Practice Management and Electronic Health Record Products
Integrated PMS and EMR vendors – Our research has shown that more than 87% of the selections in 2005 and 2006 have been for bundled Practice Management and EMR/EHR applications. Starting in 2005, ACG started tracking those vendors that provide a tightly interfaced or integrated solution.
EHR Vendors – Full EMR capability, with internet-based Personal Health Records, health maintenance tracking, proven interoperability with other EMR vendors, national clinical standard couplers, and clinical decision support with nationally recognized alerts, etc. The application must have interfaces to multiple Practice Management Systems. We further divided this category by size and multi- vs single-specialty, from large multi-specialty clinics to stand-alone practices.
EMR Vendors – Full charting and Document Imaging Management, along with e-Rx with formulary tracking by healthplans, automated E&M coding and verification, medical necessity checking by CPT and Diagnostic codes, comprehensive orders and results reporting, with integrated workflow routing and tracking. The application must have interfaces to multiple Practice Management Systems.
Charting Vendors – Ability to simplify the charting requirements, as specified by many of the medical societies and the IOM. Advanced functionality must include orders and results reporting, problem list and e-Rx tracking. The product does NOT have to have advanced nationally recognized alerts and clinical decision support. The application must have interfaces to multiple Practice Management Systems.
Document Imaging Management (DIM) Vendors – Ability to scan and store paper documents by patient and by sub-folder, along with the ability to electronically receive and file documents that are received either electronically or by fax, including Lab results, transcribed reports, and hospital ADT information. The DIM must have integrated routing and workflow capabilities and interfaces to multiple Practice Management Systems.
Community Health Record (CHR) Vendors – These vendors may not have a full functioning EMR but provide the interoperability functions of an EMR-Light along with the ability to maintain a community health record via a community clinical and demographic data exchange. Advance functionality includes reporting and tracking of orders, results, e-Rx, allergies, and problem lists, among others. The product should maintain a community master patient index, based on numerous inputs, including hospitals, healthplans, and numerous physician practice management systems. The Community Health Record vendor must also be working with various EMR/EHR vendors, to ensure effective clinical data exchange, following national standards like CCR or other recognized future interoperability standards.