BDC2019-Best Practices for EMR Integration · 2019. 7. 12. · •Test the mapping to ensure EMR...
Transcript of BDC2019-Best Practices for EMR Integration · 2019. 7. 12. · •Test the mapping to ensure EMR...
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P r e s e n t e r : J a n i c e C h i p o l l a , D X E Tr a i n e r
Best Practices for EMR Integration
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Speaker Disclosure
Janice Chipolla is contracted with Henry Schein One to provide customer training services and has been paid an honorarium by Henry Schein One to teach a
continuing dental education session at this conference.
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Audience Poll:What is your role in your office?
• Provider• Hygienist• Assistant• Front Office• Office Manager• Dental Director• Other
Do you currently have an interface?
• Yes• No
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• All your Dental sites are integrated with your EMR software, but you are not getting the information you need.
• Your site is maintaining two sets of registration: billing and reporting.
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Does this sound familiar?
In this course, we will review:
• New message types that can be sent through the HL7 data exchange.
• How to manage patient health information and communication between the two systems.
• How to remove duplicate patients and properly manage families in both systems.
• How to manage medical encounters in Dentrix Enterprise.
• How to identify Global Settings that can enhance functionality.
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Learning Objectives
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• Simply put, HL7 allows medical and dental programs to share information between systems.
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EMR Integration: What Is It?
• If dental sites do not have the HL7 interface, they can’t communicate with their EMR. Without it, you end up maintaining patient registration in two different systems.
• Any updates to patient information must be updated in both systems, basically doubling the work.
• HL7 can help stop duplication of effort.
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EMR Integration: How Does It Help Me?
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• If your office needs data for UDS reports and you do not have an Interface, you end up manually combining data from your EMR and Dentrix Enterprise.
• Missing information, such as: o Current allergies are not updating o Patient appointments are not showing up in the schedule
• It’s important to find out if message types are not part of the current interface or are not set up properly.
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ERM Integration: When Do I Need It?
HL7 Integration: Message TypesB e s t P r a c t i c e s f o r E M R I n t e g r a t i o n
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• ADT - Admit, Discharge, Transfer (Family File)
• DFT - Detailed Financial Transaction (Ledger)
• MDM - Medical Document Management (Chart)
• SIU - Scheduling Information Unsolicited (Appt. Book)
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HL7 Integration: Message Types
• ADT – Admit, Discharge, Transfer (demographics)o What is the purpose of this
interface?– Register patients in one
location.o New improved functionality
in 8.0.9: – AL1 – Receive/update
allergy list.– DG1 – Receive/update
problem list.12
Message Types in HL7: ADT
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• DFT – Detailed Financial Transaction (services rendered)
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Message Types in HL7: DFT
• MDM – Medical Document Management (clinical notes). o What is the purpose of this
Medical interface?– When offices want to keep
all clinical notes grouped with medical notes; one central location.
– Primary Care team needs to have access to dental visit notes.
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Message Types in HL7: MDM
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• SIU – Scheduling Information Unsolicited (scheduled appointments)o What is the purpose of this
interface?– Build and maintain one
schedule.– One scheduling system,
beneficial for a call center.
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Message Types in HL7: SIU
EMR Integration ReviewB e s t P r a c t i c e s f o r E M R I n t e g r a t i o n
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• Not taking advantage of available features. o If you don’t have the interface, patients are not accounted for in
both systems.
• Not reporting missing data. o Be sure to notify your Interface team.o Look at your interface and notice that
patient information and appointments are not being updated properly.
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EMR Integration: Mistakes to Avoid
• Investigate the benefits of using the HL7 interface.
• There are new messages types that are now available in your HL7 interface which may help you streamline your processes.
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EMR Integration: When I Get Back to the Office
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EMR Integration: Behind the ScenesB e s t P r a c t i c e s f o r E M R I n t e g r a t i o n
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Global SettingsB e s t P r a c t i c e s f o r E M R I n t e g r a t i o n
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• A setting in DXE that controls areas in the system that needs to behave differently because of the interface.o Creating a patientso Creating providerso Encounter Number
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Global Settings: What Is It?
Managing Medical EncountersB e s t P r a c t i c e s f o r E M R I n t e g r a t i o n
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• A medical encounter number is attached at the start of a patient’s visit and follows to the end at billing.o The encounter number starts from the EMR, usually via an appointment.
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Medical Encounters: What Is It?
CENTRAL
DDS1
1234
CENTRAL DDS1
• Some EMR products require it to group charges.
• Not a requirement in DXE functionality.
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Medical Encounters: Is it Required?
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EMR Integration SummaryB e s t P r a c t i c e s f o r E M R I n t e g r a t i o n
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• NOT updating information. o Update mapping when making changes to
items associated with the interface. o For example, a new provider must be mapped
in both the EMR and in DXE. Note: Mapping requires constant maintenance.
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EMR Integration: Mistakes to Avoid
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• Medical and dental data fields must be mapped appropriately (that is, they must match).
• Test the mapping to ensure EMR and DXE are working together.
• Not all messages are supported by all medical vendors.
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EMR Integration: Remember This
• Global settings and message types can both be selected to satisfy your organization’s needs. o Global Settings Should be activated before HL7 will function. Global settings can be adjusted.
o Message Types Parts of patient data to be transferred. Charges apply and are based on message type.
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EMR Integration: Remember This
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• Contact your Customer Success Manager prior to implementing an interface.
• Contact the Dentrix Enterprise support team and mention that you have an HL7 related question. o There is a specific queue set up for
HL7 related support calls.
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EMR Integration: What If I Have Questions?
Questions?
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B e s t P r a c t i c e s f o r E M R I n t e g r a t i o n
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• Dentrix Enterprise Resource Center:Knowledgebase articles and online courses available at: https://www.dentrixenterprise.com/support/resource-center
• Dentrix Enterprise Help Files:https://hsps.pro/DentrixEnterprise/Help/desktop/Dentrix_Enterprise_overview/Dentrix_Enterprise_overview.htm
• Dentrix Enterprise Blog:Find weekly tips and tricks on how to best use Dentrix Enterprise. https://blog.dentrixenterprise.com/
Dentrix Enterprise Online Resources