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Effects On Workload

The Pronto Model:

The basic premise of The Pronto Model is that "all staff members who participate in the care of patients should also participate in the generation of reports." This distributes the workload and reduces the work of report generation for individual users, especially physicians. In addition, distributing the workload improves performance and morale of non-physician staff, as there contributions to patient care are represented in the final report. Lastly, group participation in report generation usually improves report accuracy, as several individuals have an opportunity to catch errors.

Point of Service Reporting:

A report generated using standard practice typically requires duplication of effort. If we take an imaging report as an example, the work of scheduling is independent from the work of the technician which is also independent of the work of the physician. With Pronto, the act of scheduling a patient begins the reporting process, by including patient demographics, ICD diagnosis codes and CPT billing codes. In addition, the technician has immediate access to all prior reports on the patient before performing the procedure. They can prepare themselves for the issues at hand and can incorporate some of the material from prior reports in the current report with the click of a mouse. Pronto then speeds report generation through the use of robust specialized entry screens, perfect for the technician to enter their preliminary findings. By the time the physician has the images on the screen for review, the completed preliminary Pronto report is also available for review, along with easy access to the patient's medical record. The physician may browse through old reports, use graphical presentations of exam data or may have Pronto review the current data compared to prior data and make an interpretation. Finally, the physician electronically signs the report and it is immediately transmitted to referring physicians and/or hospital information systems. The process that took days before, may now be completed in many cases before the patient leaves the examination area.

Pronto Reduces Staffing & Saves Money:

Transcription costs are dramatically reduced or eliminated by Pronto and many reports are electronically distributed and stored, eliminating distribution and storage costs. Many offices work entirely paperless and have entirely eliminated the costs/burden of storage and destruction of old reports (many of which need to be kept for 7 years or more). Even a relatively small cardiology office that creates 5,000 to 10,000 E&M and procedure reports per year will see a positive return on their Pronto investment in 12 to 18 months, and that is exclusive of the report storage and distribution savings. In addition, the number of patients that can be evaluated by a physician can be dramatically increased (especially for procedure reporting) and the need for secretarial and billing staff will be reduced. We have seen patient volume doubled and tripled at Pronto sites without the need to increase secretarial, billing or physician staff.

Pronto Improves Practice Management:

Pronto is built around a robust database engine that contains codified data on every patient encounter. That data allows for the automatic interpretation of clinical information (Clinical Insight) and for the built-in support of outcomes and QA analysis. A robust reporting package is built into the Pronto system for clinical and administrative reports. For example, a clinician might want to compare the results of stress echocardiography be to the results of coronary angiography or an administrator might want to review the various E&M components in patient clinical reports with the E&M level billed on a per-provider basis. There are more than 20 built in reports in addition to user-defined custom reports.

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