SMA News Digest (Spring 2014) | Page 18

EMR SPECIAL SECTION PHYSICIAN, ASSISTANT AND EMR: A powerful combination By Darlene Osborne “This is my office,” says Dr. Melissa Gieni, referring to the small laptop she pulls from her tote bag. A general surgeon working out of the SpesMed Specialist Medical Center in North Battleford since 2012, Dr. Gieni outfitted her new practice with an EMR because she wanted to be free of paper charts. Her office is a testament to that intention, with a large desktop devoid of paper surrounded by minimal shelving and storage. Rae Hoflin, Dr. Gieni’s assistant, works in a small cubicle with even less space for paper and filing. She, too, is a fan of the practice’s EMR and reports that they’ve used only two reams of paper since opening the office. (The practice has a patient load of approximately 500 consults a year.) Dr. Gieni and Rae appreciate the efficiency provided by an EMR’s mobility. The EMR allows Dr. Gieni to follow patients, be it from the hospital or home or on vacation. Physician and assistant “communicate” through the EMR, thereby reducing the number of phone calls required to update each other. Dr. Gieni is able to enter her own billing from the hospital. Lab results are released directly into the EMR, saving Dr. Gieni a trip back to the hospital. 16 SMA NEWS DIGEST | SPRING 2014 Rae recognizes that small efficiencies such as being able to quickly access a patient’s chart with a few key strokes add up to significant time savings and better service. She recommends that clinics embarking on EMR implementation budget the time to learn the software so that they can better realize the benefits and their investment. “When a patient or referring physician’s office phones I have the information at my fingertips, instead of having to get up from my desk, pull a chart, return to my desk and then replace the chart.” As for relying on technology versus paper charts to run the practice, Dr. Gieni says the internet has gone down leaving them with the temporary loss of access to their clinic data. They cancelled a few appointments but the experience did not deter Dr. Gieni from using the EMR. “I will never have paper-based records.” “I will never have paper-based records,” says Dr. Gieni. -Dr. Melissa Gieni Rae echoes the sentiment, saying that, “After working in an EMR practice, I would never work in a clinic that uses paper records.” The EMR is a great asset in managing waitlists for surgery as well as setting up patient recalls years into the future. A completed consult letter can be generated in a few minutes. Dr. Gieni, Rae and the EMR make a powerful, effective team. Dr. Gieni and Rae realize that being a new practice gave them the time to build their expertise and confidence as EMR users. “The first few weeks were overwhelming,” recalls Dr. Gieni, “but learning through repetition works.” For more information about implementing an EMR, please contact the Saskatchewan EMR Program at 1.800.667.3781.