tag:blogger.com,1999:blog-20382865.post447912824787893341..comments2023-05-19T05:11:35.329-04:00Comments on Dr. Greiver's EMR: ScanningMichelle Greiverhttp://www.blogger.com/profile/15528486116262255346noreply@blogger.comBlogger6125tag:blogger.com,1999:blog-20382865.post-50096786148456660212009-07-06T15:14:38.044-04:002009-07-06T15:14:38.044-04:00We have noticed that the process of scanning that ...We have noticed that the process of scanning that includes scanning to a network directory and then attaching to the file is time consuming and prone to mistakes. <br /><br />As a result we created a scanner interface that allows the user to see the image and verify quality it on the touchscreen of the scanner and then indexing is done using the database of the EMR to validate that the patient ID or name is accurate prior to comitting the scanned document to the EMR's document repository. <br /><br />Do you believe that this method of scanning and indexing would be beneficial in your case?<br /><br />DaneDane Meulerhttps://www.blogger.com/profile/18445943751317458428noreply@blogger.comtag:blogger.com,1999:blog-20382865.post-14958032728501247122009-02-08T15:59:00.000-05:002009-02-08T15:59:00.000-05:00Thanks, Dr ParimiOur situation in Canada is a bit ...Thanks, Dr Parimi<BR/><BR/>Our situation in Canada is a bit different than yours. In Ontario, we have the Health Information Protection Act (http://www.health.gov.on.ca/english/providers/legislation/priv_legislation/priv_legislation.html). As health information custodians, we can have a third party scan medical records, provided they abide by the PHIPA regulations.<BR/><BR/>Scanning non standard pages should be in your scanner's manual. We sometimes scan legal sized documents. My scanner won't accomodate very large sized pages, but I have yet to receive one.<BR/><BR/>As far as destroying the original records, here is what our College's policy is: <BR/>"When a physician scans his or her paper records to convert them to electronic form, the original paper records may be destroyed in accordance with the principles set out in this policy." <BR/>http://www.cpso.on.ca/policies/policies/default.aspx?ID=1686<BR/><BR/>MichelleMichelle Greiverhttps://www.blogger.com/profile/15528486116262255346noreply@blogger.comtag:blogger.com,1999:blog-20382865.post-12180559115766778062009-02-02T21:31:00.000-05:002009-02-02T21:31:00.000-05:00Some interesting issues to talk about:How do you a...Some interesting issues to talk about:<BR/>How do you approach HIPAA when a third party(scanning service, scanning tech) is involved in scanning MRs?<BR/>Dr.Greiver: How did you approach non A4 size sheets like US images on photo paper?<BR/>I think there should be a greater reason when to shred your hard copies; not when you feel good. I am just kidding.<BR/>Thanks for your input on OCRs.I agree with the comments.<BR/>I incline on PDF rather than TIFF files. I cannot imagine TIFF file occupying the same space as PDF.<BR/><BR/>PARIMIParimihttps://www.blogger.com/profile/16006637152539953680noreply@blogger.comtag:blogger.com,1999:blog-20382865.post-24786636805342313802007-08-28T20:51:00.000-04:002007-08-28T20:51:00.000-04:00Thank you for the comment on OCR retaining the ori...Thank you for the comment on OCR retaining the original; I did not know that. The text searching is not that likely to be useful; there is a lot of filler in our reports. The important information is often in the last paragraph(diagnosis, management suggestions and meds changes). We need to figure out how to put that in some form that is compatible with EMRs.<BR/><BR/>I'm really looking forward to having a hospital interface; at least that will remove some of the scanning.<BR/><BR/>MichelleMichelle Greiverhttps://www.blogger.com/profile/15528486116262255346noreply@blogger.comtag:blogger.com,1999:blog-20382865.post-88134871133852133712007-07-24T19:29:00.000-04:002007-07-24T19:29:00.000-04:00Michelle: We scan to MTIFF format (multipage tiff)...Michelle: We scan to MTIFF format (multipage tiff) in a compressed form. The file size is as small as PDF and is VERY clear. <BR/><BR/>Moreover, the Advanced Document Manager in Nightingale reads this format and it is extremely easy and fast for my secretary to file for the four MDs in our office.<BR/><BR/>The format opens in MS Office document automatically which allows for direct OCR of portions of the notes like the final paragraph of a consult note. <BR/><BR/>After four years (and one week) of dealing with this issue in the EMR, I have come to the conclusion that this is the best solution in Windows. <BR/><BR/>As you know, our Hospital has agreed to interface with nightingale this fiscal year and this will eliminate a lot of the scanning of CT, MRI, other hospital DI and Hospital consult notes.<BR/>DavidDr. David M. Kaplanhttps://www.blogger.com/profile/11572488073607164173noreply@blogger.comtag:blogger.com,1999:blog-20382865.post-87595054033950055592007-07-24T03:48:00.000-04:002007-07-24T03:48:00.000-04:00Oh wretched scanning. When you have an EMRMedical...Oh wretched scanning. When you have an EMR<BR/>Medical Records = Scanning <BR/><BR/>Anyway, one point you should recognize about OCR is that you can scan a multipage image that retains it as an image and then does the OCR and has it available in the background. Essentially maintaining the original document, but having the advantage of the OCR.<BR/><BR/>Is OCR needed? I think pretty rarely right now, but a full text search engine of all the scans might be interesting one day. Very useful in a document management company I worked for that focused on lawyers. Not sure it would be that useful in a medical practice.<BR/><BR/>Now I'm babbling.<BR/><BR/>I love the pending shred box. We can't bring ourselves to shred the scanned papers either. Too many What ifs!!Anonymousnoreply@blogger.com