EHR Healthcare Software

Electronic Health Records EHR Healthcare Software by Intellirex.

Welcome to the CHEAPER future for Electronic Health Records. Intellirex decided it is stupendous for these EHR Software providers to over charge the medical industry with their software costs of millions of dollars per hospital. So we build our own platform that will cost you pennies on the dollar. We can build any EHR platform professionally and can make changes on the fly based on your needs or growth patterns. Call us, you will save millions!


What we cover in our EHR platforms:

Our EHR medical record is a systematic documentation of a patient’s medical history and care. It usually contains the patient’s protected health information (PHI) which includes identification information, health history, medical examination findings and billing information. A typical medical record includes:

  • Patient demographics
  • Financial information
  • Consent and authorization forms
  • Treatment history
  • Progress notes
  • Physician’s orders and prescriptions
  • Consults
  • Lab reports
  • Radiology reports
  • Nursing notes
  • Medication list
  • HIPAA Notice of Privacy Practices

As part of the medical record that uses the S.O.A.P format is the Progress notes section.  S.O.A.P stands for Subjective, Objective, Assessment, Plan. The S.O.A.P format can still be used with the electronic health record just as it is used with traditional medical records.

S.O.A.P is broken down in the following medical record format:

S = Subjective information includes:

  • Past medical history
  • History of present illness
  • Review of symptoms
  • Social history
  • Family history

O = Objective information includes:

  • Temperature, blood pressure, pulse, and respiration
  • General appearance
  • Internal organs, extremities, and musculoskeletal conditions
  • Neurologic and psychiatric conditions
  • Other information based on specialty

A = Assessment information includes:

  • Main symptoms and diagnosis
  • Patient’s progress
  • Differential diagnosis
  • Basic description of the patient and condition presented

P = Plan information includes:

  • Lab testing
  • Radiology services
  • Procedures
  • Referral information
  • Prescriptions or OTC medications
  • Patient Education
  • Other testing

Documentation not only includes symptoms, diagnosis, care, treatment, and medication but also problems and risks to health and safety information can all be effective in preventing medical errors. Remember to document prior mistakes and even the patient’s concerns as well. Not all errors are avoidable but when information is documented accurately, health care professionals are able to identify and correct mistakes before an adverse medical event occurs. Medical office staff, nurses, and physicians need to understand the importance of documentation which is the best way to communicate patient events.

Below is additional breakdown of the Intellirex EHR software layout:

Additional Features can be added (contact sales) (561) 853-6892
MP below refers to Medical Professional – (Doctor, Nurse, CNA, Therapist)

EHR Software layout:

Electronic Health Records (EHR) is a digital version of a patient’s paper chart. EHR’s are real-time, patient-centered records that make information available instantly and securely to authorized users’ regional coordinators, administrators and company owners.

A top part of the new website on SSL security and user login required. Data entry will be done by existing regional Coordinators of all patients and each patient will be allocated to that regions MP’s.

Herewith the EHR fields per patient for each MP to report on daily:

EHR Desktop buttons include:

  • Vital Signs
    1. Temperature
    2. Pulse
    3. Respirations
    4. Blood Pressure
    5. 02 Sat’s + Liters of Oxygen
    6. Billable Hours/Minutes
  • Therapy’s
    1. Passive – Range of Motion
    2. Active – Range of Motion
    3. Ambulating
    4. Splint/Brace Assistance
    5. Hand Eye coordination
    6. Exercise Equipment
    7. Billable Hours/Minutes
  • ADL’s (activities of daily living)
    How much assistance provided for:

    1. Eating
    2. Bed Mobility
    3. Ambulation
    4. Locomotion
    5. Dressing
    6. Bathing
    7. Personal Hygiene
    8. Toileting
    9. Billable Hours/Minutes

ADL’s will have SCALE assignments as follow for charting:

  • 0 = Independent
  • 1 = Supervision/Cueing
  • 2 = Minimal Assistance
  • 3 = Physical Assistance
  • 4 = Completely Dependent
  • 8 = Didn’t Occur

Note: Regional Coordinators assign Medical Professional’s (MP) ability for these actions as well as Auto-Signing when MP edit/add/submit/delete any record.

TMS – Time Management System linked to EHR for Billable Hours

TMS Time Management System will be part of the Electronic Health Record (EHR) as a digital version of a patient’s paper chart. TMS’s are real-time, patient-centered time records that make information available instantly and securely to authorized users’ regional coordinators, administrators and company owners.

A top part of the new website on SSL security and user login required. Data entry will be done by existing regional Coordinators of all patients and each patient will be allocated to that regions MP.

Herewith the TMS fields per patient for each MP to report on daily:

TMS Desktop buttons include:

  1. Locate Time Management Patient Record
  2. Edit Time Management Patient Record
  3. Add Time Management per Patient Record
  4. Remove Time Management Patient Record

Note: Regional Coordinators assign MP’s ability for these actions as well as Auto-Signing when MP edit/add/submit/delete any record.

TCIO – Medical Professional (MP) Calendar Clock-In/Clock-Out platform

This is an Online Clock In and Clock Out platform that your MP will use daily to get paid. This is a real-time platform and will have strict controls setup to refrain from MP circumventing or cheating the system. This data entry can be checked against the TMS platform data for billing errors or accuracy to verify billing to MEDICAID or MEDICARE.
TCIO is real-time records that make information available instantly and securely to authorized users’ regional coordinators, administrators and company owners.

A top part of the EHR platform on SSL security is user login required or bio-metric login ability optional. Data entry will be done by existing regional Coordinators of all patients and each patient will be allocated to that regions MP.

Herewith the TCIO fields per MP is recorded real-time:

TCIO Desktop buttons include:

  1. Clock In (must be logged in)
  2. Clock Out (must be logged in)
  3. Administrator Edit (coordinators only access to edit MP clock-in/clock-out)
  4. Reports:
    1. All Staff
    2. All MP’s
    3. All Coordinators
    4. All Managers
    5. All Directors

Note: These account levels control and/or assign lower level staff access.

JOBS – Employment platform for MP and Agencies

This online JOBS platform will save your company tens of thousands of dollars in recruitment and/or agency resources. It will comprise of two areas: 1. Medical Professionals and 2. Agencies.

A top part of the new website on SSL security. No user login required. Data is stored in a database for access by Company Directors only.

Herewith the JOBS fields per MP’s or Agency:

JOBS Desktop buttons include:

  1. MP’s
    1. Brief description from Company of how you operate and what you expect from MP’s.
    2. Resume Submission Form with all form entries online
  1. Agencies
    1. Brief description from Company of what you are and what you are looking for from an Agency.
    2. Online form for agency to fill in to participate in your company’s staffing needs.

Note: Only top-level access – company directors will be able to access these submissions and records.

UNI – University Staff Training platform – Videos and tutorials

The UNI – University platform provides online videos, online tutorials and online certifications and more for Medical Professionals (MP’s) in your company.

A top part of the new website on SSL security and user login required. Content here will be setup by Intellirex, but can be changed by Coordinators or administrators for MP’s.

Herewith the UNI – University platform, MP learn, certify and test:

UNI Desktop buttons include:

  1. MP Tutorials.
    1. FAQ on national and state accreditation’s
    2. MP certifications
  2. MP Instructions
  3. Patient Rights
  4. Hippa Law
  5. Learning Videos
  6. Annual Certifications and Classes
    1. UNI Continuing education credits
      1. Web based interface
      2. Self-paced learning
    2. UNI complete and print certificates
    3. UNI reminders of upcoming required training
    4. UNI Newsfeeds and Calendars

Note:
Regional Coordinators or higher access levels assign access for MP ability to have access to these resources as needed.

And More.

We can build or customize anything your medical business need.

Talk to us. We are here now! (561) 853-6892 or we can contact you.


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