Sadly, I find that I am doing more of the clerical work than I did when the charts were paper. The end result is significantly better medicine, better documentation, and better patient involvement, but there is no getting around the fact that it takes me significantly more time.

UpDox may help you. We have one staff member who reviews the incoming images, and then sends them to the appropriate person by changing the color tag. The recipient filters by color tag and just sees his/her items. The item can be reviewed, signed off, imported to the chart, sent to the patient portal with comment, and staff notified from one screen. But, there is no getting around that it is a number of steps (over 20 mouse clicks and some typing) to do this, and it has to be done by me personally. There are all kinds of combinations and permutations of how UpDox can be used, and my way would probably not work well for you. but, there are so many tools available I'm sure you can find one flow that helps.

I realize a word description of how I do it would be really confusing. This is where an UpDox session at a user's group, or even YouTube videos, would help.

Be that as it may, if you are not using UpDox, I would encourage you to try it out and explore it.

David Grauman MD
Department of Medicine
Commonwealth Health Center
Saipan, Northern Mariana Islands