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MessagePosté le: Mar 27 Mar - 03:36 (2018)    Sujet du message: Répondre en citant

In choosing an EMR system for an ophthalmology practice , a major factor to consider is the system s ability to handle high resolution images.

At our practice we have a multi sub specialty which includes glaucoma and retina, which require that electronic images are viewable from devices such as both digital fluorescein cameras and ocular coherence tomography, GDx and HRT.

Many EMR systems have viewing modules built in. Some practices may want to consider a solution which has more robust capability , such as the ability to view multiple images at the same time, meanwhile scrolling through other reports, along with the ability to view images over a WAN between office locations.

I recently spoke with Steve Thomas , CRA of Florida Opthalmic Consultants, an independent imaging consultant for ophthalmologists. I asked him about the key factors that a practice needs to consider when selecting an imaging system. His responses:

1. Durability. This is based on the reputation of the manufacturer and the average amount of use. Can you get it fixed fast if it breaks? Who provides the technical support?

2. Expandability. After the system has been in use for a number of years, will you need additional computer resources to manage the increasing patient image information? How do you backup this information to protect loss?

3. Affordability. This is based on your patient volume how many fluorescein angiograms (FA) and fundus photos (FP) are typically performed? Based on the revenue from this volume what does the system cost to run and maintain?

4. Licensing. Is the system licensed per practice , per doctor, or per user? If it is per user, does the system limit how many users can be logged on at any one time? Can you network the system into all your exam rooms without having to purchase additional licenses?

5. Interoperability. Is it a self contained system? Will it dovetail easily with your existing EMR system? Or is the digital part from a third party manufacturer , complicating service issues when the system goes down?

6. Usability. Do you need to hire special staff to operate the equipment? If not, does the manufacturer provide extensive training to your existing staff? Is ease of use offset by a lack of capabilities?

7. Accessibility. Can you access the information from office to office if your practice grows requiring that need? How easilyquickly can you view these images across a wide area network? Will you be able to do any tele medicine with the equipment?

8. Resolution needs. What image resolution (for FA and FP systems) will be required to suit your practice needs? Don?t fall into the higher res is better trap ? a high resolution image viewed on a lower resolution monitor may lose critical fine details, such as micro aneurysms , due to compression. It is important to match the resolution of the system to that of your monitors with the lowest resolution.

I have not discussed the more technical uses here, such as hardware or software interfaces between different devices and the image system. These are important considerations, but should only be a part of your overall needs analysis for an ophthalmic image style.
So you are getting married. You are so excited infact your whole family is so excited! What do you want as a present? What will your hair be like? Are you really going to wear that color of dress? All questions that may be fired at you during the course of the next few months. But one question can strike fear and trepidation into the strongest of brides. What is your mother going to wear?

The mother-of-the-bride outfit is probably the most talked about outfit other than what the bride is wearing. Not even the grooms choice of morning suit , kilt or sneakers and jeans will be talked about as much as what the mother-of-the-bride will be wearing.

Even if bride and mother-of-the-bride have a fantastic relationship outside of wedding planning, when it comes to what your mother is going to wear on your wedding day things can go horribly wrong!

She will have dreamt about this day from the moment you first opened your eyes and stared into hers. She will have planned and re-planned her outfit several times, over each decade that has passed , hopefully moving with the times!

She will have a definate idea of the image she wishes to project and how she wants to look on this wonderous day and hopefully that will coincide with your own ideas.

If you are lucky she will co-ordinate with the rest of the bridal party and your photographs will be a riot of harmonious color. If you fall into the not so lucky catergory then the photographer may experience diffculty placing her beside someone she doesnt clash with or horror of horrors the mother-of-the-groom turns up in the same dress!!!

If your parents have divorced and re-married then this situation can actually get worse. You only have one mother and she carries the mother-of-the-bride mantle but people, and its just human nature, will be looking at your fathers second wife's oufit almost as closely as the mother-of-the-bride's.

I did hear a story where a bride in this situation suddenly realised that the two women in question had indeed bought the same dress. Approaching her mother tactfully she mentioned that it might be an idea to take back the dress as she would have no other appropriate celebration to wear it to. Her mother smiled and replied that of course she would get another dress for her daughters big day but would be wearing the original dress to the wedding rehearsal dinner!

When is comes down to it the main thing is that everyone is happy and it would be foolish to let a disagreement over a mother-of-the-bride dress get in the way of your wedding. Always remember girls one day you may be. Wholesale NHL Jerseys Free Shipping Wholesale NFL Jerseys China Wholesale NCAA Football Jerseys Wholesale Basketball Jerseys Online Wholesale MLB Baseball Jerseys Wholesale Replica Soccer Jerseys Cheap Jerseys Cheap NFL Jerseys Cheap NCAA Jerseys Wholesale Basketball Jerseys From China  

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