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IM (Instant Messaging) EMR/EHR Integration

Posted on February 2, 2009 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

In my first post on IM in a clinical environment I discussed some of the benefits and options available by having an IM program rolled out in a doctor’s office. IM really is a killer application that can facilitate communication. We all know the benefits good communication can bring to a doctor’s office and the pains bad communication can cause.

I love the idea of IM being integrated into an EMR. In fact, so much so that I asked my vendor if they were going to integrate IM into their EMR when they told me that they were looking to integrate the whole Outlook like messaging and calendaring system into the EMR. The response to my IM question was that it wasn’t on their roadmap and that they weren’t sure they’d want an IM popping up while they were in the middle of a patient visit.

I haven’t thought through all the complexities of integrating IM into an EMR in a way that wouldn’t be obtrusive, but would still facilitate the needed communication. However, I’m confident that with a little thought it could be built so that the communication happens without leaving the doctor in an awkward position and while still protecting the privacy of the patient.

Matt Chase, of Medtuity (one of the more forward thinking EMR companies out there), offered some interesting insights into possible benefits of having IM integrated into an EMR. Here’s a quick summary of some of his thoughts on it with some of my own additions.

IM Direct Link to Patient Chart – If I’m sending a message about a patient to the doctor, then it’s very likely that the doctor will want to look at the patient chart.  Certainly I could send the number or possibly the name, but if the IM is integrated into the EMR, then I could include a link in the IM which would take me directly to the patient chart.  As I’m typing this, why not have the ability to embed a part of the patient’s chart right in the EMR?  You could even direct link to a specific part of the chart or document that was uploaded that the doctor might need to see.

Patients Image Shown in Discussion – Assuming you’ve captured the patients image in your EMR for reference (and many do this), why not show the patient’s image in the IM message when someone mentions the patient.  How much would having the picture of the patient help if you received an IM message that said, “John Doe from last week has an abnormal lab.”  Most doctors are much better with faces than they are with names.  In the name of HIPAA, they probably should be.  Why not jog their memory of the patient by including a picture?

Click To Save to Patient’s Chart – Some IM discussions might be worth saving in a patient’s chart.  Sure copy and paste works from other IM programs, but why not make it one click to save it to the patient chart.  Of course, I suggest making it a one click add, but still let it be editable so that someone can format the IM before saving it completely.

EMR Access = IM Access – No one needs to know where you’re signed into EMR.  As long as you’re accessing EMR, then you’ll get your message.  This could be in a room, in your office, on your cell phone at the hospital, or in the Bahama’s when you were checking your EMR because you missed it so much (hopefully not likely).

EMR Defined Groups – Built intelligently, the EMR could be built to know which staff was on duty.  For example, we have a number of lab techs in our clinic.  Either a flag in the EMR or just by the lab tech’s activity in EMR it could know who to send a lab message to.  Look at it like a virtual IM account that the EMR intelligently knows who is available.

I’m sure there are many more features or benefits that would be only available by having IM integrated with EMR.  Are there any others that I missed?  Are there people using IM in their practice?  Is it integrated with your EMR?  I’d love to hear people’s thoughts and experiences with IM in health care.

IM (Instant Messaging) and EMR/EHR

Posted on February 1, 2009 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

I’ve been participating in a really interesting discussion going on over on EMRUpdate. The discussion revolves around the integration of IM into an EMR or EHR and the role of IM in a clinical environment.

One person suggested the use of a LAN only IM that he’s been using for a while. Looks like a pretty cool software and prevents your users from chatting it up with their best friend across town all day on work time.

My biggest problem with the LAN only IM software is that it’s just one more program that you have to manage. This is why in our clinic we’ve been using MSN Messenger. This comes installed by default on Windows and so it seemed like a logical choice. It also had some good upload features that allowed us to add our long list of users to a new person with little hassle. We have upgraded most of our computers to the latest MSN Messenger, but now it will just manage itself.

The other advantage of the commercial messengers is their advanced chatting and status features. You can add users to an existing discussion or start a discussion with a large group. The status of your messenger automatically updates as you’re away from your computer. I also loved messenger for when I was at home helping my wife who was sick. Just by going to their messenger, everyone in the clinic could see my status that I was at home taking care of my sick wife.

There are a whole host of other features that make the commercial version nice. One simple example is that it tells you when the person you’ve sent an IM to is typing or not. That way you can have at least some idea of whether you’re going to get a reply soon or not.

We only use IM in our individual offices, but I’ve heard of one person that has an IM user called “Room 1” that is signed into Room 1. That way when he’s in the room, he can IM from that room without a problem. Of course, if you’re carrying a laptop around this isn’t a problem. Also, I haven’t tested this yet, but the next version of MSN Messenger seems like it has the ability to be signed into 2 locations. Could be pretty cool.

Of course, I’m sure that everyone’s wondering about HIPAA. In our clinic we’ve decided to just not put information protected by HIPAA in IM. We might say, Dr. Smith Pt 12345’s labs are available now. This makes it so IM doesn’t have to follow the security guidelines required by HIPAA. Some might argue that this isn’t failsafe. I’d respond that of course it’s not, but neither is someone sending an email with the same information. Neither is someone doing any countless number of things electronically. Therefore I treat it similar to how we treat email.

Despite the benefits we’ve seen from using IM in our clinic. It is really interesting to imagine what an IM program integrated with your EMR would look like. What new possibilities would it open up to you? Tomorrow I’ll discuss some of the cool integrations that could be created by a forward looking EMR company that integrates IM into their EMR.