Certified for HIPAA regulations by the HIPAA Academy
Audit trails to denote what changes have been made to patient records, and by whom
Program access based on user license levels
Password security
Automatic program logout after a period of inactivity
Accessibility
Accessible and organized patient folder
Allergies
Past Medical History
Treatments/Diagnoses
Multimedia links to images, etc.
Alerts for the patient
Remarks about the patient
Patient Overview and Patient Summary
Common/Topic/All Design makes it easy to add information quickly
Common - This tab is user-definable. For Allergies, you are able to show only the allergies that you use frequently to make your list more manageable.
Topic - The Topic tab is simply a categorized tree diagram that allows you to pick your specific history items from the category headings.
All- Type in the first few letters of the item that you're looking for, and the "All" tab will search the database for the history item that matches your description.
Patient Monitor Expansion Module - See More
See more of your patients information on one screen with custom data panels
Add information to the patient's file from the front screen
Create custom data collection screens that can be used to pre-populate new notes
Practice Desktop Expansion Module
Access information across all of your patients from a separate screen
Alerts
Incomplete Notes
Messages
To-do's
Preventive Medicine
Notes without bills
Document Management Expansion Module
Bring scanned documents or digital pictures into the MediNotes database
Create a truly paperless office
Drug Interactions Expansion Module*
Real-time drug to drug interaction checking
Real-time drug to allergy interaction checking
Ease of Use
User-friendly design and consistent icons allow users with limited computer knowledge to navigate the software quickly
Only 3 main screens to learn for general use - Patient Folder, Note Window and Object Explorer
Option settings allow you to tailor the program to your needs
Online help file is always available for reference
Color indicators in the Patient Folder define rows for better at-a-glance viewing
Common lists in many of the history dialogs allow you to define the choices that you use more often
Comprehensive Charting
Single screen "What you see is what you get" template - no need to move to a completely different screen to enter subjective, objective assessment and plan
Default phrasing makes it possible to chart by exception
Templates are completely flexible - you can tweak the provided templates for the work in your practice
Easy to document multiple chief complaints
Color coding for viewing at a glance
Black Text - This is simply text which has been hard-coded into the template.
Blue Text - This is a default value for a pop-up window.
Red Text - This is an optional pop-up window that can be clicked if needed.
Green Text- This signifies that the user has activated the dialog and made a change.
New Note from an Old Note
Note on Hold
Macros pull demographic or other stored information directly into the note
Prescription objects can be created and embedded in templates for routine encounters, making it even easier to create prescriptions.
Graphic
Draw on anatomical diagrams or digital pictures and add them to the body of the note
Graphic objects allow you to quickly document the anatomical location of the condition
Hot Spot Editor utility allows you to add custom images to the program for use in graphic objects
Coding Features
ICD-9 and CPT codes license from the AMA
E&M Wizard suggests appropriate codes based on the information documented
Custom History of Present Illness based on a Chief Complaint with E&M credit
Efficient Workflow
Enhanced Data Repopulation for optimal efficiency
Pull medical history from the patient's record
Pull object data from a previous note
Pull object data that has been added to the patient's record without a note
Daily Patient List - allows the physician to quickly pull up the patient from the daily list without having to search the entire patient list.
Template Wizard makes it simple to create custom templates for your practice
Integrated Office Tasks - just a few clicks
Physician Referral Letters - In only 4 mouse-clicks you can create a professional letter to refer a patient, or thank another physician for their kind referral. The letter includes either the full patient note, or just the impression and plan sections for their reference.
Patient Instructions - Customized Patient Instructions can be printed and sent home with the patient regarding their care.
Patient Letters - Similar to a referral letter, the patient letter is simply a letter template that can be printed and sent to your client.
Physicians Orders - When an order has been documented in the note, a worksheet can be printed to show what the physician has ordered.
Prescriptions - Create a script right from the program using the extensive medical library. The information for the script is also included at the bottom of the patient's note, and in the patient's medications folder for easy and consistent reference.
Custom script layouts
Multiple scripts per page
Drug Interaction Module available*
SuperBill Statements - The Billing Wizard pulls the billing codes from the dialogs used in the exam documentation. Simply associate the Diagnoses with the appropriate Treatments, and print the SuperBill Statement. (Some of the billing interfaces allow a direct transfer of this information to their program - see HorizonMIS™ section.)
Designed to work the way you do
One of the most flexible systems on the market
Medical content is infinitely customizable
Templates promote better, more comprehensive documentation
Fields can be set as "required"
Can be laid out in a narrative or list format
Wireless enabled
Tablet PC enabled
Speech Recognition enabled
WAN through Citrix or terminal services
Full access without a dial-up using the MediNotes Synchronization module
Synchronization allows remote users to access a full database and synch the data to the main server when they return
Perfect for on-call rotations, hospital rounds and nursing home visits
Security
One keystroke to log out of the program
One keystroke to remove all patient data from the screen (without logging out)
Certified for HIPAA
Reliable SQL database
Backup and restore functionality
Access based logins - 3 levels of accessibility based on the user level
Custom Security Add-on Module
Restrict individual users or groups from program features, or patient accessibility
Specialty Features
Preventive Medicine - A rules-based system that allows physicians to set custom reminders for preventive care elements (i.e. set a rule for mammogram reminder every two years for all women over the age of 40)
Growth Charts - A growth chart can be completed for pediatric patients based on the age, height, weight, and head circumference. This feature creates a dynamic line graph representing the charted values over the lifetime of the patient using either English or metric measurements.
Body Mass Index - MediNotes calculates the Body Mass Index based on the height and weight added for the patient.
Prenatal Explorer - Several dialogs have been bundled together in what is referred to as the Prenatal Explorer. This feature of the program includes:
Estimated Due Date Calculator
Prenatal Visit Dialog
Fetal movement, position, and heart rate
Prenatal lab values
Mother's weight, blood pressure, and fundal height
Contraception History - The Contraception History dialog is used to keep a historical description of contraceptive methods used by the patient. Includes detailed lists of barrier types, and oral contraceptives.
Obstetric History - The Obstetrical History dialog allows a physician to track all of the past pregnancies for a patient. This dialog includes:
Birth weight
Length of Labor
Duration of Pregnancy
Complications
Delivery Method
Gender
Immunization History - The Immunization History dialog is used in General Medicine to complete a immunization record for the patient. This includes childhood immunizations and travel boosters.
Vision Objects - Specific dialog objects for vision exams, visual acuity, keratometry, etc.
Want to see more?View an interactive demo online, click here!
To contact our sales consultants to get more information Call 877.849.2852 or click here.
*DIT Drug Risk Navigator™, Copyright by DIT Drug Information Technologies, Potomac Maryland