The Document Challenge
As the electronic medical record (EMR) gains widespread
acceptance, the need for improved document management has become
increasingly important. Naturally, all of the paper
documentation that is stored in the paper chart should also be
included in the EMR. That’s why IMPAC has developed
a multi-dimensional approach to meet the document challenge.
Document Management
Fundamental to IMPAC’s EMR is a full-featured document
management system that supports the generation and import of
documents generated in Microsoft® Word®, making transcriptions
an integral part of the electronic chart. Facilities can
generate transcriptions onsite – even inserting information
directly from the EMR – or import Word documents generated by
offsite transcription services. Document management includes
online review, editing, and approval as well as document
distribution by email, fax, or print.
Structured Noting
Facilities looking for a solution to minimize or even eliminate
the need for costly transcription services can take advantage of
IMPAC’s Structured Noting capability. Structured Noting makes
accurate patient documentation fast and efficient while ensuring
that physicians are properly compensated for their time. Based
on positives or normals assigned using a predefined,
disease-based template, a narrative of the interview is
automatically generated – a complete patient note that
eliminates the need for transcription. Now an integral part of
the EMR, the structured note can be reviewed, edited, and
approved as part of the EMR then distributed to all identified
correspondents via email, fax, or mail. And IMPAC Structured
Noting prevents coding errors by suggesting an evaluation and
management (E&M) code based on the document content.
Patient Assessments
While IMPAC Structured Noting provides a SOAP-based review of
systems designed specifically for the oncologist, IMPAC’s
patient assessment tool provides an easy and efficient way of
documenting any variety of patient data. The system provides
hundreds of standard assessment items – vital signs, physical
findings, review of systems, chemo- or radiation therapy induced
side-effects and quality-of-life indicators – that can be
customized and organized into a series of electronic forms or
‘views’ designed to emulate your existing paper forms. Electronic patient assessments
can actually facilitate clinician
review by providing color-coded alarms and warnings that flag
laboratory and assessment levels that are out-of-normal range,
providing an ‘at-a-glance synopsis of the patient’s condition.
Document Scanning & Import
Because IMPAC knows that even the most paperless office is
confronted by the challenge of integrating outside documents
into the EMR, document scanning and import are also supported.
Electronic document scanning allows facilities to scan external
documents such as pathology reports and store them in the
electronic chart. IMPAC also provides an HL7-compliant document
interface to support the import of documents from other
healthcare information systems. Best of all, users can
categorize imported documents and review and process them along
with all other documentation in the IMPAC oncology EMR.
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IMPAC’s integrated oncology management solution transcends
the limitations imposed by separate systems working
independently of one another, and clears the way for faster,
more efficient means of managing your center.
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