Electronic Medical Records

Electronic Medical Records Feature Story

Tools of the Trade

Three approaches to PM systems and their interoperability within the care continuum reveal bottom line possibilities for all practices.

When it comes to building a successful practice in a healthcare world of increasing costs and shrinking margins, technology is just a set of tools waiting for a plan. The workflows of a practice can be greatly impacted by tools such as practice management (PM) systems and their interoperability with electronic medical records/electronic health records (EMR/EHR) and other clinical and administrative technologies. However, this requires a thorough understanding of how your clinical and administrative staffs function at all points throughout the continuum of care. This is the blueprint for every practice that allows that impact to be maximized to the good of all involved.

 

Symphony of Collaboration

Multiple-stakeholder collaborations provide a clear path to integrated data exchange and system interoperability.

Through national and state initiatives launched or accelerated as the result of a 2004 Executive Order, eHealth is beginning to gain real traction in the United States. That’s good news for all industry stakeholders. Initiatives that thrive and create workable solutions advance system interoperability and streamline data exchange. Accelerating health IT adoption is essential to improving the efficiency, delivery and quality of healthcare and, ultimately, achieving the promise of eHealth.

 

Hybrid Encounter Documenting

Blending templated and narrated note taking within one EMR offers caregivers multiple ways to document patient visits, swiftly and accurately.

I remember going to see our family doctor many years ago; I must have been about 14 years old. The visit was probably for something like a sore throat. When he completed the physical exam he wrote a paper prescription and handed it to me; he then reached for a black index-card box about the size of a shoe box. In it were two rows of neatly stacked index cards, one for each of his patients. He had the index cards of all the members of a nuclear family neatly attached to one another with a paper clip. I always fondly think of the symbolism of that connection. He must have written something like the date, "pharyngitis" and "Pen VK 500 for 10 days." The visit, and its documentation, were then over.

 

The Second Time Around

A California practice learns lessons from their first EMR and integrates their PM with a new, on-demand EMR for an improved bottom line and clinical workflow.

In 2000, I founded Pediatric Partners, which at the time was a single-site practice with three physicians located 60 miles northeast of San Diego. Like most small practices, Pediatric Partners found itself experiencing massive inefficiencies in our front and back office operations. At the time, we were using an outside billing company and our legacy practice management (PM) system was presenting constant staff issues dealing with insurance verification, accurate patient demographics and patient scheduling.

 

Transforming Healthcare

A top U.S. hospital implements CPOE and improves patient safety while dramatically reducing turn-around time.

Denver Health and Hospital Authority (Denver Health) ranks in the top 5 percent of U.S. Hospitals in terms of size and provides care for more than 160,000 individual patients — one out of every four people in Denver. The organization comprises a 500-bed hospital, a 911 medical response system, a network of family and school-based health centers, as well as, public health resources, a Level 1 trauma center, the Rocky Mountain Poison and Drug Center, a correctional care facility, and Denver Cares, a non-medical detoxification center. Thirty-five percent of Denver’s children use Denver Health facilities, and patients from every county in Colorado, in addition to 28 other states, receive care at Denver Health’s facilities.

 

How Do I Find Thee? Let Me Count the Ways

There’s more than one way to locate people and objects in hospitals. The best choice depends on the need.

Real-time location systems (RTLS) have become common in today’s hospitals, surgical centers and nursing homes, resulting in cost savings and improved efficiency. From finding key assets in the ED, to optimizing patient flow, to automated billing, RTLS can deliver real benefits across an organization.

 

The Fire Next Time

Sharp HealthCare’s effective use of an ambulatory EHR during the California wildfires meant uninterrupted healthcare for displaced patients and clinicians.

Catastrophic events affecting thousands, such as last fall’s California wildfires, may be the truest indicator of how electronic health records (EHR) are helping to transform patient care. That was the experience of San Diego-based Sharp HealthCare, an integrated regional healthcare organization that includes four acute care hospitals, three specialty hospitals, three medical groups and a number of other facilities and services.

 

Extreme Makeover

An open-architecture document management solution helps a provider reduce expenses and improve member benefits.

At Health Net Inc., we strive to make our members and customers a top priority. Based in Woodland Hills, Calif., Health Net provides health benefits to approximately 6.5 million individuals in 27 states as well as the District of Columbia through group, individual, Medicare, Medicaid and TRICARE programs. Additionally, Health Net’s subsidiaries offer managed healthcare products related to behavioral health and prescription drugs, as well as managed healthcare product coordination for multi-region employers and administrative services for medical groups and self-funded benefits programs.

 

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