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Opening/Logon Screen Tracking Charting Charging Reporting Administration Research WWW.CMREDIS.COM Emergency Department Electronic Medical Record.

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Presentation on theme: "Opening/Logon Screen Tracking Charting Charging Reporting Administration Research WWW.CMREDIS.COM Emergency Department Electronic Medical Record."— Presentation transcript:

1 Opening/Logon Screen Tracking Charting Charging Reporting Administration Research Emergency Department Electronic Medical Record

2 Whiteboard filter and count area at the top of the screen Patient information populated via the Hospital IS system Blue (Name) cells – Previous Visit(s) Red cells - Awaiting Nurse action Yellow cells – In Progress Green cells - Awaiting Physician Action Grey cells – Previous/Completed Action Red (Time) cell – Reassessment Flag Red Out of Range Vital Flag Red Circle/Syringe - Shot-Clock Running Syringe - Shot-Clock Time Completed Emergency Department Electronic Medical Record Whiteboard

3 Whiteboard Filtering Emergency Department Electronic Medical Record Text search within a patients name Filter by department (ED, WIC, FT, etc.) View census in other departments Filter by requested specialty Filtering Option are Highlighted Above Filters can be hidden or visible as desired/required

4 Electronic Whiteboard Benefits Emergency Department Electronic Medical Record Duplicate Name Alerts Room Management

5 HIPAA Friendly Views (Option) Emergency Department Electronic Medical Record The user may select a whiteboard view where only patient ID information is displayed. The user may decide to show the name information as long as they are logged in. If the system logs a user out (timeout exceeded), only patient ID information is displayed. The whiteboard will not permit viewing of name information without a valid user logged in. User Is Logged Off After Exceeding The Facility Specific Timeout Period

6 Emergency Department Electronic Medical Record What Customers Say Administration Having used the CMR record I cannot imagine going through a Joint Commission Survey without it. – Dee Lejeune, Administrator St. Elizabeths Hospital

7 CMR© tracks physician documentation requirements automatically. Red = Section not started Yellow = More documentation required Green = Section complete Emergency Department Electronic Medical Record Physicians Chart

8 Emergency Department Electronic Medical Record Physicians Chart CMR© physician documentation includes orders, MDM, Rx, DI, etc. Grey = Orders/MDM/Plan

9 Lab Order status is available with a mouse-over. The image above displays that 2 out of 2 orders placed have been resulted Emergency Department Electronic Medical Record Lab Order Integration

10 Emergency Department Electronic Medical Record Lab Order Integration The above screen displays Lab Order Results reflected in CMR©

11 Graphical user interface for entry of Physical Exam findings. Emergency Department Electronic Medical Record Physicians Physical Exam Location and context specific findings.

12 The above screen is the Physicians Review of Systems KwikClix. These screens are designed to allow users the most user friendly access to commonly used options for a specific section. Emergency Department Electronic Medical Record Physician Quick Entry Screen - ROS

13 The coloring on the nurses chart is associated with functions within the ED Green - Triage Yellow – Evaluation/Orders Red – Medication Orders Emergency Department Electronic Medical Record Nurses Chart

14 Emergency Department Electronic Medical Record What Customers Say Project Management CMR technicians, clinicians and management have exceeded our expectations with their efforts to ensure successful and timely implementations… – Rebecca Bradley PMP, Project Manager LHA / AHRQ

15 Flow chart of the Nurses Triage Wizard This is one of many options available to make users more efficient Emergency Department Electronic Medical Record Nurses Triage Wizard Option

16 Nurses Triage Assessment KwikClix. These screens are designed to allow users quick access to the most commonly used options for a specific section. Links are provided for more detailed assessments if required. Emergency Department Electronic Medical Record Nurses Triage Assessment

17 Physician/Nurse Validation Emergency Department Electronic Medical Record Ensures complete documentation Out of Range Vitals, Effects of Meds, Verbal Order Acknowledgement, Orders must be completed, documentation must meet requirements based on the final diagnosis, etc Physician Validation 39yoUF

18 Physician/Nurse Validation Emergency Department Electronic Medical Record Ensures complete documentation; Out of Range Vitals, Effects of Meds, Verbal Order Acknowledgement, Orders must be completed, documentation must meet requirements based on the final diagnosis, etc Physician Validation 39yoUF Nurse Validation 39yoUF

19 Emergency Department Electronic Medical Record What Customers Say About CMR© ED Nurse Manager/ED Director CMR has afforded me an additional 40 hours per month to devote to managing my department…hours I used to spend trying to generate graphs and charts for the next Emergency Department meeting. – Leslie Norman, Assistant VP of Critical Care & Quality Risk Management, St. Elizabeths Hospital

20 CMRs ever-expanding list of reports/charts. These reports prompt users for applicable selection/filter criteria. Users have the ability to subscribe to reports. Reports are delivered (via a link) to the requestors inbox on the requested date or interval. Emergency Department Electronic Medical Record Management Reporting

21 CMRs ever-expanding list of reports/charts. These reports prompt users for applicable selection/filter criteria. Users have the ability to subscribe to reports. Reports are delivered (via a link) to the requestors inbox on the requested date or interval. Emergency Department Electronic Medical Record Management Reporting Average Times in ED

22 Ad-hoc Reporting Emergency Department Electronic Medical Record Ad-hoc reports may be viewed on the screen, printed, and/or exported to Microsoft Excel The user can view the actual chart associated with this record The user can export the information to Excel

23 Attachments to Chart Emergency Department Electronic Medical Record Ability to add, view and manage file attachments with each medical record

24 Attachments to Chart Emergency Department Electronic Medical Record Ability to add, view and manage file attachments with each medical record

25 Import PMHx and Medication Emergency Department Electronic Medical Record Past Medical, Surgical, Family/Social History and Medications Can be imported as-is and/or updated during import

26 Emergency Department Electronic Medical Record What Customers Say About CMR© CEO/CFO The increase in charge capture has more than paid for the cost of the use of the system. – Mr. Randy Olson, CEO Lane Regional Medical Center

27 Emergency Department Electronic Medical Record Real Life APC/Visit Level Impact Before CMR Facility Operating At a Loss With CMR Facility Operating At a Profit APC Level Before CMR (Operating at a Loss) With CMR (Operating at a Profit) CMRs effect on charging can be substantial as reflected in the actual customer data above % Another example of CMRs ability to improve visit levels!

28 An administrator can perform archive searches, maintain users and roles. Emergency Department Electronic Medical Record System Administration

29 Used by the Medical Records Department, and personnel within your billing department to look at APC or ICD9 reports. The red highlighting indicates a sequestered chart. Useful when calls to the ED from a patient, PCP or Pharmacy require information from the patients chart. Charts are immediately retrievable. Emergency Department Electronic Medical Record Archive Search/Record Review

30 Emergency Department Electronic Medical Record Archive Search/Record Review

31 User Roles & Permissions Emergency Department Electronic Medical Record An administrator can perform archive searches, maintain users and roles. User Profiles or Roles can be customized for each facility This example shows the LPN can not Edit Med/IVs

32 Emergency Department Electronic Medical Record Tablet Views CMR© will operate on PCs and/or Tablets. CMR© is in use with wired and wireless networks.

33 On-Site Training 24/7 Support

34 Emergency Department Electronic Medical Record What Customers Say Director of Nursing …you (CMR) listen to our suggestions; explain the possibilities and we all come to agreement on resolve… Cindy Vanlangendonck, Director of Nursing Huey P. Long

35 Industry standard prescription writer with the ability to add user favorites Emergency Department Electronic Medical Record Prescription Writer

36 Industry standard prescription writer with the ability to add user favorites Emergency Department Electronic Medical Record Prescription Writer

37 Industry standard prescription writer with the ability to add user favorites Emergency Department Electronic Medical Record Prescription Writer

38 Smart Forms ensure complete documentation in a variety of areas; Pneumonia Pathway form shown here facilitates Core Measure adherence and reporting Emergency Department Electronic Medical Record Smart Forms

39 Emergency Department Electronic Medical Record Smart Forms Smart Forms ensure complete documentation in a variety of areas; Code Form shown here is used real time

40 Emergency Department Electronic Medical Record Smart Forms Smart Forms ensure complete documentation in a variety of areas; Workmans Comp form shown here

41 Emergency Department Electronic Medical Record Smart Forms Smart Forms also allow users to customize the record; Physician Physical Exam WNL form shown here allows the user to define their own WNLs

42 Emergency Department Electronic Medical Record Discharge Instructions Add Work Excuse, Special Operating Instructions, Antibiotic Instructions, etc Cover Education, Return, Treatment and Follow-up

43 Emergency Department Electronic Medical Record Discharge Instructions Robust Discharge Instruction Library Currently offer English and Spanish, Define User Favorites

44 Emergency Department Electronic Medical Record What Customers Say About CMR© Information Systems CMRs record is very sophisticated and their support is extremely responsive and comprehensive…though seldom needed, its good to know their 24/7 support is available. - Jeremy Martin, IS Director St. James Parish Hospital

45 CMR Technology Emergency Department Electronic Medical Record The most up to date technology and database engine available; ASP.NET Platform SQL Server Database

46 CMR Technology Emergency Department Electronic Medical Record The most up to date technology and database engine available; ASP.NET Platform SQL Server Database

47 Emergency Department Electronic Medical Record


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