I agree with Adam completely, but I will confess that I can't enter this information myself in a timely manner, and this has been a major obstacle in switching from paper to EMR.

The process of auditing a thick paper chart and transferring the data to AC is not something I would do in the presence of the patient in the exam room.

When I started using AC, I tried to fill in the PMFSHx as I went, but I fell dreadfully behind, as it might take me five or ten extra minutes per patient to audit a thick chart and make sure all the pertinent data was transferred to Amazing Charts.

This doesn't sound like much, but if you only see twenty patients per day, and it only takes five minutes apiece, that still amounts to 100 extra minutes, which leaves you running over an hour and a half late by the end of the day. eek

My solution was to simply see the patient for the acute complaint, only filling in the information I gathered at that encounter. Then, that night, I would go back and audit the chart, and fill in the PMFSHx, dictating with Dragon NaturallySpeaking via my headset while I flipped through the patient's chart, page by page.

My workflow/production was preserved in this way, but my family life suffered for several months until I had entered so much of this data that the majority of the patients I saw already had it filled in. crazy

Now, I only see about five patients a day who don't have this data filled in, and I just do it between encounters, before I move to the next patient.


Brian Cotner, M.D.
Family Practice