There are three types of medical document management solutions namely, Paper Charts, Spreadsheet files and OpenMRS EMR applications. The paper and spreadsheet files have certain limitations when it comes to their performance and availability of storage space. Spreadsheets, created in Excel with a VBA backbone, for instance may lose data, and can only keep not more than 100 patient records efficiently. There are citations from various users implying that Microsoft Office Excel 2003 can perform a better job when it comes to analysis using the Pivot Tables than a spreadsheet which merges several spreadsheets. Thus, complex data takes a lot of time to analyze. Although, a paper chart does not limit the number of patient records it can hold and have organized data, it does not have the flexibility to manage complex disease treatment like human immunodeficiency virus (HIV) and Tuberculosis (TB) properly.
Most business owners know how they want to run their business. To a large extent this is based on the business owner‘s personal values, ethics and interests. Sometimes the day to day problems pile up at such a rate the owner loses sight of what they wanted to achieve as they get buried under layers of demands on their time. Most people would not consider carrying out a health check on themselves. Instead they consult an external expert who will take an objective look at them and provide impartial advice. In business a similar route should be followed as anyone involved in the day to day running of a business may not notice a significant problem due to familiarity. The old adage about the value of a fresh pair of eyes is true in business as it is elsewhere.