How Paperless is How Paperless is Paperless?Paperless?

Presenters:Presenters:

Sheila BaysSheila Bays

Cindi LockhartCindi Lockhart

So………So………

Where are you hiding the paper charts?Where are you hiding the paper charts? Where do your physicians write their orders?Where do your physicians write their orders? Where do your physicians write their progress notes?Where do your physicians write their progress notes? When printing results for the physicians, where do When printing results for the physicians, where do

you file them?you file them? Do you print a chart upon discharge?Do you print a chart upon discharge? How do you handle documents like patient signed How do you handle documents like patient signed

consents and documents from other facilities?consents and documents from other facilities? Where do your physicians view radiographic images?Where do your physicians view radiographic images? How do you pull “old records” for physicians? How do you pull “old records” for physicians?

Where are you hiding the paper Where are you hiding the paper charts?charts?

Paperless as of December 2003!Paperless as of December 2003!

HospitalHospital 5 Long Term Care Facilities5 Long Term Care Facilities 1 Residential Care Facility1 Residential Care Facility Home Care ServicesHome Care Services 15 Clinics15 Clinics ONE EMR!ONE EMR!

Where do your physicians write Where do your physicians write their orders?their orders?

POMPOM Building, using and maintaining Favorite Order Building, using and maintaining Favorite Order

SetsSets Standard Order Sets-Admission Order Sets-Standard Order Sets-Admission Order Sets-

Evidence Based OrderingEvidence Based Ordering Streamlining Pharmacy OrderingStreamlining Pharmacy Ordering Interaction checkingInteraction checking Readability. Responsibility. Auditability.Readability. Responsibility. Auditability.

Where do your physicians write Where do your physicians write their progress notes?their progress notes?

DictationDictation Physician DocumentationPhysician Documentation

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

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

Do you print a chart upon Do you print a chart upon discharge?discharge?

No charts printed upon dischargeNo charts printed upon discharge Charts only printed when requested by patient, Charts only printed when requested by patient,

insurance companies, etc.insurance companies, etc. HIM-How it has changed.HIM-How it has changed.

How do you handle documents like How do you handle documents like patient signed consents and patient signed consents and

documents from other facilities?documents from other facilities?

ImageNow/Perceptive VisionImageNow/Perceptive Vision Patient picturesPatient pictures EKGEKG Surgical ConsentsSurgical Consents Monitor StripsMonitor Strips Other Clinical DocumentsOther Clinical Documents

Where are radiographic images Where are radiographic images viewed?viewed?

PACSPACS

How do you pull “old records” for How do you pull “old records” for physicians? physicians?

EMR is ONE source. Old and new EMR is ONE source. Old and new information.information.

Yes Virginia………Yes Virginia………

…………There really is such a thing as paperless.There really is such a thing as paperless.