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E-Cure

Using Information Technology to Enhance Service

Bristol Neurosurgical Associates and its subsidiary TriCities Spine are leaders in the use electronic medical records (EMR) that enables the physicians to provide feedback to insurance carriers, case managers and employers faster than most other physician practices. Both practices use E-Cure, an electronic medical records system software system that uses flat screen displays in each exam room that shows the patient chart, X-rays and other diagnostic tests.

According to Spencer Brasfield, a co-founder of E-Cure, a software company based in Bristol, Tennessee, electronic medical record systems enable physicians to improve patient care, enhance productivity and eliminate tedious time consuming paperwork.

Because we have eliminated paper, we enjoy rapid communications with referring physicians, the hospitals, and other medical professionals. The E-Cure system at Bristol Neurosurgical Associates and TriCities Spine have proven to speed clinical recordkeeping and improve patient management. Medical software, including EMR and practice management software, have always been a key focus, and with new privacy measures like HIPAA being phased in, it is more necessary than ever for a medical practice to keep pace with these changes.

E-Cure is now being marketed to other medical practices across the United States. For more information, visit www.ecure.com.


TriCities Spine in Bristol, TN is a by-product of discussions with case managers, rehab nurses and managed care experts on a local and national level who believe that spine care can be improved through a multidisciplinary team approach. TriCities Spine includes a board-certified neurosurgeon who specializes in spine, Dr. Jim Brasfield, teamed with a pain management specialist and spine-specialized physical therapy. TriCities Spine physicians already see a variety of complex cases from across Eastern Tennessee, Virginia, North Carolina and Kentucky. TriCities Spine emphasizes a nonsurgical approach to back pain, recognizing that in most cases spine surgery should be the last card to be played after nonsurgical options have been tried. About half of patients are referred to TriCities Spine by other doctors in the region. TriCities Spine also cares for those who injure themselves at the workplace. The strength of TriCities Spine lies in the medical expertise brought in by a variety of specialists who complement each other, including experts in physical medicine and neurosurgery. An internal pain specialist is often able to relieve some back and neck pain symptoms with special injections that enable a patient to bridge to therapy. Dr. Fred Terry specializes in pain relieving lumbar spinal injections and as well as myelograms, which may reveal the amount of damage in the spine. Therapists who specialize in spine use customized hands-on treatments to relieve pain symptoms, along with special exercises to help make the back stronger, more flexible and resistant to injury. If nonsurgical treatments are not successful, Dr. Jim Brasfield is trained and proficient in the latest techniques in minimally invasive spine surgery. Because of the minimally invasive techniques used by Dr. Brasfield, many patients are able to have their spine surgery and then return home the same day to recover in the comfort of their own home.