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Electronic Health History

Electronic Health History. J Mark Barry, DDS, MBA Associate Dean For Clinical Affairs James B Edwards College of Dental Medicine Medical University of South Carolina October 15, 2011. New Clinical Building - Opened September 8, 2009. 183 Operatories 380 axiUm Computers. September 2009

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Electronic Health History

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  1. Electronic Health History J Mark Barry, DDS, MBA Associate Dean For Clinical Affairs James B Edwards College of Dental Medicine Medical University of South Carolina October 15, 2011

  2. New Clinical Building - Opened September 8, 2009 183 Operatories 380 axiUm Computers

  3. September 2009 To January 2011

  4. Electronic Training Sessions Progress Notes Consent Forms HIPAA Treatment Policy Forms Multiple Other Documents

  5. Change ! January, 2011 Electronic Health History

  6. Axium Consortium COHRI.ORG - MUSC part of network - Agreed to utilize adult comprehensive health history - Committee key to planning and implementation

  7. Consortium Electronic Health History This is the COHRI health history

  8. Electronic Health Histories Adult Comprehensive Care COHRI Pediatric Comprehensive Care Emergency Limited Care Dental Faculty Practice

  9. Adult and Pediatric Health History - Student Driven - Educationally Based - Multiple preclinical didactic preparatory classess

  10. Comprehensive Care Program - Multiple EHH’s - Streamline Patients - Educate Students - Efficiencies

  11. Screening Process Web Base EHH Paper HH mailed to patient

  12. Screening Process Screened by faculty Web base / Paper EHH Panorex 80-85 % patient acceptance PCC assignment

  13. What is HealthAccess? A new axiUm module which currently allows patients to complete their health history online. The Medical University of South Carolina is the first school to “go-live” with HealthAccess.

  14. MUSC HealthAccess Example dentalhealthtrain.musc.edu HHealthAccess 102110

  15. What does it look like in axiUm? Security Questions

  16. MUSC HealthAccess Example

  17. What does it look like in axiUm? Patient entered text from HealthAccess is ALWAYS green

  18. What does it look like in axiUm? Text is black after approval

  19. What does it look like in axiUm? Patient Signature Parent or Guardian Signature Representative Signature Provider Name & Signature

  20. HealthAccess Bottom Line • Allows patients to complete their health history online • Easy for dental school personnel to give a patient online access • Easy for the patient to use • Has GREATpotential for additional features!

  21. Radiology Appointment - Web based EHH - Paper HH - Teaching tool, review of systems, medications - FMS, DX impression, facebow

  22. Treatment Planning Clinic - Student familiar with EHH - EHH Update - HHR (Health History Reviewed)

  23. Lessons Learned Labor / Assistance

  24. Typical operatory with computer, keyboard, mouse, and signature pad

  25. Student Education Component

  26. Emergency Health History - Walk in clinic - Paper HH (Condensed) - Front desk enters demographic info - Student enters paper HH in Axium

  27. Dental Faculty Practice - Different version of EHH (Condensed) - Complete web based EHH - Mail in paper HH

  28. Overview Methods for health history entry 1. HealthAccess at home (web entry) 2. Paper (patient completes) – transcribed by provider or staff Oral interview (no paper) – transcribed by provider or staff

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