1. Electronic Health History J Mark Barry, DDS, MBA Associate Dean For Clinical Affairs James B Edwards College of Dental Medicine Medical University of South Carolina October 15, 2011

2. New Clinical Building - Opened September 8, 2009 183 Operatories 380 axiUm Computers

3. September 2009 To January 2011

4. Electronic Training Sessions Progress Notes Consent Forms HIPAA Treatment Policy Forms Multiple Other Documents

5. January, 2011 Electronic Health History

6. Axium Consortium COHRI.ORG - MUSC part of network - Agreed to utilize adult comprehensive health history comprehensive health history - Committee key to planning and implementation and implementation

7. Consortium Electronic Health History This is the COHRI health history

8. Electronic Health Histories Adult Comprehensive Care COHRI Pediatric Comprehensive Care Emergency Limited Care Dental Faculty Practice

9. Adult and Pediatric Health History - Student Driven - Educationally Based - Multiple preclinical didactic preparatory classess preparatory classess

10. Comprehensive Care Program - Multiple EHH’s - Streamline Patients - Educate Students - Efficiencies

11. ScreeningProcess 1)Web Base EHH 2)Paper HH mailed to patient to patient

12. ScreeningProcess Screened by faculty Web base / Paper EHH Panorex 80-85 % patient acceptance PCC assignment

13. What is HealthAccess? A new axiUm module which currently allows patients to complete their health history online. The Medical University of South Carolina is the first school to “go- live” with HealthAccess.

14. MUSC HealthAccess Example dentalhealthtrain.musc.edu HHealthAccess 102110

15. What does it look like in axiUm? Security Questions

16. MUSC HealthAccess Example

17. What does it look like in axiUm? Patient entered text from HealthAccess is ALWAYS green

18. What does it look like in axiUm? Text is black after approval

19. What does it look like in axiUm? Patient Signature Parent or Guardian Signature Representative Signature Provider Name & Signature

20. HealthAccess Bottom Line Allows patients to complete their health history onlineAllows patients to complete their health history online Easy for dental school personnel to give a patient online accessEasy for dental school personnel to give a patient online access Easy for the patient to useEasy for the patient to use Has GREAT potential for additional features!Has GREAT potential for additional features!

21. Radiology Appointment - Web based EHH - Paper HH - Teaching tool, review of systems, medications systems, medications - FMS, DX impression, facebow

22. Treatment Planning Clinic - Student familiar with EHH - EHH Update - HHR (Health History Reviewed)

23. Lessons Learned Labor / Assistance

24. Typical operatory with computer, keyboard, mouse, and signature pad

25. Student Education Component

26. Emergency Health History - Walk in clinic - Paper HH (Condensed) - Front desk enters demographic info demographic info - Student enters paper HH in Axium in Axium

27. Dental Faculty Practice - Different version of EHH (Condensed) (Condensed) - Complete web based EHH - Mail in paper HH

28. Overview Methods for health history entry 1.HealthAccess at home (web entry) 2.Paper (patient completes) – transcribed by provider or staff 3.Oral interview (no paper) – transcribed by provider or staff