This Version Not For Distribution EMR/EHR
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1 This Version Not For Distribution EMR/EHR Cheng B Saw, Ph.D. Chair, Asian-Oceanic Affairs of AAPM Director - Physics, Northeast Radiation Oncology Centers President, CBSaw Publishing, LLC Harrisburg, PA, USA
2 Outline I 1. EMR/EHR Definition 2. Perspectives of EMR 3. Document Handling 4. Approval Handling 5. Review Handling
3 Outline II EMR (electronic medical record) are digital version of the paper charts in the clinician s office, containing the medical and treatment history of the patients in one s practice EHR (electronic health record) do all the above and more. It focus on the total health of the patient with a broader view on a patient s care
4 Urgency of EMR? - advance for Imaging & Radiation Oncology Issue: vol 22/no.3 may/june 2012 Perspective I
5 Perspective II
6 Perspective III Urgency for EMR? - Compliance with the Obama The American Recovery and Reinvestment Act signed into law in The Health Information Technology for Economic and Clinical Health (HITECH) - Standardized all health records and electronics
7 Perspective IV Urgency for EMR? : Incentive Implementation : Add percent bonus : Penalty Implementation
8 Perspective V Purpose for EMR? - Modernize US healthcare system - Cost saving by cutting waste - Eliminate duplicate medical tests - Provide immediate accessibility to save lives
9 Perspective VI EMR Implementation Roadblock? - Lack of capital cost - Return in investment - Obsoleteness of EMR system
10 Perspective VII EMR Implementation Roadblock? - Maintenance cost - Physician resistance - Lack of expert staff in information technology
11 Perspective VIII
12 Perspective IX EMR Implementation Strategy? - New Facility - Immediate implementation (ALL) - Existing Facility - Strategic implementation (SYSTEMATIC)
13 Perspective X Systematic Implementation Strategy? - Setup Implementation Committee - Identify and implement tasks that have immediate benefits - Use the benefits to illustrate what EMR can help in the workflow
14 Perspectives XI Strategy Sample? - Patient schedule on treatment machine, nurse and physician sites - Allow immediate access to patient flow - Patient chart at treatment machine - Allow immediate access to patient record without searching for paper chart
15 Perspective XII Systematic Implementation Strategy? - Incorporate tasks that simplify the work of the members of the teams - Introduce tasks that is seamless in implementation - Systematic introduction of tasks with timeline
16 Perspective XIII EMR Systems in Radiation Oncology? - MOSAIQ - ARIA - ONCO-CHART
17 EMR I EMR Systems in Radiation Oncology? - MOSAIQ - ARIA - ONCO-CHART
18 EMR II EMR Systems in Radiation Oncology? - Creating, Storing and Retrieving Documents - Indexing Documents - Searching Documents
19 EMR III Create Document? - Excel Spreadsheet - MS Word - Fill in the form
20 Scan Document? - Upload from escan folder - Pdf format - EMR IV
21 EMR V Document Approval? - Password -
22 EMR VI Document Storage? - Indexing -
23 EMR VII Document Storage? - Index Listing - Search by the FIRST letters
24 Documents Listing EMR VIII
25 EMR IX Workflow Status? - Scheduling - Sort by Time - Sort by Patient - Sort by Physician -
26 Workflow Status? EMR X - PHYSICS LOCATION - PHYSICS TASKS - Use comments to communicate
27 Workflow Status? EMR XI - Use Quality Checklist to keep Track!!! -
28 Workflow Status? EMR XII - Use Quality Checklist to keep Track!!! -
29 Approval Status? - Approval EMR XIII - Use Review Required to pass from one person to another -
30 EMR XIV Review Status? - Physics Review List -
31 EMR XV Review Status? - Chart Review List -
32 MOSAIQ I
33 enavigator MOSAIQ II
34 EMR / EHR Thank you for your attention - Implementation strategy - Look for immediate benefits - Added improvement
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