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Electronic Charting

Hailed as the future in healthcare communications, the Electronic Health Record (EHR) has suffered a dismal adoption rate: 90% of clinical notes are still made with pen and paper. But standards are about to change all that.

300 Ways Not to Build an Electronic Health Record

At last count there were more than 300 electronic health record applications on the market. Why, then, do most clinicians chart on paper? Despite the enormous benefits of having client information available in electronic format, there's something preventing the switch.

Theories abound. There's the poor-return-on-investment theory. There's the hurdle-of-new-technology theory. And the list would not be complete without the concern-for-legal-issues theory. But the one closest to the mark appeared recently in Health Information Technology in the United States: The Information Base for Progress, in which the barrier to widespread adoption of the EHR is identified as the "fear that systems could become obsolete too quickly through vendor mergers or technology upgrades." This statement takes aim at the complete lack of standards in documentation systems. Without standards a vendor's product today could become outdated tomorrow, leaving your electronic documents worthless.

And then there's the huge underlying problem of not being able to share information between different vendors' products when they're not engineered to standards. A document created in one vendor's EHR can't be read by another vendor's EHR. If a core benefit of the EHR is to share information, how can you do that when products don't understand each other?

High-Powered Electronic Charting Tool Built to Standards

That's why we created Skribos. Skribos is the charting tool based on HL7's Clinical Document Architecture (CDA). The CDA extends HL7's widely accepted standards to documents, opening the door to sharing information in clinical charts.

Skribos feels like a word processor, yet is fluent in CDA. What an ideal combination! Imagine using a charting tool with the ease of a word processor. Imagine creating documents that are compliant with the standard in health care. Imagine never fearing document obsolescence. Realize all this, and more, in Skribos.

Charting and Recording Workload as a Single Task

CDA documents can codify entries by tagging words with machine-readable values. The result? A way to chart and record workload as a single task.

Welcome to ChartTime, InfoMed's product suite that rolls charting (Skribos), workload (Promiso), and access to client data (ADT Interface Server) into one.

Here's how it works. You chart, "Arterial blood gas sample drawn right radial artery." ChartTime finds that the phrase "arterial blood gas sample" has been codified with a procedure code and number of minutes in Skribos, so it updates the client's record in Promiso with those values. That's it. All you did was chart, yet your workload has been recorded. Without even seeing Promiso.

Put InfoMed to Work for You

ChartTime delivers standards-based charting with integrated workload recording. To find out more:

Call: 1.800.561.4993


© 2021 InfoMed Development Corporation. All rights reserved.

Electronic Charting





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