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Going Paperless in Residency. Will it work for your program?. CORD Academic Assembly 2011 March 3-5 San Diego, CA. Colleen Mayer, C-TAGME Academic Program Coordinator Emergency Medicine Residency & Fellowships Morristown Memorial Hospital Sandra Mirabal Unit Administrator 1
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Going Paperless in Residency Will it work for your program?
CORD Academic Assembly 2011March 3-5 San Diego, CA Colleen Mayer, C-TAGME Academic Program Coordinator Emergency Medicine Residency & Fellowships Morristown Memorial Hospital Sandra Mirabal Unit Administrator 1 Department of Emergency Medicine Education Office University of New Mexico
This session will examine methods to retain resident and graduate files in an electronic format, with the goal of minimizing paperwork and increasing program efficiency
Why Go Paperless? • Storage • Accessibility • Efficiency • Cost Reduction • Record Recovery • Environmental Benefits
GME and Agency Acceptance • All institutions have different requirements • Most GME offices are moving towards paperless • The RRC and ACGME seem to accept electronic systems
Technology & Privacy • Files can be set to read only or PDF • Usually programs can be customized • It is now legal to sign documents on the internet • August 2008 ACGME e-bulletin: • “The resident files in a given program may be paper-based, retained in electronic storage or a combination of the two. It is important that for all media, security storage is used to prevent loss of the records, and that for electronic storage, the program has filed back-up and recovery protocols that are consistently followed”
Importance of Gradual Implementation • Variables to consider • Do you have the support of administration? • Is program willing to institute change? • Is there financial support available? • Do you have appropriate mechanisms to institute? • Server space • Secure location • Program Director and Coordinator should communicate needs and preferences before establishing a system
Simple to Implement • Determine the system best for your program • Electronic Database System • Shared Drive • Combination of the two • Gather necessary records • Scan as PDF or save electronically • Keep in central area • Give appropriate access
Active Resident Files Conference Attendance Contracts Duty Hours Evaluations ERAS Application Exam Scores General Correspondence License, Certification & Diplomas Mal Practice Sheets Moonlighting Portfolio Items Presentations Self Assessment/Reflective Paperwork Chief Complaint Audits Procedural Competencies Procedure Logs Reimbursements Remediation Verifications PDF Files Given to Graduates Contracts License, Certifications & Diplomas Mal Practice Paperwork Presentations Given During Residency Procedural Logs USMLE / Comlex Paperwork Records to Store
End Results • Easy Storage • Easily accessible records • Efficient record management • Cost savings • Quicker record recovery • Saved some trees • Most of all……………..