Pediatric EMR Software and It’s Features

An Electronic Medical Record system is an integral part of Pediatric healthcare practices. A specialized EMR system serves all the needs of a Pediatrician. To know more about it, first we need to know what an EMR is.

Children are special patients. Each and every growth, changes in body and problems are to be medically comprehended and monitored to provide best treatment. Pediatricians have to access a varied range of pediatric medical charts to calculate the BMI or the Body Mass Index and the growth patterns of a child’s body. Pediatric Specific EMR Features include:

o Immunization and health maintenance reminders for better treatment
o Document/Image Management
o Online Patient portal
o Specific Pediatric dosage calculations
o Client/Server or ASP based
o E & M based coding assistance
o Computer based management of Documents and images
o Child growth chart (electronic)
o Prescriptions (PDR based)

And a variety of other Pediatric based EMR features.

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RevenueXL brings to you experienced, proven and best Pediatric EMR software in the market. This EMR software is imbued with a variety of features which makes the Pediatrician’s clinical methods far more automated and easier and helps in providing better clinical services to patients. The software from RevenueXL software runs E & M coder and super bill which are specialized features of Pediatric solutions. The EMR software can be customized to meet the Pediatrician’s needs.

Features of Pediatric EMR software:

o Categorization of Child examination charts according to age and gender to make vaccination and other immunizations easier to track and remember.
o X-rays, ultrasonography, MRI, ECG and other medical images can be stored into electronic charts and can be accessed at just a click. Medical notes can also be created and stored along with these to make monitoring easier.
o Consent forms can be printed out and electronic signature of the patient can also be taken easily.
o Schedule, appointments and billing can be done easily with the EMR software.
o Doctors’ handwriting is very illegible. If you are tired of the chemist asking you to read it out, this software with prescription writing will be a great help. The prescriptions can be faxed or emailed to the pharmacy directly.
o Electronic and integrated dosage calculator makes medicine dosage comprehensive and easier.

Pediatric EMR templates

Customized pediatric templates (specific to different division of medicine) include the following –

o Abdominal pain templates
o Conjunctivitis templates
o Food poisoning templates
o Appendicitis templates
o ENT (ear, nose and tongue) templates
o Viral fever templates
o Sick child exam templates
o Growth chart templates

Contact today itself for customized solutions for pediatric treatments. We assure you all sort of integrated solutions for specific pediatric problems.

How to Choose the Right Pediatric Dentist For Your Child

A dental office visit can be a scary experience for many adults, so imagine how your child must feel. Unfortunately, children can be affected by oral health problems too, so it’s important for them to see a dental practitioner regularly, and starting from a young age. Regular visits will not only put your child at ease; a dentist that specializes in pediatrics can also help instill good oral hygiene habits in your child that will last a lifetime.

How They Differ From A Family Practice

A pediatric dentist specializes in the oral health of children from infants to adolescents. They must undergo an additional two years of training after completing their four-year degree to become a DDS (Doctor of Dental Surgery). During this time, dentists learn about the special oral needs of children including the process of tooth replacement, how to teach children good oral hygiene skills, and how to calm children’s nerves.

Children should start seeing a dental practitioner as soon as their first teeth come in, at around 6 months. Because so much change occurs in a child’s mouth, it is recommended that they continue to see a pediatric dentist through adolescence.

The Search Process

A good first step when choosing a pediatric dentist for your child is to ask for recommendations. Ask other parents at your child’s daycare or school. A reputable dentist is one that has an established clientele and receives new patients via word-of-mouth: the best kind of advertising that money can’t buy.

Next, schedule a consultation with a pediatric dentist that is a potential candidate. No work should be done during this visit. Take this opportunity to see how he or she interacts with your child. They should take a personal interest in your child’s oral health, and should be warm and friendly. Take note of how your child reacts to the dentist. To make your child as comfortable as possible, it is best to establish a relationship with a dentist that your child can continue to see throughout his or her adolescent years.

What To Expect

Take a look around the office. It should be kid-friendly, warm and inviting; the staff should be the same. To make children feel comfortable, the office should have books, games, kid-sized furniture and children’s television shows on. Next, take a look at the equipment the dentist uses to perform dental procedures. It should be small, just as a child’s mouth is smaller than an adult’s.

If you have found a pediatric dentist that takes a personal interest in your child’s oral health, it will be evident from the beginning. A good professional will take extra time to explain procedures to your child in a way he or she can understand. They will also show your child how to practice good oral hygiene habits such as brushing, flossing and rinsing. Habits that will last a lifetime if properly reinforced.

Improving Vaccination For Kids Through Pediatric EHRs

Electronic Medical Records (EMRs) have been successfully utilized to improve the quality of patient care by delivering effective health services. Similar results have been seen in pediatric care, where vaccination coverage among children has increased significantly.

The quality of pediatric care is determined by the rate of childhood immunization. The Advisory Committee on Immunization Practice (ACIP) has given a schedule for childhood and adolescent immunization. Under this complex schedule, children are required to receive 19 vaccinations within 24 months of their birth; sometimes five vaccinations in a single visit to the pediatrician.

Among different reasons for difficulties in successfully following the vaccination schedule is unavailability of data at different healthcare facilities. According to a study, more than 22% of preschool children are administered vaccinations in more than one practice. The study also revealed that often parents misplace vaccination records or forget to bring them at time of visit to the pediatrician, which leaves pediatricians clueless about earlier vaccinations.

This issue has been solved to a large extent with the help of specialty pediatric EMR.

EMR Alerts for vaccination

Pediatric EMR software has specially embedded alerts and reminders for the clinical staff of the practice that will enable nurses or physician assistant to access the previous history of vaccination of the patient at each visit.

These alerts are usually embedded in the registration forms and provider notes, so that nurses or pediatricians can set them for the next vaccination date. Once the patient comes for the visit, the front-desk staff or nurse can review the immunization status – vaccination received, missed and remaining left – on a single click.

Pediatric EMR is designed so that pediatrician can review immunization status of patients at each visit and based on the data, can administer vaccination. Specialty EMR for pediatrics has diagnosis codes for vaccination embedded in the system, which populate automatically when the physicians orders for one.

EMR vaccination recall system

Before the health technology revolution, children who missed their vaccinations were tracked through a paper log – in most cases these paper trails had a dead end. With the implementation of a pediatric EMR, the clinical staff at the practice could follow-up on the patients who fail to turn up for the vaccinations.

Different staff members can access the log created in the EMR, which decreases the possibility of missing the follow-up on the patient.

EMR Vaccination reports

Pediatric EMR Software specifically made for pediatricians generate monthly reports about vaccination status of patients. These reports have the immunization status of patients less than 24 month old, missing one or more vaccinations. These patients are high priority for pediatricians, as the missing vaccinations have to be administered in order to complete the schedule on time.

EMR interoperability

As mentioned earlier, children were at risk of missing vaccinations before of lack of data available or pediatricians’ accessibility to data. Children would get vaccinated at different healthcare facilities, which make it difficult for pediatricians to keep record of their immunization status.

EMRs have made it possible to keep track of complete vaccination data of children. The system allows data sharing between health facilities and necessary stakeholders, which enable pediatricians to review past vaccinations given to the patient or missed.

This way patient – new or old – is administered vaccine according to their data and alerts are set in the software for future vaccines.

Choosing a Pediatric Specialty Specific Electronic Medical Record (EMR)

Is a Pediatric electronic medical record system most appropriate for your office?

An EHR / EMR that has been designed specifically for Pediatricians will have a variety of Pediatric specific content as well as Pediatric specific work flow included within the product.

It is beneficial during the initial steps of selecting and throughout the eventual implementation of an EHR/EMR product to gather any forms, communication tools, and educational material. This set of forms will assist in assuring a similar tool will be available and/or developed either by template or reporting.

The EMR / EHR has the potential to streamline work processes and have a positive impact upon office efficiency and quality. To gain the most with the implementation of the EMR / EHR it is important to look at work flow redesign. Look at potential bottlenecks or inefficient processes in the paper chart environment and rather than duplicate these inefficient processes look for the opportunity to complete a work redesign. It may be tempting to put the work redesign on a to do list but closely consider work redesign to be a part of the implementation phase. This method is usually less costly and does not require another implementation phase going forward. Pediatric Specific EMR/EHR features:

* Intake forms
* Demographics that support various family structures
* Well child / Preventative
* Immunization administration and management
* Growth Charts
* Genetic information, maintenance, and reporting
* School Physical
* Sports Physical
* Camp Physical
* Daycare Physical
* Reportable Communicable Disease management
* Child abuse reporting forms
* Referral entry and tracking
* Medication orders, tracking, and maintenance
* VIS (Vaccine Information Sheet)
* CDC link
* Flack Pain scale
* Behavioral tools
* ADD/HD tools
* Age Specific
* Birth Data
* Instrumentation integration (vital signs, EKG, spirometry, etc
* Pediatric protocols for pediatric triage
* Patient Portals
* Pediatric Specific templates

Intake Forms

Patient intake forms should be developed to flow nicely with the template work flows. The system should be set up to allow for preloading of the patient intake form prior to the visit to enhance physician schedule efficiency. Demographics That Support Various Family Structures

Demographics that support various family structures including adoption, step-children, foster care, child abuse, and single parent homes is valuable with a diverse population. It is highly recommended the Pediatric EMR//EHR capture and protect sensitive childcare information. Birth Data

Birth data sections should contain appropriate fields for birth weight, complications at birth, time and date of birth provided to facilitate documentation. All components of the EMR should address appropriate age specific criteria. Immunization Management

Immunization administration and management is a necessary component of the Pediatric EMR / EHR. The recommended immunization schedule should be a component of the EMR enabling alerts for vaccinations due at the time of a visit and an automation of reminder letters. A direct link to CDC allows easy access to the recommended vaccination schedule and ability to print VIS (vaccine information sheets) at the time of vaccine administration or prior to scheduling immunizations.

Printing the VIS form should automatically document the fact the VIS for a particular immunization was printed for specific patient as required. The most efficient systems will accommodate obtaining any parental authorizations required in the exam room preferably electronically. If electronic signature is not available the minimal acceptable method would be obtaining a paper authorization and then scanning to the visit. Immunization orders or templates should include all data required for administration of the immunization including lot number, site given, and documentation of any reaction.

Growth Charting

Growth charts that accommodate preterm, infant, and child growth records should be available for the EMR. Height, weight and other parameters to be measured should be easy to enter and then automatically plotted on the growth charts. Genetic Information, Management and Reporting

A method to document genetic information that facilitates updating and maintenance can prove very beneficial. Reporting capability from the established data fields is recommended. School, Sports, Camp, and Day care Physicals

Templates to capture the needed information for the school, sports, camp and daycare physical visit should be available for customization. Producing a form using the data in the template fields and/or information stored in various sections of the EMR is highly recommended. This will save valuable pediatrician time by not having to fill out forms manually. Contact your local schools and/or state educational offices to obtain approval of any computer generated form prior to use. The process to get the automated form approved by the proper school and/or state officials can take a considerable amount of time. Reportable Communicable Diseases Management

Identification of reportable communicable diseases can be facilitated with a link to state health departments and the CDC. Referral request Management

Referral request order entry allows for tracking of all referrals from order to consult or result received. This is a liability limiting process and can result in liability insurance cost savings to the provider. Medication Management

Medications prescribing information offering dosing assistance to the pediatrician that is age and weight based can save time and reduce risk of medication errors. A system that facilitates tracking of refills enhances care and alerts to the pediatrician to allergies, reactions, and medication conflicts in general. E-prescription is of importance to meet compliance with state and federal regulations. Laboratory Management

Laboratory fields, data and work flows that allows for easy entry of orders, results and tracking ability are vital to meeting liability concerns and maintaining compliance and quality care. Ability to scan results, consults, performed outside of the facility would be necessary to capture all data in the EMR. Pain Scale Management

Inclusion of a standard pain scale for pediatrics assures compliance with regulations laws and patient rights. There are various pain scales including those for children under age 1 and those over age 1. These include NIPS, PPP, Riley, FLACC, Cries, Faces, Oucher, and others. Behavioral Health, ADHD, AUTISM management

Data fields complementing behavioral assessments for ADHD, Autism, and other behavioral conditions should be included the EMR/EHR system. Pediatric Triage Management

To enhance and facilitate established standards of care appropriate knowledge based pediatric triage material should be built into the system or accessed via a link to the appropriate website. This will improve the phone call conduct within the office. Report, Form, Questionnaire Generator

Patient data is all in the Pediatric EMR and you need the information out for various reporting and submission purposes. A report, form and questionnaire generator will accomplish this necessary task for you. Capture the necessary information at the time of the visits and then request the appropriate report, form or questionnaire to automate this process without double entry and/or handwriting the forms. This includes school physical, sports physical, camp physical, and other forms needed for a specific visit. Document Manager and Photo Manager

There is a growing trend to capture photos of patients for inclusion in the patient record. The photo manager can provide for capture of retention of these images.

The document manager would accommodate any forms needed for the Pediatric practice, HEDIS reporting forms, etc. Pediatric EMR / EHR Templates

Pediatric specific templates developed with the Pediatricians most efficient work flow will prove to be cost efficient. A partial list of suggested EMR templates for the Pediatric Practice EMR is noted below.

* Food Allergy
* Chest Pain
* Correspondence (food allergy letters, metered dose inhaler note, school excuse)
* Ears – Drainage, infection, ear pain, ear pressure, recurrent ear infections, and many more
* Conjunctivitis
* Fever
* Infant Fever
* Abdominal Pain
* Appendicitis
* Constipation
* Reflux
* Vomiting/Diarrhea
* Circumcision
* Voice/Speech Disorder
* Throat Infections
* Miscellaneous – anaphylaxis, adverse drug reaction, child abuse, juvenile dermatomyositis, sports physical, and more
* Musculoskeletal – ankle sprain, elbow injury, foot pain, knee injury, shoulder injury, low back pain, and more
* Postnasal drainage
* Nasal Foreign Body
* Nasal Obstruction
* Headaches
* Newborn Visit
* Asthma
* Cystic Fibrosis
* Croup
* Upper Respiratory
* Allergic Rhinitis
* Sinus Infection, Sinusitis
* Skin – acne, atopic dermatitis, burns, insect bites, impetigo, rash, and more
* Viral Infections – Chicken pox, fifth’s disease, influenza, roseola, mononucleosis, and more

Patient Portals

Patient portals allow providers to grant patient access using a secure username and password to information in the EMR through a web connection. Access often is granted for the following:

* Check appointment schedules
* Request an appointment
* Review lab results
* Review statements
* Request a prescription refill
* Complete new patient intake forms.

General Considerations

All templates should be customizable. This can include making links available to CDC and state agencies. Reporting should also be customized that meets requirements for HIPAA reporting, immunization reporting, and various administrative reporting.

An EMR that allows for multiple methods of entry into the EMR is optimal to facilitate various work flows. Methods could include templates, down drop list, expandable text, voice recognition, transcription, handwritten electronic pen/pad, abstraction, and scanning.

In summary, selecting an EMR product for the Pediatric office which addresses the specific work flow and care components unique for the Pediatric patient demographics will provide the most efficiency for the Pediatric office. A Pediatric EMR specific feature check list would be a beneficial tool during the Pediatric office EMR selection process.

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