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When current healthcare debate appeases every one, for sure,
healthcare industry will begin implementing comprehensive
Electronics Medical Records (EMR) or Electronics Health Records
(EHR) management system bolstered by billions of dollar funding
set aside in the American Recovery and Reinvestment Act of 2009.
EMR technology upgrade will be much wider and demanding than the
last daunting HIPAA implementations.
Ecopro offers specialized services to create EMR/ EHR records.
Our services include old chart scanning and indexing and
uploading data and images to EMR/ EHR platform of your choice.
Most vendors do not offer services to scan old medical chart and
index them comprehensively to extract historical data for
evidence-based intelligent treatment options.
Though both EMR and EHR have been interchangeably used, industry
is increasingly using EHR. ‘Health Record’ is more inclusive
than ‘Medical Record’, benefiting not only the doctor, but also
patients, insurance companies, healthcare service providers such
as rehab centers, chiropractors, testing labs, and also the
government. EHR platform suppose to support all stakeholders in
the healthcare ecosystem.
EHR
empowers both Doctors and Patients with quick access to
information that ensures timely healthcare delivery and to plan
a proactive healthy lifestyle.
Some healthcare software providers have rebranded their old
software to reflect EMR and EHR terminologies, however true
powerful EHR software platforms are now only emerging with
health records portability and interoperability and seamless
PMS, HMS integration.
There are many flavors of EHR products in the market place
focusing on independent doctor’s practice to hospital chains to
HMOs, further differentiated by use of client/server or hosted
web technologies.
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EMR / EHR product architecture
predictably includes eight major
functional areas:
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Health
information:
Contains
medical conditions, sickness details, medication
lists, test results etc. |
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Results
management:
Electronically
gathers and manages lab results, radiology
reports, X-ray images, doctor notes, surgical
procedure details, discharge summary etc. |
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Order entry:
All
prescriptions, lab orders, admissions are
electronically entered; avoids hand writing.
Prescriptions are supported by PDR (Physicians'
Desk Reference) |
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Decision
support:
Smart knowledge
engine that warns about drug interactions, help
make a diagnosis, and provide evidence-based
guidelines as treatment options |
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Electronic
communications:
All stakeholders
in the healthcare ecosystem – doctors, patients,
nurses, medical assistant, referring doctors,
hospitals, lab workers, and insurers are able to
communicate in cyberspace securely. Systems
normally offer interoperability support. |
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Patient
support:
Patients can receive educational material via
the EHR and enter data themselves through online
e-forms / questionnaires; they can also use
medical devices at home and can upload data to
the EHR. |
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Administrative
processes:
The system supports practice management,
hospital management. This allows scheduling,
billing, insurance etc. |
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Reporting:
The database associated with EHR should support
reporting on patient, doctor, hospital or even
government perspective including demographic
reporting. |
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Above functional modules may be named
differently with industry specific terms and
predictably grouped with Practice Management
System (PMS) or Hospital Management System
(HMS).
Common EHR - PMS - HMS modules are:
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Patient information
management
Intake / admittance
management
Patient scheduling
Resource / Office
scheduling
PMS, HMS
Patient Portal
E-forms
Lab results
Document/Image
Management
Medical charts scanning
Chart Indexing
Decision Support
Patient on-line
education
Event reminders /
dashboards
Faxing & E-mailing
Electronic signature
HL7 - Message
interchange |
ANSI X12 (EDI) - Patient
data transaction protocol
Diagnostic imaging
DICOM & PACS Radiology
image handling
Evaluation and
Management (E&M) Coding
Physicians' Desk
Reference (PDR) supported
Electronic
Prescriptions
SOAP
(Subjective-Objective-Assessment-Plan)
H&P/PE
(History
and Physical) reports
HPI - History of present
illness
CPT, ICD-9 code &
billing
Medical Transcription
CMS, UB04, HCFA claims
Patient/Insurance
billing
Accounts receivables
management
Electronic Messaging to doctor(s) and staff
Prescription refills
EHR-PMS-HMS Application
integration
External Partner Portal
/ Exchange links |
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