EMR System
EMR System
EMR System

Overview

An Electronic Health Record system is web based software to collect patient’s medical records, store data accurately, capture the patient visit to medical center, diagnoses and its prescription. Work with authorization system and billing system, integration with these third-party systems for accurate billing claims.

EMR System

The Problem

There are several problems, in terms of keeping patient data, tracking health record, aggregate data into health systems for reporting and decision support. Physicians are often left without a way to discuss patient information and face lack of communication to discuss the patient records. EHRs are cumbersome in nature. Their UI is not user friendly, are cumbersome to use and have poor visibility of critical information. Data search for History records are not easily searchable. Lack of regulation such as Meaningful use is become basic need of any EHRs.

The customer came to CodeEpsilon to come up with an EMR system that reduces all these shortfalls and provides a system which is manageable, usable and maintainable.

The Approach

Handling the EHR system’s intuitive complexity was the first challenge in front of CodeEpsilon Services team. A detailed NFP was created for almost the complete system. The NPF was shared and approved by the stakeholders before it was taken into development.

The Challenges

EMR System is cumbersome by nature itself. It is very necessary to have EMR system which has User friendly UI, Information on screen as and when needed and also comply with compliances. EMR must have standard modules which every EMR has, on top of it, solution must be scalable for future needs. Solution which can be customize by User themselves as per their practice need. Solution must be able to redistributable.

System Complexity

Handling the EHR system’s intuitive complexity was the first challenge in front of CodeEpsilon Services team. A detailed NFP was created for almost the complete system. All the possible workflows and usability features were implemented followed by approval by the stakeholders before it was taken into development.

EMR System

Operational Flexibility

Variation in practices and physician patterns lead to difference in types of forms and workflows needed and expected from EMR systems. The system was developed with high level of customization possibility enabling the administrator customize and recalibrate the user forms and workflows in lines to the exact needs.

Data Operability

One of the major challenge was to bring the data from existing medical system to the completely new designed system. To facilitate the same a mapping tool was devised which could help the owner map and migrate the old system data to the new one.

Technology Matrix

  • MVC 4.0
  • .Net Framework 4.5
  • MS-SQL 20012
  • Kendo UI
  • JavaScript
EMR System

The Solution

We built an EMR system which has below facility which makes it easy to use and give solution over cumbersomeness. It has Template driven flexible Information documentation architecture and scalable and customizable as per practice need.

It had the following key features:

  • Patient Registration: includes functions such as adding new patients, searching for patient files, documenting relationships between patients and deleting incorrect patient files.
  • Provide Care: includes functions such as displays patient alerts, separates active and inactive problems, and summarizes patient data.
  • Orders: includes functions such as printing patient requisitions, displaying order diagnostic imaging and labs and creating and printing labels.
  • Scheduling: includes functions such as setting up appointments, notification of conflicts, searching for, transferring or cancelling appointments, printing of schedules and appointment status/history.
  • Review Practice: Queries and Reports: includes functions such as enabling user-defined patient recall reports and follow-up lists, and creation and saving of custom practice reports.
  • Data Management: includes functions such as matching information received to patient records and merging/unmerging of duplicate record.
  • Documentation: includes functions such as printing of patient charts, free-form notes, and modification/creation of templates.
  • Immunizations: includes functions such as creating immunization entries for a patient or group of patients, mandatory fields for immunizations, records adverse reactions, and viewing and printing of immunization history.
  • Medication Management: includes functions such as maintains individual patient medication lists and dosages, enables prescription writing and printing, enables drug interaction checking and quick renewal of medications from a patient's list of existing medications.
  • Non-Visit Encounters: includes functions such as tracking telephone calls or contact attempts, documenting any provision of care or follow-up planning that occurred during a non-visit encounter, and printing requisitions/orders as a result or a non-visit encounter care or follow-up.
  • Manage Billing: includes functions such as maintains records in accordance with the MSC Payment Schedule, automatic transfer of appointment information to billing, provides fee schedule lookup, supports batch claim transmission and maintains historical fee schedules.
  • Manage Paper: includes functions such as tracking manual and automated transcriptions by person, date and time, attaches digital files to patient records, and creates flags for follow-up appointments based on information an attached file.
  • Clinical Decision Support: includes functions such as providing tools for creating templates and flow sheets, displays reminders of pending or missed actions that need attending and integrates reference support into the clinical workflow.
  • Privacy: includes functions such as tools to manage user accounts and privileges, confidentiality disclaimers in reports, eliciting consent from patients, masking or patient data, printing of patient charts, and audit reports focused on tracking access to data.
  • Security: includes requirements such as a vendor-documented security architecture, role-based security and generation of security logs identifying access to the EMR, functions performed, changes to system privileges and more.
  • Operational and Technical: includes requirements such as a scalable and high performing database, fault tolerance and fail-over capabilities, database back up and enables access to local file of pertinent patient data during downtime.
  • Assess/Manage Current Problem: includes functions such as entry of clinical notes in structured SOAP format, tools to support clinical documentation and decision making, records and updates/removes patient allergies, graphs measured elements from a patient's chart over time with normal ranges and viewing of outstanding orders.
  • Task Management: includes functions such as provision of a task management area where users can manage/forward tasks and active items (such as messages, personal ""to-dos"", active referrals, prescription renewals and active lab results) and allows sharing of tasks, results, etc. between providers in a shared practice.
  • Templates and Flow sheets: includes templates/flow sheets, rules and reports for chlamydia, gonorrhea, HIV, syphilis and tuberculosis, arthritis, asthma, chronic kidney disease, chronic obstructive pulmonary disease, congestive heart failure, dementia, depression, diabetes, hepatitis B and C, hypertension, prevention, immunizations, pregnancy, and obesity screening and management.
  • Results Management: includes functions such as displays lab test results in tabular form, highlights abnormal test results, alerts clinician to test result changes and summarizes historical lab results. Referrals Management: includes functions such as managing active referrals, logs referral requests, attaches received referral/consult letters to patient records and maintains historical patient-based record of referrals.

Please Contact CodeEpsilon for any assistance in IT Consulting/Software Development/Infrastructure Management. We would be glad to assist you in the best possible way.

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The Result

By Choosing CodeEpsilon Services Pvt. Ltd as their solution provider, Client was able to provide very user friendly, easy to use EHR System. EHR System was in compliance to government regulation ONC. It provided the possibility of customization to a large extent giving flexibility to management and owner. Solution is Mobile device friendly. Click and submit approach for data gathering.

EMR System

Key Benefits

  • EMR System

    Ease of use.

  • EMR System

    Robust Clinical workflows.

  • EMR System

    Cloud based implementation for accessibility anytime anywhere.

  • EMR System

    Flexibility of general customizations without the need of development team.

  • EMR System

    Subscription based features availability.

  • EMR System

    Chart Representation of Reports for better user experience.

  • EMR System

    Extensive documentation and in-system context help for relevant topics.

  • EMR System

    Role based access to specific sections and data for better control and security.

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