Scan My Medical Records

an insider's look at digitizing medical records for physicians

Why PDF for Medical Record Scanning?

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OCR Recognition in PDF

OCR Recognition in PDF

 

RSRS has been performing backfile scanning (existing active paper medical records) for years.  Today, it is often performed in conjunction or in parallel with when a physician or clinic is moving to an EMR system.  There is the realization that the paper file is still important for ongoing care and the question is whether or not to convert the paper record to electronic and where to put it.

We generally advocate that the active paper (pertaining to current patients) should be scanned but should not be uploaded into the EMR.  It’s not necessary to keep there and may even slow down backup and access.  Generally speaking, it’s much quicker to access if you place it on your server or computer to be viewed alongside your EMR.

When called in to perform backfile scanning for our physician clients, and we make our recommendations to SCAN TO SEARCHABLE PDF, as we do in over 90% of the cases, we’re often asked:  WHY PDF?

The reasons are simple, and we’ve put the top 10 reasons here for your reference:

  1. Viewable with a free download (Adobe Reader).
  2. Compatible with both PC or MAC
  3. Totally searchable (patient name, symptom, phrase, keyword string, etc.) with OCR
  4. The search results window even let you do a quick comparison analysis for bloodwork searches.
  5. Searched keywords allow for quick comparison and trend-spotting.
  6. Offers security to prevent deletion, alteration, etc.
  7. Can be marked up without comprising the integrity of the original scan
  8. Can be run side-by-side with any EMR application
  9. Can be used as an alternative to EMR for simple document management, allowing you to append pages to any PDF patient file.
  10. Turns your mounds of paper into meaningful information that can be called up within seconds.

Conversion of paper files is a large, time-consuming task requiring specialized skills and impeccable organization.  At RSRS, we have developed a comprehensive medical record scanning solution to get you on your way to a paperless practice.  RSRS now offers OCR at no additional cost, as well as  a choice to receive your scanned documents burned to a CD/DVD or embedded in our search and retrieval application (if you’re not using an EMR.)  We can also integrate your scanned back-file directly into any EMR system, and scan your important paper still streaming though your practice on a daily basis.

Call us at 1-888-563-3732 for a complimentary demo of the benefits of an OCR-searchable medical record on your own computer and from the comfort of your own office!

 

Funny Medical Excerpts, Part Deux

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Trust me,  I'm a Doctor!

Trust me, I'm a Doctor!

 

Now that the laughter has subsided after our first installment of Doctor Humour, we now
offer you “Part Deux” as promised. Enjoy!  We skimmed through borrowed copies of Gray’s Anatomy and the Physicians’ Desk Reference to bring you these classic Doctor comments on patient charts.

Of course, none of the excerpts below come from any of the hundreds of thousands
of records managed by RSRS.  At no time, does RSRS review the content of the medical records stored or scanned for our physician, clinic and hospital clients.

This installment provided by Doctor’s Lounge – http://www.doctorslounge.com/humour/bloopers.htm

  • “The lab test indicated abnormal lover function.”
  • “The baby was delivered, the cord clamped and cut, and handed to the pediatrician, who  breathed and cried immediately.”
  • “Exam of genitalia reveals that he is circus sized.”
  • “She stated that she had been constipated for most of her life until 1989 when she got a divorce.”
  • “The patient was in his usual state of good health until his airplane ran out of gas and crashed.”
  • “Rectal exam revealed a normal size thyroid.” (Long fingers?)
  • “Between you and me, we ought to be able to get this lady pregnant.”
  • “A midsystolic ejaculation murmur heard over the mitral area.”
  • “The patient lives at home with his mother, father, and pet turtle, who is presently enrolled in day care three times a week.”
  • “Exam of genitalia was completely negative except for the right foot. “
  • “Examination reveals a well-developed male lying in bed with his family in no distress. “
  • “She can’t get pregnant with her husband, so I will work her up. “
  • “Whilst in Casualty she was examined, X-rated and sent home.”
  • “On the second day the knee was better and on the third day it had completely disappeared.”
  • “The patient has been depressed ever since she began seeing me in 1983.”
  • “I will be happy to go into her GI system, she seems ready and anxious.”
  • “I have suggested that he loosen his pants before standing, and then, when he
    stands with the help of his wife, they should fall to the floor.”
  • “Patient was becoming more demented with urinary frequency.”
  • “The patient experienced sudden onset of severe shortness of breath with a
    picture of acute pulmonary oedema at home while having sex which gradually
    deteriorated in the emergency room.”
  • “The patient is a 79-year-old widow who no longer lives with her husband.”
  • “Many years ago the patient had frostbite of the right shoe.”
  • “The bugs that grew out of her urine were cultured in the Casualty and are not
    available. I WILL FIND THEM!!!”
  • “The patient left the hospital feeling much better except for her original
    complaints.”

At RSRS,  we believe that there is no more powerful tool for improving morale (with the possible exception of doubling one’s salary) than making work enjoyable.  While we may not be able to make your office “fun,” we can reduce the stress of many of your business and scanning challenges.  Please call us at 1-888-563-3732  or visit our website.

 

 

 

Funny Medical Record Excerpts (Part #1)

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Doctor Humour,  Patients,  Medical Practice

Doctor Humour is Infectious, Contagious, and Good Medicine!

Laughter is the best medicine.  Humour is infectious. The sound of laughter is more contagious than any cough or sneeze. Laughter can trigger healthy physical changes in the body and has the capacity to boost your energy, diminish pain, and relieve stress.

We offer the following bloopers which presumably come from actual patient records.

Note:  None of the excerpts below come from any of the hundreds of thousands of records managed by RSRS.  At no time, does RSRS review the content of the medical records that it securely stores or scans for our physician and hospital clients.  These excerpts are
courtesy of:

http://www.stumbleupon.com/su/2hqZjb/www.rinkworks.com/said/patients.shtml

Enjoy!…  Feel free to share.  Laughing with someone else is better than
laughing alone!

  • “Patient has chest pain if she lies on her left side for over a year.”
  • “On the 2nd day the knee was better and on the 3rd day it disappeared completely.”
  • “The patient has been depressed ever since she began seeing me in 1993.”
  • “Healthy appearing decrepit 69 year-old male, mentally alert but forgetful.”
  • “The patient refused an autopsy.”
  • “The patient has no past history of suicides.”
  • “Patient has left his white blood cells at another hospital.”
  • “Patient’s past medical history has been remarkably insignificant with only a 40 pound weight gain in the past three days.”
  • “She has had no rigors or shaking chills, but her husband states she was very hot in bed last night.”
  • “She is numb from her toes down.”
  • “While in the ER, she was examined, X-rated and sent home.”
  • “The skin was moist and dry.”
  • “Occasional, constant, infrequent headaches.”
  • “Patient was alert and unresponsive.”
  • “She stated that she had been constipated for most of her life, until she got a divorce.”
  • “The patient was to have a bowel resection. However, he took a job as a stockbroker instead.”
  • “Patient has two teenage children but no other abnormalities.”
  • “By the time he was admitted, his rapid heart stopped, and he was feeling better.”
  • “The patient was in his usual state of good health until his airplane ran out of gas and crashed.”
  • “When she fainted, her eyes rolled around the room.”
  • “The patient expired on the floor uneventfully.”

Remember that laughter is always a great morale booster. So is freeing up office space currently cluttered by boxes of inactive patient records.  Call RSRS to enquire about our compliant scanning and storage services.  Click here to visit our website
or call us at 1-888-563-3732.

For The Love of Paper

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Do you love paper?

Are you struggling with paper dependency?

What is it about paper that makes doctors feel so comfortable?  Here are some of the most common things we here from doctors who tend to justify their attachment to paper…

  1.  “Paper copies aren’t more secure.  “

Yes, we can hold a paper document in our hands and file cabinets don’t freeze or crash.  But consider what happens to paper in a flood or fire… or the faded thermal fax!  Now consider the digital file located in a crashed computer system…saved by the backup held offsite.  And consider the searchable electronic record which allows you to find all the historical platelet counts at a glance or the exact details of a historical surgery in 3 seconds.  While no record keeping system is infallible, the move to digital is a step in the right direction and should be part of every practice that is concerned with sustainability.

  1.  “My office staff doesn’t understand the
    technology”

Rome wasn’t built in a day.  It’s true that rolling out an electronic platform does indeed  require an investment of time and sometimes a rather steep learning curve for some.  But if you do convert your paper documents to electronic format, you’ll also have the benefit of re-examining your internal processes… and that’s a good thing, which almost always lends itself to improvement.  There is a tendancy to stick to the status quo for comfort reasons. Don’t be afraid to shake it up a bit. Almost every challenge presents new opportunities.

  1.  “We need a real signature”

There are several legislative bodies that can help clarify how and when digital signatures are appropriate to use.  Canadian law distinguishes between the generic “electronic signature” and the “secure electronic signature,” and this is covered by  PIPEDA .  Federal secure electronic signature regulations make it clear that a secure electronic signature is a digital signature created and verified in a specific manner.  Canada’s Evidence Act contains evidentiary presumptions about both the integrity and validity of electronic documents and of the authenticity of the secure electronic signatures themselves.  See also the Initiatives created by the Uniform Law Conference of Canada, which aims to modernize Canadian  civil and criminal law.

Bottom line is:  physicans will eventually have no choice but to be on an Electronic Medical Record (EMR) system.

  1. “We’ve always done it this way.”

How dare we question the wisdom of our predecessors!  It was good enough for them!  You’re not a team player!   We can only hope that you don’t subscribe to
any of the above logic.   Yes, change can be scary, but more and more often now, clinging to the status quo is simply not an option.  Bill Gates aptly proclaimed that “We always overestimate the change that will occur in the next two years and underestimate the change that will occur in the next ten. Don’t let yourself be lulled into inaction.”

  1.  “It’s expensive to build an electronic infrastructure”

Even though provincial programs are available for  EMR funding,  there are still expenses you’ll need to incur eventually.  However, the consequences of ignoring the trends in health care can be significant.  Consider the experience of music retailer HMV,  which struggles to remain relevant despite the loss of its core business – music – to online retailer iTunes.  Blockbuster also didn’t recognize that the future lay in downloading movies, and their bricks-and-mortar operation couldn’t adapt quickly.  We do see some of the same trends in healthcare.  The kindly sole practitioner who once made housecalls with his black doctor’s bag in tow, has already been replaced by larger health teams, walk-in clinics, and practitioners who use social media, mobile apps, and nurse practitioners.

Call us at 1-888-563-3732 to quote on your scanning project.  RSRS will work closely with you to understand your paperless goals, and make recommendations based on our  experience with clients in virtually every business and professional sector.

Should You Outsource Your Scanning?

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Should You Outsource Your Medical Scanning?

RSRS - Certified File Scan

 

Management guru Tom Peters, once wrote “Do what you do best and outsource the rest!”

Today, more than ever, companies are focusing on their core functions and outsourcing others to ensure quality and maximize profitability. Consider the function of document management.  Here are some stats Here are some paper-handling statistics provided by PricewaterhouseCoopers, Captaris. IOMA and Gartner:

The average organization:

  1. Makes 19 copies of each document
  2. Spends $20 in labour to file each document
  3. Spends $120 in labor searching for each misfiled document
  4. Loses 1 out of every 20 documents
  5. Spends 25 hours recreating each lost document
  6. Spends 400 hours per year searching for lost file

Could your staff be utilizing their time on higher value tasks than shuffling paper each day?  Is the time taken up with scanning, filing and searching taking time away from servicing patients?…. How about confirming appointments?  Are the latest reports and consults immediately available to you when your patient comes for the follow up visit or is it sitting in a pile of yet-to-be-scanned incoming papers?

Consider outsourcing your scanning… backfile and day-forward.  RSRS serves as an extension of your office, allowing you and your staff to do what you do best… practice medicine while we make sure that every page of your active patient  records is digitally available for retrieval.  Whether a standalone PDF file or uploaded directly into any EMR system, you can finally say hello to new levels of efficiency.

Fast turnaround.  Up-to-date patient records.  Better patient care.

It’s surprisingly affordable.  Call us today for a free consultation without obligation at 1-888-563-3732.

 

Pediatric Records – Are There Specific Storage and Scanning Requirements?

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How long should I retain Pediatric Records?

How long should I retain Pediatric Records?

 

Medical record keeping is one of the most essential aspects of patient care.  When deciding whether to scan your paper records into an EMR,  store them electronically in a separate repository,  or retain them in their original paper format, it is important to bear in mind that the requirements for pediatric medical records retention are quite different from those for an adult. This fact alone, depending on the amount of pediatric patients in your practice, may impact your decision.

RSRS recommends consulting with your provincial College of Physicians & Surgeons as well as with the  Canadian Medical Protective Association (CMPA) for the exact wording of the guidelines pertaining to the particulars of record retention for pediatric patients.

Generally speaking, a pediatric record must be retained  until the child reaches the age of majority PLUS 10 years. This would mean that a newborn’s record must be retained for 28 years. This obligation survives the physician and is passed
on to the physician’s estate.

Due to the lengthy retention period mandated,  scanning the records is the prudent solution.

When consulting with our clients on document scanning,  RSRS generally suggests scanning the records for both active patients,  as well as those for pediatric patients.  By extracting a demographic report from your medical billing system, we can assist you in determining exactly which patients fall into either group.  The active patients are those last seen within the last two (or three) years, while the pediatric patients are those with a Date of Birth that fall within a specific range.

RSRS can scan your records and deliver them in any number of formats.  We can upload them into your EMR, if you have one.  More often than not, we are scanning them into PDF documents which allow our clients to call up independently.  As another alternative, we can upload them into a separate  Document Management System (DMS), which is simply a software application which tracks, stores and allows for immediate retrieval of electronic documents or images. While it  is not specific to medical office application, it lends itself beautifully to one.

For more information about medical scanning for pediatric or other records, day-forward scanning and general conversion, take a look at our website or call us for more information at 1-888-563-3732.  RSRS has been helping physicians, clinics, and hospitals with their medical scanning needs for 15 years – We are the only physician-managed scanning facility and are fully compliant with the rules and guidelines as set forth by provincial Colleges of Physicians and Surgeons as well as by the Provincial Medical Associations and the Canadian Medical Protective Association.

Great Expectations – Patients Want More Innovative Access to Their Health Records

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Servicing customers is a basic tenet in any business – most businesses want to achieve the highest level of customer satisfaction possible.  Customer satisfaction is driven by the ease of access to information.  If information is not available,
the customer,  in this case – the patient,  is not served efficiently.   Open access to information on the internet has reset public expectations about the accessibility of information.   Patients have also transitioned into very internet savvy customers – they can look up their symptoms in medical databases on the internet and are capable of diagnosing their health problems with a great degree of accuracy.  Therefore, when the patient arrives at the doctor’s office,  they expect the doctor to quickly access their health information and that that information will be up-to-date.  Consistent with those expectations,  patients believe that electronic health records are essential for the delivery of high-quality care.  And doctors must strive to meet those expectations by maintaining a well-equipped clinic,  which includes the latest technological advances.

Patients have come to realize that their footprints are no longer restricted to a single file in one doctor’s office.  Many patients have a need for their health record to be accessible by more than one medical professional,  including emergency personnel.  And patients may be more compliant with their treatment if they can access a patient portal and participate more actively in their continuing care.  Patient portals provide a secure platform for communicating with other medical professionals who may be located in other geographic areas.  With more participatory treatment,  patients have the opportunity to correct errors and review their medical history – vaccinations,  lab results,  illnesses,  at their convenience.

There is no doubt that technology has improved the quality and duration of life.  Medicine,  as with any other profession,  must evolve to meet society’s expectations.  Scientific advances and the use of EMRs mean that the doctor’s role is changing rapidly.

Document management is for ALL businesses,  not just large corporations. The advent of the EMR helps doctors help their patients.  RSRS can help doctors capture paper-based patient history and index it for import into any EMR system or as standalone PDF files kept outside of the EMR.  Either way, the files can be  accessed within seconds.   We also offer competitive Day-Forward scanning  for Doctors on EMR.  We will ensure that all information can be fully searched,  retrieved,  viewed,  printed,  and exported.    RSRS can also provide hands-on training to staff in a testing environment to ensure that everyone is comfortable with the application prior to its full implementation.  With record scanning services, you have the benefit of 14 years of medical records expertise.

Steps to Helping Medical Professionals Transition to EMR

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Dr. Marla Shapiro Recommends RSRS - Record Storage and Retrieval Services

Dr. Marla Shapiro Recommends RSRS - Record Storage and Retrieval Services

Paper records will be with us for a long time. When the call to “go paperless” makes its way into your practice, the issue of what to do with your paper records will come up. When it does, there are a few points you may wish to consider. Whether or not you’re making the move to Electronic Medical Records (EMR), the points remain the same for most physician offices. The health community faces rigorous compliance demands and obligations for continuity planning.

At RSRS, we’ve been in the business of medical records management, assisting physicians, clinics and hospitals for nearly 14 years. We’ve learned a few tricks along the way and we’ve helped countless physicians with their scanning and storage requirements. We offer the following recommendations based on our experience helping many others in similar situations.

1. Separate the ACTIVE from the INACTIVE

For a general practice, we define ACTIVE as those patients last seen within the last 2 years (this will vary for specialty practices and will also vary somewhat for some general practices). INACTIVE RECORDS are defined as those records belonging to patients last seen 3 or more years ago. For those records, the clock has already started ticking with respect to date of destruction (10 or 15 years after the date last seen, unless you’re a pediatrician or have a lot of pediatric records). This is not true for active records.

2. Scan the ACTIVE records.

Outsource this job. We recommend scanning the entire active record. This does not mean that the entire active record must be placed into your EMR system (if you have one, or are moving into one). It simply means that you should aim to have all paper corresponding to your active patients scanned and readily available and accessible on your computer. It all must be kept for the same amount of time anyway. And by having the entire active paper record scanned for a given patient, you are ensuring the following:

• Instantaneous access to the entire record (3 seconds to find a file)
• Easy reference to historical trends and early indicators for a given patient
• Easy facilitation of response to Requests for information (Insurance, legal, etc.)
• No misplaced files and no filing errors
• No more requirement for paper files or boxes to clutter up the office or take up valuable space in the office which can be used for more productive purposes

3. Store the INACTIVE patient records.

Since the “countdown to destruction” clock has already started on these INACTIVE records, we recommend storing these records by “year last seen.” RSRS’ storage facility will pick up the inactive record boxes, barcode them, put them into storage and make files available to you with expedited delivery for those sporadic requests that may come about in the future. Our SCAN ON DEMAND service will get you any record that needs to be reactivated and we’ll deliver it electronically to you via secure FTP – no need to add paper, so you can maintain your electronic status. Note: Both RSRS and the CMPA do not recommend keeping a patient record partially stored as paper and partially scanned. For more information on Best Practices for Canadian physicians in transition to EMR, here’s a comprehensive article from the National Review of Medicine .

Everyone wants to work with the best partners available. RSRS has a great professional team to work with. We know that you went to medical school to practice medicine, not to get deeper and deeper into managing paper, especially once you move to an EMR system. We have helped physicians with their records management since 1997. Co-founded by a Toronto family doctor, RSRS works in full compliance with the relevant provincial privacy legislation and local Colleges of Physicians and Surgeons.

5 Myths Concerning EMR Adoption

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There is no doubt that medical practices are transitioning to EMR in record numbers.  They are eager to access funding to do so, where available and are hopeful about capitalizing on the benefits of running a paperless office with efficient document management.  Easy filing and retrieval of your medical records digitally will help you reduce costs and increase staff productivity.  Yet despite these innovations, there remains resistance to the transition to EMR, often due to myths surrounding the transition.  Let’s try to dispel some of the myths surrounding the conversion process…

Myth #1 -I Will Need Digital IT Staff

Your EMR company will provide both training as well as ongoing tech support for their product.  Work with your EMR vendor to set milestones and get guarantees on Service Level Agreements and quality so that there are no surprises.  Also, don’t forget about the backfile of paper which will require a ton of resources if attempted in-house.  RSRS can handle your conversion needs, large and small, from pulling staples and preparing your documents to indexing them and building a fully searchable archive. We can also show you how to combine that with our workflow processing and even basic document management software.

Myth #2 -It Will Be Less Secure

A properly held electronic record is actually more secure.  Your medical data will be password-protected and secure from disaster with redundant back-ups.  Patient records can only be accessed by individuals with authorization and a business need to do so.

Myth #3 -I Will Need More Staff

When planned properly, there is no need for additional staff.  You will actually be able to improve patient service levels because more staff can be devoted to patient care than handling paper records.  Both administrator and physician alike will save time by taking advantage of instant retrievals and no more misfiling.  With RSRSs’ Day-Forward scanning service,  new incoming paper (mail, fax, etc.) can be outsourced for quicker indexing and uploading directly into your EMR system.

Myth #4 -It Takes Too Long To Achieve ROI

The EMR is generally thought of as an administrative tool, not directly involved in patient care and without payback.  However, nothing can be further from the truth.  Despite the initial investment, the costs can be recovered within months  through increased efficiencies.   Consider also that the amount of available space in your office will increase dramatically allowing for better utilization (another Exam room?), while your paper utilization will decrease.   There are both direct and indirect savings!

Myth #5 -There Will Be Staff Resistance

Okay,  this isn’t exactly a myth – this is reality!  The biggest barrier to any new implementation may be the resistance to change by both the staff and physicians. There’s nothing quite as comforting as status quo.  Getting staff buy-in from the start, allowing them input into the change process, and communicating reasons for the business drivers will often bring them on board more proactively from the start.   If anything, there should be more concern about eventual patient  resistance to continuing with a practice that is not moving forward with increased efficiencies being adopted elsewhere.  Technically literate administrative staff will also be reluctant to join any paper-based practice. For more information on managing resistance to change during the EMR transition,  please click here.

For more information about taking the plunge into EMR, backfile scanning, day-forward scanning and general conversion, take a look at our website or call us for more information at 1-888-563-3732.  RSRS has been helping physicians, clinics,  and hospitals with their medical scanning needs for 15 years – We are physician-managed and fully compliant with the rules and guidelines as set forth by provincial Colleges of Physicians and Surgeons as well as by the Provincial Medical Associations.