Material.  Chart includes complete Physicians' Current Procedural Terminology (CPT®), ICD-9, and HCPCS databases. Derived from authoritative texts and NIH guidelines, our clinical consults offer the latest diagnostic and treatment guidelines for over 1,500 diseases. Evidence-based guidelines and disease management ticklers help ensure superior patient care and outcomes. The extensive drug database of nearly 35,000 medications, vitamins, and nutraceuticals lists available forms and strengths and offers full prescribing consults. Enhanced patient knowledge is reinforced with physician editable English and Spanish patient education handouts, covering nearly 1,500 conditions and medications. High-resolution anatomical art can now be added to procedure reports, referral letters, or the medical record. Specialists can send professional looking consult letters to their referring colleagues.

 

Key Features

Customizable and Efficient Point-and-Click Templates. Quickly capture and save structured data, and generate grammatically correct sentence structure.

One-stop Review of Entire Chart. Includes progress notes, labs, diagnoses, phone messages, history, and medications.

Automated E&M Coder. Calculates optimal codes, resulting in justifiable higher practice income.

Automated ICD, CPT and HCPCS Codes. Speeds visit completion and maximizes charge capture.

Automated Coding from Chart to Bill. Eliminates entry errors or lost paper super bills.

Differential Diagnosis (DDx). Easily document one or more differentials associated with a diagnosis. The DDx module can also be used to quickly substitute a specific diagnosis for a non-billable or non-specific code.

Specialty Specific Templates. Addresses the unique requirements of diverse specialties.

Lab Tracking. Track overdue labs, tests, and procedures and notify users by e-mail.

Lab Results Integration. Electronic results reporting from popular lab vendors such as Quest and Labcorp.

Customizable Flowsheets. User definable flow sheets for capturing, trending, and graphing clinical data values.

Complete Coding Database. Includes all ICD-9, CPT-®, and HCPCS codes, plus the ability to add custom alternate descriptions or abbreviated descriptions.

ScriptWriter. Database of nearly 35,000 drugs with informative consults. Decrease errors with one-click prescription writing of commonly used medications, simultaneous refilling of multiple prescriptions, and integrated drug-drug interactions and allergy alerts.

Template Import/Export. Allows the user community to share templates.

Fax Server. Fax documents to referring physicians or instantly fax signed prescriptions to the patient''s preferred pharmacy directly from the application.

Rules Engine.

Best Practices Guidelines. Guide the clinician to optimal treatment plans.

Messaging/Tasking. Tasks can be assigned to particular individuals, tracked, and marked off when completed. Progress notes, specific documents, or entire charts may be attached.

Fast Forms. Medical questionnaires in lay terms, given to patients to fill out in the waiting room. Scanned responses are translated into medical terminology and automatically dropped into the note.

Customizable Patient Education Handouts. More than 1,500 condition and medication documents available in English and Spanish.

Mail Merge Referral and Consultation Letters. Improve communication between referring physicians.

Immunization Module. Retains and reuses lot numbers and expiration dates, easing reporting and saving staff time.

Growth Charts and Pediatric Specific Templates.

Editable Medical Art. High quality color images to be used in consult letters, procedure reports, as part of the note or for patient education.

Legal Protection of Note Closure. Permanent, uneditable, date/time stamped, and requires a password.

Mobility. Designed to take advantage of the many features of wireless Tablet PCs.

Tracks overdue preventive care, drug and disease management items, and immunizations to optimize patient care and identify additional revenue opportunities.
 
 

 

 
 
 
 

 

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Screen Shots
 

 

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Visit Note.  Within one unified window, Chart's side by side view of the patient's Health Summary and Visit Note allows the user to review pertinent patient information during the documentation of the visit. In addition, the use of e-MDs' unique template driven sentence creation technology provides the user with customizable, grammatically correct, and easily readable sentences. For added flexibility the user may also choose to document using free text, macros, handwriting recognition, or voice recognition.

   


 

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Flow sheets.  Completely customizable flow sheets allow for the documentation and tracking of any type of data via a spreadsheet format. This feature gives the user a linear view of past, as well as current, clinical data.

 


  

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Flow Sheet Graphing.  Any numeric value that is documented in Flow Sheets is available for graphing. This provides the user with a two dimensional representation of clinical data that can provide additional insight into the patient's ongoing status.

 


 

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Refill Grids.  The Refill Grid improves workflow by allowing for rapid completion of prescription refill tasks. Users can easily refill every prescription in a patient's Current Medications List via printer, fax, or phone with just 3 clicks!

 


 

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Template Creation.  We have designed and built hundreds of templates across a wide spectrum of medical specialties. However, you are not limited to just the templates we provide. e-MDs' EMR system comes with a WYSIWYG template editor. The system does not require an IT expert or a programmer to create the documentation templates you wish, and there is no need to pay us to create or modify templates. Our system empowers you to determine the data you wish to collect and the manner in which you wish to collect it.

 
 
 
   
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