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Electronic Medical Records � Multiple Data Input Options
Posted by Michael on 22 Dec 2004 - 17:15 23 comments

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NEW YORK, NY - December 17, 2004 -The most critical part of any Electronic Medical Record (EMR) is the method of data entry. EMR is about aggregation of patient encounter data at the point of care in order to provide a complete, accurate, and timely view of patient information. An electronic medical record is not just a typed record of the patient encounter, but an extremely useful decision support tool. The data can be entered into the EMR via any of the two general mechanisms: direct entry by the physician using point and click templates or transcription of dictated notes. Point and click template indicates that each data element, which is to be inserted, requires selection, navigation, point and click process for capturing patient information. Medical transcriptions correspond intuitively to the physician's usual method of documenting patient encounters via dictation.

Physicians are not unanimous on any specific method of data input. Some are comfortable with keyboard typing, few like to use the mouse, some want to dictate part of their notes. OmniMD EMR offers all of these options for data input. For a physician, the EMR that fits into his practice workflow would be invaluable. OmniMD EMR has a template driven charting feature and the ability to interact with a transcription service at the same time. Both are indispensable features of Electronic Medical Record Software.
Point and Click Templates
OmniMD EMR system allows providers to generate clinical documentation, by selecting variable terms from pre-structured point-and-click templates. Users simply point and click to select appropriate choices from lists of choices to record a patient encounter. The end result would be a document that closely resembles a transcribed procedure note.

Advantages

-Completely customizable templates
-Provide consistent, complete and accurate data
-Notes for similar type of exams will appear to be standard and similar
-Store / organize data for subsequent retrieval
-Each click adds data elements to the database. Point-and-click systems create data that can be used to generate clinically useful reports, such as health maintenance reminders, disease management etc.
-One of the major advantages of template based charting is the time needed to make the document -available as a medical record. Since notes are created within the EMR, they are available -immediately upon completion.

Medical Transcription
Medical Transcription has long been the standard for documenting patient encounters. It is more convenient for a provider as compared to handwritten notes or electronic data entry. The OmniMD web and Pocket PC compliant transcription product suite can be used along with OmniMD EMR. With OmniMD medical transcription system, physicians can dictate and save voice files on Pocket PC and routes it to the transcription service. Physicians can review and sign off the transcribed reports online which are automatically attached to the corresponding patient's EMR.

Advantages
-Dictation remains the most intuitive and least time-consuming means of data entry.
-Physicians can dictate anytime, anywhere using PDA, Dictaphone or telephone at their convenience.
-Providers need not change the way they practice just to accommodate an EMR. OmniMD EMR can interact with transcription service so that transcriptions can be attached directly into the patient�s electronic medical record.
-It requires minimal training for physicians.
-Provides expressive power to describe patient�s condition and other health related events.

About OmniMD
OmniMD is a developer of HIPAA compliant Pocket PC and Internet-based enterprise clinical solutions, designed to fully automate the work-flow of contemporary healthcare organizations. The company is a division of Integrated Systems Management, Inc. (ISM), a leader in Internet consulting and e-business development since 1989. We have successfully positioned ourselves as a significant force in the health information technology field, rapidly securing a base of clients that has continued to grow exponentially since the division�s formation half a decade ago.

For additional information, please visit http://www.omnimd.com.
Contact Person: Amit Singh
Email: pr@omnimd.com
Phone: 914.332.5590 x414
Fax: 914.332.5766

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