Had a great talk in the PSEDM 2019 conference. Though my Keynote wasn't playable there and had to settle with a PDF (LOL) - I at least was able to finish my presentation and got some nice laughs from the audience. This presentation is about the current state of electronic medical records systems here in the Philippines and what I've seen doctors use in their practices.

1. ELECTRONIC MEDICAL RECORDS
IN THE PHILIPPINES

2. 2
What is an EMR
AKA Electronic Medical
Records System
What It’s Not
Debunking the most common
misunderstanding when you
hear “EMR”
What To Expect
For This Short Talk

3. 3
How EMR’s Help
Contrary to what you hear, it
really does help.
Data Privacy Act
Pretty sure you’re already
thinking about this right now…
Misconceptions
There’s a shift in how something
is traditionally done, which
means there will be
misconceptions.
Different Types of EMR’s
Pros, common issues and what
you need before you can start.

4. 4
The Future
How it affects Philippine
healthcare as a whole.
Mandatory Closing
Because I need to finish this talk
somehow.
Electronic Medical Records in the Philippines

5. 5
DENNIS SEYMOUR ONG
CO-FOUNDER, SeriousMD
Hello!
We build software to better healthcare in the Philippines

6. INTRODUCTION

7. 7
Unbiased
Comparisons
Feedback from
Actual Doctors
From Personal
Experiences
1 Goal For This
Talk, Which Is…
Full Disclosure

8. 8
You’ll Be Able To Pick The
Right EMR For Your Needs
My 1 Goal For This Talk
When you decide to use an EMR…

9. WHAT’S AN EMR?

10. 10
TYPE-WRITTEN WRITTEN TAKE PICTURES OTHER FORMATS
Electronic Medical Records
Systematized collection of patient health information in a digital format.

11. WHAT IT IS NOT

12. INTRODUCTION

13. 13
Beds
Archives Records
Billing
Labs Radiology
Hospital Information System (H.I.S.)
And More

14. 14
Only Hospitals and Large
Medical Centers Used EMR’s
Before…

15. 15
Private Clinics and Medical
Groups Use EMR’s
Today…

16. HOW EMR’S HELP

17. 1. ACCESSIBILITY

18. 18
Where You Left It Longer To Search Can’t Share It
When You Need To
But It’s Easy!
With Paper…

19. 19
Shareable
Easy To Do Instant Retrieval
Available Anywhere
Going Electronic…

20. 2. PROCESSABILITY

23. 3. DURABILITY

25. 4. SECURITY

29. 29
Your PIN or
Finger Print
Your Account
Password
Permissions and
Access Control
Compliance with
International
Privacy Standards
(E.g. HIPAA)
Data Encryption
Various Ways To Secure
Here are a few of them

30. Speaking of Encryption
You’ll need the password to decrypt this

31. PAPER EMR
Accessibility Where You Left It Anytime, anywhere
Processability No Reports/research
Durability No Automatic Backups
Security Cabinet or Door Lock
Encryption, compliance to
international standards etc.

32. THAT PRIVACY ACT…

33. DATA PRIVACY ACT
OF 2012 (DPA)
*In the Philippines

34. MOST COMMON ISSUES
▸ Worries over EMR
compliance
▸ What is it really for?
▸ More hassle. Stick with
paper…
▸ Overall confusion over the
Act

35. USING PAPER RECORDS?
YOU ARE ALSO REQUIRED
TO COMPLY WITH THE DPA
JUST TO GET THIS OUT OF THE WAY…

36. 36
How an individual or organization
should handle or manage personal
data that are collected
Essentially, the DPA
is an act that tells you …

37. YOU SHOULD ALSO
“SECURE” YOUR DATA
THE DPA ALSO TELLS YOU THAT…

38. KEEP SAFE FROM
THEFT

39. PROTECT THE
DATA SO IT WILL
NOT BE LOST OR
ALTERED

40. HAVE ACCESS TO
THE DATA WHEN
YOU NEED IT

41. BE ABLE TO
IDENTIFY WHO
ACCESSED YOUR
DATA

42. PROTECT DATA
FROM FLOOD,
FIRE, ETC.

43. HAVE BACKUPS
OR COPIES OF
YOUR DATA

45. HOW MANY TIMES HAVE
YOU LOST RECORDS?
WHO TOOK IT?
WHERE DID IT GO?
DO YOU HAVE BACKUPS?

46. IF YOU KEEP OVER 1000 RECORDS
PHASE 1: REGISTER WITH THE NPC

47. INDICATE WHAT THE DATA IS FOR
AND HOW YOU PROTECT IT
PHASE 2: COMPLY

48. CHOOSE AN EMR PROVIDER
THAT COMPLIES TO THE DPA
BEFORE OUTSOURCING TO THEM

49. HAVE AN INTERNAL DATA
PROTECTION POLICY
WITH YOUR STAFF

50. DO ELECTRONIC
MEDICAL RECORDS
MAKE A DIFFERENCE?

52. 52
Productive StaffHappier Patients
A Lot More Time
Access When Traveling Higher Revenue
Home in time for dinner??
Actual Results from Feedback

54. MISCONCEPTIONS

55. “I’M NOT TECHIE”
NUMBER 1

56. BUT…
▸ You can use MS Word
▸ You’re on Facebook daily
▸ You put pictures on Instagram
▸ You chat on Viber
▸ You use Excel to keep track of things and side businesses
▸ You’re secretly playing Candy Crush right now
▸ And you have the latest phone model

57. YOU ARE!
I’M NOT THE TECHIE
ONE HERE…

58. “IT’S SLOW”
NUMBER 2

59. WHAT ACTUALLY SLOWS YOU DOWN?
▸ Going through past notes
▸ Trying to understand what
you wrote
▸ Write the same set of
prescriptions and requests
▸ Write the same letters,
certificates, etc.

60. HOW GOING ELECTRONIC WILL HELP YOU
▸ Optimize your workflow
▸ Automate and cut down on redundant tasks
▸ You’ll lessen the consult time (= more patients seen)
▸ BUT you actually spend more time with the patient
▸ Your patient will see the difference

61. “HOW ABOUT THE
DOCTOR-PATIENT
RELATIONSHIP?”
NUMBER 3

62. FEAR FROM READING
AN ARTICLE ONLINE
NUMBER 4

63. WHERE IS THE DOCTOR FROM ANYWAY?
▸ Doctors in the US are required to use an EMR and fill
up forms a certain way.
▸ It takes freedom away from the doctor and makes
them feel like data-entry personnel.
▸ If they don’t fill it up the right way, they wont get paid.
▸ It’s mainly the fault of insurance companies, the
government and other policy makers.

64. FEAR OF HACKS
(& FAKE NEWS)
NUMBER 5

65. A LOT OF SOFTWARE
DO NOT COMPLY WITH
ANY SECURITY
STANDARDS BECAUSE
IT COSTS A LOT OF
RESOURCES

66. “IT’S HARD”
NUMBER 6

68. EVERYTHING ‘NEW’ YOU TRY IS HARD
▸All new things have a learning curve
▸The question should be, how large or
small is the learning curve?
▸The software you choose will have a lot
to do with that.

69. TYPES OF EMR’S

70. UNDERSTANDING THE REALITY
▸ No software is perfect for
everybody.
▸ If it fits your situation and
your workflow, then you
can optimize and double
your productivity over time.
▸ Many EMR softwares will
improve over time.

71. EMR TYPE
Positives The positives of the software
Weaknesses The weaknesses of the software
Privacy/Security Backup process, security implemented, DPA
Hardware Hardware you need to get started
Cost The price range for the software

72. The “Not Really an
EMR System”
EMR SYSTEM TYPE 1

76. The “Not Really an EMR System”
Positives Ultra Simple. Save text notes.
Weaknesses
Used Solo. Limited or no updates, no databases of HMOs/Drugs/Etc.,
may or may not be able to store images. Printing out prescriptions may
or may not be possible. No reporting (Mostly unstructured notes)
Privacy/Security
Many are encrypted. Backups are done manually.
DPA phase 2 = not outsourcing.
Hardware Computer or Mobile Phone (Use existing or Php 25k+)
Cost $4.99 - $20 Per License or $8+ Per Month

77. Personal Database
(Sariling Sikap)
EMR SYSTEM TYPE 2

81. “Personal Database” Sariling Sikap
Positives
Your forms, your way. You’ll be able to print prescriptions, but it
will need some trial and error. Data is structured.
Weaknesses
Solo access. It takes setup at the start. No built-in databases for
drugs/HMOs/labs etc.
Privacy/Security
Manual backups. Some level of security.
DPA phase 2 = not outsourcing.
Hardware Computer or Mobile Phone (Use existing or Php 25k+)
Cost $50 - $100/year

82. The Legacy Systems
AKA the “Oldies”
EMR SYSTEM TYPE 3

85. The “Oldies”
Positives It works. Sort of structured data.
Weaknesses
Too customised. Functionality over design. Built for old systems so there
will be a limit to the size it can store OR eventually slows down. Updates
are harder. Reports will depend on the vendor. Offline only.
Privacy/Security
Most are not encrypted. Backups are done manually.
DPA phase 2 = not outsourcing.
Hardware 2 Computers (Use existing or Php 40,000+)
Cost Free or Php 40,000 - Php 300,000

86. “Custom Made”
EMR SYSTEM TYPE 4

87. Sam
ple

88. “Custom Made”
Positives
It’s your system. Your forms, your way. You control the design.
You control what should show up.
Weaknesses
Most likely offline only. You’ll have to experiment with the
people you hire. Possibility of losing the programmer.
Privacy/Security
Not encrypted. Backups are done manually.
DPA phase 2 = not outsourcing.
Hardware 2 Computers (Use existing or Php 40,000+)
Cost Php 80,000 - Php 500,000++

89. “Software As A Service”
(SaaS)
EMR SYSTEM TYPE 5

90. ▸ Cliniko
▸ Zenoti
▸ Janeapp
▸ Etc.

91. ▸ Practice Fusion
▸ OpenEMR
▸ Etc.

92. ▸ SeriousMD
▸ Dr. Chrono
▸ Practo
▸ Etc.

93. Software As A Service (SaaS)
Positives
Accessible. Many are designed well or continuing to improve the
design. Structures notes. Ongoing updates. Role-based access.
Weaknesses
Internet. Not as customizable. Databases rely on country it was
made for.
Privacy/Security
Many are encrypted. Backups are automatic.
DPA phase 2 = outsourcing. Ask if they are registered with NPC
Hardware Computer or Mobile Phone (Use existing or at least Php 25k++)
Cost Free - Php 800 - Php 12,000++ (Plus Monthly Internet)

94. THE FUTURE

95. ▸ Doctors can coordinate with other doctors.
▸ Improved patient care: communication, education,
timeliness, efficiency, etc.
▸ Better clinical decision making by
integrating patient information from multiple sources
▸ Patients can share their records even if they move to a new
city or country.

96. 96

97. 97

98. THAT’S JUST
THE
BEGINNING

99. 99
Get In Touch
💌 dennis.ong@seriousmd.com
🕸 DenSeymour.com
📸 Instagram.com/denseymour
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