![]() Many EMRs are not designed to completely replace the paper record, so if “going paperless” is your goal, you must be sure the software has all the tools required to accomplish it. We stopped pulling charts for telephone messages after six months and for most office visits after 18 months.ĭealing with paper. We eliminated the extra time about 18 months later. Since completing the past medical, social and family history sections of the EMR was time-consuming at first, we started scheduling comprehensive examinations that were 15 minutes longer. After we went live, all data was entered electronically. ![]() Since our transcriptionist had always been typing our progress notes into a word-processing program, all she had to do with the last three months’ worth of notes was to start saving the files in such a way that they could be loaded into the EMR. ![]() ![]() We loaded the last three months’ worth of progress notes shortly before going live. We purchased an interface that loaded all of the demographic data from our billing system to our EMR and updates any changes every five minutes. Options range from no preloaded data to extensive abstraction and data entry. The amount of old data to load into the EMR before going live depends on available time and money, and the needs and desires of the clinicians.
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