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Electronic Medical Record
Our Electronic Medical Record (EMR) is completely configurable to support any style of practice and includes specialized Occupational Health templates, encounter note templating, ePrescribing, an HL7 interface engine, and a patient portal. You can add your own user-defined components with the ease of drag and drop functionality to make the EMR fits your organization and not the other way around.
Proactively and Automatically Monitor Employee-Patients
A connection to our Medical Surveillance Manger (MSM) allows your Occupational Health Services clinic to proactively and automatically monitor and recall employee-patients into the clinic for surveillance appointments based on workplace risks, further enhancing the EMR and helping you keep your employees healthy and safe.
We built our comprehensive and flexible EMR on a twenty-year legacy of providing electronic medical record support to a variety of complex practice types, including radiation oncology, surgical, family, behavioral, and occupational health. As the technology and industry have evolved, so has our product. We take joy in keeping you at the forefront of clinical trends! HealthRx was an innovator in interfacing EMR with enterprise systems long before HL7 was solidified and before other connections (e.g., as with laboratory information systems) became routine. Today, we have the most configurable and interconnected system available.
Secure Employee-Patient Records
We know that your patient data is highly valuable and that you need to be able to promise the highest level of security. Our EMR is hosted in our Nexus framework, a highly-secure platform that supports the protection of sensitive personally identifiable information (PII) and personal health information (PHI). These security measures ensure HIPAA-compliant storage and transmission of employee-patient records and communications. We assume all of the risk so you can focus on your patients’ health.
Comprehensive Medical Records
Our EMR is a complete digital version of the patient chart. Out of the box, our EMR supports all common patient interaction forms and documentation, such as complex encounter notes, and there is essentially no limit to how the system can be enhanced and customized with practice-defined forms and reports to work best for your organization.
Each folder in a patient record holds all recorded instances of the record type, for instance, preplacement exams, clinic visits, or immunization records. Record type folders can be added easily to the EMR to display in the menu tree. If your organization already has valuable specialized modules built, we support incorporation into the EMR framework with very little effort.
Robust Patient Records
The Patient Record, out-of-the-box includes:
Configurability and Customization
Our EMR offers unparalleled configurability and is driven by a suite of management products that allow you to configure and customize your EMR experience - the Nexus Forms Manager, Reports Manager, and Workflow Manager. These components allow your clinic to add or modify stock forms, create useful custom reports and data analytics, and define workflows in the system that match those in your real-life clinic using an intuitive drag-and-drop designer. Clinic processes change, so versioning is fully supported to ensure data integrity throughout the life of the system.
Incorporate Your Systems into Ours
We recognize that some institutions may have custom EMR-appropriate data management products already in place, and we easily incorporate those into our system. In-house legacy clinical modules are prepared for use in the EMR framework by using a simple, well-documented application programming interface (API). From the framework side, a simple user interface controls the appearance of the EMR tree folder list and how records are accessed through plug-in modules, our Nexus modules or your organization’s. The value of the framework is to allow virtually any kind of patient data to be collected and reported on -- even data you do not know you want today.
Communication is Key
Communication is key in medical practice. Messages can be sent to staff that are accessed and archived in the patient chart, so they are always in context and never get lost, providing convenient coordination with office staff and other providers in the clinic. Providers and staff can securely email or fax documents to patients and other providers directly from the EMR and easily attach any type of documents or images.
The Patient Portal is a tool for patients to communicate with the clinic. It is HIPAA-compliant with 256-bit encryption and accessible from any web-enabled device, including smart phones. From an intuitive user console, staff can set up patient accounts and control which patients are invited or disabled, control what patients see, securely share messages, reports, referral orders, consent forms, and educational materials.
Mobile by Design
Our EMR supports providers engaging with patients by getting away from the computer and working face-to-face. Our tablet EMR feels like a chart in allowing providers to be in close proximity of a patient while having all pertinent data in hand. Technology finally supports the way medicine has been practiced for centuries – one-on-one. Once the visit is complete, all findings are available at the desktop.
We Understand Occupational Health’s Needs
Patients come to the clinic in traditional medical disciplines for a wide range of reasons; therefore, the format of most encounter notes has evolved to support that. In contrast to traditional clinics, Occupational Health Services clinics do not see patients for the same reasons, and, in fact, most cannot see patients for routine medical problems.
Visits primarily are to:
OHS-Specific Health Information
Because Occupational Health is such a different type of clinic, we have leveraged our experience in the field to develop patient health records specifically for Occupational Health Services; for visit information:
These records connect to workplace risks, surveillance programs, and other Occupational Health modules to give the provider a full picture of the employee-patient’s health.
Employee-Patient Health Record Security
Under normal circumstances, you would want for all health care providers to have access to all patient records, at least as appropriate for care. As an Occupational Health Services clinic, it is unwise, and maybe even illegal, to use your hospital patient EMR for occupational health documentation. In keeping the patient and employee-patient data separate, your organization is at less risk for data contamination and legal risk.
EMR Review and E-signature
Our EMR supports a review and e-sign workflow for all patient records managed by the system. After the health care provider completes the encounter note, or any other patient medical data input, she uses a simple e-sign process to complete the record. For records that need physician review, the health care provider can send the record to a separate queue that allows the physician to easily review and finalize it. Providers can quickly see what entries need to be reviewed and signed or returned for clarification. Records that are not signed within a specified period cause an alert to go to the provider, and eventually to the clinic manager, to ensure all medical records are reviewed and signed in a timely manner.
The review and e-sign workflow follows Health Information Management industry standards for documenting Intent, Identity, and Integrity of medical records. This governance provided by our EMR dramatically eases the burden on providers for keeping complete, auditable records, and it serves to significantly reduce organizational risk.
Occupational Health – Medical Surveillance
The Medical Surveillance Manager (MSM) lets your organization track and oversee medical compliance for workers associated with specific non-traditional workplace risks like exposure to hazardous materials or non-human primate bites. Our MSM reflects the needs of serious medical surveillance requirements based on our experience with research in biological, radiological, chemical, animal, and human subjects, and collaboration with the industry-leading occupational health program thinkers at the National Institutes of Health and FDA.
Connect Researchers to Potential Medical Risks
Typical research facilities need to track how researchers are connected to potential medical risks. For example, it is part of the Occupational Health Service’s responsibility to offer surveillance programs and/or immunizations to workers exposed to tracked pathogens, and the MSM provides tools to maintain the links between these offered services, risks, and workers. Once MSM is in place in your OHS clinic, all health care providers can know instantly when seeing a patient what risks the patient is registered to work with and what, if any, services need to be offered. This reduces risk to both the employee-patient and to your organization.
Have a Complete View of Employee Risk
Oversight and administrative officials in your organization can have a complete view of all employee-patient risk and care through MSM – especially if your organization also runs our tightly coupled Electronic Medical Record which provides a superset of patient documentation modules.
Comprehensive Medical Surveillance Programs
Our MSM comes with the following comprehensive medical surveillance programs that support periodic recalls and governance. You can easily customize your own surveillance programs based on your organization’s needs.
A major challenge for Occupational Health Service clinics with medical surveillance programs is tracking, recalling, and gaining compliance for surveillance program follow-up. MSM provides the above surveillance program modules out-of-the-box, but there is virtually no limit to the number of modules that can be created and linked to it. Our included surveillance programs, and those you configure yourself, set up a formal, tracked interaction with the employee-patient to ensure that all protocols are followed. With our dynamic recall workflow, you can account for – and not miss – an employees’ noncompliance. The recall process is driven by emails to workers and includes escalation to supervisors in cases where compliance is deemed to be a condition of employment or access to a space.
Medical surveillance programs that come pre-configured in Nexus:
With over 25 years of passionate presence in life sciences research and clinical medicine, Nexus has evolved as the most powerful and flexible research portfolio management, safety, and occupational health system on the market.Kelly V. Morgan, PhD, CEO Tsirona Health
The Numbers Tell the Story
Nexus currently manages hundreds of thousands of research protocols, lab inspections, employee-patient records, workplace incidents, clinic encounters, and mass immunizations. Consider joining these satisfied users today by reaching out for a demonstration.