Computerized Medical Record

1. EMR does not interfere with Doctor-Patient Relationship
   1. Computer word processor versus pen with paper
      1. No difference in patient satisfaction
   2. Computer does not degrade clinical encounter
      1. Not perceived to make encounter impersonal
      2. Not perceived to divert attention from patient
      3. Not perceived to reduce confidentiality
   3. References
      1. Solomon (1995) J Fam Pract 41:241-4
2. Computerized reminders improve preventive care
   1. Significantly higher order rate with computer reminder
   2. Success of intervention linked to pre-written orders
      1. Physician only had to click yes to implement
   3. Study looked at four routine prevention measures
      1. Influenza Vaccine
      2. Pneumococcal Vaccine
      3. Prophylactic Aspirin
      4. HeparinDVT Prophylaxis
   4. References
      1. Dexter (2001) N Engl J Med 345:965-70
3. Standard EMR Products
   1. Practice Partner by Physician Micro Systems
      1. http://www.PMSI.com
   2. Tops Suite by e-MDs
      1. http://www.e-mds.com
   3. Epic
      1. http://www.epicsys.com
   4. Mysis EMR
      1. http://emr-electronic-medical-records.net
   5. Medical Manager
   6. Physix
   7. PenChart
   8. Chartware
   9. Healthmatics
   10. HBOC
   11. HIS
   12. Health Care Data Systems
   13. Medicalogic's Logician Enterprise
       1. http://www.medicalogic.com
   14. Medicware (Companion Technologies)
   15. Medic's Autochart
       1. http://www.medic.com
   16. Medinotes Corporation
       1. http://www.medinotes.com
   17. Megawest
   18. Soapware
   19. Medcom Welford Chart Notes
   20. Encounter Pro
   21. Omni Docs
   22. Medinformatix
4. Billing and Practice Management
   1. Millbrook Paradigm (NT based system)
      1. http://www.millbrook.com
5. Alternative Types of EMR
   1. Virtual Private Networks
   2. Application Service Provider (ASP)