For the
Record
A Lafayette entrepreneur helps local doctors go
paperless.
By Lisa Hanchey |
4/4/2007
www.theind.com

iMed account
manager Erica Venable reviews recent
software updates with Dr. Daniel R.
Bourque, a local OB/GYN who was the
first to utilize the Lafayette-based
company’s electronic medical records
software.
Photo by Travis
Gauthier
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Hospital errors have been making headlines lately,
particularly when it comes to medicating patients. A
March study by United States Pharmacopeia, a nonprofit
agency that monitors pharmaceutical use, found that
surgical patients are three times more likely to
experience a harmful medication error than other
patients in the health care system. One of the main
reasons cited is that no single person is assigned to
track patients’ medications during the surgery process,
meaning paper charts sometimes get lost in the chain.
Glenn Jumonville of
Lafayette experienced these paper-trail problems
firsthand. When his daughter was born with spina bifida,
he dealt with numerous New Orleans physicians handling
her condition. Three times in a row, the hospital lost
his daughter’s charts, leading to Jumonville’s repeated
recitations of her medical problems to specialists. “I’m
a professional and I needed to make money, and it would
take hours to explain to the physicians what was going
on,” he says.
This experience
compelled software specialist Jumonville to launch a
technology company. After the dot.com bust, he started
his own business in 1999 called iMod Inc., an e-business
development company. Through research he discovered that
the medical industry was moving toward a paperless
system, including electronic medical records. That led
to the formation of iMed Software Corporation in 2001.
While Jumonville had
plenty of technology experience, he had none in the
medical field. He enlisted the help of a friend, Dr.
Peter Abel of Cardiovascular Institute of the South in
Morgan City. Jumonville followed Abel around his clinic,
trying to grasp what technology physicians needed to
make their practices run more efficiently. After
drafting an idea on paper, Jumonville presented it to
his in-house computer programmers, who fine-tuned the
software. In 2003, iMed signed up its first client, Dr.
Daniel R. Bourque of Lafayette.
iMed’s electronic
medical records software is geared more toward the
clinical side, rather than the financial side, of a
medical practice. “We provide tracking for all of the
patient’s information, maintain the patient’s health,
maintain the drug list, and even record the
prescriptions,” explains project/marketing/operations
manager John Credeur. “It’s all based around a patient
information system.”
From the time
patients check in, iMed records their progress. Before
examinations, medical records are scanned into the
doctor’s system. When a patient arrives, the
receptionist keys in his/her name, which shows up in
black on the computer screen. From that point, the
patient goes to another terminal where a nurse takes a
medical history. As soon as the nurse enters the
patient’s information, the examining physician receives
it in real-time on a laptop. With a touch of a mouse,
the doctor can instantly view the patient’s medical
history, medication regimen, lab results, past visits,
and other key data without having to shuffle through
stacks of papers.
After examining the
patient, the doctor enters the progress note into the
electronic record and sends the diagnosis and treatment
instructions instantly to the checkout station.
Prescriptions are either electronically transferred to a
pharmacist, or printed for patients to take with them.
Once patients have finished, their names change to red
on the receptionist’s screen.
“What we tried to do
was to take technology that would make it easier for a
doctor to walk into the office and get examinations done
faster than he could before,” Jumonville says. “So, it
is cutting down the paper flow.”
Over the past few
years, public programs like Medicare and private
insurance companies have drastically cut reimbursement
rates, and doctors have to see more patients in order to
make the same amount of money. At the same time, the
government is pushing to eliminate medical mistakes in
diagnoses and medications. Medical software addresses
both of these problems by improving speed and accuracy
in physicians’ practices.
“In essence, iMed
software will make the physician smarter, which is
hopefully going to help the patient,” Jumonville says.
“From a public standpoint, it’s about improving the care
and accuracy of the information, and hopefully, driving
down the cost of health care. The public should be
forcing this, because it is going to improve care, it’s
going to cut down on mistakes, and it’s going to drive
their costs down.”
Local hospitals
using medical software are already noticing
improvements. Both Lafayette General Medical Center and
Our Lady of Lourdes Regional Medical Center use
technology provided by Cerner Corporation. In the four
years since LGMC has implemented the system, its staff
reports a decrease in medical mistakes. “We are seeing
an overall decrease in medication errors, for the simple
fact that communication is greatly improved,” says Al
Patin, LGMC’s interim chief nursing officer.
Another benefit from
the software is a decrease in costs. “We are recognizing
decreased costs and increased revenue, because we have
an automated system,” observes Edwina Mallery, manager
and clinical coordinator of information systems at LGMC.
Lourdes installed
the Cerner system this year but is already receiving
positive feedback from employees. Through the software,
Lourdes is able to share information with its sister
hospitals, Our Lady of the Lake Regional Medical Center
in Baton Rouge, St. Francis Medical Center in Monroe and
St. Elizabeth Hospital in Gonzales. “Everybody has the
information at hand,” says Nona Mire, Lourdes’ director
of information systems. “For instance, if one person
puts in the fact that a patient has an allergy, then
everyone else in the institution who needs the
information immediately has access to it, rather than
having the chart following a patient around. That’s just
one small iota.”
Mire notes that the
system has also saved money for the hospital. “Sharing
the same computer system with the sister hospitals saves
us in costs,” she observes. “You have a lot less people
that have to maintain that hardware.”
Every month or so,
iMed’s support staff visits clinics to evaluate how the
system is working, and the company constantly updates
its software to accommodate physicians’ requests.
“That’s where we get some of our best development
ideas,” Credeur says. “A real big key for us has been
getting in there and listening to the physicians and
staff members, and saying, ‘What can we do to make this
better for you?’ We want happy clients, and we want
software that’s working well.”
Since installing the
first system in 2003, iMed’s business has skyrocketed.
The software company now has about 65 physicians using
the system from Lake Charles to New Orleans. Recently,
LSU’s residency program and Lake Charles Memorial
Hospital purchased iMed’s software. The company is
receiving out-of-state inquiries from as far away as Las
Vegas and North Carolina.
The company’s next
step is to provide a free online service that will
enable the public to maintain an online health record.
This electronic health record, called a “patient
portal,” will be accessible through an online Web site —
EHR Passport. “This basically will be a patient’s
medical passport,” Jumonville explains. “Wherever they
go, the information will follow. It’s all
Internet-based, and it will be secure.” |