Blog Posts


Rounding Charge Capture: The Latest Technological Innovation from EmCare

Posted on Tue, Apr 28, 2015
Rounding Charge Capture: The Latest Technological Innovation from EmCare

Innovative technology improves efficiency of documentation

With hospitals having to coordinate care with so many people and departments, hospital medicine was in need of a solution that quickly relays information from multiple points of care to multiple points of coordination for hundreds of patients each month. EmCare has now launched a proprietary Rounding Charge Capture software that makes inpatient information flow smoothly and simply. This powerful program is actually seven tools in one, providing a comprehensive patient management system for hospitals.

1. Handoff Communication Tool Rounding Charge Capture improves hospitalist-to-hospitalist shift change handoffs by providing real-time automatic sign-out sheets. The sheets are available to all physicians and affiliated clinicians via web access.

2. Patient Locator Tool Appropriate patient information, such as room numbers and assigned hospitalists, can be shared with other hospital departments such as nursing and pharmacy.

3. A.M. Discharge Tool One mouse click identifies which patients should be eligible for discharge the following morning. This function generates a discharge list for all those involved in the discharge process, thereby expediting patient release, optimizing bed availability and improving patient flow.

4. Critical Action Notification Tool This tool highlights patients that need special attention from cross-cover, which can improve the quality of patient care.

5. Rounding List Generator This function quickly builds a rounding list and hand-off sheet for each hospitalist with the click of a mouse.

6. Reporting Tool Easy access to metrics and trends help to identify bottlenecks quickly, improve productivity and effectively manage hospitalist services.

7. Charge Capture Tool Hospitalists can complete billing in just two clicks with a built-in billing system logic that saves time, flags mischarges and improves accuracy.

“EmCare Hospital Medicine has stayed at the forefront of the industry by integrating services and producing effective technology pieces,” said Francisco Loya, M.D., CEO of EmCare Hospital Medicine. “Along with RAP&GO, a technology tool that expedites admissions from the emergency department, and CMORx, an algorithm that enhances billing practices, this Rounding Charge Capture tool offers EmCare partners a suite of technology services that is unrivaled in healthcare.” 


New Fitness Trackers Have Patients Wearing their Heart (Rate) on their Sleeve

Posted on Thu, Dec 18, 2014
New Fitness Trackers Have Patients Wearing their Heart (Rate) on their Sleeve

By Dr. Adam Corley

With the holiday shopping season in full swing, many of us are trying to decide what gifts to get for our friends and family.  Healthcare and fitness items often make it to the top of many people’s wish lists as they prepare for the upcoming year and the resolutions that they plan to make. Even for those who are not necessarily inclined towards exercise and fitness, gifts to encourage or facilitate a healthy lifestyle are often popular.
Over the past few years, there has been an explosion of electronic items that collect data about lifestyle, fitness, sleep, and other health metrics. Many of these small devices are wearable and transmit data to smartphones or computers. Consumers, personal trainers, and even physicians can use the data to make healthcare, fitness, and lifestyle adjustments.
Practice Fusion, a cloud-based electronic medical record company, asks a survey question of their 20,000 physician consumers every Friday. Recently, the site queried doctors about whether their patients had asked about incorporating data from wearable devices or other healthcare apps into their medical record. Of the 353 doctors who participated, 15% responded yes. 
In the likely event that you're presented with data captured from electronic health trackers, use the tips below to provide patients with reasonable expectations for use of this information.

Here are some ideas of what can really be achieved with wearable fitness trackers

  • Understand your baseline.  Most of us aren’t really aware of how our daily activities add up.  How much are you really on the move? Are you sedentary more than you realize? A fitness tracker can provide a decent idea of what your baseline activity looks like.
  • Track and balance your calories.  There is a tendency to overestimate our caloric output and underestimate how many calories that we take in. Tracking calories burned both with routine daily activity and with exercise can give you the perspective that you need in order to plan meals, work-outs and activities.
  • Understand how you sleep.   Many wearable fitness devices provide data about how long you sleep, how often you move or get up, and some even try to estimate how long you spend in each stage of sleep. Though there is some question about the usefulness of the data about restlessness and movement, making sure that you get enough sleep is clearly beneficial.
  • Motivate yourself.  Knowing that your activity is being tracked and recorded can be very motivational. Aiming for your daily and long term goals and tracking them with your device can inspire you to stick with your fitness plan.
  • Track your progress. After you understand your baseline activity level and calorie output, set your fitness goals, make sure that you’re sleeping enough, and appreciate your new found motivation, you can track your fitness progress. Viewing your successes and set backs over time allows you to adjust your diet and activity to maximize and appreciate your success.

While some doctors don't believe there is a place in the hospital for fitness trackers, the fact that 15% of patients are currently using these devices and presenting the data to their doctors means there needs to be an awareness by physicians about how to handle the data while being honest about its usefulness and its limitations, all while making sure the patient feels like a partner in their care and not shut out of the process. It may not help us cure any major diseases, but by following the guidelines above, hopefully you and your patients can have meaningful conversations about how health trackers can help facilitate a healthy lifestyle, which could prevent a few.

Adam Corley, MD, FAAEM, FACEP, is a Regional Medical Director for EmCare and practices at Brazosport Regional Health Center in Houston, TX.