Script: Introduction to the MD HQ EMR

Introduction to Scheduling, Patient Dashboard, and SOAP Notes

Hello and welcome. My name is Ben Dappen and I'm the lead developer for MD HQ. I'd like to talk briefly about what our software is all about and what it can do for your medical practice.

First, the guiding principle behind the development of MD HQ is that medical records and practice management software should make your job, as a doctor, nurse, or medical administrator, faster and easier. MD HQ does that – it's faster than competing products, and faster than using paper charts.

Let's take a look a look inside.

SCHEDULE PAGE

When you log in, the first page you will see is the scheduling page, The calendar in the center provides a detailed breakdown of your day and the modules on the sides provide important reminder and to-do lists.

Calendar controls on the left of the page allow you quickly select which day you'd like manage and whose schedules you'd like to look at. You can also switch to week... or month... views to get a look ahead. You can even control resolution of the calendar between 10 minute increments – for a minute-by-minute view – up to one-hour increments for an overview of the day.

Managing your schedule is a snap. An existing event can be edited by clicking its title. A new event can be added either by clicking the PLUS button in the top-right of the calendar or by just clicking an open timeslot. When adding or editing events, you can designate the type of event, who in the practice it affects, and which patient it applies to.

Now let's look at how we access patients. No matter where you are in the MD HQ EMR, you can quickly access any patient's records. While there are always a number of ways to get there, let's use the quick search bar at the top right of the screen. Start typing the patient's name, nickname, ID number, or phone number, and the system will pull up potential matches as you type. Fragments of words or numbers work too. As you may have noticed, this demo uses Greek gods as patients. Let's say we need to pull up the patient Poseidon Water. I have no idea how to spell Poseidon, so I'll simply type in the first few letters of his last name and his first initial. If I want to check that I have the right patient I can always hover the mouse cursor over his name to see additional details. That looks right, so let's pull up his record, which will open in a new tab

PATIENT DASHBOARD

What you're looking at now is the patient dashboard. The patient dashboard puts ALL of the patient's records at your fingertips. Everything is laid out in a single screen – there's no need to toggle between multiple screens or tabs to review the patient's chart. Basic information about the patient appears on the left. Other parts of the record, including SOAP notes, medications, allergies, documents, and billing appear in the center area.

If you want more information, you can try hovering your mouse cursor over an item of interest, or you can expand a section by clicking its pop-out icon. The SOAP note popup, for instance, shows a sortable, searchable, detailed list of all the patient's SOAP notes. Also, unusually for a web-based platform, you can right-click almost any item for a list of possible actions.

OK, let's say that Poseidon has come in, and he says that he's been grinding his teeth and that his last few blood pressure readings have been high. After glancing over his dashboard and seeing that he's been on medication to control his blood pressure, we start a new SOAP note.

SOAP/ENCOUNTER NOTES

The note opens in a new tab. You can see that with the SOAP note open, you can still access any part of the patient's record. In order to make room for the note, some sections appear minimized, but any section can easily be expanded by double-clicking on its title-bar. Similarly, an expanded section can be tucked-away. You can even change the default layout in the administrative section of the EMR. All of the functionality of the patient dashboard is preserved while you're in a SOAP note: you can add, edit, or view anything in the patient's chart without leaving the page.

Turning to the SOAP note itself, you'll see that the layout is very simple. Let's start by entering a title for the note... and that Poseidon has come in for an Office Visit. The main text block is where you'll enter your subjective and objective notes. It is also contains uniquely versatile templating and flexi-text tools. You don't need to use templates or our flexible auto-texts to chart quickly, but they can make the process even faster.

Before we start writing Poseidon's note, let me explain these time-saving tools: Our flexi-text system uses nine two-letter prefixes to help you find and add any diagnosis, drug, order, vaccine, charge, or facility in the EMR. All you have to remember is the intuitive two-letter prefix and any information about the data you're trying to find. For example, if we want refer Poseidon to a local cardiologist, I can type in the specialist prefix: "sp", and then any keywords or partial keywords, separated by underscores, and the system will pull up potential matches as I type. So "sp_cardio_olymp" shows me a list of cardiologists in Olympus. Pick one, and the referral information is added the note. It will also give you an option to add Asclepius to Poseidon's preferred-specialists list.

Next, let's look at our unique templating system. Every major EMR allows you to use templates for charting, but MD HQ has developed a templating system that is in a completely different league. In other EMRs, you have to navigate to a template menu, and browse long lists of available templates for the text you need. Our EMR takes radically different approach, allowing you to access templates as you type. For example, when I start typing "hypertension" the system will suggest templates with matching text in their names or nicknames. MDHQ provides hundreds of built-in templates, which you can easily modify. Or create your own!

You'll notice that templates can add text and suggest actions. Suggested actions appear on the right where they can be approved or rejected. This way you can write your note, and add diagnoses, prescriptions, orders, vaccines, and charges all in one easy step. Unwanted suggestions can be easily dismissed and the note remains fully editable until signed.

In this case, the template we've picked provides an outline for Poseidon's visit and suggests several likely actions. As we've said before, you don't need to use flexi-text or templates to chart quickly. You can always just type your note and use the blocks on the right to add your action and plan. For example, we know that Lisinopril isn't working well enough to control this patient's hypertension, so we're going to reject that suggestion and use the "Add Prescription" button to add a different medication. As with any search in our EMR, just type all or part of the drug's name, nickname, strength, route, or brand to find it in our comprehensive database.

If there's at least one dosing profile saved for this drug, it will automatically fill out the prescription form and you just click "+ Complete" and it will be added to the note. In a similar way you can manually add diagnoses, orders, vaccines, and charges to the note.

At any point you can save the note, and exit to return to the patient's dashboard – which now reflects the changes we've made to the patient's record.

This concludes our quick introduction to MDHQ's scheduler and patient records system. Go to www.md-hq.com for more information. You'll find video-introductions to the administrative and billing functions of the EMR, as well as lots of detailed tutorials. You can even try it out for yourself! Go to our website to access a live demo version of our EMR any time you want.

Let me know what you think.