Home Forums Discussions General Discussion Instant Medical History?

Is anyone using IMH? What is actually interfaced? I got two different answers from two different AC support guys. One said demographics, the other said everything gets interfaced.

If you are using IMH, are you happy with it? willing to discuss it?

I currently am using Phreesia and AC says that they are interfacing starting next version (about a month? or two?) but just the demographics initially.

Trying to see if i should stick it out with phreesia for the intake or switch if IMH already gets the HPI and the meds and PMhx, shx, etc already interfaced.

I am exploring IMH. IMH has cmplete interface. When you pull the patient Chart in AC it prompt you that there is an Interview data for the patient . You can pull all the information or only part of it. eg HPI, PMH,ROS , MED .
It is up to you what you need to use. You can edit the information in AC or add to it. I just seen a demo I am going to try it. I am not familiar with Phreesia. I just looked at it on the web. It seems very intersting because has other benefits than just the interview.
I hope this would help.

I use phreesia and i have to tell you the pads take al ong time and are cumbersome, but it is awesome because it takes demographic info and my biller has secure access to it (she is about 3 miles down the street) online. so she never has to have me print out demographics for her and all that jazz.

We have had IMH for a little over a year I think. (time flies when your having fun?) We have access to IMH on our website and we have three workstations that are set up to allow a patient to sit down and complete the questions. New patients are directed to the web site when they call to make an appointment and when they arrive in the office we ask if they completed the questionaire. If they have not, we direct them to the terminal while they are waiting to be seen. If I am ready to see them before they are finished, I simply rescue them from the computer and escort them to the room myself. (If my next patient is ready I see them instead).
I love IMH, my partners are lukewarm about it. I have it set to show me ALL responses, positive and negative. I feel I need a lot of experience with it, before I will feel comfortable telling it to hide the negative responses. This means the output on a new patient or a pre-op patient is very long with lots and lots of "denied" this and that. That is what my partners don't like, but I feel we still need it. I also like documenting that these questions were asked.
IMH does an amazing job of interviewing, moving through algorithms that allow it to tailor the questions to the patient. It gives a final report WITH CITATIONS TO THE JOURNAL ARTICLES THAT SUPPORT THE USE OF THE QUESTIONNAIRES UTILIZED IN THAT ALGORITHM. It may notify you the patient has a 1 in 4 chance of an event of CHF based on some study, or it will rate the depression with the ZUNG scale or alcohol with the MAST scale. Very cool stuff.
IMH is NOT PLUG AND PLAY. You need to set it up. Left on it's own, every patient will endure a several hour interrogation. YOU have the ability to strengthen or weaken the question for each purpose. This is easily accomplished by sliding a bar on a scale in each organ system or in each part of any special exams you use. For example we have a pre-op exam. It has the cardiac and pulmonary questionnaire turned way up. The rest of the ros is turned to a medium level. For my geriatric questionaire, I have the obstetrical history turned WAY down, (ie, do you have children?) as I am not going to dwell on the hours of labor of each successive pregnancy.
I feel IMH is well worth the investment, but you have to work with it and make it work for you, then you have to use it.