Patient emr the evolution of patient documentation
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Patient EMR - The Evolution of Patient Documentation

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Presentation Transcript

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Today’s Patient EMR Presenter

Craig Mercure

VP, Sales & Marketing

  • Joined MxSecure in 2003

  • 13 years of experience in sales and marketing in the healthcare market

  • Bachelor of Science degree from Arizona State University in Purchasing and Logistics Management and obtained his MBA from the University of Phoenix

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Today’s Agenda

  • Healthcare Stimulus

  • Current State of Patient Documentation

  • Future State of Patient Documentation

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HITECH Act Overview

  • Part of ARRA (American Recovery and Reinvestment Act)

  • Incentives to encourage Professionals and hospitals to utilize EHR technology

  • Meaningful Use

  • Rapidly changing patient documentation

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Medicare Incentive Matrix

Adoption Year

Incentive Year

Source: Title IV Subtitle A of the American Recovery and Reinvestment Act of 2009

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Medicaid Incentive Matrix

Adoption Year

Incentive Year

Source: Title IV Subtitle A of the American Recovery and Reinvestment Act of 2009

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Current Patient Documentation Process

  • Handwriting

  • Transcription

  • Speech Recognition

  • Point and Click EMRs

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  • Not structured

    or encoded

  • Legibility


  • Quick, Easy

  • Retains current workflow

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  • Not structured

    or encoded

  • Transcription still needs to be interpreted

  • Inconsistent turn around times


  • Fast, easy, expressive

  • Retains current workflow, favored by physicians

  • Skilled Professionals

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Speech Recognition


  • Not structured

    or encoded

  • Physician needs to still edit their notes

  • Learning curve


  • Reduce documentation costs

  • Immediate turn around

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EMR Documentation


  • Manual process

  • Documentation

    of narrative

  • Inflexible


  • Coded clinical data

  • Immediate entry into patient record

  • Practice uniformity

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Future Patient Documentation Process

  • Continuity of Care (CCD)

  • Discrete Reportable Transcription

    • Patient demographics

    • Medication list

    • Immunizations

    • Medication allergy list

    • Problem list

    • Procedures

    • Diagnostic test results

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The Future is Now

  • Find an option that is most productive for provider and helps him deliver better patient care

  • 2009 HITECH Act (Stimulus) will rapidly accelerate the need for this type of technology and services

  • Patient documentation is going to see rapid change over the next 5 years

  • Understand what options are out there and what will work best for your practice

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  • For more information contact:

    Craig Mercure

    [email protected]

    888.580.1010-Toll Free