AMBULATORY EHR SUITE

   

MD-Reports 9i has achieved Ambulatory 2008 EHR certification and is ONC-ATCB 2011/2012 Certified. EHR Suite offers complete and integrated reporting and documentation solutions for Medical Offices, Ambulatory Surgery and Medical Centers. The EHR/Consultation module offers comprehensive History & Physical reports, Follow-up notes, Organized Document Scanning thereby facilitating true and organized Electronic Patient Charts which provides access to a patient chart at your fingertips. The Procedure module generates reports integrated with Images, Referral Letter, and Discharge Instructions. Features include Pathology Request, Electronic Prescription and Patient List summary with ICD9 and CPT codes. MD-Reports EHR eliminates transcription and imaging costs thereby increasing efficiency and accuracy.

These are some of the key modules help Surgery Centers with their documentation needs:

Procedure/OP Note Writer

MD-Reports certified Endoscopy report writer and other op writers enables the physicians document a detailed report with images and pictures embedded on this. This unique solution offers them to avoid unwanted paper costs of mavigraph and provides high ROI. Captures bench marking standards and other quality indicators.

    

Sample Endoscopy Report:
                

Nurses Notes

MDR-Nurses notes help electronically document reports for the nurses in pre, intra and post-procedure stages. All the reporting is done according to the latest Centers for Medicare and Medicaid Services (CMS) and Joint Commission (JCAHO) guidelines. The nurses documentation interfaces seamlessly with the physician endoscopy reporting software. Some of the salient features include:

  • Template driven forms replicating paper
  • Customized checklists
  • One click generation of pathology requisitions and specimen labels
  • Safe Surgical checklist, Fall Risk Assessments, Aldrete scores at key stages of patient interaction, Medication Reconciliation, G-Code Generation and much more
  • Important data points like Body Mass Index (BMI), Smoking status, Blood pressure etc. to enable physicians to qualify for meaningful use for patients seen at the surgery center
  • Interface with leading Vital signs monitors for auto-retrieval of vital signs
  • Compatibility with latest hardware
  • Seamless flow of information like Medications, Allergies, Vital signs, Pathology information to and from doctors module
    

Sample Nurses Notes Report:
                

 

 

 

 

 

Anesthesia

We have a sample Anesthesia Report on the right panel (showing the filled up grid). MDR-Anesthesia notes help electronically document reports for the anesthesiologists in pre, intra and post-procedure reporting. All the reporting is done according to the latest CMS and JCAHO guidelines. The anesthesia documentation interfaces seamlessly with the physician endoscopy reporting software. Some of the salient features include:

  • Template driven forms replicating paper
  • Customized checklists
  • One click generation of pathology requisitions and specimen labels
  • Safe Surgical checklist at every stage of patient interaction
  • Seamless interface with leading Vital signs monitors for auto-retrieval of vital signs
  • User friendly entry of anesthesia administered to the patient
  • Compatibility with latest hardware
    

Sample Anesthesia Report:
                

 

 

 

 

Scanning

MDR-Scanning offers a user friendly solution to make surgery centers and offices paperless. It provides a feature to scan papers in bulk and facilitates easy association of scanned records to the patient charts. The patient’s medical history would be at the fingertip of the staff. This module will help reduce the number of chart pulls, save time and cost in maintaining paper and thereby improve the efficiency of your center.

    

Easy scanning:

e-Consents

MD-Reports© will help to make your paper consent forms electronic. MD-Reports© supports consents in the language of your choice. The patient signature would be appended to the consent along with the signature of the witness and the physician. The module is HIPAA compliant. All the signatures are accompanied by timestamps.

      

Analytics and ASC Reporting

Banner with image showing a happy administrator or a biller with Quality Data submission and surrounded by checklists with the word done! On them You cannot manage what you cannot measure. With increased emphasis on pay-for-performance it is important for administrators to capture information on the health of their patients and the health of their center. Reporting that is specific to running specialty surgery centers is inbuilt in the system. MD-Reports© has the capability to generate over 50 kinds of reports to run analytics for quality purposes and administrative tasks including reviewing performance measures. The reports can be exported in Excel and can be analyzed further. Some of the important reports include:

  • Patient problems/diagnosis according to their demographic. This will help you know your patients better such that you can channel your marketing efforts in the right direction.
  • Quality of Preps to ensure quality of care.
  • Key timings during interventions over a period of time for benchmarking against local or regional centers.
  • Analysis based on number and types of cases according to provider. This along with patient tracker will help streamline operations.
  • Infection Control Reports
  • Other reports that can be submitted to the registries like GIQuic and AGA
  • Reports useful for getting AAAHC certification and getting into ASGE Endoscopy Unit Recognition Program
      

Patient Records

There are many ways to keep track of the progress and records of the patient.

Electronic Patient Charts: Eliminate paper records and gives you a dashboard of the history of patient visits.

Patient Tracker: Know where the patient is within the surgery center, what they are in there for and wait times based on the activity performed. This will help you identify bottlenecks and improve workflow efficiency.

Alerts and Notifications: Help signal any abnormalities for a patient.

      

Messaging

Sticky notes may have been innovative at one time but with an in built Intra-office messaging system we can get rid of the need to use sticky notes and send reports, test results and messages across staff members or groups within the organization.