![]() The iPad is then placed outside the door like a chart would be. The photos are also very helpful to remember a patient if, like me, a person is better with faces than names. The assistant can also take the patient’s picture with the iPad to help ensure we have the correct patient. A medical assistant will room the patient, review past medical history information, and obtain the patient’s chief complaint/history of present illness (HPI) information. ![]() Our front desk uses the iPad for the patient to verify their demographic information and insurance information at check-in. Can you provide an overview of what it’s like to use your system in real-time, or a patient scenario? However, with EMA being an iPad platform, it does allow the MA or physician to interact more directly with the patient and move around them during the exam documentation rather than being tied to a computer station. With an EMR, you do run the risk of the focus being on the computer screen and not the patient. As with any computer-driven system, you can fall victim to “garbage in, garbage out.” Another challenge is to remember that the patient is the most important focus in the room, not the computer or the iPad. I think our biggest ongoing challenge is ensuring that our medical assistants, who act as scribes for us in the exam room, put in the correct information. Our notes are much more legible and professional looking compared to our old paper template notes, which worked well for internal documentation but sometimes weren’t as meaningful to an outside clinic because of abbreviated notation that was often used. Everything is available wherever you have computer access, which has been nice when you are on call and need to review what another provider may have done for a patient. Has your EHR changed how you approach daily tasks or your view of medicine? what are some of the challenges of adjusting to this technology?įor the office as a whole, having an EMR has been great regarding intra-office communication as well as eliminating the daily chart hunt that we had with paper charts. We cancelled our plan to be a Beta site and shortly after signed with Modernizing Medicine to use EMA. We set up a demo for the next day that blew us away compared to any other system we had demoed in the past. Michael Sherling and Modernizing Medicine. Along the way we demoed several EMR systems and were on the verge of being a Beta site for a new dermatology-specific system under development when we had the good fortune to come across an article about Dr. We abandoned it for paper notes and spent the next few years in search of a better system. Even though we ran a bit behind with our patient schedule in the first week or two, the staff adjusted quickly and we have never looked back! We had a previous EMR system about six years ago that we spent the better part of a year trying to customize to our needs and never could. We decided rather than ease into using it that we would just jump into the deep end, and on Jwe switched from templated paper notes to 100 percent use of EMA. One advantage of the delay was that we were able to practice with the system for a few months before going live. Because our system does not have a practice management system, there had to be an HL7 interface built between EMA and our practice management system, which took much longer than anticipated. We purchased our EMR system-Electronic Medical Assistant (EMA) by Modernizing Medicine-in late 2010 and were only the third customer with the system. Can you describe your experience with purchasing your system and how you settled on it? Each contributor uses a different system and can distill unique insights both about their own EHR as well as the changing field of EHR technology in medicine and dermatology. Over the next several months, the Technology Connection department will house a series of Q&As with EHR users.
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