Frequently Asked Questions
Q. Why are we implementing NextGen (an Electronic Medical Record)?
UConn Health Center is improving patient care by implementing an electronic medical record. The EMR will allow providers in the UConn Medical Group immediate access to a patientís medical record. The improved access will allow provider to share demographic information, reduce paperwork and ensure the safest delivery of care for our patients. Converting to an EMR also allows patients to become more actively involved in their care as they help us manage their record more efficiently.
Q. What is an Electronic Medical Record?
The NextGen system will integrates information from several systems into one seamless nearly paperless patient record.
An Electronic Medical Record (EMR) is a computer version of a patientís health information which is an accumulation of the results from one or more visits to a physicianís office and associated providers. Information in this record includes:
- patient demographics
- progress notes
- vital signs
- past medical history
- laboratory data
- radiology reports
An EMR allows all of a patientís providers and caregivers to quickly and accurately document and retrieve that patientís information in a standardized format and eliminating many forms and inefficient paperwork.
Q. Who is working on implementing these systems?
Teams of individuals have been assigned to participate in the implementation of these systems. The teams consist of key content/department experts along with an IT project manager, Informatics analysts, and developers. These individuals are committed to ensuring successful implementations.
Q. Who oversees this project?
There is an executive team which meets weekly to oversee this project. Members include senior management from UMG, Quality Assurance, and Information Technology. Members also include the IT project manager, IT development director and informatics leadership.
Q. When will this system go live?
Offices go live and a period of direct on-site support immediate follows.
- Farmington IMA Ė three-phased approach to go live began on January 26 with providers fully live on March 2, 2010.
- Simsbury IMA Ė "Big Bang" approach to go live began on June 24 with on-site support coverage through July 15, 2010.
- East Hartford IMA Ė "Big Bang" approach to go live begins on October 14 with on-site support coverage through November 3, 2010.
- West Hartford IMA Ė "Big Bang" approach to go live begins on December 1 with on-site support coverage through December 21, 2010.
- Remaining office order and timelines have not been determined.
Q. What are some advantages and benefits to moving to NextGen EMR?
Some benefits include easier and more flexible access to patient medical record information in a standardized format, as well as the ability to query information directly from the system. It will allow practices to take advantage of reporting on Meaningful Use Standards, PQRI and Pay for Performance contracts, and obtain financial rewards associated with 2010 compliance
Q. What information will flow directly into or out of NextGen to other systems?
- IDX Demographics interface to NextGen EMR
- IDX Scheduling/Appointments interface to NextGen EMR
- NextGen EMR Progress and Encounter Notes interface to Siemens LCR
- NextGen EMR Lab Orders interface to Quest Lab
- Quest Lab Test Results interface to NextGen EMR
- SCC SoftPath Lab to NextGenís EMR
- WinSurge Lab Pathology Results to NextGen EMR
- Syngo Workflow (formerly Siemens Novius Radiology) Results interface to NextGen EMR
- Dermpath Results interface to NextGen EMR
- IDX Provider interface to NextGen EMR
- NextGen Charge interface to IDX
Q. How will NextGen improve patient care?
- A photo will identify the patient for future visits eliminating concerns regarding identity theft.
- Patient records will be available to multiple providers eliminating the need to repeat information from one provider to another.
- Providers will be able to prescribe medications based upon the patientís insurance guidelines (an insurance carrier formulary check).
- Prescriptions will be faxed or electronically transmitted to the pharmacy of the patientís choice ensuring accuracy with first filling as well as refills.
- Lab and radiology results will be available to providers electronically reducing the turnaround time for treatment decisions.
- When a visit is completed, the provider can quickly hand to the patient a current list of his medications, educational materials, or a letter for school or work.
- Reminders will be electronically generated to providers to prescribe timely tests or procedures based upon the patientís personal healthcare maintenance needs.
Q. What will be printed?
- Lab, Pathology, and Dermpath tests will be ordered in NextGen and a requisition will be printed for the patient to take to the lab.
- Radiology tests will be ordered in NextGen and a requisition will be printed for the patient to take to the radiologist office.
- Patient Educational Materials will be printed to assist the patient with disease management.
- Prescriptions for narcotics must be printed according to Connecticut state laws.
- Superbills are printed for submission to the billing department.
- A checkout report is printed to assist the front office checkout staff with follow-ups.
Q. What will change for patients when they visit their doctor?
1. Patient will be asked to provide a Photo ID and will be asked to have his picture taken and scanned into the EMR for purposes of future identification.
2. Patient will be asked to fill out a Patient Questionnaire to ensure the most recent and accurate data is transferred into the electronic record.
3. Patient will be asked to bring all his Prescription Medications with him to ensure accurate medications are available in the EMR.
4. His first visit may take longer as staff and providers become familiar with the new system. Future visits will take less time since information will be readily available.
Q. How will Medical Record Data be made available to our patients?
The UConn Health Center Health Information Management Department maintains and safeguards the confidentiality of medical record information in accordance with the patientís right to privacy and legal requirements governing such.
The medical record and its contents are the property of the UConn Health Center, however, patients and their legal representatives are entitled to inspect or obtain copies of the information contained within it.
All copies of medical records are released from the Health Information Management Department/Release of Information Office located on the second floor of the main building. For more information, please call 860-679-4799.