How Paperless is Paperless?

1
How Paperless is Paperless?

• Presenters
• Sheila Bays
• Cindi Lockhart

2
So

• Where are you hiding the paper charts?
• Where do your physicians write their orders?
• Where do your physicians write their progress
  notes?
• When printing results for the physicians, where
  do you file them?
• Do you print a chart upon discharge?
• How do you handle documents like patient signed
  consents and documents from other facilities?
• Where do your physicians view radiographic
  images?
• How do you pull old records for physicians?

3
Where are you hiding the paper charts?

• Paperless as of December 2003!
• Hospital
• 5 Long Term Care Facilities
• 1 Residential Care Facility
• Home Care Services
• 15 Clinics
• ONE EMR!

4
Where do your physicians write their orders?

• POM
• Building, using and maintaining Favorite Order
  Sets
• Standard Order Sets-Admission Order Sets-Evidence
  Based Ordering
• Streamlining Pharmacy Ordering
• Interaction checking
• Readability. Responsibility. Auditability.

5
Where do your physicians write their progress
notes?

• Dictation
• Physician Documentation

6
When printing results for the physicians, where
are they filed?

• REALLY-no results are printed
• EMR is the ONE source of information

7
Do you print a chart upon discharge?

• No charts printed upon discharge
• Charts only printed when requested by patient,
  insurance companies, etc.
• HIM-How it has changed.

8
How do you handle documents like patient signed
consents and documents from other facilities?

• ImageNow/Perceptive Vision
• Patient pictures
• EKG
• Surgical Consents
• Monitor Strips
• Other Clinical Documents

9
Where are radiographic images viewed?

• PACS

10
How do you pull old records for physicians?

• EMR is ONE source. Old and new information.

11
Yes Virginia

• There really is such a thing as paperless.