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.