Stimulating "Electronic Thinking" in a Clinical Environment

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Stimulating "Electronic Thinking" in a Clinical
Environment

• By Michelle Heller, CMA, RMAMedical Assisting
  Program Director at Ohio Institute of Health
  Careers

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EMR VERSES EHR

• EMR (Electronic Medical Record) Electronic
  record with full interoperability within an
  enterprise (hospital, clinic, practice)
• EHR (Electronic Health Record) Generic term for
  all electronic patient care systems
• The above definitions were provided by C. Peter
  Waegemann, CEO of the Medical Records Institute
  in an article entitled EHR vs. CPR vs. EMR in the
  May 2003 issue of - Healthcare Informatics.

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ADVANTAGES OF USING EMR/EHR
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Better Patient Care

• Improved communication between healthcare
  establishments and personnel working in those
  establishments.

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Better Patient Care Continued

• Health maintenance improves because of better
  tracking.
• Lab tests can be measured and tracked for
  statistical data and trends.
• Fewer medication errors
• Quicker responses to patient queries.

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Improved Efficiency

• Documentation time is greatly reduced due to the
  implementation of charting templates and auto
  text functions
• No longer have to spend time searching for
  charts.
• Electronic tasks are much more readily performed
  than physical tasks.

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Increased Revenue

• Better coding because of charting templates and
  auto text functions.
• Better tracking of health maintenance procedures
  results in increased revenue.

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THE GOVERNMENTS ROLE IN PROMOTING EMR

• President Bush and other governmental agencies
  want all patients to have EMR by 2014 and are
  currently creating incentives to private EMR
  vendors for creating software that match the
  standards set forth by the government.

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THE GOVERNMENTS ROLE IN PROMOTING EMR Cont.

• Incentives in Medicare and other HHS programs for
  using EMR.
• No licensing fee to use the governmental software
  VistA, designed and used by the Department of
  Defense and Department of Veterans Affairs.
• Awarding grants to smaller medical offices that
  may not be able to afford EMR.

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GOVERNMENTAL ACTS OR BILLS THAT ENCOURAGE THE
IMPLENTATION OF EMR

• 1996- HIPAA
• 2003 Medicare Prescription Drug Improvement
  Modernization Act

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GOVERNMENTAL ACTS OR BILLS THAT ENCOURAGE THE
IMPLENTATION OF EMR Cont.

• 2004-Executive Order 13335 (Calls for complete
  computerization of healthcare or a nationwide
  interoperable health information technology
  infrastructure by 2014.)
• 2005-Patient Safety and Quality Improvement Act

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PERCENTAGE OF PRACTICES USING EMR

• Between 2001 and 2003 around 15 of all practices
  were using EMR.
• (Stats are from the U.S. Centers for Disease
  Control and Prevention National Center for
  Health Statistics, National Ambulatory Medical
  Care Survey, 2001-2003)

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PERCENTAGE OF PRACTICES USING EMR Cont.

• In the January 2005 issue of Medical Economics,
  25 of physicians were cited as stating that they
  were planning on adopting EMR in the next year.

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• HOW DO WE TEACH STUDENTS TO THINK ELECTRONICALLY
  IN A CLINICAL ENVIRONMENT?

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Instructor Training

• Internet Resources
• EMR Companies
• (Provide Screen Shots, Explanations, Software
  Demos)
• Federal Websites
• Practice Management Websites
• Specialty Websites

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Instructor Training Cont.

• Attending EMR/EHR Workshops and Seminars
• EMR Companies
• Practice Management Companies
• Publishers

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Student Resources

• Textbooks that Implement EMR Training
• Adopt textbooks that incorporate EMR/EHR
  training.

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Student Resources Cont.

• EMR Software Programs
• Usually bundled with the text
• EMR Assignments
• Research paper on an EMR article
• Research paper on an EMR software program.

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Student Resources Cont.

• Group assignment comparing at least two different
  EMR software programs (Include costs and
  functionalities.)
• Have students interview someone working in an
  office that has used both paper records and
  electronic records and prepare an oral or written
  presentation depicting their findings.

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Student Resources Cont.

• The Clinical Instructor is an Important Resource.
  
• Incorporate EMR training into both the lecture
  and lab setting.

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Examples of Great EMR Websites

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Comchart

• Excellent website for screen demonstrations.
• www.comchart.com
• Click on the blue box on the left that says
  software.
• Click on the Virtual Tour Tab
• Scroll through the virtual tour tab at the bottom
  of the screen using the forward arrow until you
  get to Additional Screen Captures

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Misys EMR

• Excellent website for an EMR Demo
• www.misysemr.com
• Click on the demo tab
• Register with the Website
• Click on the demos tab that reads
• Misys EMR Demo Electronic Medical Records
• Select which demos you want to play.

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VistA / CPRS Demo Site

• VistA Veterans Health Information Systems and
  Technology Architecture
• CPRS Computerized Patient Record System
• EHR software designed by governmental agencies.
• Considered a model for a national EHR system.
• There are no licensing fees for using VistA which
  makes it very affordable.

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VistA Cont.

• The VistA website address is http//www1.va.gov/C
  PRSdemo/
• Download the VA CPRS demo software

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