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Internal medicine is dedicated to treating illnesses and diseases in adults. It caters to multiple specialties and requires an electronic medical record software that understands the unique needs of internal medicine, and provides features to assist in expediting practice efficiency and organization.
Templates – Internal medicine covers a vast range of specialties. Most of the time one patient could require treatment for more than one illness. EMR geared towards internal medicine should incorporate all these specialty templates in the SOAP notes for quicker note taking during consultations, enabling all patient information on one platform:
ICD/CPT Codes – To submit insurance claims each diagnoses carries an ICD or CPT code. These are countless but important for billing purposes. Internal medicine EMR incorporates the codes making billing easier, accurate and quick.
Multiple Complaints – Because internal medicine covers multiple specialties it requires EMR that supports various specialties and incorporates patient files across them. This is helpful in evaluating treatment plans, and detecting warning signs if any.
Equipment Integration – For seamless integration of patient documentation on one platform the EHR should be integrated with diagnostic equipment that generates automated data on patient files for immediate access and storage.
Lab Interface and e-Prescribing – For immediate test results as well as prescriptions, internal medicine should have a built-in lab interface as well as e-prescription for automated contact with pharmacies.
Disease Management and Growth Charts – Developing patient history is essential for disease management to track medical history to determine treatment. Internal medicine EHR should help track vaccinations and growth charts for constant update of patient medical history.
Patient Portal – To create greater patient satisfaction and involvement, internal medicine EHR should host a patient portal. This allows greater correspondence between doctor and patient, as well as a platform for patients to review their own medical files, their test results, schedule appointments and be on top of their checkups, or upcoming vaccinations or tests.
How to Choose Internal Medicine EMR Software
There are countless internal medicine EHR vendors that provide the software you need. To narrow the selection down to those that fill your requirements as a specialty as well as a medical practice you need to keep a few things in mind.
Size – Some vendors cater better to large practices while some are best suited to smaller ones. EMR systems are designed keeping a certain number of users, scalability and support required in mind. When selecting a vendor keep in mind the size of your practice.
System Design – The choice, essentially, is between installation of the software in your on-site computer server, or cloud-based software that is available anywhere via Internet. Which system a practice goes for depends on their personal choice and comfort level. Some doctors feel more comfortable having the system on their computer server because they feel this is more compliant with HIPAA requirements, while others need to have access to their database wherever they are. You’ll need to shortlist vendors who fulfill your needs in this department.
Certification – It makes sense to make sure the software you’re going to purchase is certified. For internal medicine the certification you should be looking out for is by the ONC-Authorized Testing and Certification Body (“ONC-ATCB”). They are responsible for making sure your vendor meets Meaningful Use objectives and is HIPAA compliant.
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