A New View for Ophthalmology

Indivica has just released the latest EMR technology for Opthamologists – the Indivica Eyeform.

Ophthalmology Eyeform

(click to view larger)

The Eyeform is a ground breaking new charting solution, purpose built for Ophthalmologists, delivering a unique and custom experience for this specialty.

Your entire encounter workflow is processed quickly and efficiently from a single screen. Clinical data capture, such as Measurements, Procedures, Impressions, Diagrams and Plans is fast and intuitive.

The striking new functionality of the time aware highlighter allows for quick identification of recent or periodic information throughout the chart.

Ophthalmology Eyeform Highlighter

Clerical components such as Billing, Billing History, and Tickler notifications join with the clinical data to ensure your patient engagement is efficient and complete within a single view.

The Eyeform is part of every Indivica OSCAR solution and can be deployed in conjunction with all other functionality contained within the EMR. This unique feature is particularly useful in multidisciplinary practices.

Sort By Sick – A New Tool for your Leading Indicators

Caseload is a major new feature developed for OSCAR by Indivica.

Caseload combines leading clinical and clerical indicators in a sortable display. It provides an easy to use tool to perform complex analysis against ones patient roster.

Caseload

Caseload is particularly suited to illuminating the traditional blind spot within your practice – those sick individuals that rarely schedule a visit to your clinic.

Sorting your roster by number of appointments in the last year, age, or recent lab reports is as easy as identifying those patients with the highest BMI or lowest ACR. Finding the extremities of your roster now takes a few seconds.

Of course, once you find data of interest, you can immediately act on it via links to all the normal clerical and clinical system components, such as patient specific Ticklers, Messages, Prescriptions, and the eChart.

Caseload easily allows you to find segments of your patient population. Are you interested in just your diabetic patients? Perhaps just those with a specific diagnosis? You can restrict your display by diagnostic code.

Caseload

Perhaps you would like to find all your patients for which you’ve entered a specific note into their chart. Caseload provides full text search across all patients you are specifically associated with.

Caseload

Caseload is a valuable asset when dealing with non-schedule driven patient interactions. Whether you are performing rounds at the hospital or engaging your patients at a managed care facility, this feature provides an innovative solution to an alternative workflow model.

OSCAR on the iPad – Your Patients Thank You

Get out your iPad. Log into OSCAR. Write a prescription. Sign it electronically with your finger. Fax it from your office to the patient’s favourite pharmacy.

OSCAR Prescription iPad

Welcome to your new EMR.

Schedule + Caseload Management, Together at Last

Getting to your charts as quickly and efficiently as possible is what we all want, but we don’t all work the same way.

Even within a single practice, your daily workflow may change over the course of the week. You may find that some days, your workload is driven by an appointment schedule, while other days, it is driven by rounds at the hospital, extended care facility, or with several house calls.

The ability to support different workflow models has long been embedded within the OSCAR and CAISI systems, but in the past you’ve always had to make the choice – schedule vs caseload workflow management.

Now, as a result of an extensive integration effort, you can have both workflows enabled at the same time.

So on Monday, you can visit St. Mungo’s…

Caseload - St Mungo's

… Tuesday to Friday, you meet your scheduled patients in your office…

Scheduled Appointments

… and Saturday, you can make your rounds in the Nebuchadnezzar…

Caseload - Nebuchadnezzar

Of course, you may decide that the caseload manager isn’t just for rounds, but may be useful for tracking and grouping specific patients that may be of particular interest to you. Perhaps they are part of a clinical trial, being managed by a resident, or are recently recovering from a procedure.

You know your patients the best. OSCAR gives you the tools to care for them more efficiently.

Distributing Data – A Better Sharing Model for OSCAR

The Integrator is the CAISI designed, multi site, ethical, data sharing engine, developed and deployed as part of the joint efforts of Seaton House, St. Michael’s Hospital, and the City of Toronto.

The Integrator provides a mechanism to share when appropriate, information contained within your EMR to affiliated sites, without the need for your entire group to be hosted off the same centralized hardware. Each site maintains an independent and autonomous EMR within its own clinic, and users still benefit from the opportunity to securely see and share records amongst a larger, geographically distributed, circle of care.

This distributed model of data sharing tends to be more robust than the centralized approach, due to its inherent redundancy, and lack of any single points of failure.

Recently, a significant amount of work has been expended to extend the capabilities of the Integrator such that it could work seamlessly and natively with OSCAR based clinics. This work has further integrated the CAISI and OSCAR solutions, such that it is easy to dynamically move between scheduled and caseload based workflows for your practice.

Now, users of OSCAR, can extend their reach to a much larger circle of care, whilst maintaining their independence and autonomy within their specific clinic.

The Integrator gives you a data sharing model that is easily and granularly configured on a per clinic basis.

Integrator Sharing Configuration

Integrator’s ethical consent to data sharing is very easy to manage, as it gives the patient the option to opt in and out data sharing amongst facilities, on an as needed basis. It also gives the participating clinic an appropriate level of audit trail for these consents.

Obtaining Consent

OSCAR, enhanced with CAISI caseload management and augmented with Integrator data sharing is truly an exceptional platform. It is no wonder why OSCAR is now on everyone’s shortlist when they are choosing a new EMR.

Accelerating Development

Indivica continues our search for exceptionally talented programmers and analysts to join our team.

Our fast paced environment offers extraordinary personal flexibility while challenging your abilities continuously. Your contribution will make a difference to our success.

If stuff like this…

while read line; do bob=$line; jane="JANE/PFOldDoc"`echo $line | tr -d [:blank:]\; | sed sc\/ccg | sed sc\.cc`; mv "$bob" $jane; done < in

...makes sense to you, and...

cat bob.rpt | tr "\r" " " | tr "\n" " " | tr -d ";" | tr -d "," | tr -d "\\" | sed "s/'/\\\'/g" | sed 's/XXXDAVXXX/\
/g' | sed "/row(s) affected/d" | awk '{if(NR==1)sub(/^\xef\xbb\xbf/, "");print}' > bob.rpt.csv

...is too easy, then please view our current openings and consider applying to join our team.

Improving An Already Great EMR

OSCAR has numerous improvements that will soon be making it into your hands. Improvements such as integrated fax, electronic signature support for prescriptions, template and rich text support for letter generation, better document management, and improved 3rd party application support with read and write system access.

This OSCAR refresh supports consent driven multi-site data sharing, which is of particular interest to large distributed health groups that need to share information between clinics, while each maintains their own locally installed and independent servers.

What this means to you is improved workflow within your practice.

Inbound documents are handled the same way as inbound labs. You will have access to a unified inbox for all inbound clinical information, regardless of how it originated or what format it arrived in. Furthermore, with the integrated fax, these documents can get into your system without hours of scanning and paper handling by your staff.

The electronic signature support in the improved Rx module creates a unique instance of the prescriber’s signature, obtained at the time the prescription is signed, as mandated by the Ontario College of Pharmacists and others. You can electronically sign your prescription and fax it off to the patient’s pharmacy of choice, all at the push of a button – no more paper required.

OSCAR provides a new facility to support clinicians with the requirement to generate nicely formatted letters, including the ability to template letters using pre-generated results from different parts of the patient record.

The most powerful new capability within OSCAR is it’s ability to support 3rd party application development with both read and write access to the underlying infrastructure. New applications will be able to leverage the underlying system in a way that will allow these applications to talk with one another, and to the rest of OSCAR. The application sandbox has now gotten a lot bigger and more powerful.

Massive Increase in New OSCAR Users

OSCAR has become the #3 EMR in Ontario within the new OntarioMD funding program.

OSCAR has 14.5% market share of newly funded users, just behind Healthscreen’s 20.3% and Practice Solutions’ 23.5%.

Ontario’s New EMR Adoption Program (832 funded physicians from October 2009 to August 31, 2010):

OSCAR EMR Market Share - 2010

This is a massive increase of new users in Ontario compared to the previous funding program, which OSCAR achieved a 3.4% share of the funded market, and a total overall ranking of #8.

We’re Hiring

Indivica’s business has been growing rapidly. We are currently expanding our team to meet the needs of our customers and to develop exciting new products.

If you are passionate about the delivery of innovative technology and the transformation of Health IT, and want to work in the dynamic and fast paced world of a start up, then check out the currently available opportunities listed in our new Careers page.

Queen’s Gets OSCARized

We are very happy to welcome to the OSCAR community Queen’s Family Health Team, Department of Family Medicine, Queen’s University.

If you visited one of their four clinics this week, you may have noticed the staff a little more wide-eyed than normal.

Queen’s has been using an EMR for many years, and so the conversion from their old system to OSCAR has been quite an activity. Countless hours of preparation and planning have gone into making the transition as seamless as possible.

At 8:30 on June 7th the first patients were being seen. Soon thereafter, records were being entered, results were being reviewed, forms and requisitions where being filled, and the first prescriptions were being electronically signed and faxed to the local pharmacies.

A collection of clinics with well over 100 users needs some reasonable hardware to run their practice. Queen’s primary server, an OSCAR 750, has dual quad core hyper threaded Xeon CPUs coupled with a non trivial amount of memory.

EMR conversions are pretty intensive operations. Tens of thousands of medical records have to be meticulously moved and reviewed to ensure data integrity and patient information is maintained.

Throughout the process is important to maintain good sense of humour and to remember why you decided to move to a new EMR in the first place.

Thank you Queen’s for to moving to OSCAR.

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