1. How Paperless is Paperless? Presenters: Sheila Bays Cindi Lockhart

2. So……… Where are you hiding the paper charts? Where are you hiding the paper charts? Where do your physicians write their orders? Where do your physicians write their orders? Where do your physicians write their progress notes? Where do your physicians write their progress notes? When printing results for the physicians, where do you file them? When printing results for the physicians, where do you file them? Do you print a chart upon discharge? Do you print a chart upon discharge? How do you handle documents like patient signed consents and documents from other facilities? How do you handle documents like patient signed consents and documents from other facilities? Where do your physicians view radiographic images? Where do your physicians view radiographic images? How do you pull “old records” for physicians? How do you pull “old records” for physicians?

3. Where are you hiding the paper charts? Paperless as of December 2003! Paperless as of December 2003! Hospital Hospital 5 Long Term Care Facilities 5 Long Term Care Facilities 1 Residential Care Facility 1 Residential Care Facility Home Care Services Home Care Services 15 Clinics 15 Clinics ONE EMR! ONE EMR!

4. Where do your physicians write their orders? POM POM Building, using and maintaining Favorite Order Sets Building, using and maintaining Favorite Order Sets Standard Order Sets-Admission Order Sets- Evidence Based Ordering Standard Order Sets-Admission Order Sets- Evidence Based Ordering Streamlining Pharmacy Ordering Streamlining Pharmacy Ordering Interaction checking Interaction checking Readability. Responsibility. Auditability. Readability. Responsibility. Auditability.

5. Where do your physicians write their progress notes? Dictation Dictation Physician Documentation Physician Documentation

6. When printing results for the physicians, where are they filed? REALLY-no results are printed REALLY-no results are printed EMR is the ONE source of information EMR is the ONE source of information

7. Do you print a chart upon discharge? No charts printed upon discharge No charts printed upon discharge Charts only printed when requested by patient, insurance companies, etc. Charts only printed when requested by patient, insurance companies, etc. HIM-How it has changed. HIM-How it has changed.

8. How do you handle documents like patient signed consents and documents from other facilities? ImageNow/Perceptive Vision ImageNow/Perceptive Vision Patient pictures Patient pictures EKG EKG Surgical Consents Surgical Consents Monitor Strips Monitor Strips Other Clinical Documents Other Clinical Documents

9. Where are radiographic images viewed? PACS PACS PACS

10. How do you pull “old records” for physicians? EMR is ONE source. Old and new information. EMR is ONE source. Old and new information.

11. Yes Virginia……… ……There really is such a thing as paperless.