Electronic Health History

J Mark Barry, DDS, MBA

Associate Dean For Clinical Affairs

James B Edwards

College of Dental Medicine

Medical University of South Carolina

October 15, 2011

New Clinical Building - Opened September 8, 2009

183 Operatories

380 axiUm Computers

September 2009

To January 2011

Electronic

Training Sessions

Progress Notes

Consent Forms

HIPAA

Treatment Policy Forms

Multiple Other Documents

January, 2011

Electronic Health History

Axium Consortium

COHRI.ORG

- MUSC part of network

- Agreed to utilize adult

comprehensive health history

- Committee key to planning

and implementation

Consortium

Electronic Health History

This is the COHRI health history

Electronic

Health Histories

Adult Comprehensive Care COHRI

Pediatric Comprehensive Care

Emergency Limited Care

Dental Faculty Practice

Adult and Pediatric

Health History

- Student Driven

- Educationally Based

- Multiple preclinical didactic

preparatory classess

Comprehensive

Care Program

- Multiple EHH’s

- Streamline Patients

- Educate Students

- Efficiencies

Screening

Process

1) Web Base EHH

2) Paper HH mailed

to patient

Screening

ProcessScreened by faculty

Web base / Paper EHH

Panorex

80-85 % patient acceptance

PCC assignment

What is

HealthAccess?

A new axiUm module which currently allows patients to

complete their health history online.

The Medical University of South Carolina is the first school to

“go-live” with HealthAccess.

MUSC HealthAccess Example

dentalhealthtrain.musc.edu

HHealthAccess

102110

What does it look like in axiUm?

Security Questions

MUSC HealthAccess Example

What does it look like in axiUm?

Patient entered text from

HealthAccess is ALWAYS green

What does it look like in axiUm?

Text is black

after approval

What does it look like in axiUm?

Patient Signature Parent or Guardian Signature

Representative Signature Provider Name & Signature

HealthAccess Bottom Line

• Allows patients to complete their health history

online

• Easy for dental school personnel to give a patient

online access

• Easy for the patient to use

• Has GREAT potential for additional features!

Radiology Appointment

- Web based EHH

- Paper HH

- Teaching tool, review of

systems, medications

- FMS, DX impression, facebow

Treatment

Planning Clinic

- Student familiar with EHH

- EHH Update

- HHR (Health History Reviewed)

Lessons Learned

Labor / Assistance

Typical operatory with

computer, keyboard,

mouse, and signature

pad

Student Education Component

Emergency Health History

- Walk in clinic

- Paper HH (Condensed)

- Front desk enters

demographic info

- Student enters paper HH

in Axium

Dental Faculty Practice

- Different version of EHH

(Condensed)

- Complete web based EHH

- Mail in paper HH

Overview

Methods for health history entry

1. HealthAccess at home (web entry)

2. Paper (patient completes) – transcribed by provider or staff

3. Oral interview (no paper) – transcribed by provider or staff