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10.

ChartLogic offers an
ambulatory EHR suite that
includes electronic medical
record, practice management,
revenue cycle management, e-
prescribing and patient portal.
The solution caters to primary
care, surgical care and other
complex areas of medicine.
ChartLogic EMR (electronic
medical record) is designed to
understand user workflow,
specialty and personal
preferences. The solution
offers electronic charting
capabilities that allow medical
practitioners to view patient
notes, medical history, referral
letters and diagnosis codes on
a single screen.
ChartLogic PM (practice
management) helps in
managing the administrative
activities which include
registration and scheduling,
eligibility and verification,
claims, billings and collections,
user dashboards and reports.
The module also integrates with
ChartLogic EMR.
ChartLogic RCM (revenue
cycle management) enables
users to optimize financial
performance. The solution
manages the payer mix, case
volumes and denials and
disputes on a regular basis.
ChartLogic also takes care of
the claims continuum and
provides practice staff access
to detailed financial data.
09.
AllegianceMD is a cloud-
based medical software
system that is designed to
serve the needs of small and
midsize practices, as well as
ambulatory surgery centers.
The solution includes
practice management
functionality for billing and
scheduling and an electronic
medical record.
More specific capabilities
include e prescribing, claims
management, and a
reporting system.
AllegianceMD allows
patients to fill their history
and demographics online as
per the clinic’s
predetermined parameters.
Medication features include
medication list
(active/inactive), e-refill
request, allergy list, drug-
drug interaction, and drug-
allergy interaction.
Laboratory maintains test
history and permits tracking
of abnormal lab follow-up.
E-prescription system
enables the user to check
the patient’s allergies and
current medication against
the proposed prescription,
assuring that no
prescription with possible
side effects or
consequences is filled.
AllegianceMD is priced on
a monthly subscription fee,
which is based on the
functionality used and the
number of users on the
system. The system runs
on mac OS in addition to
windows systems and is
ONC-ATCB certified.
08.
Greenway’s
electronic
health record
(EHR) and
practice
management
platform
Intergy offers a
user-friendly,
specialty-
focused
solution for
ambulatory
healthcare
practices.
It provides
tools to
manage
chronic
conditions,
capture payer
incentives,
and thrive in
the world of
value-based
healthcare.
As a trusted adviser, Greenway
fuels customers’ success by
delivering the innovative
technology, quality services, and
strategic partnership that help
them grow profitably, remain
compliant, work more efficiently,
and improve patient outcomes.
Intergy is available as a hosted or
on-premise EHR and practice
management system. Suitable for
practices with multiple locations,
Intergy caters to the needs of
specialties such as primary care,
internal medicine, multi-specialty,
OB-GYN, cardiology, pediatrics,
and more.
Intergy is also
well-suited for
independent
practice
associations
(IPAs),
accountable care
organizations
(ACOs),
advanced
surgical centers,
and tribal health
facilities.
The Intergy Hosted bundle, a
flat-rate per-provider per-month
subscription, includes EHR/PM,
provider-to-provider direct
messaging, mobile,
clearinghouse, analytics, patient
portal and patient messaging,
on-site go-live, and access to
Greenway’s extensive Knowledge
Center.
07.
Compulink Healthcare
Solutions is an integrated
hybrid medical solution
that provides medical
service providers
functionalities such as
electronic health records
(EHR), practice
management, revenue
cycle management,
inventory management,
optical POS and practice
automation, which help
them to manage patient
care and practices'
profits.
The solution can
either be deployed
on-premise or
hosted in the cloud.
Compulink Healthcare
Solutions can be
tailored to suit
various specialties
such as chiropractic,
dermatology, eye
care,
gastroenterology,
ophthalmology,
orthopedic,
otolaryngology,
podiatry,
rheumatology and
urology.
The solution features
lab integration,
patient scheduling
capabilities,
electronic billing,
patient registration,
reporting and a
HIPAA-compliant
patient
portal.Compulink
Healthcare Solution's
billing module offers
features such as
eligibility inquiries,
credit card
processing,
inventory control
and more.
The practice automation
application features
electronic pharmacy
connection, electronic
renewal processing and
multilingual patient
hand-outs. Services are
offered on a monthly
subscription basis.
Individual modules for
on-premise
deployment can also
be bought for a one-
time fee. Support is
available via phone,
email and other online
resources.
PrognoCIS is a
cloud-based ICD-10
compliant and MU 06.
certified EMR
solution which helps
medical facilities
and practitioners to
manage patient
medical recording.
The software
comprises of
integrated modules
for EHR, Practice
Management,
Patient Portal and
Revenue Cycle
Management.
PrognoCIS EHR
offers
customizable
EHR workflow
and content for
clinics and
hospitals.
Doctors and
hospital staff can
quickly generate
an electronic
prescription for
their patients
and share with
them and their
pharmacy store.
The built-in e-
signature feature
allows both
medical
professionals and
patients to
electronically sign
medical bills and
other documents
within EMR or
patient portal. A
dedicated patient
portal allows
doctors to
communicate with
their patients
securely, share lab
results, set
appointments and
more.
PrognoCIS helps to
quickly identify
and confirm
patient
insurance
benefit eligibility.
Clinics can also
reconcile patient
accounting and
insurance billing.
Using PrognoCIS,
medical
practitioners can
document
patient data
through multiple
data entry
methods.
PrognoCIS works
with a variety of
devices,
including
laptops,
desktops,
tablets and
smartphones
using any
standard web-
browser.
Doctors can also
access patients'
record on their
iPhones via
PrognoCIS iOS
app.
05.

athenahealth is providing cloud-


based services for electronic
health records (EHR), revenue
cycle management & medical
billing, patient engagement,
care coordination, and
population health management,
as well as Epocrates and other
point-of-care mobile apps.
The athenahealth EHR offers a
homepage that allows users to
review the daily schedule and
patient information, manage
orders, and view incoming lab
results. The billing module can
be used in tandem with the
EHR or on its own, and features
a patented and continuously
updated rules engine.
Medical practice management
tools include visibility into daily
responsibilities, custom
benchmarking, proactive trends
analysis, and more.
Patients can utilize a patient
portal to review history, pay
bills, sign forms, and schedule
appointments. Reminders can
be delivered via phone, email,
or text message; patients can
even be alerted when test
results are waiting in the
patient portal.
04.
NextGen Healthcare offers
NextGen Office—a cloud-
based EHR – specifically
designed for private
practices. NextGen Office is
a fully integrated practice
management solution that
includes specialty-specific
content, a claims
clearinghouse, and an easy-
to-use patient portal.
It works on any tablet,
laptop (Apple or Windows),
is touch-screen enabled,
compatible with all
browsers, and is HIPAA
(Health Insurance
Portability and
Accountability Act of 1996)
compliant.
NextGen Office grew from a
company was founded in
1998 by two doctors with
one goal – to make medical
offices run more efficiently.
Company founders designed
a solution to accommodate
physician and staff workflow
with easy-to-use, affordable
technology that adapts to the
provider’s workflow and is
accessible from anywhere.
Now more than 124,000
providers across the United
States use solutions
provided by NextGen
Healthcare.
With NextGen Office,
providers can touch, talk or
type encounter notes
directly into the clinical
documentation.
NextGen Office includes MIPS
reporting/dashboards,
automates insurance
eligibility, empowers patients
to schedule appointments,
request refills, and schedule
telehealth visits, and
connects the care team
through direct messaging
and referral exchange.
03.

Kareo is a web-based
medical billing and
practice management
solution used by
medical practitioners
and physician across the
United States. The
system suits small
practices and billing
companies.
With Kareo, practices
can schedule patients,
confirm insurance,
manage delinquent
accounts and the
collections process,
store patient
documents, and
develop customized
reports and more.
Kareo help practices
manage the
complications involved
in insurance billing.
Medical staff can enter
patient data and verify
their insurance claims
immediately.
Kareo also provides a
schedule and
appointment reminder
that helps practitioners
schedule appointments
with their patients and
send appointment
reminders to reduce no-
shows.
The built-in messaging
feature allows practices
to communicate with
their billers, patients
and employees. Other
feature include billing
analytics, advanced
claim processing,
document management
and agenda planner.
Kareo is ICD-10
compliant medical
solution used across a
wide variety of medical
specialties, including
mental health, family,
medicine, pediatrics,
cardiology and more.
02.

DrChrono’s iPad and iPhone


compatible EHR and medical
billing platform allows users to
manage patient intake, clinical
charting, billing, and revenue
cycle management. It includes
customizable medical forms, e-
prescribing, scheduling tools,
real-time patient eligibility
checks, and a patient portal.
The DrChrono App Directory
also offers a multitude of apps
and a medical API for healthcare
app developers.
The DrChrono EHR offers fully
customizable forms or prebuilt
forms. Any prescription,
including Electronic Prescribing
Controlled Substances, can be
sent electronically on iPhone,
iPad, or the Internet.
Lab orders can be submitted
electronically to over 40,000
labs around the United States;
results can then be directly
uploaded into the patient’s
chart. Custom vitals give
providers the ability to create
baseline health data and
monitor each patient’s health
measurements over time.
Providers can use Free Draw
function to annotate on
diagrams, x-rays or other files;
they can also use the iPad's
built-in cameras to take
pictures and embed them in
the patient's record. The
system comes pre-populated
with billing codes and is
integrated with Box, a HIPAA-
compliant cloud storage
system.
01.

AdvancedMD is an integrated
medical software suite for
independent practices.
Features include practice
management, electronic
health records, patient
engagement, telemedicine,
rooming, reputation
management, financial
analytics and business
intelligence reporting that all
work together to automate
practice workflow.
Mobile users can work on the
iPhone and iPad. The cloud
platform enables anywhere
access and the highest levels
of data security
available. AdvancedMD is
browser agnostic for Mac
and Windows operating
systems and runs on nearly
any device.
Integrated workflow
automates the patient journey,
starting with self-scheduling
onsite or telemedicine
appointments. Appointment
reminders can be sent to
patients via text or email.
Insurance eligibility
verification for next-day
patients runs automatically
and alerts staff of potential
issues.
Consent forms are sent
through a patient portal and
collected into the patient
chart. Rooming helps
manage patient flow.
Charting and prescriptions
can be done from anywhere.
Charge capture occurs
during the charting process
without billing staff needing
to copy or paste.
NURSING INFORMATICS
Nursing
informatics is a
field of nursing
that
incorporates
nursing,
computer, and
information
sciences to
maintain and
develop medical
data and
systems to
support the
practice of
nursing, and to
improve patient
care outcomes.
Technologies that
have evolved due
to health
care/nursing
informatics
include:
üComputerized
provider order
entry (CPOE)
üElectronic
medical records
(EMRs)
– Test results
– Progress notes
– Nursing notes
– Medication
records
There are three "building
blocks" of nursing
communications –

üDATA
üINFORMATION
üKNOWLEDGE
Data includes direct
observations that do not
need interpretation, such
as:

üPatient's name
üAge
üVital signs
üDisease history
Information is data that has been interpreted.
Examples include:

üPrevalence of hospital-acquired infections, by care


unit

üPercentage of patient care delays in outpatient


clinics, by specialty
Knowledge is the amalgam of information to
i d e nt i f y re l at i o n s h i p s t h at p ro v i d e f u r t h e r
observation to an issue. For example:

ü The effect of nurse-patient ratios and patient


outcomes

ü Developing care protocols (i.e. anaphylactic reaction


protocols, pressure ulcer protocols, etc.)
While nurses
incorporate all
three
communication
"building blocks"
in their daily
routines, the
three concepts
are also stored
in computer
programs and
software to
assist health
care providers
across the
continuum to
provide high-
quality, safe
patient care.
Nurse
informaticists
work to develop
communication
and information
technologies in
health care.
They also serve
as educators,
researchers,
software
engineers, and
chief nursing
officers.
Using the
"building
blocks" listed
above, they
help develop
evidence-
based policies
and
procedures for
organizations.
Why Is
Nursing
Informatics
So
Important?
Nurses need information
to care for patients safely.
They need to be able to
access medical histories,
medication lists, lab and
imaging results, and
physician/interdisciplinary
team notes to get a
complete picture of a
patient's clinical status.
They use this information
to make decisions
efficiently to improve
patient care outcomes.
Nurse informaticists, as
well as other health care
informaticists
(pharmacists, physicians,
etc.), play a critical role in
the continuous
development and
improvement of health
care technology.
Communication is
inarguably one of the
most important aspects
of patient safety.
The contribution of nurse
informaticists in
developing and
improving technology
such as electronic
medical records and
computerized provider
ordering has been crucial
in reducing medical
errors, patient care
delays, and health care
costs.
For example, before
CPOE (Computerized
physician order
entry ) , is a process
of electronic entry of
medical practitioner
instructions for the
treatment of patients
(particularly
hospitalized patients)
under his or her care.
Nurses would need
to transcribe
provider orders by
hand. Hard-to-read
handwriting and
human error caused
transcription
inaccuracies, which
in turn led to
medication errors,
delays, and
omissions.
Today, software exists
where providers
simply click a button
and the right
medication, dose,
and frequency is
selected. Additionally,
some programs
cross-check orders
against the patient's
allergies and/or
duplicate orders to
further protect
patient safety.
Nurse
Informaticist
Responsibilities
& Duties
Nurse
informaticists play
a critical role in
not only
developing health
care technology
but educating staff
and evaluating the
results of
implementation.
Other
responsibilities
and duties include:
ü Assessing and
analyzing health
care technology
needs
ü Designing systems
technology
ü Testing systems
technology
ü Implementing the
technology which
also includes:
ØStaff training
ØTroubleshooting
ØEscalating issues as
needed
ü Assisting in the
transition from one
system's technology
to another
ü Evaluating the
success of
implementation;
revising as needed
ü Serving as project
managers
ü Assisting in
ensuring
organizations meet
federal health care
laws such as HIPAA
ü Serving as a
resource to staff
ü Serving as a liaison
between staff and
information
technology experts
ü Assessing user
requirements and
developing solutions
ü Serving as an
educator to staff and
new nurses
ü Developing
organizational policies
and standards
ü Researching different
informatics topics that
affect health care
providers as well as
patients

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