Request input on AC and other options

DrMurdoch:

FPdoctor:

  many AC practices don't use any paper charts. 

some AC practices don't use paper charts ....  I'd like to see a survey of more recent users and determine how many are chartless.

A year ago, the vast majority of AC users ... including Jon used paper charts.

There were ways to be chartless with AC previously but they were more for show and wouldn't allow you to do it well. 

There are newer methods now, ie. Updox, etc.  I was trying to demo Updox 18 months ago with AC but didnt have the time.

 

Just FYI, Jon has been working on AC full-time for some time now.

At our User's Conference this weekend, we had a show of hands, and it looked to me like nearly 50/50 on chartless vs. paper + EMR, but better statistics do not exist, because we are a pretty informal bunch. I was surprised to find this.

I have only been using AC for less than a year, and have not reached paperless status, but what a difference in my practice! AC complements paper charts very well. My filing and chart-pulling have become almost non-existent, and my paper is much reduced. It has also improved my billing turnaround as well (non-electronic). Many people have consciously decided to use AC to complement a practice with paper charts, which I think is an entirely legitimate application of the product, and may be a superior approach for some practices.

We saw a very powerful demonstration of UpDox this weekend by a User who was using it in a paperless office which included AC. But, most AC users who are paperless are not using UpDox.

My friend, Bert Adams, has created a small application to help with document handling which complements AC as well, and some of us are beta testing that now.

joseph:

 

We are paperless for more than 4 yrs now since imported items feature became available in V2 of AC I believe.

How do you review incoming reports ?  On paper ?

Reports come in various forms:

-by paperless fax- on winfaxpro 10.03: Convert to pdf and import it to chart. If the file has multiple patients we split using pdf splitter and import to chart. We have asked all consultants to fax in their consult notes to save paper. And most do. Even nursing homes send most communication by fax, I review/sign and fax it back on our network fax. And import it to chart. (My med record person imports it). We store all nursing home files by date on pdf. So if for some reason the Nursing home says they did not get a particular day's fax for whatever reason we just fax that day's pdf file 

-as paper - if so, we scan them and shredd or give it to patient (if they are labs or imaging study reports)

-we are working on interface with the lab- then it would be all electronic.

Hope this answers your question.

joseph:

and import it to chart.

Do you automatically get a message that something has been imported ?

 Yes. The message will be there till I sign off the document. I could batch sign all those with one click, because I have already reviewed them before it went to the filing clerk.

Filing clerk never imports anything before I see it on computer or read the paper from lab courier/US mail.

joseph:

 Yes. The message will be there till I sign off the document. I could batch sign all those with one click, because I have already reviewed them before it went to the filing clerk.

 

You review all your documents twice ?

On Paper and then in AC ?