My previous comment was sent fro an iPad, so let me elaborate.

Most of an old chart, if viewed critically, is pretty useless. Once we cut over to AC, we kept the paper charts around for most of a year, importing only those things that were clearly going to be useful. Those we imported via UpDox. After a year, the value of the old chart starts to decline dramatically (especially if you did as Jimmie mentioned and enter a compacted "classic Comics" version prior to the first visit of a patient in to AC.) After that, it no longer takes a lot of medical thinking. We hired a high schooler equivalent, and started scanning backwards; most recent visits first into a separate folder outside of AC. By then, it pretty much became a matter of putting not very useful data someplace for medical legal purposes. By now, I need to look at an old chart about once a month at the outside, and paper is pretty much all gone. I will say that I think it is important to not put more than you really need into the imported items part of AC. It can really slow down access to data that you really do want, and is not necessarily the easiest place to find what you need.


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