Practice Management Book

http://www.fpnotebook.com/

Computerized Medical RecordAka: Electronic Medical Record

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  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
  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. Heparin DVT Prophylaxis
    4. References
      1. Dexter (2001) N Engl J Med 345:965
  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)

Medical Records, Computerized (C0079150)

Definition (NCI)An automated, on-line medical record containing clinical and demographic information about a patient that is available to providers, ancillary service departments, pharmacies, and others involved in patient treatment or care.
ConceptsManufactured Object (T073) , Intellectual Product (T170)
MSHD016347
EnglishComputer Based Patient Record, COMPUTERIZED MED RECORD, COMPUTERIZED MED RECORDS, Computerized Medical Record, Computerized Medical Records, Electronic Medical Record, EMR, MED RECORD COMPUTERIZED, MED RECORDS COMPUTERIZED
Parent ConceptsMedical record, device (C0025102)
SourcesAOD, MSH, NCI
Derived from the NIH UMLS (Unified Medical Language System)



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