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CLIA = Clinical Laboratory Improvement Amendments; OSHA = Occupational Safety and Health Administration. Patient care documentation Maintain computer-based clinical records Diagnoses or problem list Medications list or adverse drug reactions Patient charting or other computer-based clinical records Track Immunizations Patients’ adherence to recommended well-child visits Laboratory reports Write prescriptions Patient accounting Bill insurance companies Provide customized patient statements Post accounts receivable by patient, by provider Maintain physician fee schedule Open item or claim, or balance forward transaction entry Provide cash or accrual-based accounting reports Real-time aging and balance of accounts Office business support Manage assets Track CLIA compliance Maintain employee personnel data and job descriptions Track Office inventory Vendor billing OSHA compliance Process payroll Provide patient education and marketing aids Provide tax management Appointment scheduling Provide immunization reminders Provide appointment reminder notices Print charge slips/labels for charts Register new patients Update demographic data when visits are scheduled Track no shows or cancellations On-demand appointment processing Management reports and analysis Track and analyze activity and revenue By payer By provider By service (etc) By patient (etc) Computer-Based Clinical Records Percent Using Diagnoses or problem list 38 Medication list, including adverse drug reactions 5 All patient charting 0 Other computer-based clinical records (specify) 8 Track immunization 25 Track patients’ adherence to recommended well-child visits 20 Track laboratory reports 15 Write prescriptions 13 Provide information on drug interactions 13 Provide information on chronic disease management 10 Provide telephone triage protocols for office staff 10 Accept dictation directly into patients’ computer records via voice recognition 0 Internet access (eg, person on call, emergency department staff, etc) 18 Diagnoses or problem list 38
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The Article in Brief
Primary care research increasingly depends on the availability of computers in the offices of participating medical practices. A survey of a network of 40 pediatric practices found that they vary widely in the types of hardware and software they use, and in their ability to connect to the Internet. These differences must be taken into account in planning research activities.
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