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
Outline I 1. EMR/EHR Definition 2. Perspectives of EMR 3. Document Handling 4. Approval Handling 5. Review Handling
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
Urgency of EMR? - advance for Imaging & Radiation Oncology Issue: vol 22/no.3 may/june 2012 Perspective I
Perspective II
Perspective III Urgency for EMR? - Compliance with the Obama The American Recovery and Reinvestment Act signed into law in 2009 - The Health Information Technology for Economic and Clinical Health (HITECH) - Standardized all health records and electronics
Perspective IV Urgency for EMR? - 2011: Incentive Implementation - 2011 2014: Add percent bonus - 2015: Penalty Implementation
Perspective V Purpose for EMR? - Modernize US healthcare system - Cost saving by cutting waste - Eliminate duplicate medical tests - Provide immediate accessibility to save lives
Perspective VI EMR Implementation Roadblock? - Lack of capital cost - Return in investment - Obsoleteness of EMR system
Perspective VII EMR Implementation Roadblock? - Maintenance cost - Physician resistance - Lack of expert staff in information technology
Perspective VIII
Perspective IX EMR Implementation Strategy? - New Facility - Immediate implementation (ALL) - Existing Facility - Strategic implementation (SYSTEMATIC)
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
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
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
Perspective XIII EMR Systems in Radiation Oncology? - MOSAIQ - ARIA - ONCO-CHART
EMR I EMR Systems in Radiation Oncology? - MOSAIQ - ARIA - ONCO-CHART
EMR II EMR Systems in Radiation Oncology? - Creating, Storing and Retrieving Documents - Indexing Documents - Searching Documents
EMR III Create Document? - Excel Spreadsheet - MS Word - Fill in the form
Scan Document? - Upload from escan folder - Pdf format - EMR IV
EMR V Document Approval? - Password -
EMR VI Document Storage? - Indexing -
EMR VII Document Storage? - Index Listing - Search by the FIRST letters
Documents Listing EMR VIII
EMR IX Workflow Status? - Scheduling - Sort by Time - Sort by Patient - Sort by Physician -
Workflow Status? EMR X - PHYSICS LOCATION - PHYSICS TASKS - Use comments to communicate
Workflow Status? EMR XI - Use Quality Checklist to keep Track!!! -
Workflow Status? EMR XII - Use Quality Checklist to keep Track!!! -
Approval Status? - Approval EMR XIII - Use Review Required to pass from one person to another -
EMR XIV Review Status? - Physics Review List -
EMR XV Review Status? - Chart Review List -
MOSAIQ I
enavigator MOSAIQ II
EMR / EHR Thank you for your attention - Implementation strategy - Look for immediate benefits - Added improvement