Cost of the Electronic Medical Record system

There are many variables to consider to estimate the installation cost of an EMR system.

These are the standard questions about the final users, which we usually ask in order to quote an installation and a maintenance service. The answer will give us an idea of the intensity of use, of user diversity, of the amount of data to be managed and of the complexity of the initial installation and subsequent adaptations and configurations.

For a fast automated quote see our calculator and you will know how many hours of a technician will be needed to install the software.  Continue reading “Cost of the Electronic Medical Record system”

What OpenEMR usage statistics reveal

There is a variety of data that can be obtained by analyzing the OpenEMR clinical history system, and at this moment we have in sight the use data of an important clinic in Southern Argentina, where we installed the system 3 years ago.

We can see how much each doctor uses the system, if they do it well or with errors, and which aspects can be improved. When several users committ the same mistakes, it is obvious that a global strategy needs to be implemented.

We see that less than 10% of the system’s features are actually being used. Most users ignore the available features, and prefer typing instead of selecting options from a menu. Apparently there is no local leader that can guide the rest of the users in taking true advantage of the available system. There is no effective coordination of the data entry and processing tasks. Continue reading “What OpenEMR usage statistics reveal”

Some FAQ for advanced features

Q.: I want it to be easy to find providers by Specialty, so that the patient who looks for a Pediatrician finds it right away.

A.: It is not foreseen. You can put the specialty after the surname, in the function of Administrator – Users. For example, Dr. Blanca Pérez Pediatra.

Q.:  I want to see an example of Provider schedule (doctors) In the system www.Medical-records.net I created Dr. Blanca Pérez Pediatra, who works on Thursday, all day (light blue). See the Calendar.

Q.: I want the patient to be able to see their data and provide new information.

A.: The patient portal allows the patient to see their information. You can enter as a patient to the system at , and for the case of the patient Alvaro Alvarez you can enter with the user: Alvaro159 and the password: demo11    We created for this patient an appointment on November 1, 2019, as can be seen from the patient portal. For the patient to provide data, such as pressure, diet, feelings in case of psychiatry or psychology, etc., we must add a handler of Wordlpress content. Ask us about it.

Q.: Can a national system of coding practices and medical prices be used?

A.: I see that the RIPS for use in Colombia uses the ICD10, International Classification of Diseases. At this moment our demo has the ICD9 and SNOMED in English. If necessary, special databases can be adapted to replace existing ones.

Q.: Can a national system be used to transmit data to an insurer?

A.: The RIPS system used in Colombia is not foreseen in the system and must be programmed. The system used in the USA is the X12, comes by default in the system, and is not the same, but can be used as a basis for programming.

Q.: How to recover password?

A.: For now there is no way to recover a forgotten password.

Q.: I need a series of questions for a specialty that should be available

A.: You can incorporate templates to structure the questions that the doctor asks the patient, thus facilitating the task of data entry.

Q.: I want a graphic with the human body or an organ, to indicate a pain or event.

A.: For example, I added a ” Graphic form of pain “as an example of a form. At our demo site, patient Alvaro Alvarez, at the meeting on May 19, I recorded a pain in the abdomen. You can see it in the Summary of Visits. A new tab appears in the Current Visit form, called Miscellaneous – Graf.Dolor Map, where you can find the form to record graphic data.

Health Insurance FAQ

How are the health insurance providers already admitted published?

First of all, each country has a different health system and denomination, but the most common is Health Insurance. In Argentina there are Obras Sociales (obligatory for all workers) or Prepaid Insurance o Prepagas (of voluntary affiliation). In Administration – Practice – Health insurance companies there is an editable list. Continue reading “Health Insurance FAQ”

Download here the full software for Digital Health Records, OpenEMR.

In these links you can download the OpenEMR system, to be used in any language. We support English and Spanish versions.

The page: Download OpenEMR contains the main links. Our clients receive the updated terminology table, in international Spanish, from which we have refined almost 20 unnecessary languages. We also have teaching materials in .pdf and PowerPoint formats, with the main tasks performed by users (doctors, nurses or administrative). The Windows version is 43.8 mb. It requires to run an Apache server emulation, with PHP and MySQL. The complete version, with the XAMPP system (Apache emulator, PHP, MySQL and mail), has 227 mb and can be downloaded from the aforementioned page. If you have a Linux system, for example Debian or Ubuntu, download your version (of 33 mb) on the Oem.org project site.

After installing the software on a local area server, which can be any Windows machine, perform the tasks of configuration and adaptation to local needs. These tasks include definition of care centers, professionals in charge of medical services, opening hours, health insurance available, etc. Regarding the system itself, there are many modules that are enabled or disabled according to the needs of users. If you are not an expert in this type of computer-medical-administrative task, ask about our initial configuration service, training and support.

Most of the queries we receive are referred to:

– prescription printing

– permits for different members of the patient’s equipment

– portal, so that the patient sees the information regarding his measurements and observations, as well as his appointments with health professionals.

– Security: intrusion control, backup

-capacity of the equipment, to manage speed and number of transactions.

– maintenance costs in our servers or in the cloud

– requirements to bill health companies, hospitals, insurers

– customized developments

This is the descriptor of the software in PAD File format —– To download free software for Digital Clinical Records, go to the Oem.org  site.

For English support, click on an English banner. See our service page

PowerPoint presentations explaining how to use OpenEMR

We made PowerPoint presentations showing OpenEMR features. They are still in Spanish only. See:

OpenEMR.com.ar/pp

Part 1: Find and create patients. 2 mb Presentation 1
Part 2: enter patient data. 4 mb Presentation 2
Part 3: Calendar. Appointments. 4,2 mb Presentation 3
Part 4: Coding. Accounting.  6,7 mb Presentation 4
Part 5: Administration. 6,8 mb. Presentation 5
Part 6: Pain map.  0,4 mb.  Presentation 6
Part 7: Incidences.  0,4 mb.  Presentation 7
Part 8: Inpatients.  0,4 mb.  Presentation 8
Part 9: Coding.  0,4 mb.  Presentation 9
In YouTube: OpenEmr 

 

Siglas usadas en OpenEMR

ACL Access Control Lists
ATNA Auditoría de registro y autenticación de nodo
CDR Clinical Decision Rules.
CCDA: consolidated clinical document arquitecture, arquitectura consolidada de documento clínico
CCR-CCD: reporte o documento de continuidad de cuidados, sistema estándar HL7 para guardar todos los datos de un paciente.
CQM Clinical Quality Measures, o MCC. Medidas de calidad clínica.
DOE disnea de ejercicio dysnea on exertion
EIN Employer ID number, número de identificación de empleador
EOB Explanation of Benefits
EP Emergency physician
ERA Electronic Remittance Advice
ETIN Employer Tax Identification Number, en EE.UU.
FECA Federal Employees’ Compensation Act, un sistema de seguro médico en EE.UU.
GCAC Cuidado Global y Abarcativo del Aborto. Un programa estadounidense de atención del aborto. No se traduce porque no existen equivalentes en países hispanoparlantes.
GCC: Gestión de la Calidad Clínica, o CQM (Clinical Quality Management).
HAI Healthcare Associated Infections, (infecciones hospitalarias, o infecciones asociadas al cuidado de la salud).
HIPAA Health Insurance Portability and Accountability Act, en EE.UU.
HTN Hipertensión
LOC loss of consciousness – pérdida de conciencia
MCA Medidas de cálculo automático
NPI National Provider Identifier. Número de identificación para prestadores de salud en EE.UU.
PQRI Physician Quality Reporting Initiative
PND Paroxysmal nocturnal dyspnea
TIA Transient Ischemic attack – ataque insquémico transitorio
VFC Programa Vacunas para Niños (Vaccines for Children), en EE.UU.
VIS Vaccine Information Statements
ZMG A company

Vea el artículo anterior para conocer los criterios de traducción utilizados.

Coexistencia de historia clínica en formatos papel y digital

Pregunta frecuente que respondemos:

[01:47:18 p.m.] Otto Gabriel S.: Una pregunta me surge, que estrategia recomienda sobre como incorporar la historia clinica de los pacientes. Por que los doctores lo que tienen son expedientes en papel. Pero ellos no quieren estar manejando dos sistemas uno en papel y el electronico que seria a partir de la implementacion de open emr

Continue reading “Coexistencia de historia clínica en formatos papel y digital”

OpenEMR features

Free

  • Freely available
  • Free to download, use, modify, and upgrade
  • Free documentation
  • Free support forum
  • Open source
  • Released under the GNU General Public License

ONC Certified

ONC Certified as a Complete EHR

Patient Demographics

  • Track patient demographics
  • Primary information (name, date of birth, sex, identification)
  • Marital status
  • Contact information of patient and patient’s employer
  • Primary provider
  • HIPAA information
  • Language and ethnicity
  • Insurance coverage
  • Deceased Tracking
  • Fully Customizable

Patient Scheduling

  • Patient Flow Board, Tracking, and Reporting
  • Supports multiple facilities
  • Patient appointment notification via email and sms
  • MedEx Communication Service
  • Recall (reminders) Board
  • Compact and flexible appointment calendar
  • Calendar features include:
  • Find open appointment slots
  • Categories for appointment types
  • Colors associated with appointment types and facility
  • Repeating appointments
  • Restricting appointments based on type
  • Random Patient Drug Screening

Electronic Medical Records

  • Interoperability
  • CCDA
  • Basic FHIR Support
  • Encounters
  • Medical Issues
  • Medications
  • Immunizations

Forms and clinical notes:

  • Vitals (growth charts included)
  • SOAP note
  • Review of systems
  • Eye (Ophthalmology/Optometry) Module
  • Template Driven Forms
  • CAMOS (Computer Aided Medical Ordering System)
  • Nation Notes (WYSIWYG editor)
  • Ability to create and customize forms
  • Group Therapy
  • Graphical Charting
  • Labs
  • Procedures
  • Patient Reports
  • Referrals
  • Patient Notes
  • Disclosures
  • Electronic digital document management
  • Voice recognition ready (MS Windows Operating Systems)
  • Paper Chart Tracking
  • Electronic Syndrome Surveillance reporting
  • Clinic Messaging
  • Send and Receive Medical Records via Direct Messaging
  • Dated Reminders
  • Medical Image Viewer (DICOM)

Prescriptions

  • Online drug search
  • Track patient prescriptions and medications
  • Create and send prescriptions
  • E-Prescribe
  • Print
  • Fax
  • Email
  • Customizable layout including options for DEA, NPI and state license numbers.
  • In-house pharmacy dispensary support

Medical Billing

  • Flexible system of coding including CPT, HCPCS, ICD9, ICD10 and SNOMED codes, and the ability to add others
  • Support for 5010 standards
  • Support for Institutional Billing Standards (UB-04)
  • Support for electronic billing to clearing houses such as Office Ally and ZirMED using ANSI X12
  • Support for paper claims
  • Medical claim management interface
  • Insurance Eligibility Queries
  • Insurance Tracking Interface
  • Accounts Receivable Interface
  • EOB Entry Interface
  • Customizable to work with a clearing house for automated 835 or ERA entry

Clinical Decision Rules

  • Physician Reminders
  • Patient Reminders
  • Clinical Quality Measure Calculations
  • Automated Meaningful Use Measurement Calculations
  • Fully Customizable and Flexible

Patient Portal

  • Modern User Interface
  • Scheduling and Appointments
  • Secure Messaging and Chat
  • Online Payments
  • Send Records via Direct Messaging
  • Customized Forms
  • New Patient Registration
  • CCDA Support

Reports

  • Labs
  • Medical Problems
  • Medications
  • Allergies
  • Appointments
  • Secure API that Supports Third Party Patient Portals
  • Patient Lists
  • Prescriptions and Drug Dispensing
  • Referrals
  • Immunizations
  • Clinical Measure Calculations
  • Clinical Quality Measures (CQM) Calculations
  • Automated Measure Calculations (AMC) and Tracking
  • Syndromic Surveillance
  • Pending Procedure Orders
  • Ordered Procedure Statistics
  • Paper Chart Tracking
  • Sales
  • Collections
  • Insurance Distributions
  • Insurance Eligibility

Multilanguage Support

  • Supports use of multiple languages within the same clinic
  • Fully supports UTF-8 encoding
  • Supports RTL

Security

  • Support for Role Based Menus and Custom Menus
  • Ability to Encrypt Patient Documents
  • Supports fine-grained per-user access controls
  • Active Directory Support
  • Database Connection Encryption Support
  • Remotely accessible from any modern web browser with a suitable security certificate installed

Support

  • Vast Online Documentation
  • Free Online Forum
  • Free Online Chat
  • Numerous Free and Professional Support Options