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Beyond Billing . . .
Computers in Patient Care
WHY USE COMPUTERS? ::
- Increase Practice & Business Efficiencies
- Improve Practice Effectiveness
- Improve Patient Records
- Proactive Patient Management
- Improved Access To Information
- Improved Ability To Share Information
- Remote Access To Information
- Improved Follow Up Reminders For Preventative
Care
- Increase Accountability
- Incorporate Clinical Practice Guidelines
Stepwise Approach to Computerization
GUIDING PRINCIPLES ::
- Use computers where they have the most to
add to your practice
- Take existing office systems and automate
them to increase efficiency
Billing
- This is, for most of us, where we start.
- We already realize the benefits of an integrated
MSP/WCB/Private Billing System that gives us
instant access to our Accounts Receivable.
Scheduler
- Integrated with the billing system
- Provides an audit trail for all bills
- Quicker, easier, and more flexible than paper
appointment books
- Prevents double booking errors.
- Tracks no-shows, and last minute cancellations
- Customizable for each physician: number of
appointments, time per patient, work hours &
time off.
- Weekly or Multiple Doctor views
Messaging
- Networked computers can link physicians to
their staff with electronic 2 way messaging
that is part of the clinical record
- Phone messages entered by receptionist; organized
by urgency; are instantly accessible, and integrated
seamlessly into the permanent patient record.
- Messages allow instant access to clinical
records
- Messages can be redirected to staff for appropriate
follow-up, without disturbing your workflow.
- Follow Up reminders can be created from a
message
Referrals
- Referral requests are grouped and prioritized
for appointment making and patient notification,
streamlining office workflow and increasing
effectiveness.
- Physician referral letters are easily generated,
incorporating the complete patient medical summary
into a formatted letter.
- MSP referral is automatic
Lab Results
- Lab results are download by modem and are
instantly incorporated into the clinical record
- All results are tracked by Physician review
status and Patient review status
- Urgent lab results and results outside of
the reference range are flagged and instantly
brought to the physicians attention
- INR callbacks are instantly billed
- Lab results can be linked to clinical problems
Prescriptions
- Prescription systems allow better medication
tracking for patient compliance
- New Prescriptions are cross referenced with
Patient's Allergy List
- Can be integrated with Drug Interaction Programs
- Can be printed to include current medication
and allergy lists
- Phone refill requests entered by staff, grouped
for physician review, and integrated with the
patient record allow for a more efficient and
effective system
- Individual refill requests are sorted by pharmacy
for staff callback.
Follow Up System
Automated follow up reminders and patient notification
improve patient care by allowing physicians to
proactively manage patient care
Internet
- Internet access off the physician's desktop
or from the exam room opens up a world of resources
for patient information, drug information, CME,
and other medical resources
- E-mail communication
- Web Pages
Clinical Records
- Built around the Medical Summary
- Easy Data Input
- Input the data once and it is there forever
- Easier and better communication of patient
history for hospital admissions, consultations,
insurance forms and patient transfer
- Allows the ability to analyze your patterns
of practice
- Includes:
| Medication Record |
Allergy List |
Problem List |
Inactive Problem List |
| Surgical History |
Obstetrical History |
Social History |
Personal History |
| Message History |
Follow Up History |
Visit Record |
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Visit Records
- Problem specific templates can both prompt
for and provide the information necessary for
effective problem management
- Generally most effective once the other systems
are in place
- Incorporates Voice Dictation
Scanned Images
Incorporation of outside documents into
the computerized patient record
- Necessary for documents not available electronically
- Integrated with Optical Character Recognition
Software, allows the ability to search patient
records for keywords
- All results are tracked by Physician review
status and Patient review status
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