What does a doctor have to learn to start? To learn the most basic function takes less than one minute once it is installed. Installation usually takes about 3 minutes.

Task	Typical Time using TSMR
reaching patient record knowing only his name	< 1 second
time to start a new patient file	10 seconds
1 new medicine rx	5 seconds
2nd, 3^rd, 4^th etc. medicine	3 seconds each
multiple medicine refill	5 seconds
XR request slip, PT orders, Lab requests slips including ICD code insertion	8 seconds
work and school notes	5-10 seconds
patient letter or email to patient	10-15 seconds
note to biller for billing	5-10 seconds
reaching the actual text sought at an internet medical reference site	40 seconds
summary of entire medical chart in response to request for medical records	10 seconds

the Ten Second Medical Record^TM:

Not using it for everything: Selective Use

1. Selective Use: Use it for all its functions or just for selected ones such as prescriptions, patient letters, or email.

a. prescriptions

b. PT orders

c. Patient letters, work and school notes

d. Emailing patients their Lab slips, XR request slips and more

e. FMLA forms

f. oximetry statements

These function without having to use the entire medical record program.

2. Prescription shortcuts are automatically visible in a balloon pop-up at the 4^th keystroke.

3. “TSMR's Diagnosis Generated Notes: ” each progress note usually requires only 4 or 5 keystrokes for the bulk of the note.

4. TSMR offers seamless connection to

a. Major medical reference works on the internet

b. Local laboratory reports

c. Local radiology reporting

d. Local hospital lab reports

e. Formularies on internet or on your computer

f. Direct faxing to pharmacies, hospital, insurance companies, other physicians …

g. Email

h. CDC website

i. Notes to staff for items to be done

j. Local telephone and yellow page connection

k. Computer faxing

5. Patient Pocket Summary^TM (3 seconds)

6. Medical Record transfers by fax save time and money

When a patient pr physician requests records of a prior patient due to insurance or physician changes, the “Medical Record Summary by Fax” function often saves $30 or more each time.

1. Direct faxing from your computer for prescriptions and notes for work and school, hospital orders and hospital notes

2. Multi-problem SOAP format, summaries of visits Medical Records Summary to another physician

3. Composite Summaries to facilitate care for your consultants

4. Hospital admission and discharge orders, hospital H&P

5. Electronic records searches for diagnoses, medicines, referrals & other data

6. Open access allows modification to suit user

7. 100% flexible

8. Checks to confirm patient’s presence on your monthly managed care list

9. Checks patient’s formulary for meds to be prescribed

10. Keeps track of improvements you wish to make to your EMR program

11. Tracks your CME

12. Tracks reimbursement questions to make sure you are being paid reasonably for your various CPT codes and insurances

13. Keeps reminder file for patients needing followup

14. Makes FMLA form completion a snap (less than one minute)

15. Prevents physician inundation by pharmacy faxes through semi-automatic scheduling of patients before their prescriptions are due to run out

16. Is a Medical Student - CME - patient education tool that retains your information learned through electronic CME, and makes it readily available to patients through email for their education. This is a great tool for medical students because it gives definitions for medical and regular words in less than ten seconds. RORF - Read Once Recall Forever

17. Provides Failure-Success Logging for medicines and therapies failed or succeeded; documents your experience without having it all buried in patient charts

18. Automatic initial file setup for a physician’s patients is available if you have an electronic list of your patient names and their dates of birth.

Examples of what the record looks like

sample simple office visit

sample triple problem office visit

sample Patient Pocket Summary TM

sample multi-med prescription

sample lab order

sample PT order

sample mammogram order

sample remote office visit list

sample email to patient (This is also what it looks like in the window of your email program.)

composite file including prior visits table etc

sample medical records for release or … providing to consultant

sample hospital Admission Orders

sample hospital Discharge Orders

sample hospital History & Physical

sample picture in patient file

snap hospital orders for condition

example "FamilyVisit" note and multi-person dosing & prescription

Free Newsgroups to help with Questions

Some very useful Microsoft web sites or newsgroup sites for Microsoft Word questions are:

news://msnews.microsoft.com/microsoft.public.word.docmanagement

http://www.mvps.org/word/FAQs/

news://msnews.microsoft.com/

Internet connections

sample lab website connection: https://www.unilabdirect.com/scripts/mgwms32.dll?MGWLPN=LOCAL&trgt=wldRunApp&wlapp=signon

sample hospital website connection: https://mhs-elysmsrv-01.mhs.chw.edu/

sample online formulary (in this case, HealthNet): http://www.healthnet.com/pharmacy/members/recdruglist.asp

Cost

TSMR2006 will remain free for the foreseeable future. TSMR2008 program is planned to be a flat rate of $300 without contracts nor ongoing or hidden expenses. Release is planned for February 2008.

Frequently Asked Questions: should be sent to DrCarter@TenSecondMedicalRecord.com for publication to this website or for return email response.

Free Program Download

TSMR 2006 designed for MS Word version 2003 is now available. Try it.

Download primary program now. Version date: Sept 2006 5.7 MB. TSMR2006.exe

This is not for upgrading. Please contact above author for upgrade information.

By downloading, user agrees program is NOT FOR REDISTRIBUTION. THIS IS A LICENSE ONLY. COPYRIGHT 1996 - January 2008, Trademarked. User is requested to email his name and email address so that he can be advised of errata or upgrades.

Note: TSMR2006 is designed for MS Word 2003 & MS Outlook.

While still free, download requires registration by emailing GilCarter@TenSecondMedicalRecord.com. Access to its free download will then be sent to the registrant along with his username and password.

Currently, usernames and passwords are available free on request to the email address above for licensed physicians, nurse practitioners & physician’s assistants and students enrolled in schools of same. This gift to the medical community does not have an ending date but has been extended at least through March 2007.

FREE USERNAMES AND PASSWORDS allow the user to automatically include their office address, telephone, fax number, license numbers, local hospital and it’s telephone and fax numbers, local laboratories, x-ray and Physical Therapy teles, addresses etc. Please do contact TSMR for your free password. It is activated through the TSMR “StartMedRec” toolbar button.

Demonstrations of program via Microsoft’s Neetmeeting are available upon request. The speed with which TSMR accomplishes medical tasks is astounding.

TSMR Medical Record Faxing requires that you have a fax modem and fax program. The default setting is for Winfax.

Specialty modules (ENT, cardiology, etc.), city specific modules for Pharmacy Faxing and Local Medical Community modules are planned.

* KeyChain EMR^TM is a TSMR production.

KeyChain EMR is for combined hospital and office use. Walk onto the hospital medical ward, plug it in, do what you need, unplug and walk away. The division between hospital and office becomes seamless.

Why? Because many years worth or your patients’ EMR records can be kept on a Keychain MemoryStick, making it so easy to automatically carry to hospital rounding; …and because TSMR does not require a behemoth program to access your patient files on a medical ward computer and even print from there. Today, MS Word is practically the world’s typewriter. Flash drives now are up to 1 Gb in memory size, and are re-recordable, encryptable, lockable AND FAST, much faster than writing to a CD. Your most recent 4 years of patient records can easily fit on it. They have a metal case, measure 1/3 x 1 x 3 inches, and are sometimes sold as a key chain for your keys. Do the records need to be encrypted or otherwise secure? Of course. more about KeyChain EMR?

KeyChain EMR^TM

… surprisingly, The Most secure medical record by far.

(A 1 Gb flash drive is shown here. ~ US $90.00.)

This website is physically located at http://www.SureWest.com, Roseville, California.

Gilbert B. Carter, MD, JD, FP, medical programmer, family physician