OphthalmicASC Aug

AUG 2017

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T H E O P H T H A L M I C A S C | A U G U S T 2 0 1 7 12 O A S C | E F F I C I E N C Y Burk agrees. "Having the same sys- tem enables us to view the clinic chart electronically from the ASC, negat- ing the need to transport or fax paper charts between facilities," she says. "Also, less protected health information is circulating in office spaces, improv- ing our HIPAA compliance." Beyond these major considerations, choosing what additional features to include in an EMR system generally comes down to the preferences of those in your ASC who will be using the sys- tem most often. "Look for an EMR that will go with the flow of a day at your specific OASC," Biagi says. "Charting needs to be easy with drop-down selections that can be easily changed, depending on your specific OASC or surgeon's preferences. Simple is better when you look at your screens. Some EMRs have too much information up on the screen at one time. This can be confusing for the user and looks cluttered with information that can be easily stored on a tab if you want to review it." For Burk's part, "must-have" EMR features include areas for listing patient allergies, body mass index, height, weight, medical history, diagnosis, medication, vital signs, and discharge instructions, as well as safety check- lists, PACU records, pre-op checklists, orders, anesthesia, progress, phone calls, and consents. She also recom- mends EMRs that enable users to sign consents when the chart is open and provide a pre-admission testing area. Shopping for an EMR: Do Your Due Diligence Once you've defined your wants and needs, it's time to go shopping. Dr. Otto recommends thoroughly researching companies and their products. Three companies — Compulink, Medflow, and iMedicWare — offer EMR systems specifically for OASCs, while a fourth, EyeMD EMR, has one in development. "Formulate score cards for each ven- dor and narrow down your finalists" to invite in to demonstrate their products, Dr. Otto says. However, "don't depend on the ven- dor demos alone," he advises. "Don't fall for all the bells and whistles of the demo. If the vendor claims the system performs a certain function, make sure they can show you in a live scenario." Biagi agrees, noting that site visits are a vital and critical step for prospec- tive buyers. "References are very important and should be part of your due diligence," she says. "If you visit another OASC, you can observe the patient flow, For the Record: What's Out There Three companies offer EMR systems specifically for OASCs. The following is a summary of the systems and their features: Compulink Compulink's Ophthalmology Advantage EHR, practice management and ambulatory surgical center solution includes the OneTab EHR system. OneTab allows OASCs to document an entire procedure from a single screen to streamline workflow and increase efficiency, offers tools to automate MACRA reporting and monitoring of quality scores, and is customizable to meet the needs of the practice and ASCs. The all-in-one system also includes tools for practice management, optical, patient engage- ment, data analytics, telehealth, and revenue cycle management service. For more information, visit www.compulinkadvantage.com/ophthalmology/overview/. iMedicWare The official ASC EMR of OOSS, iMedicWare's iASC system allows users to customize consent forms, patient questionnaires, physician profiles, and pre- and post-operative orders. Surgeons can sign off on a patient's chart with a single click and conduct real- time chart audits to ensure the chart meets all state and federal guidelines. Detailed productivity and case-cost analysis reports eliminate inefficiencies and streamline clinical workflow while increasing profitability. Electronic booking sheets for surgery can be provided to outside practices through the iASCLink feature, even if those prac- tices are using a different EMR system or are still using paper. For more information, visit www.imedicware.com/iASC.html. Medflow The Medflow ASC EMR system can run as a stand-alone program or connect with an enterprise practice management system. Users can establish preference cards, surgical procedures, standing orders, RN checklists, CRNA checklists, intra-operative checklists by specialty, by procedure, operative notes by procedure, by surgeon, inventory, and more. For more information, visit www.medflow.com/ophthalmology-ambula- tory-ehr.html. EDITOR'S NOTE: EyeMD EMR is in the process of developing an EMR system specifically for OASCs, according to Jessica LaRue, a company representative.

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