Our History

CMR began more than 20 years ago with the vision and efforts of Cris Mandry, MD, who is the founding program director of the Louisiana State University Emergency Medicine Residency Program in Baton Rouge, La.—one of the largest programs of its kind in the country.

In 1988, Dr. Mandry, a residency-trained and board-certified physician, founded C&M Medical Services—CMR’s parent company—a regional group. In 1992, Dr. Mandry first attempted to improve patient care documentation in emergency services by leading the purchase of an ED-specific electronic medical record (EMR) in one of his group’s hospitals. The first application failed due to numerous deficiencies.

Dr. Mandry continued to test multiple EMRs over the subsequent decade in search of an ED-capable EMR that was intuitive to use and flowed like a traditional medical record, while capturing required documentation, enhancing patient safety and improving clinical decision support. Unfortunately, all fell short as Dr. Mandry found that  software companies did not understand the complexity of emergency medicine, nor were they receptive to suggestions for improvements.

After experiencing several of these failed EMR implementations, Dr. Mandry founded CMR in 1998. At this time, Dr. Mandry assembled a team of practicing emergency physicians, nurses and programmers to build an application that streamlined clinical pathways, met management and administration’s needs for increased efficiency and charge capture, and improved patient care and safety.

Dr. Mandry believed that clinicians working as a team needed an integrated, comprehensive view of a patient’s care to make informed, coordinated and timely decisions. Today, CMR’s emergency department information system meets the needs of all those involved with patient care in the ED and along the continuum of care. In emergency departments in urban and suburban medical centers, smaller rural hospitals and in freestanding EDs, CMR has significantly improved clinical and operational efficiencies.