Electronic Medical Records Group is a leading national developer and vendor of EMR software for physician practices supporting anywhere from 100 to 50,000 patients. As surprising as it sounds, your practice may qualify for a free electronic medical records software system. Adopting your EMR system this year is more important than ever, as the Act has not yet been renewed beyond 2010.
Although the timeliness of EMR adoption is more critical than it has ever been, Electronic Medical Records Group also offers other important medical software modules to better enable the efficient management of your medical practice. For more than 25 years, Henry Schein Medical Systems has provided stable, mature and affordable software for small practices, large medical groups, community health centers and billing services. Today, more than 14,000 physicians trust our award-winning MicroMD® solutions to sustain profitability and improve patient care. MicroMD PM offers scheduling, patient information, billing, integrated EDI solutions, advanced reporting, mobile solutions and much more.
Health care providers rely on the MicroMD EMR to create a paperless environment, improve workflow, enhance care delivery and boost productivity. The MicroMD EMR system allows immediate, shared access to patient data which minimizes paperwork and maximizes productivity.
With MicroMD DMS, rapid, simple and shared access to any type of document replaces the time-consuming task of searching for and sorting through manila folders. The MicroMD DMS takes your practice virtually paperless, generating productivity improvements and cutting costs along the way.
By adopting an Electronic Medical Records software system, medical practices can save hundreds of man hours per year in labor, and provide the most efficient level of patient care available. With the American Recovery and Reinvestment Act, qualified professionals including physicians, dentists, optometrists and podiatrists can realize up to $44,000 in Medicare incentives ($63,750 through Medicaid) providing they prove they have had "meaningful adoption" of a certified electronic medical records software system such as that offered by Electronic Medical Records Group. Although the year has just begun, demonstrating "meaningful use" is important to begin right away, so that EMR stimulus incentives can be properly locked in.
Exceptionally high client-retention rates give further evidence of Henry Schein Medical Systems’ market-leading presence and client-centric focus. The market and products have changed considerably since the last survey was conducted in 1997.
All the products incorporate an extensive array of data elements, either by coded entry or by free text. Twenty-three products incorporate results-reporting features (allowing the physician or another provider to review and electronically sign reports, including notes for visits and telephone calls, laboratory data, ancillary studies, consultations and hospital discharge summaries.) Two conventional systems (HealthMatics and Partner) and one ASP system (Logician Internet) incorporate some of these features. Twenty-one products produce patient reminders of scheduled appointments that are suitable for mailing.
But be careful not to put more weight on our findings than they can bear, given the inherent limitations of the survey format. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference.
The most noticeable change has been the migration of EMRs from the desktop to the Internet.
Unix versions are available for 11, Linux for three, Novell for six, and Macintosh for three.
Two conventional systems (Charting Plus and VersaForm CPR) incorporate none.Individual case management. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Twenty-four systems have at least two of the three chart maintenance features we asked about in our survey (prompts to update problem, medication and allergy lists). Based on these conditions and the findings of this survey, three conventional EMR systems received a rating of five stars: ChartWare, EpicCare and Health Probe.
Physicians can download the software from the vendor’s Web site and run it on their own systems, or they can use a browser to interact with it.
The twenty-six systems that support problem orientation all maintain the record’s problem orientation when problem lists are modified. Data is stored at an off-site location rather than on a file server in the physician’s office.


Some vendors have gone out of business, some have been acquired, and some have decided to no longer develop or support EMRs. ENTITY, Logician, NextGen and Clinical Works Module (ASP) are designed for practices with four or more physicians and multiple sites. Fewer than half of the conventional systems allow patients access to their own personal medical records, either in the office or by remote means.
Many of these Internet-based EMRs allow patients access to their personal medical records, which raises security and confidentiality concerns, but also presents the opportunity for patients to participate more fully in the decision making and treatment planning processes. For example, while the survey was being conducted, MedicaLogic and Medscape merged under the Medscape name. EpicCare, PEARL and Physician Practice Solution (conventional system) are designed for practices with 10 or more physicians and multiple sites. Most of the systems include or allow the inclusion of several coding systems, and most have data dictionaries. Although these products are designed for use at multiple sites, they can be used by practices with just one site.Live sites.
Biometric identifiers use physical characteristics unique to a particular individual, such as a fingerprint or retinal pattern, to identify users. When the survey was conducted, two of the products, O-HEAP and ComChart, had just entered the market and reported one live site each.
Twenty-six systems enable patient visit summaries.Twenty-six products provide some type of preventive services tracking and reminder functions.
Twenty-four systems provide some type of patient education material — printed handouts, a bibliography or a list of classes and groups.
All systems except O-HEAP and Clinical Works Module (ASP) have rapid screen updates of 1 to 2 seconds. Eight conventional systems and two ASP systems provide the complete range of features, including default algorithms, the ability to modify algorithms by practice and patient, tracking of patient refusals, and issuing of reminders for health care providers. Fourteen systems allow the patient access to Web-based patient information materials, and 14 allow linking of patient information to the clinical database in such a way that patients can be automatically informed of materials suitable for their conditions. But with careful research, planning and implementation, an EMR system can make your life much easier and help you provide better care for your patients. Five products had fewer than 100 live sites and the remainder reported 100 or more live sites.Cost. Eight conventional systems and two ASP systems provide complete features of disease-specific reminders.Twenty products allow tracking of health-related quality-of-life or functional-status measures.
Four systems do not provide any type of patient education materials, and four offer patient education in every form cited on the questionnaire.Overall. HealthMatics and MedicWare EMR are the only two products that do not allow any type of customizable views. Twenty-three products allow graphical displays of data over time, and 20 have pediatric growth charts.
Conventional EMRs having the most complete patient functionality include EpicCare and Logician.
Thirteen products can produce statistical control charts that can be used to display time series of clinical data in individual patients and for quality improvement projects.
Others charge more for the first license and discount subsequent licenses depending on the number of users. Twenty-six products allow multiple parts of records to be viewed simultaneously, but only nine conventional systems and two ASP systems can display multiple records at one time.
DOCU*MENTOR and Logician Internet do not include any of these features.Nine systems interface with expert-system software, with ChartWare and Welford Chart Notes providing the most related features.
Some vendors bundle the costs of the hardware and software.Another thing to consider is how much it might cost you to add functionality in the future.
All products except Charting Plus and PEARL allow users to search for specific patient data by date or problem and 17 of the systems support searching by text strings. Twenty-one systems provide access to practice guidelines and other literature, either through an integrated browser or another interface.Twenty-six systems enable users to enter orders, and 19 enable direct communication with the unit responsible for executing the order.
For example, some low-priced EMR products are available, but their functionality is limited.


All systems support data entry by keyboard, 27 by mouse, 19 by light pen, 19 by touch screen and 20 by voice recognition.Accessibility.
These types of EMRs may be ideal starter systems, but you’ll have to pay a premium to add bells and whistles later.
All systems except for two of the ASP systems (Logician Internet and topsChart) allow more than one user to access an individual record or data element simultaneously. On the other hand, you could spend a lot of money on a full-featured system and use only 5 to 10 percent of its functionality.The most commonly reported pricing structure for ASP systems was a start-up fee plus a monthly subscription rate. The majority of systems support access by modem or the Internet and more than half of the systems allow records to be downloaded to a portable device (e.g.
One ASP, NextGen, offered the entire range of order entry options, as did four conventional systems.Twenty-four products offer some combination of therapeutic services order-entry features, including test inventory, cost, insurance coverage, local availability, performance characteristics, alternative tests and standard order sets.
Estimated downtime per 24-hour period was reported as none for 23 systems, zero to 1 hour for four systems and 1 to 2 hours for one system.Interfaces and e-mail.
We’d suggest adding up how much your practice spends each year on chart supplies, forms, transcription fees, photocopying and storage. Factor in the hidden costs of time spent looking for lost charts, reconstructing charts, etc.
Notes Program, O-HEAP and Logician Internet incorporate interfaces with practice management software.
Twenty-two interface with appointment scheduling software and 18 interface with financial software. All but five products have internal e-mail systems, and 17 systems support external e-mail.Training. Eleven systems do neither.All 28 systems have all three note-writing features we asked about, including pre-formatted templates, pick lists and the ability to insert pre-existing data into a note. Seven systems (six conventional systems and one ASP system) do not incorporate electronic signatures. Nine systems support both genograms and drawing templates, and nine systems support neither.Administrative and quality reports.
All but two products (Com-Chart and QD Clinical) provide complete training manuals online and in hard copy. Twenty-two systems can compile patient profiles based on demographic data, disease states and other variables. Seventeen vendors provide multimedia tutorials, and all but four provide live tutorials on site. Physician training time for the ASP systems does not differ significantly from the conventional systems.Confidentiality. All 28 systems have password protection, although only 12 require password changes at regular intervals. Conventional EMRs having the most complete functionality for health care providers include ChartWare, EpicCare, Health Probe and Logician. All systems except Partner limit access by specific functions: 22 to specific records, 22 to subsections of records, and 21 by discrete data elements. All products except Charting Plus, Partner and PowerMed EMR generate audit trails of access to the system, but only 10 warn the system administrator of unauthorized access. Twenty products incorporate automatic screen time-outs to limit unintended access.Accuracy and integrity. Twenty products have error-checking algorithms for all data that aren’t free text, and 21 will limit data entry to specific users.
All but two systems had mechanisms in place to track which users enter new data or make changes to existing data. Database integrity is maintained by redundant real-time storage in 24 systems and by backup in 26 systems.Overall.
Conventional EMRs having the most complete design features include Chart-Ware, EpicCare, Health Probe and QD Clinical.



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Comments to Medical records management training

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