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Surgery clinics have to juggle a lot of tasks at the same time and require an electronic medical record that helps to make the workflow seamless. Surgeons require EMR that can support the three stages of surgery; pre-op, intra-op, and post-op, within one software discretely, yet at the same time integrate with labs, diagnostic and monitoring devices.
Customized Templates – Surgery clinic EMR need to have SOAP note templates that cover all three aspects of a surgery clinic; pre-op, intra-op, and pots-op. This will enable accurate point-of-care charting for quick review.
Lab Interface – In order to conduct effective surgical procedures surgeons must know every detail of the patient’s health. A seamless lab interface will automatically enable up-to-date patient files.
Device Integration – It is essential for intra-op charting that surgery clinic EMR have device integration to monitor patient vitals. Surgery clinic EMR should also have connectivity with diagnostic devices. This enables the EMR to raise red flags, and alerts in case of allergic reactions, or emergency aid.
Referral Program – A lot of surgery procedures are referred to surgeons. Surgery clinic electronic medical record should have a strong Secure Messaging portal to import patient files, as well as export files after the surgery has been conducted.
Dictation Support – Intra-op EMR should have dictation support to enable surgeons’ to take down point-of-care charting without using their hands. This saves time, ensures accurate charting, and doesn’t distract from the surgery.
ICD/CPT Codes – Surgery specific ICD-10 and CPT codes declutter the electronic medical record, enabling accurate, eligible claims for a faster billing process.
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