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#27698 02/03/2011 9:03 PM
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Nephros Offline OP
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I'm new to AC, still in evaluation.
I'm a bit of a geek-doc (of course, who isn't any more? :)) and am tasked in part with helping a local non-for-profit organization promote EMR use and HIE functionality.
Has anyone to date connected to an HIE or RHIO?
Does AC use CCR/CCD, or HL7 messaging? Or ??
I have a similar question in to general support, but thought I would ask users.
Thanks.


Roger
(Nephrology)
Do the right thing. The rest doesn?t matter. Cold or warm. Tired or well-rested. Despised or honored. ? --Marcus Aurelius --
Nephros #27723 02/04/2011 11:42 AM
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There area several state immunization databases that are currently in AC, they are by definition HI., Look in the administration section to see what connections can be made to various organizations. Not sure about RHIO.

The issue is not will it do it, but will it do it to YOUR system. That is always the catch. Custom interfaces to hospital or regional databases can probably be made, but at what cost?

AC both imports and exports to both CCR and CCD and can do HL7 messaging.


Wendell
Pediatrician in Chicago

The patient's expectation is that you have all the answers, sometimes they just don't like the answer you have for them
Nephros #27727 02/04/2011 1:38 PM
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I am definitely NOT a geek and easily intimidated by things computer related ( although improving steadily)....none the less, it was very easy to go into the Admin section and set up the interface that connects directly from AC to the hospital EMR. I use this all the time, probably most often when the patient has been in the ER and is coming in to me for followup.
Currently I am trying to get the same functionality working in the other direction from the hospital computers to access my AC at the office.


Deborah Lehmann MD
Gynecology
Fort Worth TX
Nephros #27752 02/05/2011 5:20 AM
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Can you tell me what system your hospital uses? I guess the connectivity depends on the other side?

Nephros #27784 02/06/2011 3:17 PM
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JachChoi, primary hosp uses Seimens Soarian, but there are other "vendors" (labs, hospitals, imaging centers), not to mention physician offices, around to exchange information with. Hence the question of the HIE per se.
dklehmannmd, do you recieve granular data (e.g. populate lab results), images for import, or can you launch the hospital EMR? I assume you get the data as you used "interface".


Roger
(Nephrology)
Do the right thing. The rest doesn?t matter. Cold or warm. Tired or well-rested. Despised or honored. ? --Marcus Aurelius --
Nephros #27790 02/06/2011 4:04 PM
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I've heard people say that it is sufficient to exchange information with an outside lab to qualify for Meaningful Use. That would certainly be easier for me that to connect AC to MEDITECH.

Nephros #27810 02/07/2011 2:08 AM
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Jack,
My hospital uses EPIC as their EMR.
I can launch the hospital EMR and read the notes, lab results etc. But, if I want to copy it into my chart I have to high light what I want to select, copy and then paste it into AC. Not over the top cutting edge....but still better than the old days when one of the office staff would call x-ray or the lab and then wait for someone over there to find the chart, pull the requested information and fax it to the office. Realistically, with that system the patient would have wait a long time or come back later in order to incorporate the test results from hospital into your decision making process. I wish we had an interface with the hospital like we do with Quest, I hear it is coming.
I am sure it will ( like a watched pot that has to boil sometime ?) just as I am sure that Version 6 will arrive someday.


Deborah Lehmann MD
Gynecology
Fort Worth TX
Nephros #27811 02/07/2011 2:37 AM
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Our scheme is to get into the hospital system, print the record to the desktop using CutePDF and then import. Sure wish it would enter my notes in sequence, however.


David Grauman MD
Department of Medicine
Commonwealth Health Center
Saipan, Northern Mariana Islands
Nephros #27812 02/07/2011 3:11 AM
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JBS Offline
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Our hospital uses Meditech and the hospital-employed physicians use Allscript Touchworks. I would love to have interface(s) with AC.

One thing I recently discovered is that we can use the Updox print interface to "print" all notes, labs, radiology, etc from Meditech to Updox (and then import into Updox). This is a major benefit of Updox that we were previously unaware of.



Jon
GI
Baltimore

Reduce needless clicks!
Nephros #27853 02/07/2011 10:04 PM
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If I interpret the responses on this thread, it appears that we docs just want to get the data, and we use what tools we are given, be them "real interfaces" (which we would prefer and AC can handle providing the information vendor can provide the data in a EDI format) or "kludges" (Kludge - Wikipedia, the free encyclopediaA kludge (or kluge) is a workaround, a quick-and-dirty solution, a clumsy or inelegant, yet effective, solution to a problem), the important part being "effective".
Just as dgrauman wrote, we LOOK at data in the hospital EMR, and copy or print it (we happen to use PDF-FILL as our PDF print engine) then import. I just want all the Kludges to go away.


Roger
(Nephrology)
Do the right thing. The rest doesn?t matter. Cold or warm. Tired or well-rested. Despised or honored. ? --Marcus Aurelius --

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