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Wednesday 21 August 2013

The Relationship between Computerized Patient Record Use and Quality Of Care



There is unanimity that widespread adoption of health information technology (IT), in particular computerized patient record, will result in increased efficiency and improved patient care. Computerized patient record is an evolving concept defined as a collection of electronic health information about individual patient or populations. It is a record in electronic format that is capable of being shared within across different healthcare providers, by being embedded in the network.

The main constraints in adopting computerized patient record are the physical barriers  and impact on the patient-doctor relationship that could result from the use of computerized patient record during the consultation. Initially there will be resistance in adopting electronic health record system but once doctor will expose the benefit of electronic health record, they will feel a need for an information system.

Computerized patient record helps in presenting  patient-specific information in the form of assessments or recommendations, or alerts or reminders during consultation. Computer based patient record system is designed to be used by care providers as a direct aid in clinical decision- making. In current scenario medical information required for clinical decision-making has increased; but  the accessibility of health data is still poor, resulting in inappropriate decisions and medical errors.
To increase the accessibility and management of patient related health information the use of electronic health record should be promoted. The first electronic health record will be used for the management of patients and collecting medical information.

Medical information is conceptually organized the patient’s paper medical record, and combine clinical and therapeutic  patient history. Computerized patient records are designed to be used directly by doctors during consultation and to provide online information and messages to help doctors in their practice.

The aim of DocEngage ( An Electronic Health Record) is to offer support in clinical decision-making, to increase coordination among health care providers, and to promote the correct care, thereby improving quality of care. The aim of DocEngage is also : to decrease the time duration for retrieval of medical records, allowing many care providers to have simultaneous access to the same patient medical record; to improve data confidentiality; and finally to collect routine data related to patient.

DocEngage increases quality of care by followings:
1) By providing timely access to patients’ related health information
2) By tracking patients over time of period to ensure that they receive accurate care
3) Helps in decision support-support  mechanisms to reduce medical errors
4) Provide accurate and complete data
5) Improved knowledge of patients’ medical history
6) Better Medical Examination

Tuesday 20 August 2013

DocEngage: Provides you a more doctor-friendly electronic medical record



No wonder if doctors say they hate electronic medical records (EMR)!  They do not know anything about electronic medical record, and they do not know what electronic system do hospitals have. They may be dreaming about an electronic medical record, which does not change their clinical workflow and save their time. In our electronic medical record system, we provide following features, which makes more doctor friendly product.

1. One time user names and passwords entry required: Once as a doctor you sign in, you can perform whole treatment process required for patients. Our system provides all features access in one time sign in. You can view complete patient health record in one single place. DocEngage maintains care record for each patient. Care record includes basic patient demographics, vitals, history, care plan, clinical notes, prescriptions, investigations along with impression, list of assessments along with notes related to assessments and progress notes

2. Eliminate the paper printout: We provide facility to save and download all reports and files in various the formats (Pdf, excel, word etc.) and you can store those files in the file section of the particular patient, which is available in care record section. In future, you can have access to those records anytime from anywhere. If you want to save any important files related to your work then you can save into doctor file sections. Now there are no requirements to take printout of all files, which generate during whole treatment process. It is already on the system. Now doctors can have access to these records any time.

3. All data systems are compatible: Here at one place once patient data has been entered that can be automatically imported to another place. There is no requirement to retype everything again during writing progress notes or in any other treatment process.

4. Don’t make you turn the page: All-important information about a patient will be present at one place, when you look up a patient. There is no requirement to click on different tabs. All the relevant records about the patient including what medications they have received during the treatment will automatically display on the screen when you start the treatment. Specific to care, all the latest lab data, recent appointments with specialists, current medication list, medical history and anything else then you want to see commonly will be right on the first screen.

5. Back-up the system: Our software is cloud based so all patients’ data will be always available. All information is stored exclusively on an online network with the internet as the point of access for all users. There is no limitation of physical location accessibility as in conventional software platform.

Monday 19 August 2013

Electronic Health Record for Better and Safer Health Care



In Today’s health care technologies, treatments, medications, and procedures are changing rapidly and clinicians are supposed to incorporate them into their practice. Now physicians are expected to assimilate both new and old knowledge, apply that knowledge to their patients, remember each patient’s health status and background, and communicate quickly with patients, patient’s family, hospitals, and other providers. Earlier days, meeting these expectations as often been difficult because system to organize, store, and retrieve medical and patient information had not been present. But, Today Electronic Health Record exists that can help clinicians meet each of these challenges.
Earlier, the process of organizing, storing, and retrieving medical and patient information has been paper based. But this system is  inefficient for managing enormous amounts of medical and patient information that can affect patient care. 

For example: The  conventional medical record may be not useful because it is handwritten and poorly organized, making it difficult for physicians to locate he information they need about past medical tests and their results.

Patients who visit more than one care provider have several medical records, which often are shared with other physicians, laboratories, and hospitals.

Web Based Health Records improve quality of care and reduce costs
The Electronic health record system creates and stores an electronic patient record  from the medical history, physical assessments, laboratory reports, diagnoses, and treatments. Electronic health records help physicians in improving quality of care by reminding patient previous medical history and patient previous treatment plan. For example, rheumatic fever ( which can later cause damage to the valves of the heart) can result from an untreated strep infection.

When a physician orders a test or medication in the Electronic Health Record system, it displays the cost of the test and shows whether it has been ordered previously, make medication recommendations, give warning about dangerous drug interactions, and shows the patient active orders, allergies, diagnosis, vital signs, and test results.

Electronic health records improve access to patient record by any department, helping to reduce fragmentation of patient information.  DocEngage helps in connecting different hospital patient database. When one patient visits to one hospital for treatment and after some time he visits to another hospital for the same treatment in that case DocEngage helps in searching same patient information on the basis of name, age, gender, date of birth, and other information. When a patient match is found, the computer system then prints a patient report that contains a medical history, past hospitalizations reports, and clinic visits, immunizations, and laboratory results. Which saves a lot of cost.