CAPÍTULO 2. Sobre los asilo de ancianos
2.1 Consideraciones históricas en torno al proceso de origen de los asilos de
COMPANY:
Henry Schein, Inc. Dentrix
Contact: Pam Reece, Director, Enterprise and Specialty Solutions
Address: 727 East Utah Valley Drive, American Fork, Utah 84003
Office: 801.847.4320
Cell: 801.319.2945
Email: [email protected]
Website: http://www.dentrixenterprise.com
Contact: Randy Foley
Office: 248.582.1529
Cell: 248.990.5653
FAX: 248.547.5640
Email: [email protected]
Dentrix Enterprise was first installed in September of 1999. In addition to being a full enterprise solution, Dentrix Enterprise offers an extensive array of HL7 interfaces with over 30 HL7 compliant medical practice management and electronic health record systems. Whether a client is in need of a complete practice management system with a fully integrated electronic dental record or simply an electronic dental record interfaced with their medical practice management/EHR system, Dentrix Enterprise has the right solution.
■
Client Base (# of organizations)
Dentrix Dental Systems holds the number one market share position with a growing user base of over 3,000 Dentrix Enterprise installed sites, and more than 38,000 DENTRIX installed dental practices. According to both Clinical Research Associates (CRA) dental software surveys, Dentrix Dental Systems continues to maintain the highest level customer satisfaction in the industry while growing the user base exponentially.
nnoha hiT w
orkGroupe
ValuaTionh
iGhliGhTsThe Dentrix Enterprise and integrated EHR product offering (e.g., Sage Software Intergy) has several new features and is considered a potential EDR/EHR solution for Health Centers by the NNOHA Workgroup. Dentrix demonstrated a solid EDR solution and identified several ONC-ATCB certified and HL7 compliant medical practice management and electronic health record systems. Health Choice Network (HCN) supported the demonstration of their technology partners, Sage Software (Intergy), Henry Schein (Dentrix/Dexis), and Microsoft (Amalga). During the past year, HCN continued to implement Meaningful Use-certified electronic health records (EHR) and oral health records Health Centers nationwide. HCN guides its members to meaningful use of EHR as defined by the Office of the National Coordinator for Health Information Technology. This includes meeting all of the measures of the Stage 1 Meaningful Use Requirements. With the use of the integrated bridge, Amalga, Dentrix is able to integrate tightly with any EHR products. Amalga can be used to connect together many unrelated medical systems using a wide variety of data types
in order to provide an immediate, updated composite portrait of the patient’s healthcare history. All of Amalga’s components are integrated using middleware software that allows the creation of standard approaches and tools to interface with the many software and hardware systems. Amalga is designed to collect not only clinical data, but also financial and operational data for hospital administrators.
Dentrix Enterprise has many strengths including:
• Rapid access to patient demographics, insurance policies, financial transactions and clinical data • Use current EMR to register and update patient records
• Import and export patient demographics with Admissions, Discharges, Transfers (ADT) • Export procedure, charge and payment with Financial Management Transfers (DFT) • Import and export appointments with Scheduling Transfers (SIU)
• Import provider and staff setup information with Master File • Electronic exchange of healthcare-related data
Dental practice management software such as Dentrix Enterprise and Dentrix can receive modular certification. This, however, does not completely solve the problem
and Health Centers must invest in other systems that together meet all 15 core objectives and measures. Dentrix Enterprise is currently working towards
modular certification. Dentrix, however, could be integrated with a certified EMR product such as Sage Intergy and meet the MU requirements, just
like all other EDR products at the present time. Henry Schein Practice Solutions is working with several groups, including the ADA, CMS, Health Resources and Services Administration (HRSA), National Network for Oral Health Access (NNOHA) and the American Association of Oral and Maxillofacial Surgeons (AAOMS), to highlight the need for a certification standard.
Dentrix Enterprise has added several new product features as follows:
• Search Payment in Ledger • Multiple Referrals
• GURU Integration • Hid/Mask SSN
• Enhancement to Perio Score • eTrans 5.1 (Allow Edit of claim) • Rate Code Feature
• Treatment Plan Fee Update • Enhance Clinical Notes Feature • Note Spell Check
• DDX Integration
• Enhance Treatment Planner (Presenter) Feature • Enhance Document Center Feature
• Meaningful Use • Auto-Log Off • Emergency Access • Vital Signs/BMI Feature • Oral Health Reports
• Close/Block Operatory (Schedule Event) • Log Patient Information when Viewed • 5010 Mandate
The Workgroup did identify areas in product features that could be enhanced, including ePrescribing and Rx printing, printed treated plans, dental lab tracking, voice activated dictation, electronic remittance advice/posting, low cost HL7 interface to other EMR/EHRs, clinical quality measure reporting for oral health, and clinical and financial dashboards.
NNOHA’s Workgroup ratings as shown in the table below are based on product demonstrations, responses to the RFI, surveys and supporting research. The NNOHA Workgroup rating scale follows:
3 – Completely satisfied 2 – Partially satisfied 1 – Not at all satisfied
V
endorr
esponseT
orFi s
urVeyThe RFI survey results for EDR/EHR system requirements are summarized below.
■
Implementation and Support Services
• Implementation: Vendor’s response to the approach to define/implement systems to meet all requirements:
– For all new implementations, an account manager is assigned and accountable for the remote install, data conversion, HL7 installation and configuration, remote and onsite training and Go Live. Tiered implementation packages are available based upon need including onsite implementation and installation services.
– Includes an account manager, a certified software trainer, and (if applicable) an HL7 and/or data conversion technician.
– All Enterprise level technicians and account managers are fully trained on Enterprise. Enterprise trainers are fully certified on the Enterprise system.
– Time requirements for projects vary but tend to include 20 hours of account management time and 40 hours of on-site training time. 7am – 5pm Mountain.
ratings Of functiOnal anD Qualitative reQuireMents rating
Clinical Care Management and Treatment Planning Requirements 2
Productivity Measurement and Support Requirements 3
Tooth and Periodontal Charting 3
Office Administrative Requirements 2
Billing 3
Statements 2
Technical Requirements 3
Integration with Practice Management (PM)/EHR Systems 3
Integrates Records Among Sites that are Geographically Disparate 3
Imaging Requirements 3
Meets The Joint Commission (TJC) (formerly JCAHO) Standards 3
“Nice to Have” Additional Features 3
Implementation and Support Services 3
Compelling Reasons to Select Solutions 3
Meaningful Use (MU) Plans 2/*3 Intergy
Integration Capabilities 3
Conversion Capabilities 3
Ways to Purchase Solutions 3
• Support: Vendor’s resources assigned to customer support. Tools/approaches utilized to help diagnose and resolve customer issues, with remote diagnosis and on-site:
– HSPS provides a dedicated technical support team to provide remote support assistance for Dentrix Enterprise. – Dentrix Enterprise support team offers:
– Phone support assistance – Email support assistance – Click to chat
– Online live and recorded training sessions – Published online searchable knowledge base – Standard protocol for resolving customer issues – Initial troubleshooting with support technician – If unresolved, escalation to development team – Digital Radiography Support is handled directly
by digital x-ray manufacturer.