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Slide 1: document imaging - Paperless and Purposeful Northern Michigan’s Muskegon County Community Mental Health Services (MCCMHS) implemented its Avatar practice management system back in 2003 to automate electronic health records (EHR). Although the Avatar system had a document imaging module that could digitize the patient histories, lab reports and documents that would always require doctor and patient signatures, several of the county’s nonclinical departments—including HR and Finance— were also contending with overflowing file cabinets and rising storage and handling costs. Rather than implementing separate solutions for the clinical and non-clinical sides of the house, MCCMHS officials recognized that enterprise content management (ECM) Document Management Software would be the most efficient and cost-effective way to answer its document-related challenges. ECM Supports EHR MCCMHS’ search brought the organization to Jeff Nelson of Bolt Document Management, a Laserfiche reseller based in Elkhart, IN. “Initially the objective was for the Laserfiche system to act as a bridge between legacy information and future digital content,” Nelson remembers. “At the same time, implementation of Laserfiche allowed MCCMHS to address areas where working with paper was simply inefficient.” In 2003 Pat Latimer, the former project manager, led the effort to implement a 118-user Laserfiche system in the agency’s centralized scanning bureau. Staff began migrating and adding patient histories and signature forms for use in conjunction with patient records, which were being generated from Avatar by Crystal Reports and then scanned into Laserfiche. Dave McElfish, Director of Technology, says that although the original idea was for clinical staff to simultaneously access patient information from Laserfiche and the practice Document management system, “the reality was, even though we purchased Avatar with the idea of integrating it with Laserfiche, when we explored it further, it was going to be cost prohibitive on the Avatar side of the project.”
Slide 2: In the meantime, Laserfiche deployment had been extended to MCCMHS’s HR and finance departments, which likewise began migrating backfiles to ease storage costs and give staff the ability to retrieve information on command. System use has since grown to the point that the Laserfiche repository now houses over 800,000 documents. More recently, McElfish says clinical staff have once again expressed interest in being able to access to information from Avatar and Laserfiche Document Management Software at the same time, even going so far as to revisit the idea of using Avatar’s add-on imaging module. “After much consideration, our clinical staff felt that would put us no further ahead in our goal for a true, single database to model our EHR from,” McElfish says. “The reality is that Laserfiche is designed to manage unstructured data, so in that respect it’s closer to that single database because we are able to include unstructured data, such as lab reports and doctor’s notes.”