EOHR – Dentrix

Electronic Oral Health Record
EOHR
Frank Mazzeo Jr., D.D.S.
Vice President/Chief Dental Officer
Family Health Centers of Southwest Florida, Inc.
Reality!
• “Today’s office without Information Technology is
like yesterday’s office without Electricity”.
“Today’s Practice without an Electronic Oral
Health Record is like yesterday’s office
without a Copy Machine”.
Basic Elementary Provider
Request
Chart
Radiographs
Patient
Doctor
Location
All present at the same time.
EOHR - Components
Medical / Dental History
Charting – soft tissue / hard tissue lesions
Alerts
Progress / Clinical Notes
Treatment Plans
Prescription Writing
Appointment Scheduling
Digital Imaging – radiographs (periapical and
panograph), intra-oral clinical photography
EOHR COMPONENTS
Prescription writer
Multi-Office
Access
View patient
Chart
Patient
Scheduler
Document
scanner
Progress notes
EOHR
Dentrix / Medical Manager
Integration Objectives
Maintain one billing and A/R system
Ability to run UDS and practice
management reports from one system
Limit the amount of training required
Staff already familiar with Medical Manager
Core functions and processes will not change
from a practice management perspective
EOHR
Dentrix / Medical Manager
Integration Objectives
Easily provide clinicians with the tools not
present in the Medical Manager system –
Clinical Charting
Ability to view patient’s dental information
from anywhere in the organization
EOHR – Requirements
Additional SQL(structured query language)
Server & Licenses
Additional Citrix Server & Licenses
Terminal Server Licenses
Dentrix Software
HL7 Interface – Dentrix
HL7 Interface – Medical Manager
HL-7 Interface
• Health level 7, the ANSI standard for
information interchange between foreign
systems in the health care industry
• The 7 refers to the fact that the protocol is
designed to address the 7th layer of the
international standards organization’s open
system interconnect model
EOHR - Demographic Interface
Real-Time Demographic Outbound Interface from
Medical Manager to Dentrix
Transferred over 200,000 guarantors and dependents
Families stored in Medical Manager appear as
families in Dentrix
Demographic information only: name, address,
phone, Sex, DOB, SSN, Account and Chart Numbers
All updates occurring on the Medical Manager side
and fed instantly into the Dentrix system via the HL7
Interface
Reduces errors when maintaining patient
demographic information; only one system for adds
and edits
EOHR - Development of
Medical Manager / Dentrix
Interface
HCN assisted with development and testing of
the HL7 Interface between the medical and
dental software
HCN is the first Medical Manager and Dentrix
client to have a bridge between both systems
EOHR – Training Levels
Train the Trainers – Dentrix trainer – 3 day
training seminar for 12 instructor
participants
End User Training – ½ day focused training
for provider and dental assistants
On-Going End User Training – to be
incorporated as part of the existing two
week new employee training
EOHR – FHCSWF Broadway Family
Dental Go-Live Requirements
Upgrade data lines from ISDN (128K) to
full T1 (1.544Mbps)
Cisco 1720 router
Cisco Aironet Wireless Access Point
7 Fujitsu B-Series Lifebooks with Wireless
Network Cards
FRAMEWORK FOR ASSESSING
IMPACT OF EACH EOHR COMPONENT.
(OUTCOMES)
• What is the effect on the “Bottom-line”?
–Does it increase revenue?
–Does it reduce expenses?
–Does it improve operational efficiency?
• Does it improve on the Quality of Care?
–Patient & Staff Satisfaction
– Access, Availability, etc.
• Does it reduce Malpractice Risk?
EOHR - Dentrix – Clinical Chart
Appointment Book
EOHR – Dentrix - Family File
Family
Demographics
from MM
Outbound
Interface
BENEFITS OF VIEW PATIENT CHART
–Improvement in “Bottom-line”
»Increase in Provider efficiency.
• Improvement in Quality of Care
– Less duplication of labs, tests, etc
• Decrease in Malpractice Risk
– No mis-filed documents.
PROCESS OF COMPLETING MANUAL
PRESCRIPTIONS Medication List
Determine med
to prescribe
Check for contraindications
Front of Chart
Problem List
Write prescription
in progress notes
Write prescription
On Prescription Pad
Write prescription
on medication list
PROCESS OF COMPLETING ELECTRONIC
PRESCRIPTIONS
Determine med
to prescribe
Allergies
Create prescription
in Prescription Writer
Drug interactions
Drug-Disease
interactions
Prescription sent out
wirelessly & electronically
BENEFITS OF ELECTRONIC
PRESCRIPTION WRITING
Decrease in Malpractice Risk.
– Decrease in errors due to:
•
•
•
•
Misinterpreted handwriting.
Inappropriate drug dosing.
Unrecognized drug interactions.
Overlooked information in a patient’s record
(e.g. allergies, disease contra-indications, etc).
• Lack of knowledge about medications.
BENEFITS OF UTILIZING DOCUMENT
AND IMAGE SCANNER
– Improvement in Quality of Care.
» Efficient access to patient information.
– Decrease in Malpractice Risk.
» No mis-filed documents.
» No misplaced consents.
• Improvement in the “Bottom-line”.
–Decrease in staff resource utilization.
–Significant savings from not renting space.
–Increase in Staff efficiency and motivation.
DOCUMENT AND IMAGE
SCANNER
• Enables documents to be scanned into MIS.
– Patient Record (Old Record, Consults, Records
from previous Provider, Authorization Form,
Advance Directives, etc, etc).
– Administrative Documents (Encounter forms,
Contracts, Grant Applications, Meeting Minutes,
etc, etc).
» As fast as 1 page per second.
PRESCRIPTION WRITER
• A major component of EMR.
• Automated prescription writing from a complete
database of medications.
• Checks for interactions, allergies, etc.
• Generates a Medication List.
• Provides printable information on meds.
• Able to send prescriptions to most pharmacies,
electronically.
• Provider can set up “Favorites”.
Let’s continue to reach for the
stars
Then and probably only then will
we be able to see beyond the
clouds
Patient Chart
Life Before the Computer
Before the Computer - an application was for
employment; a program was a TV show; a cursor
used profanity; a keyboard was a piano; memory
was something that you lost with age; a CD was a
bank account; if you had a 3 1/4 inch floppy, you
hoped nobody found out!
Compress was something you did to garbage
Not something you did to a file
And if you unzipped anything in public
You'd be in jail for awhile!
Log on was adding wood to a fire
Hard drive was a long trip on the road
Life before the Computer
A mouse pad was where a mouse lived
And a back-up happened to your commode!
Cut - you did with a pocket knife
Paste you did with glue
A web was a spider's home
And a virus was the flu!
I guess I'll stick to my pad and paper
And the memory in my head
I hear nobody's been killed in a computer crash
But when it happens they wish they were dead!”
Thank You
Good Luck