EHR_PORTAL


 * COMMENTS FROM CLASS **

Comments:

Business casual attire is usually the standard for a presentation of a project.

Great idea!

Slightly disorganized and some members seemed unprepared

Good ideas. The database seemed to work well.

Slightly disorganized and some members seemed unprepared

Don't look at the screen when presenting. The concept could be very beneficial for doctors to share information over a common connection so I like the ideas for it.

The formatting of the site could look a little more professional on the register page. But you guys definitely accomplished what you guys set out to do. I understand how hard creating a website is

good

What happens if both physicians don't subscribe to the program?

Even though the graphs where an issue there could have been a screen shot that would give a real-life functional view or a representation of it.

I feel that the group's presentation lacked conviction; I wasn't convinced that their product is going to make an impact in the health informatics industry. However, the project seemed very well executed. The amount of information the group provided was substantial, and it was made evident that the group investigated their project's topics extensively.

Overall a very good idea but as with every new idea it does need some work.

I found it hard to focus on the group's objective. I came out of it not knowing the purpose of their project entirely. Nice website.


 * Final Project: **
 * URL: medrex.sparkhubs.com **

__t__Project Description: Our project focuses on having a EMR that is available to any Dr. at any time. Each Dr. uploads patient Medical record to EMR server. Each Dr. that participates in the EMR sharing program will have a secure log in and will be able to download encrypted patient data. Only specific IP addresses can obtain access. Maybe have a token that has Data to log into the server. Patients can also log in to see their EMR with the same secure log in. Dr.s will have to pay a one time registration fee of $100 and $5 for each transfer. (researching going rate) Campany name EHR is currently doing this. Still in the works.

Team: Ramona Coleman, April Johnson, June Logan, Catherine Zappia, Joseph Papciak, Sakol Wongsaroj

Resources:

__MedRex__ =__Mock Design __= =<span style="background-color: transparent; color: #527d55; font-family: Times New Roman; font-size: 19px; text-decoration: none; vertical-align: baseline;">Rough working portal. =

[]

<span style="background-color: transparent; color: #000000; font-family: Times New Roman; font-size: 16px; vertical-align: baseline;">__Introduction__


 * <span style="background-color: transparent; color: #000000; font-family: Verdana; font-size: 13px; text-decoration: none; vertical-align: baseline;"><span style="background-color: transparent; color: #000000; font-family: Times New Roman; font-size: 16px; text-decoration: none; vertical-align: baseline;">MedREX is a web portal that allows primary care physicians to upload and view medical records of various types for a patient. For example, a physician will be able to upload patient's x-ray findings, input prescriptions, list a history of procedures, etc... The web portal will be integrated with a database to store and manage patient information. Each patient will have a patient identification number, in order to ensure that their personal information will stay secure <span style="background-color: transparent; color: #000000; font-family: Times New Roman; font-size: 15px; text-decoration: none; vertical-align: baseline;">. Available in the cloud.

=<span style="background-color: transparent; color: #527d55; font-family: Times New Roman; font-size: 19px; text-decoration: none; vertical-align: baseline;">Team Members =
 * <span style="background-color: transparent; color: #000000; font-family: 'Times New Roman'; font-size: 16px; text-decoration: none; vertical-align: baseline;">April Johnson
 * <span style="background-color: transparent; color: #000000; font-family: 'Times New Roman'; font-size: 16px; text-decoration: none; vertical-align: baseline;">Ramona Coleman
 * <span style="background-color: transparent; color: #000000; font-family: 'Times New Roman'; font-size: 16px; text-decoration: none; vertical-align: baseline;">Sakol Wongsaroj
 * <span style="background-color: transparent; color: #000000; font-family: 'Times New Roman'; font-size: 16px; text-decoration: none; vertical-align: baseline;">Joe Papciak
 * <span style="background-color: transparent; color: #000000; font-family: 'Times New Roman'; font-size: 16px; text-decoration: none; vertical-align: baseline;">Cathrine Zappia
 * <span style="background-color: transparent; color: #000000; font-family: 'Times New Roman'; font-size: 16px; text-decoration: none; vertical-align: baseline;">June Logan

=<span style="background-color: transparent; color: #527d55; font-family: Times New Roman; font-size: 19px; text-decoration: none; vertical-align: baseline;">Main Deliverable =
 * <span style="background-color: transparent; color: #000000; font-family: 'Times New Roman'; font-size: 16px; text-decoration: none; vertical-align: baseline;">MedREX will be a web portal accessed on any device using a web browser. It will be integrated with a database using MySQL and web development with php.
 * <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 16px; vertical-align: baseline;">__*TEAM REVIEW ITEM*__
 * <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 16px; vertical-align: baseline;">__Encryption software = can we use similar encryption__
 * <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 13px; text-decoration: none; vertical-align: baseline;">SECURITY
 * <span style="background-color: transparent; color: #686868; font-family: Arial; font-size: 13px; text-decoration: none; vertical-align: baseline;">ZenVault uses a patent-pending variant of the NSA-approved encryption that protects top-secret information, plus SSL-secured sessions on your computer, smartphone, or tablet. Only you can access and edit your private medical records - anywhere, anytime, on any device.
 * <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 13px; text-decoration: none; vertical-align: baseline;">PRIVACY
 * <span style="background-color: transparent; color: #686868; font-family: Arial; font-size: 13px; text-decoration: none; vertical-align: baseline;">ZenVault understands your concerns about medical privacy. Your data is 100% yours and will never be shared. Period. Unlike other PHR systems, ZenVault does not sell or give away your information to insurance companies, marketers, the government, or other entities.
 * <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 13px; text-decoration: none; vertical-align: baseline;">RELIABILITY
 * <span style="background-color: transparent; color: #686868; font-family: Arial; font-size: 13px; text-decoration: none; vertical-align: baseline;">ZenVault is there when you need it - 365 days a year, 24 hours a day. ZenVault uses ZeroNines' Always Available™ technology designed to protect the world's most sensitive financial and military computer systems. There is virtually no "downtime" or data loss with ZenVault
 * <span style="background-color: transparent; color: #000099; font-family: Calibri; font-size: 15px; vertical-align: baseline;">__[|http://www.zenvault.com/welcome#overview]__
 * <span style="background-color: transparent; color: #686868; font-family: Arial; font-size: 13px; text-decoration: none; vertical-align: baseline;">ZenVault is there when you need it - 365 days a year, 24 hours a day. ZenVault uses ZeroNines' Always Available™ technology designed to protect the world's most sensitive financial and military computer systems. There is virtually no "downtime" or data loss with ZenVault
 * <span style="background-color: transparent; color: #000099; font-family: Calibri; font-size: 15px; vertical-align: baseline;">__[|http://www.zenvault.com/welcome#overview]__

=<span style="background-color: transparent; color: #527d55; font-family: Times New Roman; font-size: 19px; text-decoration: none; vertical-align: baseline;">What will MedRex Do? =
 * <span style="background-color: transparent; color: #000000; font-family: 'Times New Roman'; font-size: 16px; text-decoration: none; vertical-align: baseline;">The MedREX web portal will have a secure physician/Nurse log in that will ensure that all medical information will remain secure. There are different levels of permissions to the data: View only, upload/view, All(upload, view, modify) and administrator. Data will be encrypted using the latest technology available. It will also integrate the information with a database so that pulling patient specific information will only take a matter of seconds. This web portal will eliminate the problems of having medical records written on paper, mistakenly getting lost, and being openly available to employees in the medical office. MedREX also creates a solution to the issue of not have instant access to patient records.

=<span style="background-color: transparent; color: #527d55; font-family: Times New Roman; font-size: 19px; vertical-align: baseline;">__Competitors__ =

<span style="background-color: transparent; color: #3366cc; font-family: Verdana; font-size: 12px; vertical-align: baseline;">__[|Reliable EHR/EMR System]__ <span style="background-color: transparent; color: #333333; font-family: Verdana; font-size: 12px; text-decoration: none; vertical-align: baseline;">Easy & Complete EHR/EMR Integration Starting At $99/Month. Try For Free <span style="background-color: transparent; color: #7d7d7d; font-family: Verdana; font-size: 12px; vertical-align: baseline;">__[|www.tranquilmoney.com]__

<span style="background-color: transparent; color: #3366cc; font-family: Verdana; font-size: 12px; vertical-align: baseline;">__[|EMR Solutions from GE]__ <span style="background-color: transparent; color: #333333; font-family: Verdana; font-size: 12px; text-decoration: none; vertical-align: baseline;">GE’s EMR Solution With Guidance Every Step Of The Way. Read More. <span style="background-color: transparent; color: #7d7d7d; font-family: Verdana; font-size: 12px; vertical-align: baseline;">__[|www.gehealthcare.com/emr]__ <span style="background-color: transparent; color: #999999; font-family: Verdana; font-size: 12px; text-decoration: none; vertical-align: baseline;">Patient Empowerment Ads <span style="background-color: transparent; color: #999999; font-family: Arial; font-size: 13px; text-decoration: none; vertical-align: baseline;">· <span style="background-color: transparent; color: #000000; font-family: Verdana; font-size: 12px; vertical-align: baseline;">__[|Records]__ <span style="background-color: transparent; color: #999999; font-family: Arial; font-size: 13px; text-decoration: none; vertical-align: baseline;">· <span style="background-color: transparent; color: #000000; font-family: Verdana; font-size: 12px; vertical-align: baseline;">__[|In Medical Records]__ <span style="background-color: transparent; color: #999999; font-family: Arial; font-size: 13px; text-decoration: none; vertical-align: baseline;">· <span style="background-color: transparent; color: #000000; font-family: Verdana; font-size: 12px; vertical-align: baseline;">__[|State Public Records]__ <span style="background-color: transparent; color: #999999; font-family: Arial; font-size: 13px; text-decoration: none; vertical-align: baseline;">· <span style="background-color: transparent; color: #000000; font-family: Verdana; font-size: 12px; vertical-align: baseline;">__[|Hospital Doctor]__ <span style="background-color: transparent; color: #999999; font-family: Arial; font-size: 13px; text-decoration: none; vertical-align: baseline;">· <span style="background-color: transparent; color: #000000; font-family: Verdana; font-size: 12px; vertical-align: baseline;">__[|Medical Doctors]__ <span style="background-color: transparent; color: #333333; font-family: Verdana; font-size: 12px; text-decoration: none; vertical-align: baseline;">According to federal law, we have the right to get copies of most medical records, whether they are paper copies, or electronic health records. Doctors' notes, medical test results, lab reports and billing information must be supplied to us if we ask properly. <span style="background-color: transparent; color: #333333; font-family: Verdana; font-size: 12px; text-decoration: none; vertical-align: baseline;">The federal law that addresses our medical records is called <span style="background-color: transparent; color: #000000; font-family: Verdana; font-size: 12px; vertical-align: baseline;">__[|HIPAA]__ <span style="background-color: transparent; color: #333333; font-family: Verdana; font-size: 12px; text-decoration: none; vertical-align: baseline;"> (pronounced HIP-a), the Health Information Portability Accountability Act. These rules mostly address privacy issues, but are so extensive that many healthcare providers are still confused about how to enforce them. That confusion sometimes makes it difficult for us to get our records, even when we are entitled to them. <span style="background-color: transparent; color: #333333; font-family: Verdana; font-size: 12px; text-decoration: none; vertical-align: baseline;">Who May Request Medical Records and Who Must Share Them <span style="background-color: transparent; color: #333333; font-family: Verdana; font-size: 12px; text-decoration: none; vertical-align: baseline;">You must be the patient, or the parent or guardian of the patient for whom you seek records. Caregivers may be able to access records if the patient has provided written permission to the provider. <span style="background-color: transparent; color: #333333; font-family: Verdana; font-size: 12px; text-decoration: none; vertical-align: baseline;">The US Department of Health and Human Services provides good background information for understand who <span style="background-color: transparent; color: #000000; font-family: Verdana; font-size: 12px; vertical-align: baseline;">__[|may, or may not]__ <span style="background-color: transparent; color: #333333; font-family: Verdana; font-size: 12px; text-decoration: none; vertical-align: baseline;">, have access to your records. <span style="background-color: transparent; color: #333333; font-family: Verdana; font-size: 12px; text-decoration: none; vertical-align: baseline;">Providers are required to keep most adult medical records for six years or more, although this varies by the state where the records are stored. In most states, children's records must be kept for three to 10 years beyond age 18 or 21. If you seek older records, contact the provider to see if they are available.

<span style="background-color: transparent; color: #908d8e; font-family: Arial; font-size: 24px; text-decoration: none; vertical-align: baseline;">EMR Solutions from GE Healthcare <span style="background-color: transparent; color: #908d8e; font-family: Arial; font-size: 15px; text-decoration: none; vertical-align: baseline;">From small physician practices to large hospital systems, our Centricity* portfolio <span style="background-color: transparent; color: #908d8e; font-family: Arial; font-size: 15px; text-decoration: none; vertical-align: baseline;">has an EMR to help you achieve results for your organization. <span style="background-color: transparent; color: #15a1dc; font-family: Arial; font-size: 19px; text-decoration: none; vertical-align: baseline;">SELECT THE SIZE OF YOUR PRACTICE:

<span style="background-color: transparent; color: #000099; font-family: Calibri; font-size: 15px; vertical-align: baseline;">__[]__ <span style="background-color: transparent; color: #000099; font-family: Calibri; font-size: 15px; vertical-align: baseline;">__[]__

<span style="background-color: transparent; color: #000099; font-family: Calibri; font-size: 15px; vertical-align: baseline;">__[]__

<span style="background-color: transparent; color: #000000; font-family: Verdana; font-size: 12px; text-decoration: none; vertical-align: baseline;">http://www.mediavue.net/software/medical_software.html <span style="background-color: transparent; color: #000000; font-family: Verdana; font-size: 12px; text-decoration: none; vertical-align: baseline;">Electronic Medical Record Software System

<span style="background-color: transparent; color: #000000; font-family: Verdana; font-size: 12px; text-decoration: none; vertical-align: baseline;">Are you tired of the mountain of paperwork that seems to go hand-in-hand with your practice? Are you sick of having records incomplete, torn, misplaced or lost all together? Is your staff tired of having to spend extensive administrative time just to organize the paperwork? Despite all these drawbacks many physicians maintain these inefficient paper file records because the alternative would be to adopt an electronic format, which many physicians are either uncomfortable or unfamiliar with. This is no longer a problem with MVI Solutions's electronic medical records (EMR) software. Listed below are some highlights of switching to our EMR software.
 * <span style="background-color: transparent; color: #000000; font-family: Verdana; font-size: 12px; text-decoration: none; vertical-align: baseline;">Increased access/efficiency
 * <span style="background-color: transparent; color: #000000; font-family: Verdana; font-size: 12px; text-decoration: none; vertical-align: baseline;">No longer will you have to worry about thumbing through drawers full of paper records. With MVI Solutions's EMR, patient information is immediately accessible, which can save every doctor time by not having to wait for charts to be delivered.
 * <span style="background-color: transparent; color: #000000; font-family: Verdana; font-size: 12px; text-decoration: none; vertical-align: baseline;">Security
 * <span style="background-color: transparent; color: #000000; font-family: Verdana; font-size: 12px; text-decoration: none; vertical-align: baseline;">MediaVue's EMR can be configured to restrict access to certain areas of the medical record or to have multiple levels for office personnel that are restricted based on job function. Furthermore, our EMR will identify anyone who has accessed or added to the record.
 * <span style="background-color: transparent; color: #000000; font-family: Verdana; font-size: 12px; text-decoration: none; vertical-align: baseline;">Improved Documentation
 * <span style="background-color: transparent; color: #000000; font-family: Verdana; font-size: 12px; text-decoration: none; vertical-align: baseline;">Test and lab results, EKGs and X-rays can all be entered automatically into our EMR thus reducing the risk of data entry errors or missing the information altogether. Health maintenance prompts alert physicians and office staff to missing or required patient information that has not been completed. Never again will you have to worry about have incomplete notes.
 * <span style="background-color: transparent; color: #000000; font-family: Verdana; font-size: 12px; text-decoration: none; vertical-align: baseline;">Quality of Care
 * <span style="background-color: transparent; color: #000000; font-family: Verdana; font-size: 12px; text-decoration: none; vertical-align: baseline;">Our EMR can also be used to track patient follow-up activity, patient compliance, and patient progress.
 * <span style="background-color: transparent; color: #000000; font-family: Verdana; font-size: 12px; text-decoration: none; vertical-align: baseline;">Increased Resources
 * <span style="background-color: transparent; color: #000000; font-family: Verdana; font-size: 12px; text-decoration: none; vertical-align: baseline;">By switching to our EMR you will no longer have a need for those huge filing cabinets. Toss those cumbersome objects away and use the space for other needs, such as more exam rooms or to increase the size of your waiting room. Office staff time will no longer be utilized hunting down records and filing: multi-user access will allow staff to update patient records immediately.

=<span style="background-color: transparent; color: #527d55; font-family: Times New Roman; font-size: 19px; text-decoration: none; vertical-align: baseline;">MedREX is Different = <span style="background-color: transparent; color: #000000; font-family: Times New Roman; font-size: 15px; text-decoration: none; vertical-align: baseline;">We allow a portal for Medical professionals to upload any type of medical record for your patients. You can upload raw dictation, xrays, labwork, EMAR’s, history and whatever type of record you need to upload to assist in the care of shared patients. We use encryption and have a database in which to store all the records for quick searching if needed. We will only charge $75/month. a lot cheaper than the competitors. Records available at any time. Can upload from anywhere in the world at any time.

=<span style="background-color: transparent; color: #527d55; font-family: Times New Roman; font-size: 19px; text-decoration: none; vertical-align: baseline;">Project Timeline =
 * <span style="background-color: transparent; color: #000000; font-family: 'Times New Roman'; font-size: 16px; text-decoration: none; vertical-align: baseline;">The web portal will be created in HTML using DreamWeaver by Sakol
 * <span style="background-color: transparent; color: #000000; font-family: 'Times New Roman'; font-size: 16px; text-decoration: none; vertical-align: baseline;">The database will be created by Joe and Cathrine using MySQL and php.
 * <span style="background-color: transparent; color: #000000; font-family: 'Times New Roman'; font-size: 16px; text-decoration: none; vertical-align: baseline;">The Project managers are April, Ramona, June.

=<span style="background-color: transparent; color: #527d55; font-family: Times New Roman; font-size: 19px; text-decoration: none; vertical-align: baseline;">Proposed Meetings =
 * <span style="background-color: transparent; color: #000000; font-family: Verdana; font-size: 13px; text-decoration: none; vertical-align: baseline;"><span style="background-color: transparent; color: #000000; font-family: Times New Roman; font-size: 16px; text-decoration: none; vertical-align: baseline;">October 16 <span style="background-color: transparent; color: #000000; font-family: Times New Roman; font-size: 10px; text-decoration: none; vertical-align: super;">th <span style="background-color: transparent; color: #000000; font-family: Times New Roman; font-size: 16px; text-decoration: none; vertical-align: baseline;"> : Deadline to submit all content for the web page
 * <span style="background-color: transparent; color: #000000; font-family: Verdana; font-size: 13px; text-decoration: none; vertical-align: baseline;"><span style="background-color: transparent; color: #000000; font-family: Times New Roman; font-size: 16px; text-decoration: none; vertical-align: baseline;">October 21 <span style="background-color: transparent; color: #000000; font-family: Times New Roman; font-size: 10px; text-decoration: none; vertical-align: super;">st <span style="background-color: transparent; color: #000000; font-family: Times New Roman; font-size: 16px; text-decoration: none; vertical-align: baseline;"> : Team Meeting/ Deadline for the web page and database integration
 * <span style="background-color: transparent; color: #000000; font-family: Verdana; font-size: 13px; text-decoration: none; vertical-align: baseline;"><span style="background-color: transparent; color: #000000; font-family: Times New Roman; font-size: 16px; text-decoration: none; vertical-align: baseline;">Week of October 22 <span style="background-color: transparent; color: #000000; font-family: Times New Roman; font-size: 10px; text-decoration: none; vertical-align: super;">nd <span style="background-color: transparent; color: #000000; font-family: Times New Roman; font-size: 16px; text-decoration: none; vertical-align: baseline;"> : Meet with T.A. to get recommendations for our project.
 * <span style="background-color: transparent; color: #000000; font-family: Verdana; font-size: 13px; text-decoration: none; vertical-align: baseline;"><span style="background-color: transparent; color: #000000; font-family: Times New Roman; font-size: 16px; text-decoration: none; vertical-align: baseline;">November 18 <span style="background-color: transparent; color: #000000; font-family: Times New Roman; font-size: 10px; text-decoration: none; vertical-align: super;">th <span style="background-color: transparent; color: #000000; font-family: Times New Roman; font-size: 16px; text-decoration: none; vertical-align: baseline;"> : Team meeting to review changes made from last time.

=<span style="background-color: transparent; color: #527d55; font-family: Times New Roman; font-size: 19px; text-decoration: none; vertical-align: baseline;">Resources =
 * <span style="background-color: transparent; color: #000000; font-family: 'Times New Roman'; font-size: 15px; text-decoration: none; vertical-align: baseline;">Our team members have skills with html and CSS coding. Also with web development with php. We also have good communication and can think logically and creatively. We could use help in the area of utilizing a server to manage wider usage, and secure monitoring. Also, we will need a back up server in-case one goes down, physicians will still be able to access this information. How to connect it all to the cloud? How to tie a specific patient and doctor? Who should have access?

=<span style="background-color: transparent; color: #527d55; font-family: Times New Roman; font-size: 19px; text-decoration: none; vertical-align: baseline;">Who Benefits? =
 * <span style="background-color: transparent; color: #000000; font-family: 'Times New Roman'; font-size: 15px; text-decoration: none; vertical-align: baseline;">With MedREX everyone benefits. Physicians will benefit because they will be able to have more instant access to patient records, which will in turn save more time and he/she will be able to see more patients. Patients will benefit from cutting down time wasted in visits. Healthcare insurance providers will also benefit because saving time means saving costs. Having better access to patient records will allow for better patient health up keeping, which leads to a healthier society. MedREX is also an eco-friendly company and will ultimately helps the environment by making doctor’s offices paper-less.
 * <span style="background-color: transparent; color: #000000; font-family: 'Times New Roman'; font-size: 15px; text-decoration: none; vertical-align: baseline;">Why wait for records to come by mail, courier or via email which may not be secure? Every Dr. that is a member has access to the portal and can access only their patients whenever they need to. They can also upload data for other doctors to collaborate on a patients care if necessary. Hospitals or ER’s can also log into the portal if they are a member when a particular Physician has a patient in the Hospital. Only HIM Dept in Hospital can access Portal.

= =

<span style="background-color: transparent; color: #527d55; font-family: Times New Roman; font-size: 19px; text-decoration: none; vertical-align: baseline;">Possible Resources (Edited by Ren, available via FSU libraries online journals):

Frederick North, Barbara K Hanna , Sarah J Crane , Steven A Smith , Sidna M Tulledge-Scheitel , Robert J Stroebel JAMIA 2011 <span class="cit-sep cit-sep-after-article-print-date" style="font-family: inherit; vertical-align: baseline;">; amiajnl-2011-000381 <span class="cit-sep cit-sep-before-article-ahead-of-print-date" style="font-family: inherit; vertical-align: baseline;">Published Online First: 5 October 2011 doi: 10.1136/amiajnl-2011-000381
 * <span class="cit-title" style="color: #111111; font-family: inherit; font-size: 1em; vertical-align: baseline;">Patient portal doldrums: does an exam room promotional video during an office visit increase patient portal <span class="cit-title" style="color: #111111; font-family: inherit; font-size: 1em; vertical-align: baseline;">registrations and portal use?**

Chandra Y Osborn, S Trent Rosenbloom , Shane P Stenner , Shilo Anders , Sue Muse , Kevin B Johnson , Jim Jirjis , Gretchen Purcell Jackson
 * <span class="cit-title" style="color: #111111; font-family: inherit; font-size: 1em; vertical-align: baseline;">MyHealthAtVanderbilt: policies and procedures governing patient portal functionality **

JAMIA 2011 <span class="cit-sep cit-sep-after-article-print-date" style="font-family: inherit; vertical-align: baseline;">; amiajnl-2011-000184 <span class="cit-sep cit-sep-before-article-ahead-of-print-date" style="font-family: inherit; vertical-align: baseline;">Published Online First: 31 July 2011 doi: 10.1136/amiajnl-2011-000184