The conversion from a paper medical record system to a computer-based patient record (CPR) system is a complex process. There are many factors to consider; advantages and disadvantages vary depending on the nature of a practice. This article introduces the reader to those issues that must be addressed in bringing information technology into office-based medical records. A number of software programs are available; however, introducing CPR into a practice is far more complex than just selecting a software vendor. The transition to CPR, even using “off-the-shelf” software, is at least a year-long project and, in most cases, takes several years.

In the following discussion, computer terminology is kept at a minimum. Even someone who has never used a computer should be able to understand the principles discussed here. A very basic understanding of personal computers (PCs), however, will deepen the reader's understanding of certain technical aspects of this discussion.

There is a growing appreciation for the advantages of CPR. Even 10 years ago the penetration of computers into medical record keeping was less than 1% for office-based practices. The decrease in the cost of computer power, combined with the increased demands for documentation, has fueled a growing interest in CPR. In 1992 the Computer-Based Record Institute<sup>2 Computer-Based Patient Record Institute, Proceedings of the Computer-based Patient Record Institute. Washington, DC, July 9–10, 1998.

Cliquez ici pour aller à la section Références</sup> (CPRI) was formed to facilitate the implementation of computer-based patient records to improve health care quality, cost, and access.

The first step in implementing CPR into an ophthalmology practice is to review the advantages and disadvantages of computer-based records. This step is more than a formality; understanding the advantages of adding CPR to your practice is the basis for all the decisions you will make. For example, perhaps you are considering using voice-recognition software in your practice. If your primary goal is to reduce overhead cost, then voice recognition may help a lot. If, on the other hand, your primary goal is to see more patients, voice recognition may actually slow you down. It is only by having a clear understanding of your goals that you will make the correct decisions about all the various options available in CPR. Determining the advantages and disadvantages of CPR in your practice can help to answer the first question, “Should I implement CPR in my practice now?”