ChartWare Electronic Medical Records

After a 10 year search, one doctor finds that ChartWare is the only choice

"I searched for an electronic medical record program, EMR and EHR for more than 10 years and found nothing suitable until I came across ChartWare's EMR. It is the only electronic medical record system I know of that can meet my needs as a busy primary care physician." So says Dr. David Chan, a busy health care provider in Nevada, who started using the ChartWare EMR five years ago.

"Knowing that I wanted the accuracy and efficiency that an electronic medical record, EMR could give me, I researched a whole range of EMR and EHR systems. Some EMR and EHR systems were good at this, some that. But none of the electronic medical record systems that I saw could do the entire job satisfactorily. Some clinical health care electronic medical record-keeping systems were too cumbersome, others had been written by programmers who didn’t have the clinical experience of dealing with real life primary medical care." Dr. Chan took a 2 ˝ day course at to learn ChartWare’s EMR/EHR. In two or three weeks of practicing with ChartWare's electronic medical record system he reported being confident enough to use the Chartware electronic medical record, EMR/EHR during clinical encounters.

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ChartWare Electronic Medical Records

Award winning doctor relies on Chartware

One of 12 medical physicians given Minnesota Medical Association’s inaugural Leadership in Quality awards was health care provider, Dr. Tim Malling for introducing and developing an electronic medical record keeping system or EMR/EHR for Paynesville Area Healthcare System, in Minnesota, which has seven health care clinics and a medical emergency room. Medical provider Dr. Tim Malling won the medical award for improving health care with the implementation of ChartWare's electronic medical record system a cutting edge EMR/EHR. "Having an electronic medical record system such as ChartWare's EMR/EHR, that produces logically-arranged and legible medical records that we can access at any time has made us better doctors," Malling says. The electronic medical record system, EMR/EHR we chose ChartWare's EMR -- allows us to do anything we want. I don’t think there is another electronic medical record, EMR/EHR, program out there that would meet the needs of a diverse group of health care providers like ours. The improvements in clinical efficiency with ChartWare's electronic medical record system can be seen most clearly in the practice’s medical emergency room where many patients arrive without any precise idea of their clinical history.

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ChartWare Electronic Medical Records

ChartWare technology lowers the risk of medical error

Technology will eventually play a major role and as the information overload gets worse there is really no other solution that is tenable,according to Dr Kevin Johnson, of Vanderbilt School of Medicine, a panel member. ChartWare's CEO Dr. David Tully-Smith agrees. With computerized electronic medical record-keeping, EMR and electronic health records, EHR the same health care providers who prescribe a drug can now order it directly using ChartWare's electronic medical record, EMR/EHR a computerized electronic medical record-keeping system. The health care provider no longer asks a medical assistant, who may not be familiar with the the drug, to try to read their writing and their personal abbreviations and call it in to a pharmacy. Even if there is no mistake with clinical data on paper medical records at the time, future problems often occur when the paper medical record cannot be found. When a medical provider using ChartWare's electronic medical record system, EMR/EHR prescribes a drug, it is automatically entered not just into the prescription medical record but also into a list of medications the patient is taking and the clinical treatment log too. That alone radically lowers the chances of a dangerous medical error when the patient needs further clinical treatment.

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ChartWare Electronic Medical Records

ChartWare's business alliance with VisualMed

Visual Healthcare Corp. (Montreal, Quebec) (VSHC.PK) will license its state-of-the-art medical decision support technology for inclusion in Chartware's EMR/EHR a medical office-based electronic medical record. At the same time, Chartware, a leader in the EMR/EHR marketplace will license its unique clinical note-generating interface for use in clinical information systems marketed by VisualMED Clinical Solutions Corp. The agreement underlines the complementary nature of Visual Healthcare's clinical decision support system and Chartware's vast EMR and EHR technologies that have already been adopted by thousands of health care providers. The ChartWare electronic medical record, EMR/EHR, is designed for use in clinical settings, small or large medical practices and a variety of inpatient health care settings and allows for fast, accurate and affordable clinical record keeping while the intuitive EMR/EHR user interface lets the user easily capture, manage and analyze data. The system supports an unlimited number of patient records, and is scalable to any practice size. The ChartWare Electronic Health Record is easy to install and customize for any practice or specialty.

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ChartWare Electronic Medical Records

ChartWare offers ease of documentation at the point of care

ChartWare's electronic medical record system, EMR/EHR has been under development since the 1980’s and has accrued millions of successfully charted clinical encounters. ChartWare's electronic medical record system, EMR/EHR includes a customization tool that most of our health care providers (or their medical office staff) use to tailor the medical terminology over time to accommodate each clinician’s preferences, to make sure that the medical chart note reflects each users preferred method of documentation. ChartWare's electronic medical record, EMR/EHR, is different and unique as it provides the health care provider with a comprehensive clinical knowledge-base (clinical & procedural descriptors), from one screen. Additionally, he ChartWare EMR allows even the most complex patient encounter to be fluidly charted, without the cumbersome restrictions of a template based electronic medical record system. With ChartWare's electronic medical record system, EMR/EHR, the typical patient encounter takes about 2 to 3 minutes to completely document,including clinical progress notes, coding, orders, scripts, medical consultation reports or referral letters, disability and follow-up notices, patient health education handouts and all other iterations of the visit, with essentially all clinical and clerical tasks completed by the time the patient walks out of the exam room!

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ChartWare Electronic Medical Records

ChartWare's Electronic Health Record provides a Continuity of Care Record

The Continuity of Care Record is a standard specification being developed jointly by The American Academy of Family Physicians (AAFP), the American Academy of Pediatrics, the Health Information Management and System Society (HIMSS) and the ASTM International. ChartWare and early entrant into the EMR and EHR market was an early adopter of the CCR and EHR concept, which allows a patient's electronic medical record, the EMR to be exported to create and encrypted and password protected EHR, viewable with a browser such as MS Internet Explorer. ChartWare pioneered and was the first electronic medical record, EMR company to introduce a fully compliant EMR and EHR solution. The medical CCR is being developed and enhanced by the health care community in response to the need to organize and make transportable patient health data containing basic medical information consisting of the most relevant and timely facts about a patient’s health status, recent medical care provided, as well as recommendations for future medical care (care plan) and the reason for a medical referral or transfer. The goal is to create an EHR that will enable the next health care provider to easily access the patient's health and medical information at the beginning of the first health care encounter and easily update the medical information when the patient goes to another medical provider.

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ChartWare Electronic Medical Records

ChartWare's EMR improves productivity and quality of care

As a physician-driven EMR company, ChartWare has pioneered intuitive clinical documentation solutions to address today's most pressing medical practice and health care provider needs. Since 1995 ChartWare, the EMR and EHR solution specialist, has been delivering electronic medical record and clinical documentation software that is known for it's elegant functionality and ease of use. Today, ChartWare a pioneer in the world of electronic medical record and electronic health record-keeping is operational in medical facilities in over 40 states and has been successfully implemented in over 20 clinical specialties. What makes our EMR and EHR solution successful? ChartWare's electronic medical record technology is designed for doctors by doctors who understand the unique demands of clinical encounters and patient care. As health care providers, we're dedicated to improving how physicians work. A key feature of ChartWare's technology is its versatility across the spectrum of health care providers: the system is equally at home in solo medical practices and large health care organizations. ChartWare is the only electronic medical record, EMR software, suitable for both small and large medical installations, to have been awarded five stars by Family Practice Management, the official journal of the American Academy of Family Physicians.

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ChartWare Electronic Medical Records

ChartWare the electronic documentation specialist

Ultimately a successful approach for a health care provider when implementing an electronic medical record, EMR will take into account improvements not only to clinical productivity but also to quality of patient care. As you, a health care professional, consider various electronic medical record, EMR technologies on the EMR and EHR markets, explore the range of benefits ChartWare's EMR is designed to deliver in greater depth. From time and cost-savings to a better professional quality of life for health care providers, ChartWare's EMR can help you work they way you want to work. Improving clinical performance using ChartWare's electronic record-keeping system is easily attained. ChartWare EMR customers typically gain an average of 2 hours per day in saved clinical documentation tasks and patient care management. Net result: additional time can be allocated for more patient visits or the workday shortened by 25 percent. Example: A single year for a health care provider comprised of 50 workweeks managing patients and providing health care can yield up to 500 hours of newly available time. ChartWare's EMR enables health care providers to capture precise clinical documentation at the point-of-care establishing a thorough patient medical history and ensuring timely and accurate clinical records for medical billing purposes.

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ChartWare EMR Five Star Rated Electronic Medical Record (EMR).

 
What Users Say

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Find out how the ChartWare Electronic Medical Record (EMR) can improve your practice today.

“I can't conceive of going back to dictation or handwritten notes.
I estimate ChartWare EMR saves me around $45,000 a year in pay and benefits. ”

Dr. Cecil George Rural Health & Family Practice Customer since 1997

Electronic Records Save Hassle on Monday Mornings
Dr John Tilley, Lewisville, Texas

One of the most satisfying features of computerized record keeping is the hassle it saves, says John Tilley MD, a family doctor in Texas. He gives an example. "I have access to our records through the Internet, wherever I am. So, for example, when I'm at home I can review new lab results for my patients and leave instructions for my nurse. I can check up on referrals, change medications, print prescriptions, chart phone calls, do anything as if I were in the office.

"That can take a lot of pressure off on Monday morning. My nurse doesn't have to wait while I sift through lab reports before she can get on with her work, and I'm not distracted or delayed while seeing patients."

Tilley, who has been in practice twenty years has been using ChartWare to keep his records since 2003. His office, he says, is now "light years" ahead of where it was in tracking not just lab tests but also referrals to specialists, follow-up appointments, imaging procedures, and the whole range of what previously was done on paper.

"We had three cross-checking manual systems aimed at keeping on top of the paper flow and things still regularly fell through the cracks. Now our system reminds us, and keeps on reminding us, if something needs to be done."

The chief nurse is "ecstatic", Tilley adds, having been relieved of the burden of hunting for missing files, incessant follow-up phone calls, and misfiled lab results, even though the amount of documentation about patients is much more detailed than before. The front office staff has found more time for other tasks due to the efficiency of taking phone messages without paper charts.

"We not only know more about our patients but we can share the data, quickly and accurately, with other physicians. The orderly way it is recorded means we don't have the frustration of searching for the piece of information we need, which in a paper record can be misfiled anywhere in a chart that all of us have access to."

He also likes the system because of its flexibility. "That may surprise many doctors who are reluctant to go to electronic records because they think it will restrict their individual working methods. We've found it adapts easily to the wide range of patients and practice styles in family medicine.

"The patients seem to approve too. They appreciate the technology and I can't remember any of them ever saying they didn't like it."

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Laptop Computer Lets Doctor Do House Calls the Modern Way
Dr. Leo Kanev, Evanston, Illinois

Electronic record keeping "has made my practice possible," says Dr. Leo Kanev. "Without it I couldn't do my work in a way that suits me and my patients."

The special feature of the practice, which he started in 2001, is that it includes about a hundred patients whom he sees at their homes and who, for the most part, are very sick and medically complicated. "I have colleagues who make home visits whose car trunks are filled with paper charts," he says. "I use my laptop and it contains all the information I need."

When he goes into a house all he carries is the laptop and necessary medical supplies that fit in the same bag. "I've never had a negative response from a patient. In fact, many of them talk about it as though it's a piece of magic. 'You seem to know so much about me,' they say."

Their surprise is understandable, he adds, because the system is a highly effective way of ensuring that he has all the data at his fingertips. "I can tell at a glance what we did last time, what medications they're on, what we've tried before. I can see both old and recent blood work and other test results."

Sometimes the need for those details is urgent. "When I get called about patients in the middle of the night, I can look up their history there and then. Obviously, if they've been taken to the emergency room, that could be a matter of life and death. But even if all the family wants is the phone number of the pharmacy the patient uses, it can be a big comfort at a time of stress."

Dr. Kanev says that computerized record keeping isn't an expensive method for improving health care. "I started my practice the day my residency ended. I was already deeper in debt than I ever wanted to be. But for a few thousand dollars I was able to acquire the system I wanted -- ChartWare -- and it has worked well ever since. I have a completely paperless office. I don't need storage space for charts or transcription services."

The system also gives him peace of mind. "The reminders in it make it difficult to overlook anything important. It reassures me that I haven't missed any test results and that I have reviewed consultations notes that I arranged for. When you're going from house to house, those things are easy to forget and, with patients like these, potentially very serious."

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Electronic Record Keeping Customized for Rheumatologists Patients
Dr. Michael Thakor, Fort Collins, Colorado
Arthritis and Rheumatology Clinic of Northern Colorado

For rheumatologists the challenge for any electronic medical record system is the complexity of their patients ailments. Typically, before coming in, they will have seen several other doctors who have not been able to cure them. Many will be taking a wide variety of medications, always with the danger of adverse interactions, especially toxic. They are of all ages and types. The data on them cat scans, MRIs, lab tests -- can be voluminous. Many come back for repeated visits.

But Michael Thakor MD says the ChartWare system he set up when he started his practice in 2002, has worked admirably. Ive been able to customize it so that it can do everything I want. Weve never had a serious problem.

Sometimes the customizing is simply adding terminology of specific interest to the field of rheumatology. In other cases, it is the addition of a question that individual doctors find particularly useful: on each visit the system can be programmed to remind them to ask it. In still others, such as an examination, it can highlight abnormal conditions that are nevertheless common among these patients.

When still more flexibility is needed, doctors can use a so-called dictation module so that, while the bulk of the entries are still done by a click, they can add whatever words they want. I use this most often when writing to referring doctors so I can explain exactly what I found, Thakor says. But for most of his contact with other doctors the ordinary features of the electronic system give him all he wants. It simplifies everything, he says. It cuts out an enormous amount of onerous work, writing letters, checking transcriptions, worrying about not forgetting something. Now I enter information into the system and send it.

Better still, he adds, I can look at the data whenever I want to and its all in one place. Unlike paper files, it doesnt get lost or start missing pages as people dip into it.

The system has substantial rewards in other areas too. It fits very easily into the practice management system. I enter the coding during the visit and send it automatically. It cuts out the danger of forgetting what I did and entering the wrong code or of an error creeping in when someone else has to transcribe the information and send it separately.

Unlike many other doctors who have computerized, Thakor cant estimate how much time and money he has saved because he adopted the system from the beginning. I had only a slight acquaintance with computers before I opened my practice but it seemed clear to me that this was the way the whole field of medicine was going. It was very easy to learn, both for me and my staff.

He sums up his experience succinctly: What I needed was an economical and reliable system that could continuously monitor chronically sick people with complex symptoms -- and that is what I got.

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Accurate Records Give Family Doctor Peace of Mind
Dr. Ernest Thomas Los Gatos, California

At 4 oclock one afternoon recently Ernest Thomas MD, a family doctor in Los Gatos, California, had just seen his 35th and last patient of the day. "All the charts are done," he said. "Ill be home in time for dinner."

Before Thomas installed electronic record keeping seven years ago, he knew only enough about computers to do word processing. Even then he was repeatedly on the phone to Microsoft for help in getting himself out of a corner.

Now, using ChartWare, his records are totally computerized and he cant imagine them being any other way. "In all the time Ive used it, it has never once crashed and the only time there are any errors is when I make a booboo." Even then, he says, ChartWare staff have always been on hand to help him get back on track. "They really back up their product and give you the feeling that they care about you and your practice."

Thomas made his choice, after 36 years of doctoring, by trying every piece of electronic medical record software he could find at the American Academy of Family Practice convention. "But I kept coming back, four or five times, to ChartWare," he says. "I was taken by its flexibility and how easy it was to use. I saw nothing else to match it."

Thomas decided that he needed to computerize when he realized that the traditional records he was using probably couldnt stand up to independent scrutiny. "Sometimes I couldnt read my own writing," he recalls. "On top of that, I was paying 15 cents a line for transcription. Thats a pretty big check at the end of the day. Now at the end of the day Im not paying anyone."

He has been audited by Medicare which, he says, is like being interviewed on Sixty Minutes. "Everything was perfect," he reports. "They didnt find a single error."

He credits ChartWare with making his work much easier and quicker. He gives a simple example. "When I enter into the computer that Im giving a 35 year-old man a physical, the system immediately cuts out all prompts for tests peculiar to women. I dont need to think about those tests any more. But it will remind me to check for prostate problems and will flag it if I forget." For female patients, he gets the same reminders about pelvic examinations.

Similarly, the system prompts him to test blood pressure with the patient standing, sitting and lying down. "It saves me having to think about it." In a day all those prompts add up to a lot of time saved and worry shelved.

More importantly, information is entered while the patient is there. "When did the symptoms start, what makes them better or worse, have they occurred before? And what did I do about it? It all goes in there and then. Theres no time to forget details that might prove important later, no additional work to do after the patient has gone and no ambiguities if, at any time in the future, someone needs to check up."

The diagnosis codes also go in at the same time and can be checked against the other data so that not only are they accurate but also that anyone looking at them can confirm they are accurate. "Its a commonplace that most doctors dont keep good records," Thomas points out. "That makes them very vulnerable."

For one part of his work, patients recovering from substance abuse, accuracy is particularly sensitive. "People have relapses and quite often theyll say something like I really need some Vicodin, doctor. Youve never given it to me before. But I did give it to them and its there in the record to prove it."

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Computerized Records Surmount A Medical Emergency
Dr. Jack Devine, Lewisburg, PA
Susquehanna Medical

Physicians treating diabetics will never forget the day when the FDA suddenly and without warning ordered Rezulin off the market. The powerful and widely used drug, it turned out, could cause severe liver toxicity and in some cases irreversible liver failure.

The announcement, in March 2000, sent doctors across the United States urgently searching their files to locate patients who, all unknown to themselves, were at high and unforeseen risk.

For some it was a nightmare, plowing through a mass of papers put in at different times, updated here, amended there.

But for Jack Devine, an internist, the search took four minutes. Within a couple of hours his staff had called all sixty patients who were on the drug. Within three or four days he had seen virtually all of them and prescribed alternative medications.

"It made me feel that this is what doctoring is all about: protecting people who rely on me from serious harm," he says.

He could only do it, however, because six years ago he had completely computerized his patients' records. "Without that, we would have been riffling through nearly two thousand files for days and never certain in the end that we had found everyone".

Patients were quick to express their appreciation. "When you do something like that, people talk about it," Devine comments. With the bulk of new patients coming to him through word of mouth, the value to his practice as a business is clear.

At a time when practices all over the United States are fighting the twin pressures of rising costs and tighter regulation of fees, the choice may not be merely between degrees of doctoring but any doctoring at all.

"If I hadn't computerized the records, I'd have needed two full-time assistants. In this area that's over $54,000 a year in pay and benefits. I don't think my practice could have survived," Devine says.

Pennsylvania is one of a growing number of states in a malpractice crisis. The insurance Devine paid $5,000 a year for three years ago would now cost more than $20,000. "Even in our local area, three or four practices have closed, as have droves of others in the state as a whole," he says.

Devine went to electronic records only after a lot of thought. Until 1996 he had never owned a computer, either at home or in the office. Like most newcomers the feature he looked for above all was ease of operation.

What he particularly liked in the system he finally chose --ChartWare -- was how simply he could adapt it to his own specialty and personal way of working. "All the clinical terms I need are in there or can easily be added. As documentation requirements have increased, it has helped relieve me of repetitive time-consuming chores, while not interfering with the patient care methods I've built up for myself over the years".

He installed the new system in early 1997. By July of that year, and with the help of ChartWare staff, 95 percent of his notes were computerized. Before long that went up to 100 percent and all of them at the point of care.

By the time the patient walks out of his office, he says, the note is ready. "I make the note during the office visit so I don't forget something or, in the future, have to wonder what I meant by a hard-to-read handwritten note".

As for coping with complicated cases, Devine is emphatic. "I have never found anything I wanted to do with record keeping that I couldn't do with ChartWare," he says.

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Computerized Records Reduce Medical Mistakes -- And Ruinous Lawsuits
Dr.Cecil George, Fort Stockton, Texas

Well-publicized medical errors in recent months have sent shock waves among physicians, reminding them of the dangers to their patients and their own vulnerability to ruinous lawsuits. "Tragically, most of these mistakes could have been cured by the simplest form of cross-checking," says Cecil George MD, a family doctor in Fort Stockton, Texas.

"The first thing that needs to be done, obviously, is to organize work so that errors are minimized. Every doctor wants that," George says. "The second is to make sure that everything is documented so that, if a lawsuit is brought, the doctor has evidence to refute it. Electronic record-keeping can play a crucial role in both areas."

"One of the most common mistakes in all medicine is prescribing medications that have an adverse interaction," George points out. "The first thing I do, whenever I see a patient, is to go over current medications. With the hand-held computer I use, that takes a couple of minutes."

"By contrast, looking through the usual file of papers in doctors offices, with medications prescribed at different times and rarely updated, is so time consuming I dont think many doctors do it conscientiously."

"But even if they did everything right, doctors can still be successfully sued," he adds. "Courts take the view that if it wasnt recorded, it didnt happen. By the traditional methods of handwritten notes or dictation, a few omissions, illegible writing or just plain transcription errors can be enough to lose a case."

When George began using computers for charting patient records in 1987, his main aim was to save time and money. "But with one in three family physicians in Texas sued every year, it has also become imperative to have the orderly, legible, retrievable documentation that only computers can provide," he says.

Being somewhat frugal I balked at the idea of putting a computer in each of my exam rooms. I wondered if I could find a way to use a single portable computer to access my network and do my charting on the fly."

"I construct the entire patient note while I am in the patient's room, so I don't forget anything and I do it with a pen, not a keyboard. Ive customized my copy of ChartWare so that it reflects my own way of working and speaking. The patient record is then in a form that I can find quickly at any time. I can also use it to let my nurse or a specialist know exactly what Ive prescribed, forward an order automatically to a pharmacy, order a lab test and, if it ever comes to it, show a judge exactly what I did."

His patients -- he sees 35 or 40 of them every day -- like ChartWare too. "When I refer them to a specialist, they dont have to go over their medical history again or remember what drugs theyre taking or what theyre allergic to -- all that is in my note."

If patients find themselves in the emergency room, unable perhaps to describe their condition, "their record can be found and transmitted, quickly and accurately," he says.

"I cant conceive of going back to dictation or handwritten notes," George says. "I estimate ChartWare saves me one and a half fulltime employees, equal to around $45,000 a year in pay and benefits. For a solo practice, thats a lot of money."

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