Electronic Medical Record Update
MUSC EMR Update 1 October 2004
Clinical System Initiatives
• PMSI/Practice Partner Overview and Status
• Other Clinical System Initiatives
• Information Technology Governance Structure
MUSC EMR Update 2 October 2004
PMSI/Practice Partner Features
• Goal: Paperless outpatient chart.
• Types of entry functions:
– Vitals, problem list, allergies
– Phone requests documented
– Meds/prescription (and re-fill) writer
– Clinic notes (can be transcribed or entered via ‘point and click’
– Scanning capability (referring or lose documents)
• Other types of data available
– Lab and radiology results
– Hospital transcription such as Discharge Summaries and Operative
MUSC EMR Update 3 October 2004
Practice Partner Implementation Objectives
• Enhance patient safety (e.g., PP has a prescription writing tool that has drug
interaction and allergy checking features).
• Improve documentation quality in order to better address regulatory, legal,
and MUSC guidelines.
• Improve coordination of care via secure electronic storage of clinical
documentation such as vital signs, clinic notes, medications, problem lists,
allergies, and phone calls.
• Enhance revenue by improved workflow efficiencies, decreased turnaround
time for documentation and availability of clinical documentation for billing
• Reduce the costs of medical records storage, filing space, transcription costs
and records management.
• Decrease time spent with call backs from patients and pharmacies.
MUSC EMR Update 4 October 2004
Practice Partner – Transcription Options
1. Dictation options:
A. Transcriptionist can type directly into PP, after selecting the patient in PP. The Word
processing function within PP* has spell check and allows for templates to be built (e.g.,
standard headings, sections, etc.). This PP tool also allows for easy import of meds lists
and other data into the note that is available within PP (and vice-versa).
B. Transcriptionist types in MS/Word (with some required standard codes at the top of the
Word document) - and then imports these documents into PP and selecting a note import
function. This import can be done in ‘batches.’
2. Physician direct entry options:
A. Physician types directly into PP* using the word processing function as described in 1A
B. Physician enters notes via pre-formatted templates that are typically developed for the
type of diagnosis or type of visit. Each specialty usually creates/refines these templates
*Note: PP does not currently have bold, italics, etc. capabilities in the current version, but a new
version that has these features will be implemented by the end of 2004.
MUSC EMR Update 5 October 2004
PMSI’s Practice Partner (PP) system
• Goal: 330 ‘attending’ physicians on PP by end of 2005*.
*For each physician, there are many additional users that are activated
(e.g., nurses, COM staff, billing personnel).
– Approx. 120 physicians currently using PP.
– Approx. 50 in process (beginning with nurses) thru 12/31/2004.
– Remaining 160 physicians to be implemented in 2005.
• Two Oracle data bases to be merged into one (November)
• System/server redundancy planned for December.
• Supported by Ambulatory IS team led by Jim Smith (5 FTEs).
MUSC EMR Update 6 October 2004
Practice Partner Current Status
Currently Utilizing Practice Partner
Family Medicine 23
Internal Medicine (partial) 27
General Pediatrics 10
Pediatrics (others) 10
Plastic Surgery 4
Ortho – adult 11
Peds surgery 2
MUSC EMR Update 7 October 2004
Practice Partner Rollout Plan
2005 Rollout (yet to be scheduled)
Infectious Diseases 6
Peds Adolescent Med 2
Peds Cardiology 11
Peds HemOnc 4
Peds Nephrology 2
Peds Neonatology 11
Peds Pulmonary 4
Total 2005 161
MUSC EMR Update 8 October 2004
Other Clinical System Initiatives
• Advanced Point of Care Clinical System (RFP…)
• OR system replacement
– Reinitiated in July (i.e., vendor selection to replace SurgiServe).
– Site visits in progress.
• Transplant system
– Reinitiated in May (RFP process...).
– Intent to award to be announced this week.
• ‘C3’ project (Oacis)
– Computerized Clinical Charting (C3).
– Pilot for inpatient nursing documentation on wireless (laptop!?) LYNX DAL
COWs – scheduled for mid November.
– Web front-end to Oacis in early 2005.
MUSC EMR Update 9 October 2004
IT Governance Committees
Chair: Dr. Ray
Information Management Medical Executive
Chair: Dr. David
Chair: Dr. Frank Clark
Financial & Admin Physician
Infrastructure Academic & Research Interdisciplinary
Information Council Information Council
Information Council Information Council Information Council
Chair: Patrick Chair: Dr. David
Chair: Kurt Nendorf Chair: Valerie West Chair: Marilyn
MUSC EMR Update 10 October 2004
Office of the CIO
Dr. Ray Greenberg
Chief Information Officer
Director of Academic Director of Director of Finance
Director of Clinical Controller
and Research Infrastructure and Administrative
Systems Support Services
Systems Systems Systems
Dave Northrup Melissa Forinash
Vacant Kurt Nendorf John Dell
MUSC EMR Update 11 October 2004