Anesthesiology EMR- Ohio, Indiana and Kentucky REC

With hundreds of EMR choices on the market, doctors may find it a challenge to select the appropriate software for their practice. In order to maximize your chances of finding the right EMR for your anesthesiology practice, you should look for software that is designed specifically for anesthesiologists or a similar specialty. Anesthesiology EMR software is customized to deal with the unique characteristics of administering anesthesia in a variety of settings and situations. Anesthesiology is a very precise specialty in which slight differences in such factors as body weight, drug interactivity, cardiac output, age, metabolism, ventilation, and timing influence what type and how anesthesia is administered. EMR software focused on this specialty must be able to capture all this type of data. Anesthesiologists rely heavily on medical devices to help monitor and detect abnormalities in blood pressure, heart rate, oxygen levels, etc. so your software choice should also be able to integrate with blood pressure monitors, ECG, Spirometers, and other devices. Anesthesiologists must interact with a team of nurses and other physicians (in addition to the patient), so anesthesiology EMR systems need to be able to seamlessly export and import data from other specialty-specific EMR software. Additionally, since a critical part of your specialty involves drug interactions, you should make sure that your anesthesiology EMR has a robust alert system capable of notifying you of any potential adverse drug reactions or allergies prior to any anesthesia delivery.

At the start of software evaluation process, you should evaluate potential anesthesiology EMR based on the following criteria:

Practice Size: Some software is better suited to small practices, others to larger ones. EMR software is designed for a certain number and type of user, with scalability in mind. Make sure the software you select is appropriate for the number of anesthesiologists in your practice.

Systems Architecture: You can purchase anesthesiology EMR software that is installed directly on your computer servers on-site at your practice (“client-server”) or anesthesiology EMR software that is located in the “cloud” that you access via the Internet (“cloud-based” or software-as-a-service -”SaaS”).  Some anesthesiologists prefer client-server based EMR software since they feel more comfortable with HIPAA compliance when they control all the underlying data on their systems, despite the need to maintain and upgrade these systems periodically. Other anesthesiologists choose cloud-based EMR software because it can be accessed almost anywhere through the Internet. However, you are reliant on your Internet connection, so you need to make sure the quality and consistency of your Internet service is high. It is worth reading about all the advantages and disadvantages of each type HERE, to make sure you choose software with the systems architecture that best matches your needs.

Certification: When selecting your anesthesiology EMR, you should make sure that it is tested and certified by an ONC-Authorized Testing and Certification Body (“ONC-ATCB”). The ONC (Office of the National Coordinator for Health Information Technology) is the responsible agency for establishing EMR certification standards and certifying vendor EMR products. ONC-ATCB certification assures that your EMR has met required Meaningful Use (“MU”) objectives and measures. This is a prerequisite to obtaining MU Medicaid (up to $63,750) and Medicare (up to $44,000) incentives for adopting an EMR, and avoiding penalties for not adopting one. To learn more about these topics, you may want to read the following articles:

o What you need to know about ONC-ATCB

o EMR / EHR Government Meaningful Use Incentives Information

o EMR Deadline: Will I be Assessed Penalties for Not Using an EMR System?

To begin searching for the right anesthesiology EMR software for your practice, click HERE. To learn about EMR features that are unique to anesthesiology EMR systems, continue reading.

Once you have narrowed down your EMR choices based on practice size, systems architecture, and certification, you can evaluate certain features that are unique to anesthesiology practices. Such features include:

• ICD/CPT codes specific to anesthesiology

• Integration with critical care monitoring equipment that capture physiologic data

• Integration with ECG, EKG and other devices

• Capability of interacting with surgeons’ notes, perfusion records and nurses’ notes

• Time calculator

• Anesthesia machine (Fraser Harlake, Ohmeda, Bickford, etc.) data compatibility

Anesthesiology EMR vendors understand that not all specialties are alike. While there are a lot of similarities shared by all EMR software, you should be able to customize whatever EMR you choose to fit your specific needs. To facilitate this, anesthesiology EMR vendors offer a variety of pre-designed templates such as ones tailored for:

• Pediatric anesthesia

• Anesthesia for obstetrics

• Pre-operative medicine

• Cardiac anesthesia

• Side effects

• Possible health complications

While selecting an anesthesiology EMR may seem like a daunting task, having familiarity with the basic selection criteria common to all EMR software as well as some of the features customized for your specialty can help you make the right choice for your practice.

To assist the adoption of health information technology (HIT), Ohio, Indiana, and Kentucky have HealthBridge Tri-State Regional Extension Center serving physicians within all three states. This Regional Extension Center was created under the Health Information Technology for Economic and Clinical Health (HITECH) Act’s Health Information Technology Extension Program. Specifically, the purpose of HealthBridge Tri-State Regional Extension Center is to provide education, outreach, and technical assistance necessary to help providers in Ohio, Indiana, and Kentucky improve their quality of care by attaining or exceeding meaningful use of electronic health record (EHR) and electronic medical record (EMR) systems.

The sheer number of vendors and the complexity of choices available make choosing a suitable EHR software a daunting and time consuming task for physicians. However, purchase of certified EHR software is the first step toward achieving meaningful use of EHR systems. The Ohio, Indiana, and Kentucky HealthBridge Tri-State Regional Extension Center can play a crucial role in guiding physicians through selection and implementation process for the EHR software the physicians have purchased. HealthBridge Tri-State Regional Extension Center is also dedicated to the broader long-term goal of supporting the development of Health Information Exchanges.

Some Regional Extension Centers have also chosen to offer physicians a list of prequalified or selected EHR vendors (also known as preferred EHR vendors). These EHR vendors include a select group of EMR companies that underwent a significant qualification and selection process. They have demonstrated a commitment to the health information technology mission. The selected electronic health records vendors agreed to a higher base level of functionality and interoperability that will enable practices to achieve meaningful use of EHR and best participate in the Health Information Exchange. Additionally, the electronic health records vendors have discounted prices, group purchasing discounts, and standardized terms and conditions to facilitate quick and smooth adoption for these Regional Extension Center participants.

Below is the list of preferred EMR vendors recommended by the HealthBridge Tri-State Regional Extension Center of Ohio, Indiana, and Kentucky:

Allscripts – MyWay

Allscripts – Enterprise

Allscripts – Professional

Athena Health – Athena Clinicals

eClinical Works

GE Healthcare- Centricity EMR

NextGen