Integration with the Healthland Inpatient EHR application reduces the need for repetitive data entry and provides a complete view of each patient’s clinical history, regardless of where the care was provided: clinic, emergency room, inpatient bed, long-term care facility, or through a home health agency.

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Patient information entered into the Healthland Appointment Scheduler module automatically transfers to Physician Practice Documentation, eliminating redundant data entry and decreasing the potential for errors.

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Besides patient demographics and vital signs, the flow of the documentation panel follows the established SOAP (subjective, objective, assessment, and plan) model. Physicians control how much data is included in a report by simply selecting the appropriate information from templates and lists to build a report that is structured, yet customized to the patient’s needs.

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Once patient information is documented within our physician medical records software solution, it is immediately available to other authorized users of the system.

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Besides point-and-click templates and cascading lists, physicians may provide documentation via free text with the keyboard and/or dictation—whatever suits their preferences. The application offers integration with the Healthland Transcription module.

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As providers progress through a patient encounter, they may preview the SOAP document similar to how it will appear in its printed form.

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To reflect physician needs and preferences, you can modify templates, lists, and data fields. You may also create new templates.

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To help guard against chart deficiencies, the application maintains a work list of in-progress appointments that are displayed until the physician electronically signs off on each one.

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Patient prescriptions are easily generated and sent electronically to the pharmacy, as well as to the prescription benefit manager or health plan provider. Other key features include comprehensive patient medication history, interaction and duplicate therapy checking, built-in fax option, support for mail-order prescription services, alerts to incoming renewal requests, real-time formulary management, and sample medication tracking.

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With this optional service, physicians click on an icon next to the patient’s diagnosis for immediate access to Clin-eguide, a point-of-care clinical decision support library hosted by Wolters Kluwer that provides detailed answers to clinical questions.

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Through integration with Healthland Patient Care Guidelines, physicians receive wellness guideline and immunization alerts for patients they are about to see—even if the alerts are unrelated to the patient’s reason for the appointment. This allows the physician to be proactive in addressing the health of their patients while also helping to ensure the realization of revenue opportunities.

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The Healthland Ambulatory EHR gives you optional access to the ExitCare Patient Education System and its extensive library of patient care instructions—customizable to your facility and/or to your patients. The system automatically logs the distribution of instructions and stores this document in the patient record.

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This customizable tool delivers a variety of alerts while providing an efficient conduit for communications among clinic personnel. Depending on each provider’s preferences, alerts may encompass a wide range of activities, such as new laboratory or radiology results, phone calls from the patient or family, new referrals, incoming prescription renewals, and immunizations that are due. The Task Manager also connects provider to provider: for example, the physician may send a patient’s laboratory results to the nurse and request the appropriate follow-up action.

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Integrated into the application is a library of growth charts that are approved by the Centers for Disease Control and Prevention. Information includes standard reports based on age and gender, as well as reports on body mass index and head circumference. Reports may be viewed on screen and/or printed.

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Did the patient truly follow through on the primary physician’s referral to a specialist? Our physician medical records software solution leaves nothing to chance. At a glance, clinic staff can quickly pinpoint missed appointments and then take the appropriate follow-up action.

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Procedures performed in the clinic (such as epidural injections for pain management) can be documented and integrated into the patient’s electronic medical record.

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At the end of the encounter, the application automatically suggests an evaluation and management (E&M) code based upon the documentation and time spent with the patient.

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The Healthland Ambulatory EHR features security controls that limit access to authorized users as well as impose restrictions on the information and features available to different users or groups. Audit controls let you know who created, accessed, or updated patient information. All data is stored within an IBM DB2 database for maximum integrity and recoverability.

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