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Unsolicited but Greatly Appreciated Testimonial Mike Anderson, MD, FAAP
EncounterPRO Pediatric EMR Workflow System



Pediatric EMR Chart in 37 Seconds
Pediatric EMR

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FAST, EFFICIENT, AND SAFE TRANSPORT OF YOUR CURRENT (AND FUTURE) CLINICAL DATA


EncounterPRO
HEALTH INFORMATION EXCHANGE (EPHIE)

EPHIE (its Greek root means “well spoken”) is a proprietary clinical messaging engine at EncounterPRO Healthcare Resources' Atlanta headquarters that daily manages thousands of messages passing between EncounterPRO customers and external data partners. These data partners include:

  • Over 70 national and regional clinical reference laboratories,
  • Numerous state vaccine registries,
  • Retail and mail order pharmacies via the SureScripts Electronic Prescribing Network,
  • In-office medical devices, and,
  • More than 40 practice management systems

The diagram to the left is a Turbo Roundabout, a symbol of fast, efficient, and safe transport, which has been in this case adapted to symbolize transport of clinical messages into and out of the EncounterPRO Pediatric EMR Workflow System.

 


EncounterPRO's CONNECT, COMMUNICATE, AND COORDINATE VISION

The page is about vision. Should you want us as your partner for the next five to ten years? Where is health information management going and what are we doing to take us, and you, there?

The simple capacity to connect and communicate data is insufficient. You need to connect, communicate, and coordinate. As successful examples of clinical groupware, EMR workflow systems are all about care coordination. Workflow engines execute process definitions in order to coordinate the accomplishment of tasks. The EncounterPRO Health Information Exchange (EPHIE) has two tasks, to transport and to translate clinical messages, be they immunization data, lab results, e-prescriptions, or demographic and billing data. EncounterPRO's workflow engine and EPHIE's interface engine work together like a hand and glove to automatically, quickly, efficiently, effectively, reliably, and flexibly communicate the right clinical data to the right person at the right time and place. It's what makes clinical groupware so great. It's why our tag line is "Clinical Groupware for Pediatric Practice."

Our mantra is that whatever EMR feature or functionality concerns you most, it's accomplished better in a clinical groupware solution such as the EncounterPRO Pediatric EMR Workflow System. It is more efficient, timely, safe, effective, patient centered, and equitable.

Consider electronic results management and interfaces to state immunization registries. (For details on e-prescribing, practice management systems options, and popular medical devices please be referred to their respective pages and subsections on this website.)

Electronic Lab Result Management Workflow

Consider the lowly electronic lab result. It was one of the first clinical data routinely exchanged with ambulatory EMRs. Pediatric practices with electronic connectivity to clinical laboratories *still* suffer from the following problems (Ferris et al. Electronic Results Management in Pediatric Ambulatory Care: Qualitative Assessment, PEDIATRICS Vol. 123 Supplement January 2009, pp. S85-S91):

  • Increased costs due to redundant tests
  • Decreased efficiency
  • Insufficient pediatric-specific customizations
  • Duplication of workflow (electronic *plus* paper)
  • Lost orders
  • Failed follow-up management, resulting in
    • Missed or delayed diagnoses and
    • Delays in follow-up test ordering

The last three problems are particularly sobering since a substantial percentage of malpractice claims are due to failures in these areas. All of these problems are especially acute in solo and small practices with limited resources (for which the EncounterPRO Pediatric Workflow System is perfect. All three of the first HIMSS Davies Awards went to solo practitioners using the EncounterPRO EMR Workflow System—two pediatricians and one physician with a combined obstetrics, gynecology, and family medicine practice).

Compared to a traditional pediatric "singleware" EMR, a clinical groupware workflow system flexibly but reliably implements closed loop test monitoring (every test result is tracked to its final disposition). As a direct result electronic laboratory result management is more efficient, timely, safe, effective, patient centered, and equitable.

More Efficient Less staff time tracking results, answering calls for lost results, and performance of redundant tests.
More Timely

Automatically, tests results are inserted into the right patient's chart and To-Do items added to the right staff members To-Do list.

Safer Less delay or risk of lost results leads to more rapid and certain transmission of abnormal results to patients.
More Effective More complete chart, more consistent workflows and To-Do item generation lead to improved access to results and adherence to guidelines.
More Patient Centered Improved communication from provider to patient leads to decreased delays in patient notification.
More Equitable Standardized automatically executed workflows rather than reliance on individual providers make sure all patients have equal access to test results.


A similar sort of analysis could be performed with respect to any incoming clinical data. Without a workflow engine and process definitions to automatically but flexibly close the loop, practices will only incompletely leave paper behind, and will continue to endure slow, redundant, inconsistent, and ultimately ineffective workflows (traditional "singleware" EMR problems), resulting in less than optimal clinical performance, patient and provider satisfaction, and practice profitability.

State Immunization Registry Workflow

To paraphrase KFC, we do state immunization registries right. In fact we have spoken at both the HIMSS and the Public Health Information Conferences about the proper way to build interfaces to state immunization registries.

What's our point? We know enough about what works and what doesn't work when interfacing to state immunization registries that we give national presentations in which we actually grade the various state immunization registries for how well *they* implement pediatric EMR friendly interfaces.

OK. We have another point. And it is the same point that we made previously with respect to electronic lab result management (and to e-prescribing). Whatever pediatric EMR functionality you think is important, whether it is internal to your practice, or requires hooks to an external clinical partner, it's better on a clinical groupware workflow system, such as the EncounterPRO Pediatric EMR Workflow System.

State immunization registries want five things from EMR vendors, two of which are excellent workflow, so as to not impede physician productivity, and automated upload of immunization data. In partnership with the EncounterPRO Health Information Exchange, the EncounterPRO Pediatric EMR Workflow System does both.

THE NEXT FIVE YEARS:
THE EHR NETWORK EFFECT

OK. Again. What's our point?

Our point is that when you look at whether or not an EMR has electronic lab results, has e-prescribing, has uploads to state immunization registries, and so on, be sure to consider the whole that is greater than the parts. The same technology used to transport and translate this clinical data into and out of your EMR will also be used to move many other kinds of data in the future, including: biosurveillance, population management, and process benchmarking. Make sure that your EMR vendor has a vision of what the next five or ten years is going to look like and has a plan to make sure that your future data will arrive as automatically, quickly, efficiently, effectively, reliably, and flexibly as your current data.

SureScripts E-PRESCRIBING WORKFLOW

The EncounterPRO Pediatric EMR Workflow System's implementation of our direct interface to the SureScripts Electronic Prescribing Network is so good, we've devoted an entire page on this web site to it.

PRACTICE MANAGEMENT WORKFLOW

Ditto.

MEDICAL DEVICES

Please see our pediatric-specific functionality page.

 

Children's artwork courtesy of A Child's Night Out.

Pediatric EMR Demo

TESTIMONIALS

"Waiting times have been dramatically reduced every step of the way—not just the waiting room time. Parents are happier because going to the doctor no longer takes two hours out of their already overcrowded schedule. I can see more kids per hour with an actual increase in preventive services like screenings and vaccines—thus improving healthcare and increasing revenue at the same time." Jeffrey D. Cooper MD Pediatrician EncounterPRO User Since 1995 (and HIMSS Davies Award Winner)

"It has allowed our physicians to increase the number of patients they see in a day...And it has given the physicians that were already high-volume the opportunity to spend a little more time with their patients and be more personable." Dee McGee, Pediatric Practice Manager EncounterPRO User Since 1995
"It's really helped my lifestyle. I'm working three and a half days a week, I used to work seven days a week. So it's really made life much easier, and the staff love it!" Armand Gonzalzles MD Pediatrician EncounterPRO User Since 1999 (and HIMSS Davies Award Winner)
"At a time when physicians are being squeezed by cost constraints of record proportions while trying to continue to provide quality care, it is absolutely imperative that you look for a system that delivers security, cost efficiencies, and unparalleled quality of care in a new way—EncounterPro is that system." John Ivan Sutter MD Pediatrician EncounterPRO User Since 2000
"One Monday in the winter we had only two of our five doctors in the office. Then my partner was stuck at the hospital and I was left by myself. At the end of a long day I had seen 79 patients! I wasn’t even frazzled." Karen Kamachi MD Pediatrician, EncounterPRO User Since 2000
"My office went live 2 days ago and it's unbelievable! For the first time in my nearly 15 years in pediatric practice I left my office with all my charts and notations completed for the day...Thank you so much for giving me a life again!" Angela D. Hunt MD Pediatrician EncounterPRO User Since 2001
"When I selected EncounterPRO, the biggest motivating factor was the concept of having an office screen that displays the necessary patient activities. This is similar to the ER board that many of us are familiar with that lists where each patient is and what procedure needs to be done next. In a procedure-oriented practice like ophthalmology, the efficiency from this tool is tremendous. The idea of telling staff what to do silently without disruption took me over the top. Features like this can eliminate the need for signaling lights or flags on exam room doors. The final big feature is workflow. Essentially, the program automatically sequences through your documentation depending upon the type of exam you have chosen." Phelgar Washington MD Ophthalmology EncounterPRO User Since 2001
"The EMR user interface is akin to the touch screen-oriented systems in restaurants: one screen at a time, with only the most relevant data displayed and options presented (although, of course, a user can always jump out of a particular screen sequence to accomplish an arbitrary task), and the sequences can be tweaked through the workflow management to make such occurrences infrequent...The workflow plans are tailored for each type of patient seen in the office (obstetrics, gynecologic, annual exams, family practice) assuring that key elements of the present illness, history and physical are addressed and documented. Work plans contain required laboratory tests for specific conditions, assuring that key tests are not forgotten." Jeffrey Harris MD Obstetrics Gynecology and Family Practice EncounterPRO User Since 2003 (and HIMSS Davies Award Winner)
"Benefits I have noticed personally included: decreased turnaround time for telephone messages, decreased turnaround time for prescription refills, decreased turnaround time for referrals, improved efficiency of office procedures such as immunizations and tests, decreased time spent at the end of the day returning phone calls, writing refills, and completing charts." William Long MD Pediatrician EncounterPRO User Since 2004
"Many pediatricians operate with narrow profit margins. Reducing costs, capturing charges correctly, and increasing the number of encounters can increase profit. If a pediatrician cannot chart a routine otitis media encounter from start to finish in 30 seconds, the EHR will slow him or her down and reduce profit. The EncounterPRO EHR’s workflow engine essentially pushes tasks to users as fast as they can accomplish them. However, pediatric offices accomplish tasks in many different orders, so the workflow definitions can be changed to accommodate a specific pediatric group preference." Michael Blum, DO, Pediatrician EncounterPRO User Since 2004
"EncounterPRO has made our workflow very smooth. We see 30-40 patients daily and we are almost always finished with all work by 4:30 in the afternoon. No need to stay late and file charts." Stephen Dentler MD Pediatrician EncounterPRO User Since 2004
"In the height of the physical season, from the minute the patient walks in the door for a kindergarten physical, gets all the preliminary screening test (vision, hearing OAE VEP), heights, weights, BP plotting, physical exam blood work and immunizations, we are getting folks out the door in under an hour and that is decreasing. This is unheard of." George Rogu MD Pediatrician, EncounterPRO User Since 2008
"EncounterPro's simplicity and design distinguishes it from the competition. It is a workflow-based system. An office equipped with EncounterPro has a computer terminal in every exam room. At any of these terminals, you can find out what is going on in any room, if a room needs cleaning or setting up for a new patient, if a patient is waiting for vital signs to be taken or a nursing assessment to be done, or if a physician is interviewing or examining a patient. EncounterPro features a very simple interface, with large, clearly marked buttons and interchangeable screens. You can switch from nursing-intake screens, to vital-signs screens, to prescription and super-bill generating screens. From any screen, you can create a comprehensive office note from a series of lists. EncounterPro has received many awards for design." Contemporary Pediatrics 2001
"It was very easy to use, and was built around a pick list-type structure for creating encounters. It has a clean interface and is built so that you can enter data by touching the screen with your finger - large decision boxes, etc. The thing I noticed was that even the least computer-sophisticated doctors in the demo group sat right down at the screen and started tapping away with no fear." Stamford IPA Review of Office Medical Systems 2000
 
Quote of the Day:  
Recent Blog Post: ACM, Clinical Groupware, and Routine vs. Non-Routine Workflow in Pediatric Practice
EncounterPRO EMR Customer in the Spotlight: Cooper Pediatrics (Winner of the HIMSS Davies Award)
 
E-Prescribing

 

EncounterPRO Pediatric EMR WORKFLOW SYSTEM SITEMAP

Home

THE HIGH-USABILITY ENCOUNTERPRO PEDIATRIC EMR WORKFLOW SYSTEM
WHAT KIND OF EMR WOULD A PEDIATRICIAN, JET PILOT, AND COMPUTER SCIENTIST DESIGN?
HOW TO CHART A PEDIATRIC ENCOUNTER IN 37 SECONDS (VIDEO)
INTEGRATED OR BEST-OF-BREED EMR/PMS APPROACHES
HIE / INTERFACES: LABS, REGISTRIES, DEVICES, PMSs
DIRECT INTERFACE TO SURESCRIPTS ELECTRONIC PRESCRIBING NETWORK
FAMILY MEDICINE, OB/GYN, AND OTHER SPECIALTIES
EncounterPRO PEDIATRIC EMR ROLLOUT & GO-LIVE SYSTEM ("LIVE IN FIVE!")
WHY TRADITIONAL EMRS ARE INADEQUATE AND A FUNDAMENTALLY NEW DESIGN IS REQUIRED
"WHY DO YOUR SCREENS LOOK SO DIFFERENT?"
USABLE WORKFLOW: NATURAL, CONSISTENT, RELEVANT, SUPPORTIVE, AND FLEXIBLE
MORE NATIONAL AWARDS THAN ANY OTHER PEDIATRIC EMR
OUR MANAGEMENT TEAM (And a Short Editorial)

Pediatric EMR

PEDIATRIC-SPECIFIC FEATURES OF THE ENCOUNTERPRO EMR WORKFLOW SYSTEM
TOP TEN REASONS PEDIATRICIANS CHOOSE ENCOUNTERPRO
PEDIATRIC-SPECIFIC FEATURES

Other Specialties

IDEAL FOR ANY HIGH-VOLUME, LOW-MARGIN AMBULATORY MEDICAL SPECIALTY
ENCOUNTERPRO FAMILY MEDICINE EMR WORKFLOW SYSTEM
ENCOUNTERPRO OBSTETRICS & GYNECOLOGY EMR WORKFLOW SYSTEM
ENCOUNTERPRO "YOUR SPECIALTY" EMR WORKFLOW SYSTEM

Usability

PEDIATRIC EMR USABILITY
TRADITIONAL EMRS VERSUS EMR WORKFLOW SYSTEMS
THE PRINCIPLE OF NATURAL WORKFLOW
THE PRINCIPLE OF CONSISTENT WORKFLOW
THE PRINCIPLE OF RELEVANT WORKFLOW
THE PRINCIPLE OF SUPPORTIVE WORKFLOW
THE PRINCIPLE OF FLEXIBLE WORKFLOW
THE IDEAL PEDIATRIC EMR (WORKFLOW SYSTEM)

Workflow

THIS IS YOUR EMR, THIS IS YOUR EMR ON WORKFLOW
EMR WORKFLOW SYSTEMS 101
CAT, DOG, TREE!
EMR WORKFLOW SYSTEM GLOSSARY

Chart in 37 Seconds

HOW TO CHART A ROUTINE ENCOUNTER IN 37 SECOND (VIDEO)
SO LET'S CHART A PATIENT

EMR / PMS

INTEGRATED OR BEST-OF-BREED PRACTICE MANAGEMENT SYSTEM
EncounterPRO PEDIATRIC EMR + ENCOUNTERPRO PM
EncounterPRO PM SCHEDULING
EncounterPRO PM BILLING
EncounterPRO PM REPORTING
EncounterPRO PEDIATRIC EMR + YOUR PRACTICE MANAGEMENT SYSTEM

Your Rollout

THE EncounterPRO ROLLOUT & GO-LIVE "SYSTEM"
AN INDUSTRIAL ENGINEERING APPROACH TO YOUR EMR ROLLOUT & GO LIVE EXPERIENCE
THE EncounterPRO PEDIATRIC EMR IS DESIGNED TO BE USABLE
THE EncounterPRO PEDIATRIC EMR IS DESIGNED TO BE LEARNABLE
ADDENDUM: EncounterPRO's INDUSTRIAL ENGINEERING FOUNDATIONS

14 National Awards

FOURTEEN NATIONAL AWARDS (PLUS BEST IN GEORGIA)
HIMSS DAVIES AWARDS (2003, 2004, 2005)
MEDICAL RECORDS INSTITUTES AWARDS (TEPR)
MICROSOFT INDUSTRY SOLUTION AWARDS
MICROSOFT HEALTH USERS GROUP AWARDS
HEALTH MANAGEMENT TECHNOLOGY PLUS BEST IN GEORGIA AWARD

Blog (Takes a moment to load.)

WHY WE BLOG ABOUT EHR WORKFLOW MANAGEMENT SYSTEMS
RECENT BLOG POSTS

E-Prescribing

WHY E-PRESCRIBING IS BETTER ON AN EMR WORKFLOW SYSTEM
WHO IS THE E-PRESCRIBING WORKFLOW ENGINE? YOU OR THE COMPUTER?
THREE CLICKS, LARGE BUTTONS...
...VERSUS NINE CLICKS, SMALL BUTTONS
WHAT KIND OF PRESCRIPTIONS CAN BE SENT ELECTRONICALLY?
WHO CAN USE E-PRESCRIBING?
HOW DOES E-PRESCRIBING WORK IN EncounterPRO?
WHERE DO THE PHARMACIES COME FROM?
HOW ARE ELECTRONIC REFILL REQUESTS HANDLED?

HIE / Interfaces

EncounterPRO HEALTH INFORMATION EXCHANGE (EPHIE)
WHAT IS EncounterPRO's CONNECT, COMMUNICATE, AND COORDINATE VISION?
ELECTRONIC LAB RESULT MANAGEMENT WORKFLOW
STATE IMMUNIZATION REGISTRY WORKFLOW
WHAT DO THE NEXT FIVE YEARS HOLD?: THE EHR NETWORK EFFECT
SuresScripts E-PRESCRIBING WORKFLOW
PRACTICE MANAGEMENT WORKFLOW
MEDICAL DEVICES

Screenshots

"WHY DO YOUR SCREENS LOOK SO DIFFERENT?"
EncounterPRO VIDEOS AND SCREENSHOTS
OFFICE VIEW, VITALS, CHIEF COMPLAINT, CURRENT MEDICATIONS, ALLERGIES,
ENCOUNTER SCREEN, PHYSICAL EXAM, ASSESSMENTS, TREATMENTS,
PRESCRIPTIONS, BILLING APPROVAL, WORKPLAN (PROCESS DEFINITION) EDITOR

Management

OUR MANAGEMENT TEAM RESUME
GREGORY D. VACCA, CEO & PRESIDENT
FRANK MARTIN, COO
MARK COPENHAVER, CTO
CHARLES WEBSTER, MD, MSIE, MSIS, CMIO
KATHLEEN ST. JOHN, JD, GENERAL COUNSEL
BETH PATE COPENHAVER, DEAN, EncounterPRO UNIVERSITY

Contact Info

 
E-Prescribing
 

EncounterPRO Healthcare Resources
2000 RiverEdge Parkway
Suite GL 100A
Atlanta, GA 30328
(800) 677-5653

www.encounterPRO.com
info@encounterPRO.com

EncounterPRO Healthcare Resources is a wholly owned subsidiary
of WifiMed Holdings Company, Inc. (OTCBB: WIFM)


The High-Usability EncounterPRO Pediatric EMR Workflow System Website
" Clinical Groupware for Pediatric Practice"
Under the Creative Commons Attribution 3.0 License
© 2009 EncounterPRO Healthcare Resources, Inc.

Use of EMR workflow systems, EMR groupware, clinical groupware, EHR workflow management systems, and EMR/EHR business process management frameworks and technologies will be key to transforming healthcare at the industry, organizational, and professional and personal levels. Subject to the Creative Commons Attribution 3.0 License, feel free to use content from this website and associated blog in educational curricula, industry presentations, websites, blogs, and social media.

Please attribute EncounterPRO Healthcare Resources, Inc. as the creator of this work. Please indicate the title of the Work: The High-Usability EncounterPRO Pediatric EMR Workflow System. Please include this URL for the Work: www.encounterPRO.com.

Additional Instruction

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