Re: Digital Dental Office - No Charts?
From: Joel M. Eichen (joeleichen_at_yahoo.com)
Date: 09/26/04
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Date: Sun, 26 Sep 2004 06:17:17 -0400
On 25 Sep 2004 19:12:31 -0700, dentaldoc@hotmail.com (Bill Combs)
wrote:
>jr <news@halo3.net> wrote in message news:<PNF3d.11492$as2.10522@bignews3.bellsouth.net>...
>> Hello Everyone,
>>
>> The thinking is that
>> with a new practice, if you don't start out with digital x-rays it is
>> very difficult to go fully digital in the future.
>
>
>Actually, it's very simple to switch from film radiography to filmless
>radiography: you just get the digital equipment and use it. What could
>be simpler than that?
ahhh, two steps ... I was looking for all-in-one step.
Joel
>
>(I'm assuming that the dentist who switches from film to filmless has
>a compatible xray machine to start with. Some dentists have been
>burned by salesmen who sold them the digital equipment, only to learn
>after delivery that they have to buy a new xray unit also, if they
>owned an incompatible unit.)
>
>>From a practical standpoint, it makes no sense to buy the film and
>chemicals in the first place if you're going to switch to digital. You
>save the extra money for two systems by starting with digital.
>
>
>
>> How do you handle issues where a patient signature is actually required?
>> Consents, etc. Do you use signature capture pads, have the person sign
>> paper and then scan documents and store them with the chart. Then comes
>> the issue of backups and security, the list goes on and on.
>
>Check how you can legally assure the authorities that the patient
>chart treatment notes are tamper-proof. There have been legal cases
>LOST by the dentist due to this issue; the treatment notes could have
>been entered by the dentist after charges were filed. If this charge
>is leveled by the plaintiff, can you PROVE that the chart's treatment
>notes were contemporaneous? Can you PROVE that you didn't hire a
>computer expert to help you alter the notes and the dates? It's even
>more suspicious if you're an expert yourself.
>
>With paper records, it's relatively easy to show that dated entries
>are in proper sequence. In court, pen and ink charts can be
>scrutinized for alterations and even dated according to the type of
>ink used. How do you test the computerized treatment records? This may
>not be a big issue where you live, but here in California the lawyers
>are out in force.
>
>- dentaldoc
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