Business all-in-one with a small additional desktop scanner, leasedĪ scanner for purchase would run about $500-1000.Small office desktop scanner, purchased.Some options, from lowest estimated cost, are: The scanning equipment needed will depend on how much scanning will be done. With less superfluous opaque data in the record, quick retrieval of scans may be easier.ĭata may be missed in the scan and require retrieval of the paper chart. The archive period will be longer, essentially 10 years from the go-live date. The office assistant will need to be involved with the scanning of flagged portions of the chart, and the physician will need to take extra time to flag the items required.Īrchiving process will not change greatly. The extra scanning volume may not warrant a temporary employee. More labor will be needed from the current staff. The task can be integrated into the daily office workflow. For months or perhaps longer parts of the old workflow with paper charts must be maintained. This will require the least amount of paper manipulation and scanning.ĭependency on paper charts will be prolonged. It will, however, prolong the period of time dependent on paper charts. The chart will then be tagged as reviewed and scanned. After the first visit after go-live, the physician reviews the entire chart, flagging essential elements for scanning. This method would further reduce the amount of scanning that needs to be done. Scanning critical elements of the patient's chart after the next visit This will taper off, but it is expected that extra labor will be necessary to prepare for the day's appointments. There will be fewer delays to implementation.ĭaily, a significant amount of scanning will need to be done. Process is integrated into workflow, alleviating the need to do all the work before going live. Some very old and unnecessary data will be scanned needlessly. The process will be ongoing for at least a year, perhaps longer.Īfter the initial post-implementation visit, it is not necessary to handle the paper chart again. Specific data from a large chart saved as opaque scanned data is difficult to access in the EHR as document images.Ĭompared with the previous method, this method should involve less scanning This may save storage costs in the future. The scanning would be done offsite, minimizing daily workflow interruptions.Īlleviates the need for all charts used after the go-live to be retained in archive for the requisite number of years. If a service is hired for the task, no additional office based labor would be needed. Waiting for scanning to be completed would delay the implementation of the EHR The task will be completed before the go-live and there will remain no dependency on the paper chart. This method would integrate the scanning into day to day office workflow, with significant time resources needed to complete the scanning task. This would be expected to significantly reduce the number of charts that would need to be scanned, however every chart that is not scanned will need to remain as a paper archive. Scanning every patient's complete chart before next visit Once every single element in the chart is present in the EHR and legally retrievable, the paper chart is no longer needed in the office workflow and can be marked for destruction. The remainder of the charts will be systematically scanned and then archived. Scanning only critical elements of a patient's chart after the first visit after physician review and retention of the chart in the office for future visits as needed.Ĭharts not used in 3 years can be pulled and archived as has been done previously.Scanning every patient's complete chart before the next visit after the go-live date.Scanning every single current chart in the office before going live.1.3 Scanning critical elements of the patient's chart after the next visit.1.2 Scanning every patient's complete chart before next visit.1.1 Scanning every single current chart.
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