Electronic Health Record (EHR)

Most healthcare providers understand the need to move to electronic health records (EHR). The use of paper charts may actually impede high-quality patient care; therefore, migration to EHRs is inevitable.^{1, 2}

The potential obstacles of transitioning from paper to electronic records can significantly impact clinical workflow, productivity, and raise concerns about privacy and confidentiality. However, the benefits and incentives of adopting EHRs are significant. Financial incentives at both the federal and state levels are available to assist the transition for a limited time. EHRs have the potential to “lessen health disparities, reduce prescription drug errors, and provide substantial cost savings by reducing wasteful spending and unnecessary duplication of services.” ³

AVIGA™ is designed as a multifunctional EHR to surmount the challenges of moving from paper to electronic systems and provide value by:

• Obtaining real-time data for information and decision making
  • Immediate access to records that include a patient’s current medical history, chronic conditions, updated medication lists, immunizations, and the latest lab or imaging results
    • Includes access to current and past medications, including potential drug-drug interactions
  • Interoperability allows the sharing of healthcare information, lab tests, imaging studies and pertinent data without regard to specific hardware or software and improves the quality of healthcare information and delivery among providers.
• Better care management
  • Robust, complete patient data at point of care
  • Track pending orders for lab tests, prescriptions, appointments, etc.
  • Follow signals of patient noncompliance
  • Avoid handwriting legibility issues and potentially reduce medical errors and prescribing queries
  • Verify treatment and diagnosis with evidence-based guidelines
• Access patient records and data faster from secure internet connections
  • Patient summaries provide a concise current medical history, chronic medical conditions, current medications and latest laboratory values
  • Access a patient’s chart from home or other venues when the patient or healthcare providers call after hours
• Electronic patient charts are less likely to be lost or misplaced
• User friendly: flexibility and versatility
  • A multitude of ways to display patient data to support decisions
  • Interactive dashboards enabled for configurable, user-driven functionality
  • Add or eliminate features
  • Incorporates synonyms for standardized nomenclature for lab tests, diagnoses, medications and medical procedures
• AVIGA™ aids end-users in protecting patient privacy and adhering to HIPAA regulations through “role-based access” to records by care providers
  • AVIGA™ will be certified in modules for meaningful use (MU) in 2011 by the Drummond Group Inc. to comply with provisions of the HITECH Act
• Financial incentives are available.
  • The HITECH Act provides financial incentives for eligible providers who meet qualitative and quantitative standards for the MU of a certified EHR starting in 2011 (for more information: http://www.cms.gov/EHRIncentivePrograms/).
• HIV/AIDS specificity, but adaptable to other ambulatory care clinic EHR needs
  • Designed for the disease-specific management and reporting requirements of the HIV/AIDS community; however, the AVIGA™ EHR is adaptable and flexible enough to handle general purpose ambulatory care clinic EHR needs.
• Uses industry accepted, standardized nomenclature for lab tests, diagnoses, medications and medical procedures
  • Lab tests: Logical Observation Identifiers Names and Codes (LOINC)
  • Diagnoses: International Classification of Diseases, 9th edition (ICD-9)
  • Medications: First DataBank⁴
  • Procedures: Current Procedural Terminology, 4th edition (CPT-4 codes)
  • Terminology: Systematized Nomenclature of Medicine--Clinical Terms (SNOMED CT®)

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