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The implementation of the ifa EMR system can be customized to the requirements and needs of the user environment.
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The Customization Potential
The implementation of the EMR system can
be customized to the requirements and
needs of the user environment
The ifa EMR system offers compatible
modules like the LEGO concept
The Customization Potential
Introduction
• Every eye care clinic/office is different
(specialties, clinical pathways, terminology,
equipment etc.). Therefore the customization
potential and - process for the EMR system is an
important key for the efficiency and ROI (Return
on Investment).
• User input is needed for the clinical and
administrative workflow. The individual terms,
codes and abbreviations have to be researched
and implemented into the databases and user
interface.
The Customization Potential
Clinical Customization
• The following databases have to be checked within
the implementation process:
– Patient Encounter (Visit Type)
– Chief Complaint (Symptoms, reason for visits etc.)
– Diagnosis (frequently used ICD codes)
– Findings and Assessments
– Treatment Plan
• For each category the frequently used 24 terms are
needed for customizing the SmartScreen user
interface. Forms for the presetting process are
available.
The Customization Potential
Preparation Forms
The Customization Potential
Administrative Customization
• The adaptation for the administration (also for
interfacing with the PMS/HIS) are more complex:
– Physicians and staff (codes for documentation and access)
– Referring physicians (data base for addresses/letters and
reports)
– Billing codes (if stored in the EMR system)
– Prescription forms (medications, glasses, contact lenses)
– Standard letters/standard reports (for referring colleagues)
(See separate document)
The Customization Potential
Clinical Customization 1: Patient Encounter
• The “Patient Encounter” defines the reason for the
specific visit. The terms/codes depend on the
individual service range e.g.:
– CCE Complete Eye Exam
– CEX Cataract Exam
– FU Follow Up Exam
– PO Post OP Exam
– SU Surgery etc.
• See complete list for selecting the individual codes
and terms
The Customization Potential
Clinical Customization 2: Chief Complaint
• The “Chief Complaints” are defined as the
symptoms the patient reports to the medical staff
and/or the doctor, e.g.:
– BIE Blood in the eye
– BLUR Blurred vision
– DECVA Decreased vision
– FB Foreign body
– HEA Headache etc.
• See complete list for selecting the relevant codes
and terms
The Customization Potential
Clinical Customization 3: Diagnosis
• The coding of the diagnosis depend on the national
framework (e.g. ICD 9/ICD 10) and the billing
requirements. Samples:
– 36251 Macular Degeneration Dry
– 36252 Macular Degeneration Wet
– AMDDR Macular Degeneration Dry 362.51
– AMDWT Macular Degeneration Wet 362.52
• The 24 frequently used diagnosis codes should be
used for the standard template (see complete list
of diagnosis codes).
The Customization Potential
Sample for Diagnosis Data Entry
80% Data Entry with just a
mouse click
15% Data Entry with choosing
from a comprehensive code list
5% Data Entry with text
(individual by keyboard)
The Customization Potential
Clinical Customization 4: Findings /Assessments
• The system offers complete data bases for history
and exam codes (following the concept of 8 part
history and 8 part eye exam). Databases are offered
e.g. for history:
– PO Past Ocular History
– AL Allergies
– FH Family History
• And for eye exams:
– RT Retina
– MA Macula
– VF Visual Fields
The Customization Potential
Clinical Customization 5: Treatment Plan
• The treatment plan terms depend on the eye care
services and the specialty/subspecialty. Samples:
– SSC Schedule Surgery
– YAG YAG Capsulotomy
– NPOP Need pre-op Photo
– PLAS Plan Lasik
• These codes should be customized (see list for
further samples).
The Customization Potential
Customization of clinical routines (1)
• For a maximum of user comfort clinical routines can be
represented by preset templates (sample of retina report):
The Customization Potential
Customization of clinical routines (2)
• Predefined clinical pathways (e.g. tech exam for specific
patient encounters) can be easily programmed:
The Customization Potential
Conclusion
• The customization potential supports the high
efficiency and productivity of the ifa EMR system.
The preparation process is coordinated by the ifa
team.
• Changes of the data bases and SmartScreen
templates can be easily managed by the user
based on a professional documentation of the
functions and features of the relevant tools.
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