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My Vision Express was created specifically for eye care professionals. Our focus is on providing a complete-featured optometry, ophthalmology, and optical software that streamlines your practice and increases revenues while improving patient experience.
My Vision Express is ONC-ACB Certified being a 2014 Edition compliant Complete EHR system. It assists in attesting to Meaningful Use and avoiding Medicare payment adjustments which is ICD-10 ready, with e-prescribing and PQRS capability.
Whether youre a close watch care professional working like a sole practitioner having a single office, an optical retailer with multiple locations, or are component of a network of vision care practices, My Vision Express lets you implement one particular, centralized solution.
Offer patients online appointment management and share your appointment availability online.
Remind patients via email, message, and/or even a voice call an appointment as well as confirm or cancel that appointment.
Remind patients via email, word, and/or voice call they are due on an appointment.
Remind patients via text or voice when you are ready to buy new disposable lenses.
Promote your practice review page in Yelp, Google Local, Facebook, and/or Yahoo! Local to improve where and how you appear looking engine results.
Meetour sales, implementation, and training experts
Nichol Wills began her optical career for an optical manager using the top world-wide optical retailer in 2005 and contains gone to run multi-location private opticals. Nichol can be a Licensed Optician and holds a Bachelors degree in Political Science from your University of Miami and maintains current ABO and NCLE certifications. She has been section of the My Vision Express team since January of 2012 and is also currently the Northeastern Regional Sales Manager and Sales Team Lead. Her extensive optical knowledge and experience helps offices clearly discover how My Vision Express might help accelerate their practice.
Robert has several years of Information Technology sales experience, the final two of which were with My Vision Express. Known for his enthusiastic, customer-focused mentality, Robert shows value of our software to the prospects and customers who appreciate his input. He shows an actual understanding of the problems that affect the market and stands wanting to assist as required. Robert currently may serve as our Central Region Account Manager.
Josh is My Vision Expresss West Coast Regional Sales Manager and our longest serving salesforce member. He has eight many years of experience in optical industry software sales and more than that time has amassed an abundance of knowledge about this company. Josh draws on his experience and needs a consultative approach because he works with each one of his prospects and customers and demonstrates the very best ways to obtain the most through the software. This ends in very happy customers which range in the independent practitioner to 1 of the largest optical retailers.
Jennifer Childress can be a Board-Certified Licensed Optician with 17 years example of the optical industry. Jennifer has achieved both ABO and NCLE certifications, has owned and operated an excellent practice, and served because general manager for one from the most successful independent optical retailers in South Florida. Years of optical management have taught her the complexities of just about every practice type.
Denise holds a in Psychology from Florida Atlantic University. She began her optical career for an ophthalmic technician in 2006 and possesses been with My Vision Express since January of 2012 because lead on-site trainer dedicated to electronic health records EHR, Meaningful Use, and also the transition to ICD-10. Years of optical experience allow her to show customers the way to optimize workflow inside their offices whenever they adopt My Vision Express.
Lisa is originally in the Metro Detroit area where she started her optical career in retail, dispensing for two main large chains. In 1989, Lisa began doing work for a major wholesale optical lab providing customer care to doctors and opticians. All those numerous years of experience inside a wholesale lab environment she now gives My Vision Express as well as customers.
Veronica found My Vision Express with seven a lot of experience in optical sales. During the period, she worked for optical retail chains in addition to private optometric practices. Her extensive knowledge and experience of the optical industry allows her to clarify how My Vision Express functions within a real context, so that it is easy for customers to be aware of and use the program efficiently.
Before joining the My Vision Express training team as our Insurance Billing and Product Specialist, Kim worked from the optical/ophthalmology sell for over 10 years. Kims years in the have equipped her using a great knowledge of the complexities of insurance coverage. This experience and knowledge makes Kim an important asset to working out team also to our customers.
Forest Barral holds a Bachelors degree in Digital Media Arts and it has been assisting My Vision Express users with implementation, setup, and support since joining us really. Prior to going to My Vision Express, Forest had worked inside the retail sell for over fifteen years. Using his information about My Vision Express and his experience with retail and customer support, Forest can tailor the implementation process to install each practices unique workflow and company needs.
As the Documentation Specialist, Meghan Modreck oversees the preparation and repair of all our documentation media. Meghan started her career with My Vision Express in 2011 for an Implementation Coordinator. Prior to that, she worked more than six years like a patient care coordinator plus in supporting ophthalmic EHR software. Her credo is usually that the customer must be treated with all the utmost professionalism, promoting a breeding ground of mutual respect that facilitates a typical goal: a very good software implementation.
The My Vision Express Cloud is fantastic for practices and businesses that are tired on the hassles of running, updating, and a client/server environment. Our network and database administration team will manage and store your databases in order that you dont must.
To help your office within the transition process out of your old management system to My Vision Express, currently cost-effective data conversion services that could save you both cash and time. We have experience converting and migrating data from your wide variety of systems programs.
Education would be the cornerstone of one's practices success. We appreciate this, this is why weve created our optometry software solution to get user-friendly and intuitive. Whatever the technological ability of your working environment, My Vision Express users should be able to utilize the practice management system and EHR software to fulfill your practices needs.
Our -based representatives provides you with tiered support via telephone, email, and live online chat. For more intensive, advanced support, they could connect to one's body via Internet access to steer through the issue in order to find a fix. We likewise have self-guided learning and do-it-yourself troubleshooting tools designed for your convenience.
Secure, web-hosted practice management and electronic health records solution.
Check appointments, orders, exams, and more at a smartphone or tablet.
Management and backup of databases.
Automatic updates and upgrades of My Vision Express.
Ideal for practices and opticals with multiple locations.
Private, dependant on remote access technology and accessible from any operating platform.
Centralize inventory management across multiple locations which has a distribution center.
Single-point ordering, real-time status updates, and placement invoicing.
Integrated craigs list 200 medical devices, diagnostic equipment, and measuring devices.
Safe and secure acceptance of plastic card and debit card payments.
Easily process sales and returns across multiple practices and retail locations.
Connected to just one shared database.
Schedule appointments and hang up up appointment recalls and reminders.
Take orders and accept payments while streamlining office workflows.
Conduct exams, manage patient records, optimize sales, and file insurance claims electronically.
Accurately manage inventory.
Send emails, voice calls, or text messages
Ideal for small businesses proprietors that only have to use one computer each and every day.
Manage patient records as effectively and efficiently as you possibly can, including demographic and insurance information, prescription history, health records, appointments, order history, plus much more.
Seamlessly manage appointments, consentrate on marketing efforts, and engage patients that has a dynamic, multimodal, and interactive feature. Reach patients via voice, two-way texting, email, and local search/online reviews.
Maintain accurate power over frames, contacts, spectacle lenses, lens treatments, services, along with other items for an individual practice or multiple locations. Look-up and transfer items across locations and easily check inventory in real-time.
Process sales with speed, accuracy, and efficiency. The Quick Order feature would be the ideal point-of-sale POS as well as a convenient approach to create orders, fill prescriptions, add payments, and even more all using one screen.
Perform paperless eye examinations efficiently plus reduce errors. The ONC-ACB Certified 2014 Edition Complete EHR is fully built-into a complete electronic record-keeping system that assists your practice every step from the way.
Streamline billing, accounts receivable, and insurance claims processing. Required fields are automatically highlighted for your claim to become successfully processed, reducing errors and producing faster reimbursements.
With the Staff Management module in My Vision Express,
Maintain accurate control over frames, for the purpose of,
We purchased our practice in December 2012. When we took over, your place of work already had RevolutionEHR in position. We were quite pleased about this as being the start up cost with an EHR system was one less expense that individuals had to incur. However, after almost a year of working together with this EHR, we found out that it failed to meet our needs to your satisfaction and chose to change. We started researching other EHR companies and made a decision to go with My Vision Express and that we could not be happier with this decision.
The design and layout of My Vision Express is really what you expect and wish in an EHR to smoothly operate your practice. As with all of EHRs, there is really a learning curve though the support from My Vision Express goes far above to make the transition as simple and painless as you can. If you are considering planning to EHR for that first time or maybe you are unhappy with the current EHR, you will need to give My Vision Express thinking.
My Vision Express is for the way for being the best optometric application on the market. When well written software program is supported by a team of dedicated programmers and support staff, not only listen but react to users suggested enhancements, the only method is up. Its simplicity of use, vast capabilities, and ever expanding enhancements, put My Vision Express inside a class all of its own. My Vision Express isn't just one of the very best optometric office programs around, your buck also causes it to become one the top values in the marketplace today.
Aventura, FL and Lighthouse Point, FL
The perfect solution! Finally, after a decade of managing servers each and every of our nine locations, we've got a wonderful practice management solution My Vision Express that delivers us through an outstanding range of features. Best of all, they have multi-site capability. I can honestly say my staff hasn't been happier. My Vision Express renders their lives easier in every single way. Better point-of-sale, appointment scheduling, inventory management, the offer has everthing. A cost effective, multi-site solution with great benefits and highly rated support. What else could you require?
I started using My Vision Express three or more years ago and consider it for being one of the top investments that I made. It meets both my requirements for back office and clinical needs so that you can optimize how I deliver my optometric service. Apart from your excellently priced running costs, the great support, and continuous updates keep my thoughts at rest with the knowledge that My Vision Express will continue to deliver and evolve being a database.
We purchase My Vision Express since 2008. The practice management software packages are powerful and flexible. Now I have seen the electronic medical records EMR component come to be a very nice product. It integrates beautifully using the practice management system and can be a wonderful addition. A hardy bravo goes toward the great support staff at MVE.
We have owned My Vision Express for quite a while now. We are very happy with what they have to offer, quite simple to use. It meets each one of our requirements and some. The My Vision Express Support team is prompt, efficient, and friendly. It is usually a great investment to the office.
My optometry practice is 34 years of age. Our office may be using My Vision Express since September 2010. We had a complete day of on-site support training to get going. The transition to the new office management software went exceptionally well. The software program is very intuitive. I especially appreciate the support which is offered while using ability to remotely access our office network. I would suggest MVE to the prospective buyer.
What a wonderful program! I have an impartial optical store and tried other point-of-sale POS programs and none come near to My Vision Express in simplicity of use and support. We have used My Vision Express for upwards of five years as well as the program has saved my staff never ending hours in inventory management and eyeglass sales help.
This is usually a great program which offers a lot of features. It was simple to learn and navigate over the different options. I love the features as well as the interface. Ive been using My Vision Express for just one year as well as its proven to become one of my best purchases yet. The support staff is also exceptional and earn this great software better still.
If five is the most beneficial, I give the offer a five! We have owned My Vision Express for more than four years now and this system is by far the most effective. It saves me a great deal of time with my customers and it also very feasible for the employees to make use of. Of the few times weve needed to call tech support, we obtain to speak with a person that knows the machine! I are actually recommending this technique ever since weve purchased it.
Rose Optical is located within the small capital of scotland- Godfrey, Illinois and weve been providing eye care services to the past 23 years to community. We were founded by Kevin Mangrum, Mark Ferguson, , and Jacob Toutloian.
Through many years frame styles have changed countless times, lens add-ons have improved dramatically and speak to lens materials too. Technology has continued to boost and even though often it can be frustrating, its definitely helped our practice. It has caused us to vary many aspects individuals practice, however it is also to blame for helping us sustain our practice growth. If youre looking for just a great practice management system or perhaps a better strategy to manage your contacts, youve got to contact them.
As a nearby business owner I appreciate how frustrating maybe it's to achieve a fantastic customer service along with the dealing with multiple customers, clients or subscribers when receiving complaints as well as bad news. This is the reason I am taking of time to recognize when someone has excelled my expectations. I wholeheartedly appreciate the outstanding service and dedication received by one of the employees when resolving a ticket for many people.
During the troubleshooting process, Ms. Gloria Marquez provided exceptional support and dedication to your electronic claim filing with Eyefinity clearinghouse. Her positive attitude and optimism have demonstrated a highly rated desire in achieving a top-notch, enjoyable plus more productive quality of service.
On behalf of Hereford EyeCare Associates, I extend our sincere appreciation for that part Mr. Scott Preztak played in making our transition from antiquated methods to the current century of My Vision Express. Scott has availed himself to your staff with any and each one of the questions or problems that individuals have experienced. It was with great hesitation because of this small office to vary the procedures and ways we operate. Scott has quieted our nervousness in reference to his expert understanding of My Vision Express. This professional amount of support has allowed us to navigate the tricky waters of the program.
It is using pleasure to state our sincere thank you for Scott Pretzaks degree of excellence. We look forward to mastering My Vision Express and await the afternoon it makes our workflow extremely effective.
Who doesnt like getting something without cost? Now, Im not speaking about a buy-one-get-one or BOGO kind of deal. I mean something far more substantial, for instance your bank skipping your property mortgage payment but credits you while using payment anyway. Does this ever happen inside the real world? The answer is possibly a resounding no. Does it take place in your own practice? It just might, and not inside a healthy way.
Recently I spoke that has a fellow eye care professional about each others practices. My colleague indicated that his practice struggled with billing. At the root from the struggle was the question if your staff was charging for those services? For example, when special diagnostic tests are ordered and conducted, will it be included inside the fees charged to the day? I am sure most of us
Medical records audits really are a necessary component of your optometric practice. Auditing means that your practice and staff are offering to you quality vision care, and also maintaining accurate patient documentation. Medical records audits arent a gotcha scenario these audits can help protect your practice against potentially fradulent claims and billing activity, to alert one to problems in medical coding problemns that could lead to challenges from insurers or perhaps the government, to discover reimbursement opportunities, plus much more.
Even using the positives, audits can generate stress. Do you feel beneath the gun when medical record audits occur? Do you awaken inside middle on the night inside a cold sweat, crying just like a baby? How about coding special diagnostic
Finding the correct software to your practice is usually a daunting task. Most practices understand the core features they require: a scheduler, patient information, electronic health records EHR, and financials. But why don't you consider the expansion of technology inside healthcare sector? It is essential to have a very software that will accommodate technology as well as your practices workflow simultaneously.
The core highlights of a practice management software are also the core features of your work. Ask yourself, What will be your practices first interaction while using patient? This can be an easy one its whenever they schedule a scheduled appointment. The calendar should enable you to schedule and record patient information within a timely manner. All that your staff is looking to input is basic
Sign up to your free trial on the leading practice management and electronic health records software for eye care professionals. Theres no cost without obligation.
3265 Meridian Pkwy, Ste 112
This Complete EHR is 2014 Edition compliant and possesses been certified by an ONC-ACB in accordance using the applicable certification criteria adopted because of the Secretary of Health and Human Services. This certification doesn't represent an endorsement because of the Department of Health and Human Services or ensure the receipt of incentive payments.
Copyright 2015 Insight Software, LLC. All Rights Reserved. My Vision Express is really a registered trademark of Insight Software, LLC. All other product names, images and/or other company logos mentioned herein will be the trademarks, service marks and/or copyrights of these respective owners.
Over 190 more countries can observe software prices on the internet and order by telephone or through business partners.
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Buy online within a few basic steps and download immediately. No shipping. No waiting!
Both new and existing IBM business customers can get software online. If youre a pre-existing Passport Advantage customer, youll visit your volume pricing once you sign in.
Paying is straightforward. All you need is often a credit card. And, if youve placed a purchase order with us before, youll likewise have the option to pay using a company purchase order! Were flexible!
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More than 30 countries in additional than 20 languages can purchase IBM software online. Hundreds more can look at software prices on the web and order on the phone or through business partners.
Over 200 more countries can watch software prices on the web and order on the phone or through business partners.
New and existing IBM business customers, both big and small companies, can get new software online. If youre a preexisting Passport Advantage customer that's, you might have already been approved to have volume discounts, it is possible to still purchase new software here; youll visit your volume pricing when you finally sign in.
However, when you are a current customer, and youd prefer to renew existing licenses or maybe your software subscription upgrades and support, you need to sign into Passport Advantage Online.
To buy software online, all you need is really a credit card. And, if youve placed your order with us before, youll have the option to pay having a company purchase order. Were flexible!
Once you complete your internet order, you may immediately manage to download your software. And take it easy, when you cant download without delay, therell even be a download link with your order confirmation email.
Once you decide on your country, youll see location specific contact options can be found in this spot, about the upper right of each one page.
Renew your IBM Software Subscription and Support.
Buy online inside a few points and download immediately. No shipping. No waiting!
Both new and existing IBM business customers can get software online. If youre a current Passport Advantage customer, youll call at your volume pricing once you sign in.
Paying is simple. All you need is usually a credit card. And, if youve placed a purchase with us before, youll in addition have the option to pay having a company purchase order! Were flexible!
Downloading is fast easy. Once you complete your order, you might immediately be capable of download your software !
And dont worry about it, when you cant download immediately, therell be also a download link with your order confirmation email.
More than 30 countries in additional than 20 languages can obtain IBM software online. Hundreds more can watch software prices on the web and order on the phone or through business partners.
We offer the Express 4 version for SOLO medics the Advanced features working on one particular computer or longer 2GB database, and Lite 4 for quick medical notes taking.
Starter version is provided for free for personalcommercial use, excluding governmental institutions. As it truly is free, you could have no support included, however it is possible to Order Support
To ensure that Patient Manager or Hospital Manager would be the right choice to suit your needs, try it for thirty days for FREE. During this period this system will run wonderful features activated.
You can request a complimentary license directly on the program or by emailing us. For an extended trial period email us at
The Prerequisites are programs that needs to be installed within the host machine the place that the application will run. These are 2.0 Framework and MDAC Microsoft Data Access Components. If you do not have them installed, the Prerequisites will likely be downloaded and installed automaticaly around the instalation on the sofware.
If you propose to install this system on machines without Internet connection, download these additional installers:
We perform and deliver customizations with a case to case basis, depending on how they fit using the programs design. Contact us at for even more discussions.
If you want the program branded on the company, for your use and reselling, e-mail us at
For multi-user and networked scenarios, it is recommended that you use MSDE or MySQL database.
These might be installed easily through the main menu Tools-New Database, then published from the local network from Tools-Database-Publish.
To connect from your workstations, search the created database from
Tools-Open Database-Search Network.
The program will notify you automatically every time a new update is accessible Check for program updates at startup ought to be checked in Administration-Settings.
To keep track of copy on the program, download and install the most up-to-date version indicated because of the notification. No uninstall is critical.
You can safely drive test Patient Manager 4 mainly because it installs and runs side-by-side with older versions from the program.
Use the Connect to older Databases under Tools, to name your older databases. In the Express edition or with Access databases, just backup your database in version 3 and restore it in version 3.
Note that updating older databases from version 1, 2 and 3, to version 4 is likely to make those databases accessible only from Patient Manager 4.
Copyright 2015 Vertikal Systems - EHR Medical Software, Electronic Medical Records and Medical Scheduling Sofware
We provide the Express 4 version for SOLO medics the Advanced features working on just one computer or more 2GB database, and Lite 4 for quick medical notes taking.
Starter version is provided for free for personalcommercial use, excluding governmental institutions. As it can be free, you might have no support included, however you'll be able to Order Support
To ensure that Patient Manager or Hospital Manager could be the right choice to suit your needs, test that for 1 month for FREE. During this period this system will run operating features activated.
You can request a totally free license directly through the program or by emailing us. For an extended trial period call us at
The Prerequisites are programs that must definitely be installed within the host machine the place that the application will run. These are 2.0 Framework and MDAC Microsoft Data Access Components. If you lack them installed, the Prerequisites will probably be downloaded and installed automaticaly about the instalation with the sofware.
If you intend to install this system on machines without Internet connection, download the subsequent additional installers:
We perform and deliver customizations with a case to case basis, depending on how they fit together with the programs design. Contact us at for even more discussions.
If you want the application branded on your own company, for your personal use and for reselling, e mail us at
For multi-user and networked scenarios, it is recommended that you use MSDE or MySQL database.
These may be installed easily on the main menu Tools-New Database, then published from the local network from Tools-Database-Publish.
To connect from your workstations, search the created database from
Tools-Open Database-Search Network.
The program will notify you automatically every time a new update can be obtained Check for program updates at startup ought to be checked in Administration-Settings.
To get more copy in the program, download and install the most up-to-date version indicated through the notification. No uninstall is required.
You can safely drive test Patient Manager 4 since it installs and runs alongside each other with older versions from the program.
Use the Connect to older Databases under Tools, to name your older databases. In the Express edition or with Access databases, just backup your database in version 3 and restore it in version 3.
Note that updating older databases from version 1, 2 and 3, to version 4 can certainly make those databases accessible only from Patient Manager 4.
Copyright 2015 Vertikal Systems - EHR Medical Software, Electronic Medical Records and Medical Scheduling Sofware
Clipboard Copy and Paste, Dragn Drop, Cutn Paste, Clip Board Viewer Manager for Windows XP Clips - Magic!
Clipboard Copy and Paste, Dragn Drop, Cutn Paste, Clip Board Viewer Manager for Windows XP Clips - Magic!
Stores multiple clipboard items.
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Easy completing forms with names, addresses, emails, etc.
Saves mental energy! Why type all the time? Enhances productivity!
Simply Cutn Paste or Dragn Drop!
Power Windows people will quickly get the license costs recovered!
Saves 10 Stores, 10 Names, 15 Layers - in addition to being many files when you care just to save.
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Your ad is fairly right. Once youve tried on the extender, try doing without one: Noel Grivas, Australia
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What do I put it on for?? ALL my data is there. every debit card, address, number, etc. I do nearly all of my shopping online and I hate completing forms. I also keep all of my numbers for accounts, trusts, social security numbers for the children, license numbers,,,, each in their own individuals financial stuff. stock numbers numbers, numbers. I keep pictures there I am broadcasting so all I should do is access them through CEP. I love it. one large cupboard of real information! USA, June 19 2005
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The above comments speak in their own business. Clipboard Express Pro was originally written for internal use, we're also absolutely delighted just how much Clipboard Express Pro saves people typing thereby creating time for other items. Save Typing - Free Up Time.
Picture Thumbnails, each might be opened in their own viewer. Double click!
Contacts - addresses, numbers, emails, internet websites, formulas, signature text.
Keep lists of loaned books, CDs, DVDs,
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Messages to hold on to and refer back in ICQ,
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When doing calculations. storing numbers and formulas
Storing excel formulas while doing trials.
Storing print screen pictures - recovering later.
Reducing Repetitive Typing when translating.
Dragn drop, cutn paste, copy and paste, and saving UNICODE text - International double byte characters, like Asian, Hebrew etc.
Reducing repetitive typing!!!
You name it is possible to probably utilize it for it!
A good user group example is ISPs around the World who use Clipboard Express Pro to save the answers to questions their support departments are repeatedly asked by email.
These consumers are repeatedly asked similar questions. With Clipboard Express Pro his or her dragn drop or cutn paste or copy and paste a better solution into email replies, review and send.
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With Clipboard Express Pro it is all to easy to insert standard formulas you want to become the same over the book. Very very easy to have them stored and available, including with nominated Hot Keys!
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Note ideas at time of first thought. Quickly note these in Clipboard Express Pro for later recall and implementation.
Go time for saved webpages. One click can open the saved URL in the new browser window! Also open some URLs at start, logon or reboot!
Rapid data entry, standard disclaimers, general information, standard medical examination text templates - checklists, and quality control into medical reports, letters, notes and documentation.
Minimising repetitious translation tasks, especially clipping UNICODE characters. The hover-tips are customisable and show each stores contents, which makes for convenient inspection of clips.
Save your clauses and paragraphs, disclaimers etc. Form documents - dragn drop inside the appropriate components for quick trust as well as other legal and report document formation.
Used to save lots of order information, between orders and come to reference numbers that may be otherwise forgotten using the inevitable urgent order interruptions. Enhances productivity!!
Used to save lots of and standardize information amongst quite a few staff. Enhances accuracy and so productivity!!
To Do Lists Cutn paste Dragn drop Copy and Paste Temporary storage View Clipboard Contents Count Clipboard digit numbers Open the identical set of programs at time of logon or PC boot. List management Boilerplate text management
Capture To Dos since they occur to you and also store them in Clipboard Express Pro. Reduce RSI risks by typing it one time! Ergonomically designed. Retrieve clips while using mouse or with function keys. Position the dragn dropcopy and paste icons around the left or right from the window as you would like them. Drag the shape size to accommodate.
How could you have Clipboard Express Pro?
Cutn Paste by button, right click or direct text entry
Copy contents by button, right click or dragn drop
Clipboard contents displayed, even without the focus
Dragn drop to compliant applications - fantastic!!
Hover for Rapid Multi-line Display of Store Contents, including Unicode characters
Each store supports to 32, 000 ASCII characters or 10, 000 Unicode characters
Case Conversion of clipboard to lessen, upper or reverse case
Please download and install Clipboard Express. Please run Clipboard Express and stick to the directions to purchase license, if you could have not already done this.
Clipboard Express Trial and Annual License options are readily available for purchase. Further details are detailed on our FAQ page. Purchase of licenses is needed to contribute on the significant development costs of the software.
Multiple user license discounts can be purchased. Please visit the investment page for details or please email us along with your requirements.
Free revision upgrades can be purchased to eligible licensed users.
Please note the wonderful pictures shown in this article are indicative only and might change as time passes in line with your continuous improvement resulting from your synergy we create with the users.
Please note some websites may link here and suggest this software packages are freeware. That is not the way it is.
Clipboard Express includes easy to use software support systems to simplify and rapidly diagnose user support issues.
Quickly Learn and Experience what Clipboard Express can do for you.
Promotional version to indicate Clipboard Express Pro functionality;
Clipboard Express Pro 3.6.3 released, with extra features:
Variable Store row numbers, now from 1 to 20 rows;
Flick in, and since quickly, flick out, for efficient store access.
Clipboard Express Pro 3.6.0, now includes:
New Dragn Sort of Stored Data for straightforward row re-arranging and re-prioritizing;
Compatible operating monitors on Multiple Monitor PCs.
Clips containing UNICODE double byte Asian characters may certainly be displayed, copied, pasted and saved from the Clipboard Express Pro Stores and Data Files.
Store contents are actually quickly seen by hovering with all the mouse where Tool tips display each Stores contents.
Internet - A Hot Key combination might be set to spread out the clipboard contents inside the default browser when a particular email address or valid URL is within the clipboard. This is first step opening of addresses within a new browser window, including conversion associated with an email right into a URL.
email - A Hot Key combination could be set to open up the clipboard contents within the default Windows email application. This if for quicker email completion and sending.
email - Carriage returns added by email programs may be deleted utilizing the clipboard to bring back original formatting.
Passwords - Generate and insert new passwords into your clipboard, towards the specification you decide on - specify the range along with the number of characters. This can be a great solution to choose secure passwords! Store these in Clipboard Express Pro for quick site access.
The ability to look at, name, save, close, back and transfer Clipboard Express Pro Data Files.
Download the Free Clipboard Express Demonstration Promotional version, 2.9MB.
Compatible with Microsoft Windows 2000XP2003.
Microsoft Windows Vista version not available.
Runs on double byte language platforms Asian countries.
Eligible new registered users with versions prior to your 3 series and compatible systems are encouraged to update. Please uninstall old versions before installing the modern version. Go Start Menu Programs Clipboard Express Pro Uninstall The data files are not uninstalled utilizing the Clipboard Express Pro uninstall application.
Clipboard Copy and Paste, Dragn Drop, Cutn Paste, Clip Board Viewer Manager for Windows XP Clips - Magic!
Clipboard Copy and Paste, Dragn Drop, Cutn Paste, Clip Board Viewer Manager for Windows XP Clips - Magic!
Stores multiple clipboard items.
Once used you cannot be without!
Easy completing forms with names, addresses, emails, etc.
Saves mental energy! Why type repeatedly? Enhances productivity!
Simply Cutn Paste or Dragn Drop!
Power Windows people will quickly get the license costs recovered!
Saves 10 Stores, 10 Names, 15 Layers - and since many files when you care in order to save.
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I installed the newest version of Clipboard Express Pro quickly and easily! It Works GREAT!!! Created
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Copyright 2015 American College of Physicians. All Rights Reserved.
Tom Delbanco, MD; Jan Walker, RN, MBA; Jonathan D. Darer, MD, MPH; Joann G. Elmore, MD, MPH; Henry J. Feldman, MD; Suzanne G. Leveille, RN, PhD; James D. Ralston, MD, MPH; Stephen E. Ross, MD; Elisabeth Vodicka, BA; and Valerie D. Weber, MD, MS
From Beth Israel Deaconess Medical Center, Brookline, Massachusetts; Harvard Medical School, Boston, Massachusetts; Geisinger Health Systems, Danville, Pennsylvania; University of Washington School of Medicine, Harborview Medical Center, and Group Health Cooperative, Seattle, Washington; University of Colorado, Aurora, Colorado; and The Commonwealth Medical College, Scranton, Pennsylvania.
Acknowledgment: The authors thank the numerous doctors and patients who spoke with them when they planned the intervention and evaluation. They also thank Andrew and Jill Delbanco with regards to suggestions and critique.
Grant Support: By the Robert Wood Johnson Foundations Pioneer Portfolio plus the Drane Family Fund.
Requests for Single Reprints: Tom Delbanco, MD, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02215; e-mail,
Current Author Addresses: Drs. Delbanco, Feldman, and Leveille; Ms. Walker; and Ms. Vodicka: Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02215.
Dr. Darer: Geisinger Health System, 100 North Academy Avenue, Danville, PA 17822-3055.
Dr. Elmore: University of Washington School of Medicine, Harborview Medical Center, 325 Ninth Avenue, Box 359780, Seattle, WA 98104-2499.
Dr. Ralston: Group Health Cooperative, 1730 Minor Avenue, Suite 1600, Seattle, WA 98101-1448.
Dr. Ross: University of Colorado at Colorado Health Sciences Center, PO Box 6510, Aurora, CO 80045.
Dr. Weber: The Commonwealth Medical College, 501 Madison Avenue, 1st Floor, Scranton, PA 18510.
Author Contributions: Conception and design: T. Delbanco, J. Walker, Darer, Feldman, Leveille, Ross, Weber.
Analysis and interpretation on the data: T. Delbanco, Leveille.
Drafting on the article: T. Delbanco, J. Walker, Elmore, Ralston, Ross, E. Vodicka.
Critical revision in the article for important intellectual content: T. Delbanco, J. Walker, Darer, Elmore, Feldman, Leveille, Ralston, Ross, E. Vodicka, Weber.
Final approval with the article: T. Delbanco, J. Walker, Darer, Elmore, Leveille, Ralston, Ross, Weber.
Provision of study materials or patients: T. Delbanco, Weber.
Statistical expertise: Leveille.
Obtaining of funding: T. Delbanco, J. Walker, Leveille, Ralston.
Administrative, technical, or logistic support: T. Delbanco, Feldman, E. Vodicka, Weber.
Collection and assembly of internet data: T. Delbanco, Feldman.
Ann Intern Med. 2010;1532:121-125. doi:10.7326/0003-4819-153-2-201007200-00008
Few patients read their doctors notes, despite having the right in law to do so. As i . t . makes medical records more accessible and society requires greater transparency, patients desire for reading their doctors notes may increase. Inviting patients to evaluate these notes could improve idea of their health, foster productive communication, stimulate shared making decisions, and ultimately produce better outcomes. Yet, quick access to doctors notes would have negative consequences, like confusing or worrying patients and complicating in lieu of improving patientdoctor communication. To gain evidence in regards to the feasibility, benefits, and harms of providing patients ready use of electronic doctors notes, a team of physicians and nurses have embarked over a demonstration and evaluation of your project called OpenNotes. The authors describe the intervention and share what they have to learned from conversations with doctors and patients through the planning stages. The team anticipates that open notes will spread and suggests that with time, if drafted collaboratively and signed by both doctors and patients, they could evolve being contracts for care.
if theres any correction that needs being done or miscommunication, it may get straightened out straight away. So, I dont think its going for being a waste of time to your physician or will require a lot on the physicians time. Matter of fact, I think allowing patients to learn their doctors notes is going to create things a lot better inside the long run.
As it transforms care, it is time for doctors to talk about the hidden core of health recordsthe doctors note. As the public demands better care and greater transparency, should patients review and, from time to time, join their doctors in composing themselves records?
In preparation with the summer 2010 launch of OpenNotes, a demonstration and evaluation project in Massachusetts, Pennsylvania, and Washington, by which more than 100 primary care physicians PCPs are inviting their patients to study their visit notes through secure electronic patient portals, we consider lessons through the past, review current practices, and speculate in regards to the future. Opening documents which can be often both highly personal and highly technical is certainly not simple; the implications are broad and stuffed with uncertainty.
Doctors have long recorded patient encounters by generating records which range from cryptic abbreviations upon an index card to lyrical essays. Some follow Lawrence Weeds exacting precepts for just a problem-oriented medical record 1, and since the 1920s, few graduates of Columbia University College of Physicians and Surgeons forget about the Atchley History, which commands that all patient leap over page, instantly recognizable to anyone who reads the note 2. As methods of producing notes expand, contents vary a lot more widely, and typing or dictating a communication destined for the electronic medical record is now increasingly common, with all the patient sometimes watching or listening in.
Visit notes serve many functions. They remind doctors of these patients unique characteristics and medical histories, outline musings about differential diagnoses and therapeutic strategies, and inform individuals that participate from the patients care 3. Today, beyond clinical care, the visit note should also serve the requirements administrators, quality monitors, and payers. Electronic documentation could help clinicians address these nonclinical needs, but as boxes in templates are checked, entries from past notes are pasted in, diagnoses are codified, data are entered automatically, and medicines are reconciled, the initial attributes from the patient often disappear within an effort to justify a level-4 bill 4. Doctors notes could also stifle or fuel the fires of litigators; provide valuable records for scientists or historians; and on occasion, serve those spying on ill celebrities or pursuing other nefarious objectives Figure.
In the first 1970s, researchers and consumer advocates suggested that patients review their medical records 5, and experiments did start to examine the effects of inviting patients to participate doctors in coproducing visit notes 6. Concomitantly, consumer advocates and federal allies called for the patient bill of rights, and states passed statutes entitling patients to check their records. In 1996, the federal Health Insurance Portability and Accountability Act HIPAA mandated patients rights to check their records and ask for amendments 7. Soon thereafter, the Institute of Medicine urged society to watch the note not for an artifact, but as being a living, interactive document shared between patients and providers 8. Yet, despite exhortation and statutes, standard has not evolved. Patient review continues to be rare exception, and roadblocks abound. Many clinical institutions charge for copies, authorize patient review only any time a clinician occurs, and sit and think responding to patient requests for records.
Today, more and even more patients embrace secure Internet portals that could enable those to exchange secure electronic messages with providers; display test results, medications, problem lists, and health summaries through the electronic medical record; and facilitate prescription refills and appointment scheduling 9 19. Such portals may also help patients review electronic clinic notes outside your place of work setting. This project is made to gain evidence in regards to the feasibility, benefits, and harms related to such access.
The OpenNotes demonstration and evaluation project is evaluating the expectations and subsequent experiences of both patients in addition to their PCPs. We chose an observational design given it would not be possible to blind participants or even obtain consent from many more patients to get a randomized trial, so we could involve a great deal more patients and providers inside an observational study than we can easily enroll in the trial. Our quasi-experimental study got its start with both a prepost design and comparison categories of nonparticipating PCPs and patients. In addition to surveying patients and doctors pre and post the study, we're also asking individuals who participate to present anecdotes and are also examining several areas of portal use and heath care treatment utilization both before and after implementation.
More than 100 PCPs have volunteered to the project, contributing to 25000 patients that are registered portal users can access their visit notes online for 1 year. Through their institutions secure Web sites, the physicians are inviting patients by e-mail to examine their PCPs signed notes following a visit and again before a subsequent visit. The settings are diverse: Beth Israel Deaconess Medical Center is undoubtedly an urban academic health center with community practices close by Boston; Geisinger Health System is surely an integrated health system in rural Pennsylvania; and Harborview Medical Center can be a county hospital that serves many indigent patients in Seattle. Beth Israel Deaconess Medical Center and Geisinger Health System both have secure, established portals utilized by tens of thousands of patients. In the OpenNotes project, Harborview Medical Center is for your first time offering its patients access with a secure portal.
The bottom-line evaluation of OpenNotes, for being assessed primarily through Web-based surveys, is not difficult: Will patients and providers wish to continue online entry to notes in the event the year-long study ends? To understand in certain detail what might give rise to those judgments, we went towards the literature and also to potential study participantsboth PCPs and patientsto develop secondary hypotheses.
Descriptive studies and trials of patient-accessible medical records have begun to evaluate the result of patient entry to notes, but the majority allow patients to evaluate paper medical records only inside a clinical setting. Overall, the literature demonstrates that patient access towards the medical record may improve patientdoctor communication, empower and educate patients, and foster adherence. Risks seem minimal, and few patients find their records confusing or anxiety-provoking, partially perhaps reflecting self-selection. Patients generally report few concerns about documenting sensitive issues one example is, sexuality, marital problems, and drug use, and providers report that patients may correct some serious inaccuracies. Physician concerns about effects on documentation, their unique time, and staff time are normal, but also in practice, no substantial effects are already demonstrated 20 23.
The PCPs with whom we spoke perceived to worry first and foremost around the effect on their own time, that is certainly, they anticipated calls, letters, and e-mails as patients seek clarification; disagree with statements; or correct exactly what the doctors consider trivial errors of fact. Some felt they can have to compose scientifically imprecise notes that omit important diagnostic and therapeutic considerations. Some were embarrassed by how they write. They brought up halting phrases when they hunt and peck for their keyboards, feared that a variety of typos that creep into notes will seem unprofessional, or were self-conscious around the impersonal appearance of notes generated by templates. Wondering how frequently phrases like the individual denies or patient appears SOB lacking breath would evoke an angry response, some doctors anticipated spending major time editing notes. Several worried that apparent discrepancies between what you write and what actually happened inside encounter may jump out at the person, whether real or just reflecting imprecise patient recall. Remembering that Hippocrates declared, The chief virtue that language might have is clearness, and zilch detracts from it so much because use of unfamiliar words 24, one PCP wondered whether doctors notes can ever be sufficiently clear to patients.
Our doctors worried further about inappropriate reactions about what patients read. They feared that some might become cardiac cripples reading descriptions of inconsequential arrhythmias, others may very well be devastated by an observation about mental illness, or speculations about cancer might trigger panic. Others mentioned engendering fear, frustration, guilt, anger, depression, confusion, or hopelessness if their patients read their notes.
On the opposite hand, some anticipated both clinical benefits and efficiencies from incorporating laboratory findings and recommendations to the note, thereby obviating the need for the follow-up letter. Many speculated that their notes would remind patients products occurred throughout the visit. Patient and family review as soon as the visit itself may respond to questions; clarify the doctors diagnostic, behavioral, and educational insights and methods; help patients digest recommendations and take part in active self-care; and dispel worries by what is not communicated from the visit. In particular, for that patient with chronic illness, some considered that sharing notes will help involve family members and also other caregivers more effectively within the patients care.
Patients also voiced pluses and minuses. Some clearly wouldn't want to see what their doctors wrote simply because were focused on discovering something they might rather not know, finding potential diagnoses that will make them anxious, or reading what their doctors really considered them. Others feared reading an issue that would shake their trust in their doctors. Some felt that unfamiliar medical terminology would get them to misinterpret the things they read. They wondered the way to learn to ask the correct questions and who should make them learn. More than a few noted that their doctors are actually stretched to your limit, in case they were necessary to write notes that patients can understand and understand, time for examination and consultation could diminish. Some also worried that ready access would compromise privacy if electronic information ended up within the wrong hands.
However, our patients also anticipated benefits. As more patients e-mail their doctors and make use of other online services, some saw open communication through electronic notes like a logical following step. Others believed that reviewing, and ultimately causing, visit notes can help you them get about the same page his or her doctors. Many required to search for explanations of technical language for the Internet. Some believed their doctors notes would prove educational by simply reminding them products happened through the visit. They expected some notes to reassure them and also to calm their fears; other notes could possibly be truth tellers and push those to face the reality of any health issue, for example obesity and mental illness, and maybe break down defenses. Many liked the concept of sharing notes with family, friends, partners, and informal consultants, anticipating that would help build your own care system in your house.
The Table summarizes that which you read and heard. Among the hypotheses we're going to test are that PCPs overall will report improved patientdoctor communication, improved patient satisfaction, without increase in workload. Patients overall will report better knowledge of their care and improved satisfaction because of their doctors, do not possess heightened anxiety or confusion about their own health and care, and can demonstrate no change in how frequently they contact their care team. Although we developed this intervention with all the hope of finding largely positive experiences among PCPs and patients, we're going to test for bidirectional effects.
Table. Potential Advantages and Disadvantages of Open Notes
Open notes pose many questions and in all likelihood represent the Model-T stage on the future. Can an individual note serve a variety of audiences, which enables it to the push toward structure and templates preserve the attributes of every person? Moving well beyond primary care, will open notes spread to patient interactions with subspecialists, to inpatient hospital care, rehabilitation, or long-term care? Does the physician need to do all the work in documenting the visit, or could the person join in, perhaps increasing accuracy and saving the physician time by preparing the very first draft with the history, leaving your doctor to edit, amplify, and interpret? Should patient-generated history, commentary, or rejoinder become component of the record? Might a doctor and patient sign jointly, indicating their agreement with a notes contents? Could this sort of negotiated note become a yearly quality-of-care contract with measurable metrics, for instance who lived up about what 25? Should notes be peer-reviewed for quality, perhaps by both doctors and patients? Should payers be aware about intimate discussion between your physician and patient? Will privacy disappear, trumped by transparency, or will techniques that maintain confidentiality apply effective brakes? What should patients hold that is certainly theirs alone? What about doctors? Dying of cancer of prostate, Broyard 26 challenged doctors to have some risks: A doctors job can be so considerably more interesting and satisfying if he simply let himself plunge into your patient, if he could lose his or her own fear of falling.
At home, patients on the future may review an unedited, automated, 2-camera shoot of your recent electronic or in-person visit to your doctor, then discuss with family, friends, and also the clinician tips on how to modulate and finalize the note. Further ahead, such jointly generated and held records may evolve to a persons story after some time, documenting health insurance illness from early days for the end of life. We expect that may be where we have been heading, but over a course stuffed with fits, starts, and unforeseen consequences. As the patientdoctor relationship progresses, open notes will definitely be for the road ahead.
WeedLL. The problem oriented record like a basic tool in medical education, patient care and clinical research.Ann Clin Res. 1971; 3:131-4. PubMed
SchiffGD, BatesDW. Can electronic clinical documentation aid the prevention of diagnostic errors?N Engl J Med. 2010; 362:1066-9. PubMed
HartzbandP, GroopmanJ. Off the recordavoiding the pitfalls of going electronic.N Engl J Med. 2008; 358:1656-8. PubMed
ShenkinBN, WarnerDC. Sounding board. Giving the individual his medical record: a proposal to improve it.N Engl J Med. 1973; 289:688-92. PubMed
FischbachRL, Sionelo-BayogA, NeedleA, DelbancoTL. The patient and practitioner as co-authors with the medical record.Patient Couns Health Educ. 1980; 2:1-5. PubMed
Office for Civil Rights, HHS. Standards for privacy of individually identifiable health information. Final rule.Fed Regist. 2002; 67:53181-273. PubMed
Committee on Quality in Health Care in America Instituteof Medicine. Crossing the Quality Chasm: A New Health System for that 21st Century.: National Academies Pr; 2001.
SlackWV. A 67-year-old man who e-mails his physician.JAMA. 2004; 292:2255-61. PubMed
HassolA, WalkerJM, KidderD, RokitaK, YoungD, PierdonS, et al. Patient experiences and attitudes about access to your patient electronic heath care treatment record and linked web messaging.J Am Med Inform Assoc. 2004; 11:505-13. PubMed
RalstonJD, CarrellD, ReidR, AndersonM, MoranM, HerefordJ. Patient web services integrated having a shared medical record: patient use and satisfaction.J Am Med Inform Assoc. 2007; 14:798-806. PubMed
The doctor can be your inbox? One-third of physicians use e-mail or online consultations with patients today News Release. Manhattan Research. 23 June 2008. Accessed at on 3 June 2010.
DelbancoT, SandsDZ. Electrons in flighte-mail between doctors and patients.N Engl J Med. 2004; 350:1705-7. PubMed
LinCT, WittevrongelL, MooreL, BeatyBL, RossSE. An Internet-based patient-provider communication system: randomized controlled trial.J Med Internet Res. 2005; 7:47. PubMed
ChenC, GarridoT, ChockD, OkawaG, LiangL. The Kaiser Permanente Electronic Health Record: transforming and streamlining modalities of care.Health Aff Millwood. 2009; 28:323-33. PubMed
CiminoJJ, PatelVL, KushnirukAW. What do patients do with usage of their medical records?Stud Health Technol Inform. 2001; 84:1440-4. PubMed
GoldbergHI, RalstonJD, HirschIB, HoathJI, AhmedKI. Using an Internet comanagement module to further improve the quality of chronic disease care.Jt Comm J Qual Saf. 2003; 29:443-51. PubMed
RossSE, MooreLA, EarnestMA, WittevrongelL, LinCT. Providing a website-based online medical record with electronic communication capabilities to patients with congestive heart failure: randomized trial.J Med Internet Res. 2004; 6:12. PubMed
RossSE, LinCT. The effects of promoting patient usage of medical records: an evaluation.J Am Med Inform Assoc. 2003; 10:129-38. PubMed
EarnestMA, RossSE, WittevrongelL, MooreLA, LinCT. Use of your patient-accessible electronic medical record within a practice for congestive heart failure: patient and physician experiences.J Am Med Inform Assoc. 2004; 11:410-7. PubMed
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Copyright within the material you requested is held by American College Of Physicians unless otherwise noted. This email ability is provided to be a courtesy, by using it you agree that that you simply are requesting the content solely for private, non-commercial use, and it's subject to ACPs Conditions of Use. The information provided so as to email this topic are not used to transmit unsolicited email, nor would you like furnished to third parties. Please reference American College Of Physicianss Privacy Policy additional information.
Copyright American College Of Physicians. All rights reserved.
Copyright 2015 American College of Physicians. All Rights Reserved.
Tom Delbanco, MD; Jan Walker, RN, MBA; Jonathan D. Darer, MD, MPH; Joann G. Elmore, MD, MPH; Henry J. Feldman, MD; Suzanne G. Leveille, RN, PhD; James D. Ralston, MD, MPH; Stephen E. Ross, MD; Elisabeth Vodicka, BA; and Valerie D. Weber, MD, MS
From Beth Israel Deaconess Medical Center, Brookline, Massachusetts; Harvard Medical School, Boston, Massachusetts; Geisinger Health Systems, Danville, Pennsylvania; University of Washington School of Medicine, Harborview Medical Center, and Group Health Cooperative, Seattle, Washington; University of Colorado, Aurora, Colorado; and The Commonwealth Medical College, Scranton, Pennsylvania.
Acknowledgment: The authors thank the various doctors and patients who spoke with them since they planned the intervention and evaluation. They also thank Andrew and Jill Delbanco for his or her suggestions and critique.
Grant Support: By the Robert Wood Johnson Foundations Pioneer Portfolio along with the Drane Family Fund.
Requests for Single Reprints: Tom Delbanco, MD, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02215; e-mail,
Current Author Addresses: Drs. Delbanco, Feldman, and Leveille; Ms. Walker; and Ms. Vodicka: Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02215.
Dr. Darer: Geisinger Health System, 100 North Academy Avenue, Danville, PA 17822-3055.
Dr. Elmore: University of Washington School of Medicine, Harborview Medical Center, 325 Ninth Avenue, Box 359780, Seattle, WA 98104-2499.
Dr. Ralston: Group Health Cooperative, 1730 Minor Avenue, Suite 1600, Seattle, WA 98101-1448.
Dr. Ross: University of Colorado at Colorado Health Sciences Center, PO Box 6510, Aurora, CO 80045.
Dr. Weber: The Commonwealth Medical College, 501 Madison Avenue, 1st Floor, Scranton, PA 18510.
Author Contributions: Conception and design: T. Delbanco, J. Walker, Darer, Feldman, Leveille, Ross, Weber.
Analysis and interpretation on the data: T. Delbanco, Leveille.
Drafting in the article: T. Delbanco, J. Walker, Elmore, Ralston, Ross, E. Vodicka.
Critical revision from the article for important intellectual content: T. Delbanco, J. Walker, Darer, Elmore, Feldman, Leveille, Ralston, Ross, E. Vodicka, Weber.
Final approval with the article: T. Delbanco, J. Walker, Darer, Elmore, Leveille, Ralston, Ross, Weber.
Provision of study materials or patients: T. Delbanco, Weber.
Statistical expertise: Leveille.
Obtaining of funding: T. Delbanco, J. Walker, Leveille, Ralston.
Administrative, technical, or logistic support: T. Delbanco, Feldman, E. Vodicka, Weber.
Collection and assembly of knowledge: T. Delbanco, Feldman.
Ann Intern Med. 2010;1532:121-125. doi:10.7326/0003-4819-153-2-201007200-00008
Reader Survey: What do you think about open access progress notes?
Few patients read their doctors notes, despite having the right to do so. As i . t makes medical records more accessible and society necessitates greater transparency, patients curiosity about reading their doctors notes may increase. Inviting patients to evaluate these notes could improve perception of their health, foster productive communication, stimulate shared selection, and ultimately produce better outcomes. Yet, comfortable access to doctors notes might have negative consequences, for example confusing or worrying patients and complicating as an alternative to improving patient doctor communication. To gain evidence regarding the feasibility, benefits, and harms of providing patients ready use of electronic doctors notes, a team of physicians and nurses have embarked over a demonstration and evaluation of any project called OpenNotes. The authors describe the intervention and share what they have to learned from conversations with doctors and patients throughout the planning stages. The team anticipates that open notes will spread and suggests that with time, if drafted collaboratively and signed by both doctors and patients, some may evolve to get contracts for care.
if theres any correction that needs for being done or miscommunication, it might get straightened out instantly. So, I dont think its going for being a waste of time for the physician or will need a lot on the physicians time. Matter of fact, I think allowing patients to study their doctors notes is going to create things a lot better from the long run.
As technology transforms care, it will be time for doctors to express the hidden core of health recordsthe doctors note. As the public demands better care and greater transparency, should patients review and, on occasion, join their doctors in composing themselves records?
In preparation to the summer 2010 launch of OpenNotes, a demonstration and evaluation project in Massachusetts, Pennsylvania, and Washington, through which more than 100 primary care physicians PCPs are inviting their patients to see their visit notes through secure electronic patient portals, we consider lessons on the past, review current practices, and speculate in regards to the future. Opening documents which might be often both highly personal and highly technical is definitely not simple; the implications are broad and stuffed with uncertainty.
Doctors have long recorded patient encounters by generating records which range from cryptic abbreviations with an index card to lyrical essays. Some follow Lawrence Weeds exacting precepts for just a problem-oriented medical record 1, and since the 1920s, few graduates of Columbia University College of Physicians and Surgeons ignore the Atchley History, which commands that patient leap over page, instantly recognizable to anyone who reads the note 2. As choices for producing notes expand, contents vary increasingly widely, and typing or dictating some text destined on an electronic medical record is becoming increasingly common, using the patient sometimes watching or listening in.
Visit notes serve many functions. They remind doctors with their patients unique characteristics and medical histories, outline musings about differential diagnoses and therapeutic strategies, and inform individuals that participate inside the patient s care 3. Today, beyond clinical care, the visit note must serve the requirements of administrators, quality monitors, and payers. Electronic documentation will help clinicians address these nonclinical needs, but as boxes in templates are checked, entries from past notes are pasted in, diagnoses are codified, data are entered automatically, and medicines are reconciled, the initial attributes with the patient often disappear in a effort to justify a level-4 bill 4. Doctors notes may also stifle or fuel the fires of litigators; provide valuable records for scientists or historians; and sometimes, serve those spying on ill celebrities or pursuing other nefarious objectives Figure.
In their early 1970s, researchers and consumer advocates suggested that patients review their medical records 5, and experiments begun to examine the effects of inviting patients to participate doctors in coproducing visit notes 6. Concomitantly, consumer advocates and federal allies called for any patient bill of rights, and states passed statutes entitling patients to examine their records. In 1996, the federal Health Insurance Portability and Accountability Act HIPAA mandated patients rights to analyze their records and order amendments 7. Soon thereafter, the Institute of Medicine urged society to watch the note not being an artifact, but to be a living, interactive document shared between patients and providers 8. Yet, despite exhortation and statutes, normal has not evolved. Patient review remains to be the rare exception, and roadblocks abound. Many clinical institutions charge for copies, authorize patient review only each time a clinician occurs, and not rush responding to patient requests for records.
Today, more and much more patients embrace secure Internet portals that could enable these to exchange secure electronic messages with providers; display test results, medications, problem lists, and health summaries in the electronic medical record; and facilitate prescription refills and appointment scheduling 9 19. Such portals may also help patients review electronic clinic notes outside a cubicle setting. This project was designed to gain evidence concerning the feasibility, benefits, and harms regarding such access.
The OpenNotes demonstration and evaluation project is evaluating the expectations and subsequent experiences of both patients as well as their PCPs. We chose an observational design given it would not be possible blind participants or obtain consent from more and more patients for the randomized trial, so we could involve much more patients and providers within an observational study than we're able to enroll within a trial. Our quasi-experimental study was created with both a prepost design and comparison sets of nonparticipating PCPs and patients. In addition to surveying patients and doctors both before and after the study, we have been asking people that participate to supply anecdotes and so are examining several facets of portal use and medical utilization both before and after implementation.
More than 100 PCPs have volunteered to the project, contributing to 25000 patients whorrrre registered portal users are able to access their visit notes online for twelve months. Through their institutions secure Web sites, the physicians are inviting patients by e-mail to see their PCPs signed notes after the visit and again before a subsequent visit. The settings are diverse: Beth Israel Deaconess Medical Center is definitely an urban academic health center with community practices close by Boston; Geisinger Health System is definitely an integrated health system in rural Pennsylvania; and Harborview Medical Center is usually a county hospital that serves many indigent patients in Seattle. Beth Israel Deaconess Medical Center and Geisinger Health System both have secure, established portals employed by tens of thousands of patients. In the OpenNotes project, Harborview Medical Center is for your first time offering its patients access to some secure portal.
The bottom-line evaluation of OpenNotes, to get assessed primarily through Web-based surveys, is not difficult: Will patients and providers would like to continue online use of notes in the event the year-long study ends? To understand in most detail what might help with those judgments, we went to your literature and also to potential study participantsboth PCPs and patientsto develop secondary hypotheses.
Descriptive studies and trials of patient - accessible medical records have begun to evaluate the consequence of patient having access to notes, most allow patients to analyze paper medical records only inside a clinical setting. Overall, the literature points too patient access on the medical record may improve patient doctor communication, empower and educate patients, and foster adherence. Risks seem minimal, and few patients find their records confusing or anxiety-provoking, simply perhaps reflecting self-selection. Patients generally report few concerns about documenting sensitive issues as an example, sexuality, marital problems, and drug use, and providers report that patients may correct some serious inaccuracies. Physician concerns about effects on documentation, their particular time, and staff time are typical, but also in practice, no substantial effects are already demonstrated 20 23.
The PCPs with whom we spoke gave the impression to worry first and foremost regarding the effect on their own time, which is, they anticipated calls, letters, and e-mails as patients seek clarification; disagree with statements; or correct what are the doctors consider trivial errors of fact. Some felt they can have to compose scientifically imprecise notes that omit important diagnostic and therapeutic considerations. Some were embarrassed by how they write. They discussed halting phrases because they hunt and peck for their keyboards, feared that the numerous typos that creep into notes will seem unprofessional, or were self-conscious around the impersonal appearance of notes generated by templates. Wondering the frequency of which phrases like the affected person denies or perhaps the patient appears SOB lacking breath would evoke an angry response, some doctors anticipated spending a lot of time editing notes. Several worried that apparent discrepancies between the things they write and what actually happened within the encounter may jump out at the affected person, whether real or maybe reflecting imprecise patient recall. Remembering that Hippocrates declared, The chief virtue that language will surely have is clearness, certainly nothing detracts from it so much since the use of unfamiliar words 24, one PCP wondered whether doctors notes can ever be sufficiently clear to patients.
Our doctors worried further about inappropriate reactions about what patients read. They feared that some might become cardiac cripples after looking at descriptions of inconsequential arrhythmias, others may very well be devastated by an observation about mental illness, or speculations about cancer might trigger panic. Others mentioned engendering fear, frustration, guilt, anger, depression, confusion, or hopelessness if their patients read their notes.
On one other hand, some anticipated both clinical benefits and efficiencies from incorporating laboratory findings and recommendations into your note, thereby obviating the need to get a follow-up letter. Many speculated that their notes would remind patients of the items occurred through the visit. Patient and family review following your visit itself may respond to questions; clarify the doctors diagnostic, behavioral, and educational insights and methods; help patients digest recommendations and participate in active self-care; and dispel worries as to what is not communicated within the visit. In particular, for your patient with chronic illness, some thought sharing notes could help involve family members along with other caregivers more effectively within the patient s care.
Patients also voiced benefits and drawbacks. Some clearly would not want to learn what their doctors wrote since they were concerned with discovering something they might rather not know, finding potential diagnoses which may make them anxious, or reading what their doctors really looked into them. Others feared reading a thing that would shake their trust in their doctors. Some felt that unfamiliar medical terminology would cause them to misinterpret what they have to read. They wondered the way to learn to ask the best questions and who should train them. More than a few noted that their doctors seem to be stretched on the limit, of course, if they were necessary to write notes that patients can understand and understand, time for examination and consultation could diminish. Some also worried that ready access would compromise privacy if electronic information ended up inside the wrong hands.
However, our patients also anticipated benefits. As more patients e-mail their doctors and utilize other online services, some saw open communication through electronic notes to be a logical alternative. Others considered that reviewing, and ultimately leading to, visit notes may help them get around the same page his or her doctors. Many anticipated to search for explanations of technical language for the Internet. Some believed their doctors notes would prove educational by just reminding them of the items happened in the visit. They expected some notes to reassure them also to calm their fears; other notes may very well be truth tellers and push those to face the reality of your health issue, like obesity and mental illness, and possibly break down defenses. Many liked the thinking behind sharing notes with family, friends, partners, and informal consultants, anticipating that would help build your own care system in your house.
The Table summarizes that which you read and heard. Among the hypotheses we're going to test are that PCPs overall will report improved patient doctor communication, improved patient satisfaction, without increase in workload. Patients overall will report better perception of their care and improved satisfaction making use of their doctors, do not need heightened anxiety or confusion about their and care, all of which will demonstrate no change in when they contact themselves care team. Although we developed this intervention together with the hope of finding largely positive experiences among PCPs in addition to their patients, we'll test for bidirectional effects.
Table. Potential Advantages and Disadvantages of Open Notes
Open notes pose many questions and doubtless represent the Model-T stage from the future. Can 1 note serve numerous audiences, and will the push toward structure and templates preserve the initial attributes of each and every person? Moving well beyond primary care, will open notes spread to patient interactions with subspecialists, to inpatient hospital care, rehabilitation, or long-term care? Does your physician need to do all the work in documenting the visit, or could the person join in, perhaps increasing accuracy and saving your doctor time by preparing the primary draft on the history, leaving a doctor to edit, amplify, and interpret? Should patient - generated history, commentary, or rejoinder become a part of the record? Might a doctor and patient sign jointly, indicating their agreement with a notes contents? Could a real negotiated note become a once a year quality-of-care contract with measurable metrics, for instance who lived up from what 25? Should notes be peer-reviewed for quality, perhaps by both doctors and patients? Should payers be aware of intimate discussion between the physician and patient? Will privacy disappear, trumped by transparency, or will techniques that maintain confidentiality apply effective brakes? What should patients hold that may be theirs alone? What about doctors? Dying of cancer of prostate, Broyard 26 challenged doctors to have some risks: A doctors job could well be so far more interesting and satisfying if he simply let himself plunge into your patient, if he could lose his very own fear of falling.
At home, patients with the future may review an unedited, automated, 2-camera shoot of the recent electronic or in-person visit to your doctor, and discuss with family, friends, along with the clinician tips on how to modulate and finalize the note. Further ahead, such jointly generated and held records may evolve in to a persons story after some time, documenting health insurance illness from early days on the end of life. We expect which is where we're heading, but on the course stuffed with fits, starts, and unforeseen consequences. As the affected person doctor relationship moves on, open notes will definitely be around the road ahead.
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Dishing Tech is often a unique tech blog that provides news, how tos, tips, tweaks on just about anything tech related. We Dish out the newest news on gadgets and hardware. Provide Mac and iDevice reviews in addition to provide tutorials on hacking, jailbreaking, internet security and visualisation.
There is usually a new website offering free samples to individuals who signup. Only problem it is incredibly socialcentric e.g: you obtain points for liking, sharing on facebook, twitter etc and hard to get samples as it could be the first ones that will get the plunder. Currently I can obtain one sample daily. Yay.
Subscribing to sample alerts that is actually a newsletter won't work.
You can make use of their facebook updates or hit the refresh button on your own browser but why waste your time and energy? by that point it is just too big late.
Wouldnt it be possible great should you could somehow experience an update if the PINCHme homepage gets updated with new samples?
This doesn't work anymore! 4/4/2012
So in the event you do not have IMAP setup in your phone to obtain emails pushed for your device immediately I suggest you make it happen. Or at least download Chrome and acquire gmail and have the little Gmail Chrome store addon to your PC.
I wasnt the initial one to think in this. I was actually no. 8. It tells you within the changedetection website.
Another minor hack for getting points is to talk about products via email. You do not actually ought to send the email. Just click on the button and you may be given 200 points.
Have fun my fellow Pincherinos. Dont go all irrational for their facebook page saying oh why dont you send out us an e-mail with new oh it wouldnt matter anyway, I only check my emails several times a oh I wish they told us after they will to produce sample.
Oh and yes it seems the pinchme Facebook fan page deleted my comment concerning this little post. How rude!
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Special Price! Today! while stocks last 100 Reaver Pro IIAWUS036H 19.99
Reaver implements a brute force attack against Wifi Protected Setup WPS registrar PINs so as to recover WPA/WPA2 passphrases.
Reaver continues to be designed for being a robust and practical attack against WPS, and it has been tested against a wide range of access points and WPS implementations.
On average Reaver will recover the prospective APs plain text WPA/WPA2 passphrase in 4-10 hours, depending within the AP. In practice, it'll generally take half this time and energy to guess the best WPS pin and recover the passphrase.
Download Reaver Hot Pursuit VMware BackTrack Edition 3.5GB
We have numerous direct and mirror downloads for one to choose from, we now have listed one each. However, in the event you want more options, that can require one to signup to
This only is employed by KDE versions of BackTrack 5 Ubuntu as well as other distros like Blackubuntu. BackTrack R2 boasts formatting issues, so in the event you use BackTrack, use R1 or 5.
There is often a Gnome version in the installer files inside the primary download link that it is possible to attempt to acquire working.
If you wish help should you are having difficulty or should you want to report your success inside the appropriate links above.
Finally Xiaopan 0.4.3 is going to be released with Firefox and Pidgin. Get ready! Signup to Xiaopan Forums in case you havent already. Visit /forums/and in the event the time expires, click on the countdown timer being taken for the download users only. Get in quick as we will likely be providing an easy dropbox direct link which expires after 500 downloads and another solution slower and torrent link afterwards.
Check out of the video to find out our new exciting features, Enjoy:
This version is often a major step up through the previous version. A completely new graphical user interface that aims to thrill both users who make use of it live and throug h virtualisation. As always this really is cross platform WindowsMacLinux and is successful via Live CD or USB. Xiaopan 0.4.3 Beta 120mb, Codename: Little Monster:
Xiaopan OS 0.4.3 Fresh New Desktop
With this version our main aim wasn't just to create an OS full of wireless penetration tools. A major trouble with previous versions is how they had no other to add value for the user experience. So we've got included other packages for people who will use this live so they will multitask:
AIM Bonjour Gadu-Gadu Google Talk Groupwise ICQ IRC MSN MXit MySpace SILC SIMPLE Sametime XMPP in. Facebook Yahoo! Zephyr
Flash Support: This will permit you to visit Youtube and view videos, which could well be great for taking a look at tutorials or just checking out that latest funny video.
Text Editor: Great for when you really need to copy and paste text from say firefox to terminal.
Multiple Desktops: As a way of keeping the clutter down you could have 4 virtual desktops to choose between. So you may have Minidwep going about the 1st desktop, a game inside 2nd, considering Xiaopan Forums about the 3rd and copying text in to the editor within the 4th.
Games: Yes, we've added some games, when you are trying to break into with Reaver for 5hrs you've something else you are able to do except watch those progress lines.
Music Player: Listen for a favourite music whilst you do that which you do. You will need to add the music activity by adding it towards the ISO which can significantly increase the size of it.
Wallpaper: We have a very new cool looking logo for Xiaopan OS, behind the structure has some meaning.
Windows Management: Changed the TCL wallpaper with his newly designed and winner in the Xiaopan OS Logo competition.
LXDE Version: We likewise have an LXDE version coming which looks more amazing, hopefully that could be released inside a week possibly even as well.
This is often a beta release so know that there are some points that need fixing before we can easily release this in our members. Please be patient during now.
This is why we have been releasing this early to VIP members as being a way of keeping the download contained and also being able to receive valuable feedback and report bugs. I will also ask you VIPs to never share the download links with other sites and ignorereport personal requests for your download.
Please report bugs and suggest improvements inside VIP Xiaopan OS 0.4.3 Beta Download Available thread.
hazz death for dedicating hours upon ours of entirely developing this release on his own to suit your needs guys.
Fantasma for providing valuable feedback, troubleshooting and testing.
Mr. Penguin for dictating them over the process and scripting this review.
We are hoping to push out a this to everyone inside a week but this is often a loose estimation and may vary wildly. Please be patient.
Flash only being employed by youtube without sound. Will be asking SneekyLinux for help.
Boot is slow or appears for being slow when compared with other versions, this can be because we're loading more inside Core from startup.