electronic medical records systems, EMR, patient record, documentation, ED

Product Specifications

  • No costly software maintenance fees

  • Pay only for what you utilize

  • Prescriptions

  • Discharge instructions

  • Eliminates Transcription Costs
  • Eliminates the need to shuffle paper for data manipulation.
  • Enhances Quality Assurance
  • Decreases risk exposure from illegible records.
  • Proven increase in average chart value
  • Not cost prohibitive
  • Easy data interface with current commercial automated coding products
  • Compliant with HCFA 1998 E&M guidelines
  • Intuitive
  • Easy to learn
  • Generates Discharge Instructions in English and Spanish
  • Generate legible multiple drug prescriptions in less than 30 seconds.
  • Maintains a practitioners individual documentation style.
  • From scratch documentation of 
    Level 3 encounters in 2-3 minutes
    Level 4 encounters in 3-4 minutes
    Level 5 encounters in 4-5 minutes

    Fully compliant records that maintain the look of a quality Doctor-Patient relationship, while providing a rapid record generation.
  • Custom reporting available
  • Voice Recognition optional
  • Fully automated CPR recording with critical time stamps and legibility. 

 

  • Critical data time stamped
  • Diminished Risk exposure
  • Readable and not ambiguous
  • Medication and laboratory order entry
  • Automatic history update from previous visits archive. 
  • Previous visit archive that gives immediate, easy access to full record of past ED visits. 
  • Clinical Pathway Protocols
  • Consultant listing with Automatic placement on discharge instruction to eliminate redundant handwriting.
  • Detailed procedural documentation
  • Capture and Track inventory 
  • Capture charges
  • Easily generated supervisory notes for residents and P.A.s that are compliant with PATH audit criteria.
  • Y2K compliant
  • Easily keep track of skills checklist
  • Interfaces easily with existing medical information systems.
  • Secure log on
  • Order tracking
  • Time stamp re-evaluations

  • Able to easily generate individual user templates for repetitive type encounters, enabling a practitioner to generate a customized record in less than 1 minute.
  • Voice Recognition optional
  • Fully automated CPR recording with critical time stamps and legibility. 
  • Custom reporting available
  • Voice Recognition optional
  • Fully automated CPR recording with critical time stamps and legibility. 

 

 

Emerging Environment

Today’s healthcare industry’s ever changing rules and regulations pertaining to reimbursement are leading to tighter margins, tougher compliance regulations, denied reimbursement, increase financial and medical-legal liability, increased documentation requirements, and stressed professional and ancillary staff relationships. The progressively complex rules for reimbursement, while developed to ferret out fraud and abuse, have begun to take on the appearance of the U.S. Tax Code. Additionally, the odds of a HCFA/OIG audit are becoming more probable than a lunch visit from the IRS.

What is the solution? A documentation product that is:

· Compliant
· Complete
· Inexpensive
· Provides immediate medical record
    availability
· Legible
· Intuitive
· Maintains the highest quality rendition of  the Physician-Patient-Nurse-Hospital interaction, which creates a document also known as the "Narrative Portrait"

· MOST IMPORTANTLY: A documentation tool that is utilized by both physicians and nurses. 

The ultimate success of any documentation solution rests in its acceptance and effective implementation. Despite quality technology existing for the last 10 years that made Electronic Medical Records (EMR) a viable alternative to the traditional hand-written model, the single most pervasive force in failure to implement technological tools is the inability to get it used. Many factors have been blamed on this reticent end-user attitude. Often, management doesn’t feel it can entice, much less force conformity. Others say physicians and nurses aren’t interested in navigating the learning curve. On the surface, both of these arguments may appear correct, but the truth is, physicians and nurses are a group of individuals proven to be superior learners. Additionally, they spent most of their learning life conforming to a set of strictly rigid guidelines, that were dictated to them by their superiors. So why has no mass transition into electronic medical record documentation occurred in healthcare? Failure to integrate an electronic documentation standard into the environment of Emergency Medicine has occurred for 2 major reasons:

1) Failure to develop an implementation model that takes into account the end-users needs as they pertain to the occupational environment, with all of its inherent stressors.
2) Lack of a suitable product that combines all the previous mentioned items, while maintaining a flexible, easy to learn interface that maintains the individuals practice and documentation style. A product that would encompass all of these items would enhance the "Narrative Portrait" and serve to maintain the quality in medicine that was once taught and referred to as the "Art of Medicine".  Such a product would be a hybrid between dictation, hand-written records, and paper templates. Such a product exists. The people at ER RECORDS, Inc. have developed the most user friendly, most comprehensive system of electronic medical record documentation available today. They present the software systems of DOCTORS CHOICE and NURSES CHOICE. This integrated software system covers all documentation needs, from registration, to triage, through discharge instructions and prescriptions. This system is so superior because it provides a very easy learning curve, has a user specified customizable format which helps repeat users maintain a list of reusable information, and still maintains the ability to document entirely in the users own words. With rapid point and click data input, the system also has voice recognition integration capabilities. Thoroughly field tested for over 4 years, the developers at ER RECORDS, Inc. bring to the industry the most advanced, comprehensive, and user friendly electronic medical record software system available today. They give medical professionals the tool they need to illustrate the "Narrative Portrait" and help maintain the "ART" in medicine.

Group Description: 
Email group for users of Doctors Choice and Nurses Choice Electronic Medical Records software by ER RECORDS, INC. 

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DISCLAIMER
Copyright © 1999 [ER RECORDS, INC]. All rights reserved.
Revised: September 22, 2008

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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