Multiple Clinics

bapajan wrote on Wednesday, December 14, 2011:

Hi,
If i have to run openemr for multiple clinics, how do i setup?
Do i have to run separate instances of openemr for every clinic or one instance multiple database?
Would be grateful to hear or pointer to the right resource.
Regards

juggernautsei wrote on Wednesday, December 14, 2011:

Hello,

You need to go to Administration > Facilities > and define your locations there. You only need one instance of OEMR to run as many facility/locations as  you want. When  you create a provider or user account, you assign them to a facility. That defines what they can see in the program and sets the provider / user access control. I have one client with 7 location/facilities on one instance of OEMR.

Sherwin,
openmedpractice.com

bapajan wrote on Friday, December 16, 2011:

Thank you for the reply. I will try the suggested option.
- The clinics are spread across various cities and will certainly be in excess of 200-300. Does one instance and one database manage such a load and will performance be an issue?

-How does one define centrally these setup so that it is not visible or accessible to other clinics. Each of them need to have their clinic name coming up when they login to their system. Is it possible?

In our scenario, the clinics provide dialysis procedure to patients and would be grateful to hear on the following:
- how to maintain inventory for the items (drugs and non-drug items) required in the procedures to be administered for the patients?
- i would like to monitor the consumption of the items and replenish accordingly. Is there a way to view it currently or it requires custom work.
- since it is a dialysis procedure, the patient will need to be allocated a bed for the period of the procedure (4hrs). how do i do this currently?
- i maintain some assets in the clinic (both capex and opex meaning operational items). Is there a way to account for this clinic wise and build on top an asset maintenance, periodic checkup, calibration, etc.

Sorry for the long list. I would be extremely grateful for insights on the above.
Regards

arnabnaha wrote on Friday, December 16, 2011:

Hi sherwin

By creating facilities is it possible for a provider linked to that facility to see only his/her patients in that facility?? I mean when a provider in facility ‘A’ logs in and searches for a patient/creates a patient, then is he able to see only that facility’s patient in the patient list?  or he is able to see all the facility’s patients??

juggernautsei wrote on Sunday, December 18, 2011:

Hi,
My apologies for the delay in responding.

Well, the information about the number of clinics puts a new spin on the whole thing. It would be best advised that use the MultiSite mode.

Here are the instructions http://www.open-emr.org/wiki/index.php/OpenEMR_Multiple_Sites_Module.

That way each install is separated and can run in its own space and make administration better from your side.

Running 200-300 sites on a single server would be tramendus load on a single server.

How do you plan on hosting and load balancing? We would like to help. Contact me off line sgaddis(at)jse.net.

There is an inventory function built into the program now. It will not require custom work to do any of this. The drug tracking feature is turned on under the global settings > features.

As far as scheduling a patient for a period of 4hrs, my suggestion would be to set the calendar intervals to that limit so that each scheduled patient will be blocked that time. There is a note section under the schedular that would allow you to enter notes that can be seen on the calendar so if you need to assign a particular bed location or staff member, that note can be seen in the appointment on the screen.

Question about inventory and management of assests. Yes that is built in as well. You would have to select inventory both drug and non-drug products. If this feature does not surfice then we can build what you need.

The question about facilities, yes, that is how OEMR works. users can be assigned to a facility and they can only “see” that facility when they login. They cannot wonder from facility to faclity just looking.

I hope this is helpful.

Sherwin
openmedpractice.com

juggernautsei wrote on Sunday, December 18, 2011:

Hi,

I took a look at the inventory feature that is built in native to the system and it really is not for inventorying anything other than drugs. It would be best to build a module that can do equipment specificly.

Sherwin

bapajan wrote on Tuesday, December 27, 2011:

I tried the multiple sites and it is working fine. But one problem which is with the url where it handles the siteid. Is there a way to accept input from the user the siteid along with userid and password? If i have to do that, how do i go about?
Appreciate and thank you for the time.
Regards

blankev wrote on Tuesday, December 27, 2011:

I made  Question entry in WIKI with this material. Please check for inconsistencies, possible additions and irregularities for future versions Look for number 11:

http://www.open-emr.org/wiki/index.php/FAQ

bradymiller wrote on Thursday, January 05, 2012:

Hi Pimm,
Thanks for the contribution. I made a couple minor changes. Let me know if it’s ok.
thanks,
-brady

blankev wrote on Thursday, January 05, 2012:

Would it be wise to mention version numbers for future reference? Or as of from what time this feature is available?

Or do we declare this obvious and all WIKI information mentioned is for the most recent version, unless stated different, like FreeB, SQLedger as mentioned as obsolete?

bradymiller wrote on Thursday, January 05, 2012:

Hi Pimm,

I generally don’t add this info if it’s in the current release/patch, but feel free to do what you want. For example, in the architecture page, I do state the version that new database tables have been added:
http://www.open-emr.org/wiki/index.php/OpenEMR_System_Architecture#Database

-brady