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[[Dr. Jerry Williamson] We are in Goldengate Maples, in our Goldengate pediatric office.]
[This is one of 10 offices that Collier Health Services has.]
[and this has just been another marvelous, marvelous feature ]
[for the electronic health record for us.]
[By having the 10 offices and having implemented the electronic record]
[in these 10 offices, we can now see patients in any of the offices,]
[just by bringing up their chart on the electronic record.]
[Previously, that was not possible.]
[[Dr. George Camina] Collier Health Services is basically a not-for-profit organization.]
[It started out as a corporation in Immokalee; the main hub is still there,]
[and we've been able to branch out here in Naples, and that's kind of our mission.]
[Our mission is to provide care for families with lower income.]
[[Dr. Jerry Williamson] Community health centers are safety nets]
[for disadvantaged patients, and there are many of them,]
[well over 1,000 in the United States. ]
[[Dr. George Camina] Our patient population, for the most part, ]
[migrant farm workers, lower income working class.]
[We see a high percentage of Medicaid or uninsured patients,]
[and we try to provide as much service for them as possible.]
[It is a little bit challenging because there's a language barrier.]
[Not a lot of them speak English.]
[We have a lot of Haitian patients, a lot of Hispanic patients,]
[so in that aspect it is a challenging office, but Naples is not the biggest city in the world,]
[but our patient population is quite vast.]
[[Dr. Jose Gonzales] Our electronic medical records is basically chart but without paper,]
[so everything is right here, right in the computer, so as soon as I walk into the room,]
[I can log on, and everything is in there that you need, immunization records.]
[You can do your growth charts right on there.]
[You can go back and look at previous visits.]
[You can look at the past medical history.]
[[Gabriela Guzman] The waste that goes into using paper is unbelievable,]
[especially for little notes and things like that.]
[Why, if it could be in this much storage and out in a file, why would it be ]
[in volumes and volumes in a paper chart?]
[[Dr. George Camina] This not only forces us as physicians to keep up technologically,]
[I bring the patient to the screen.]
[I show them their growth chart, and I can show them trends]
[and explain to them their diagnoses.]
[[Dr, Jose Gonzales] We're also now ordering prescriptions right through here,]
[for which the patients love, because we send them directly to the pharmacy.]
[Most of the time the prescriptions are ready for them already when they get there.]
[[Dr. George Camina] The biggest improvement for me has with medications.]
[In that aspect, it has really made me a true better physician, ]
[because you very easily can get drug interactions, lack of dosage errors.]
[[Dr. Jerry Williamson] The transition from paper to electronics]
[is a very interesting transition.]
[It's a transition that I would liken to going from the Model T Ford into a rocket ship.]
