in Critical Care Stephen Lapinsky Mount Sinai Hospital

Size: px
Start display at page:

Download "in Critical Care Stephen Lapinsky Mount Sinai Hospital"

Transcription

1 Electronic Patient Record in Critical Care Stephen Lapinsky Mount Sinai Hospital Toronto

2 Outline Terminology How can IT improve care The ICU Clinical Information System Drivers and barriers to a CIS Clinical Decision Support

3 Terminology A hospital-based information system designed to collect, organize and Clinical Information System CIS present data relating exclusively to clinical information about the care of a patient. Electronic Medical Record EMR Electronic Health Record EHR A computer-based record of healthcare information about a patient, for ongoing healthcare provision. A computer-based longitudinal lifetime record of a patient, generated from various encounters within the healthcare system

4 Terminology Patient Hosp A Hosp B Family doc A B C D E Radiol CIS EMR EMR EMR EHR EMR EMR?? EMR EMR Pharm Lab

5 How can IT help in the ICU? One ICU patient generates up to 236 variable categories Morris, Crit Care Clin 1999, 15:523 Humans capable of managing p g g 5 to 9 variables adequately Miller, Psychol Rev 1956, 63:81

6 The technology is out there

7 How I.T. can improve healthcare Improve communication Make data and knowledge accessible Decision support Facilitate t rapid responses Reduce errors Track compliance with guidelines Remote access, multiple users Avoid handwriting errors, abbreviations

8 How I.T. can improve healthcare Track compliance with guidelines 19 Michigan ICU s Clinical information technology index CRBSI rate pre-/post- implementation of change Amarasingham et al, J Am Med Inform Assoc. 2007;14:

9 Critical Care Clinical Information System COMPONENTS Labs and imaging RN & MD documentation CPOE & tasks emar, medication safety Connectivity with bedside devices Decision support & alerts

10

11 Critical Care Clinical Information System COMMERCIAL PRODUCTS Cerner inet Drager Infinity Phillips Intellivue Picis Caresuite Spacelabs Ultraview Siemens Axiom Sensis GE QS Critical Care imdsoft MetaVision

12 Critical Care Clinical Information System DECISION SUPPORT Simplest: Passive link to data

13 Critical Care Clinical Information System DECISION SUPPORT Simplest: Passive link to data

14 Critical Care Clinical Information System DECISION SUPPORT Active: Interacts with workflow Intervenes at opportune times Reduce errors of Commission Omission Drug dosing -out of range -renal failure -interactions -policy related

15 Critical Care Clinical Information System DECISION SUPPORT Active: Interacts with workflow Intervenes at opportune times Reduce errors of Commission Omission Reminders: - DVT prophylaxis - Check drug levels - avoid trivial, repetitive alerts

16 Critical Care Clinical Information System DECISION SUPPORT Sophisticated: Antibiotic prescribing based on current resistance patterns Evans et al, N Engl J Med. 1998;338:232-8 LDS Hospital, Salt Lake City McKinley et al, J Trauma. 2001;50:415-24;

17 Critical Care Clinical Information System DECISION SUPPORT Sophisticated: Antibiotic prescribing based on current resistance patterns Evans et al, N Engl J Med. 998;338:232-8 LDS Hospital, Salt Lake City McKinley et al, J Trauma. 2001;50:415-24;

18 Drivers for implementing a CIS Improving patient safety Consumer needs & expectations National initiatives Regional data sharing initiatives Improved technology

19 Barriers to implementing a CIS Financial limitations Interoperability between systems Clinician resistance to change Variation in systems used in Ontario survey Unmet of ICU s expectations: in the province time, of Ontario workload 15 different CIS vendors Usability, workflow, accessibility 8 different PACS vendors Data security Lapinsky et al. BMC Med Inform Decis Mak. 2008; 8:5 Presence of pre-existing existing poor practices

20 Barriers to implementing a CIS Financial limitations Interoperability between systems Clinician resistance to change Unmet expectations: time, workload Usability, workflow, accessibility Data security Presence of pre-existing existing poor practices

21 Adverse effects of ICU Clinical Information systems Facilitation ti of new errors Koppel et al, JAMA 2005;293:1197 Change in interactions on ward rounds Alteration to usual workflow Morrison et al et al, Crit Care 2008; 12:R148

22 Adverse effects of ICU Clinical Information systems Facilitation ti of new errors University of Pennsylvania Eclipsys System Koppel et al, JAMA 2005;293:1197 Change in interactions on ward rounds incorrect dosing (based on warehousing, not clinical data) discontinuation failures (due to multiple l screens) fragmented displays (routine v. stat v. prn meds) allergy alerts shift responsibility patient/medication selection errors delayed tomorrow orders Alteration to usual workflow Morrison et al et al, Crit Care 2008; 12:R148

23 Adverse effects of ICU Clinical Information systems Facilitation ti of new errors Koppel et al, JAMA 2005;293:1197 Change in interactions on ward rounds Alteration to usual workflow Morrison et al et al, Crit Care 2008; 12:R148

24 Adverse effects of ICU Clinical Information systems Facilitation ti of new errors Koppel et al, JAMA 2005;293:1197 Change in interactions on ward rounds Alteration to usual workflow Morrison et al et al, Crit Care 2008; 12:R148

25 Adverse effects of ICU Clinical Information systems Facilitation ti of new errors Koppel et al, JAMA 2005;293:1197 Change in interactions on ward rounds Alteration to usual workflow Morrison et al et al, Crit Care 2008; 12:R148

26 Implementation of ICU CIS Include all key stakeholders: MD, RN, others Ensure physician and nursing leadership support Understand and improve clinical processes Ongoing training and support Demonstrate and provide benefits: More rapid access to information Point-of-need information access Decision support

27 The Cedars Sinai debacle Slow, inefficient system Physicians not involved in development Interfering alerts Shelved system after 3 months, in 2002

28 10 Commandements for Implementation 1. Speed is everything. 2. Realize that doctors won't wait for the computer's pearls. 3. Deliver just-in-time information. 4. Fit into the user's workflow. 5. Respect physicians' sense of autonomy. 6. Monitor implementation in real time and respond right now. 7. Beware of unintended consequences. 8. Be wary of uncovering long-standing process flaws. 9. Don't disrupt magic nursing glue. 10. Speed is everything. Conclusion Shabot. Proc (Bayl Univ Med Cent). 2004; 17:

29 5 second 2 second 1 second 0.5 second

30 5 second 2 second 1 second 0.5 second

31 5 second 2 second 1 second 0.5 second

32 5 second 2 second 1 second 0.5 second

33 Conclusion Potential to improve patient care Standardize care Process control Reduce errors Requires a critical mass to be effective Integration of clinical, laboratory, PACS Clinical decision support Requires administrative commitment and financial support

34 Doctors can be sceptical and slow adopters That it will ever come into general use, notwithstanding its value, is extremely doubtful because its beneficial application requires much time and gives a good bit of trouble, both to the patient and to the practitioner.

35 Doctors can be sceptical and slow adopters That it will ever come into general use, notwithstanding its value, is extremely doubtful because its beneficial application requires much time and gives a good bit of trouble, both to the patient and to the practitioner. London Times, about the stethoscope

Experiences Implementing Ambulatory EMRs and Early Benefits

Experiences Implementing Ambulatory EMRs and Early Benefits Experiences Implementing Ambulatory EMRs and Early Benefits Colleen Rogers, Chad Leaver and Simon Hagens ehealth 2015 Today s Presentation Infoway and Investment in Ambulatory EMR Adoption Progress Emerging

More information

Dr. Peters has declared no conflicts of interest related to the content of his presentation.

Dr. Peters has declared no conflicts of interest related to the content of his presentation. Dr. Peters has declared no conflicts of interest related to the content of his presentation. Steve G. Peters MD NAMDRC 2013 No financial conflicts No off-label usages If specific vendors are named, will

More information

Overview of emar Electronic Medication Administration Record

Overview of emar Electronic Medication Administration Record Overview of emar Electronic Medication Administration Record March 2006 WHAT IS emar? emar Electronic Medication Administration Record - Replaces the paper MAR MAK Medication Administration Check (Siemens)

More information

Conflict of Interest Disclosure

Conflict of Interest Disclosure Leveraging Clinical Decision Support for Optimal Medication Management Anne M Bobb, BS Pharm., Director Quality Informatics Children s Memorial Hospital, Chicago IL, February 20, 2012 DISCLAIMER: The views

More information

For sample use only - data from 2006.

For sample use only - data from 2006. Essentials of the U.S. Hospital IT Market 1st Edition For sample use only - data from 2006. Electronic Medical Records 2426-7000 himss titles 3/9/06 9:34 AM Page 12 111 Approximately 75 percent of U.S.

More information

SUSTAINING QUALITY HEALTHCARE IN A LAGOON HOSPITALS. Dr Olajide Ojo Medical Director, Lagoon Hospital, Ikeja PAPERLESS ENVIRONMENT EMR AT

SUSTAINING QUALITY HEALTHCARE IN A LAGOON HOSPITALS. Dr Olajide Ojo Medical Director, Lagoon Hospital, Ikeja PAPERLESS ENVIRONMENT EMR AT SUSTAINING QUALITY HEALTHCARE IN A PAPERLESS ENVIRONMENT EMR AT LAGOON HOSPITALS Dr Olajide Ojo Medical Director, Lagoon Hospital, Ikeja EMR An electronic record of health-related information on an individual

More information

Clinical Decision Support

Clinical Decision Support Goals and Objectives Clinical Decision Support What Is It? Where Is It? Where Is It Going? Name the different types of clinical decision support Recall the Five Rights of clinical decision support Identify

More information

Mona Osman MD, MPH, MBA

Mona Osman MD, MPH, MBA Mona Osman MD, MPH, MBA Objectives To define an Electronic Medical Record (EMR) To demonstrate the benefits of EMR To introduce the Lebanese Society of Family Medicine- EMR Reality Check The healthcare

More information

Custom Report Data Elements: IT Database Fields. Source: American Hospital Association IT Survey

Custom Report Data Elements: IT Database Fields. Source: American Hospital Association IT Survey Custom Report Data Elements: IT Database Fields Source: American Hospital Association IT Survey TABLE OF CONTENTS COMPUTERIZED SYSTEM IMPLEMENTATION... 4 Bar Coding... 4 Computerized Provider Order Entry...

More information

Special Topics in Vendor- Specific Systems. Outline. Results Review. Unit 4 EHR Functionality. EHR functionality. Results Review

Special Topics in Vendor- Specific Systems. Outline. Results Review. Unit 4 EHR Functionality. EHR functionality. Results Review Special Topics in Vendor- Specific Systems Unit 4 EHR Functionality EHR functionality Results Review Outline Computerized Provider Order Entry (CPOE) Documentation Billing Messaging 2 Results Review Laboratory

More information

Health Information Technology: Introduction to One Key Part - the EHR

Health Information Technology: Introduction to One Key Part - the EHR Health Information Technology: Introduction to One Key Part - the EHR Donald P. Connelly, MD, PhD Director, Health Informatics Division University of Minnesota Medical School February 21, 2006 Minnesota

More information

DEMYSTIFYING ELECTRONIC HEALTH Presented to Central East LHIN Board of Directors. January 22, 2014

DEMYSTIFYING ELECTRONIC HEALTH Presented to Central East LHIN Board of Directors. January 22, 2014 DEMYSTIFYING ELECTRONIC HEALTH Presented to Central East LHIN Board of Directors January 22, 2014 What is ehealth? What is an Electronic Health System? EHR, EMR and PHR / CIS/HIS Where does the electronic

More information

Meaningful Use of Electronic Medical Records in Radiation Oncology

Meaningful Use of Electronic Medical Records in Radiation Oncology 1.Welcome Page Page 1 Page 2 2.Practice Characteristics Please describe the facility where you primarily work 1. Which of the following best describes the facility where you primarily work? Hospital based

More information

Creating a national electronic health record: The Canada Health Infoway experience

Creating a national electronic health record: The Canada Health Infoway experience Creating a national electronic health record: The Canada Health Infoway experience Presentation by Dennis Giokas Chief Technology Officer, Canada Health Infoway October 11, 2007 Overview The need for EHR

More information

americanehr.com A Report by AmericanEHR Partners October 2011

americanehr.com A Report by AmericanEHR Partners October 2011 Market Share and Top 10 Rated Ambulatory EHR Products by Practice Size A Report by AmericanEHR Partners October 2011 americanehr.com Copyright AmericanEHR Partners 2011 Market Share and Top 10 Rated Ambulatory

More information

Information and Communication Technology in Health Care To Infinity and Beyond. Pam Bush, RN, BScN

Information and Communication Technology in Health Care To Infinity and Beyond. Pam Bush, RN, BScN Information and Communication Technology in Health Care To Infinity and Beyond Pam Bush, RN, BScN Agenda Electronic Health Record- EHR- what is it EHR Requirements to Support Clinical Practice EHR how

More information

Safety Implications of EHR/HIT

Safety Implications of EHR/HIT Safety Implications of EHR/HIT PSA Board Meeting July 24, 2012 Erin Sparnon, MEng. William M. Marella, MBA 7/19/2012 2012 Pennsylvania Patient Safety Authority 1 What does it take to have safe HIT? Availability

More information

Transforming Healthcare in Emerging Markets with EMR adoption

Transforming Healthcare in Emerging Markets with EMR adoption Transforming Healthcare in Emerging Markets with EMR adoption Author Ann Geo Thekkel User Experience. Accenture, India Ann.geothekkel@accenture.com Abstract Compromising 24 countries, 35 percent of the

More information

Medweb Telemedicine 667 Folsom Street, San Francisco, CA 94107 Phone: 415.541.9980 Fax: 415.541.9984 www.medweb.com

Medweb Telemedicine 667 Folsom Street, San Francisco, CA 94107 Phone: 415.541.9980 Fax: 415.541.9984 www.medweb.com Medweb Telemedicine 667 Folsom Street, San Francisco, CA 94107 Phone: 415.541.9980 Fax: 415.541.9984 www.medweb.com Meaningful Use On July 16 2009, the ONC Policy Committee unanimously approved a revised

More information

Electronic Medical Record Adoption Model (EMRAM) John Rayner Director of Professional Development HIMSS-UK

Electronic Medical Record Adoption Model (EMRAM) John Rayner Director of Professional Development HIMSS-UK Electronic Medical Record Adoption Model (EMRAM) John Rayner Director of Professional Development HIMSS-UK HIMSS UK HIMSS Vision Improve health through the better use of technology and information. Do

More information

Implementing Advanced Inpatient EMR Systems: Hitting the Quality and Safety Bullseye

Implementing Advanced Inpatient EMR Systems: Hitting the Quality and Safety Bullseye Implementing Advanced Inpatient EMR Systems: Hitting the Quality and Safety Bullseye Jeremy Theal MD FRCPC Director, Medical Informatics ehealth Summit June 16, 2011 1 Defining the Target ehealth solutions

More information

Frequently Asked Questions

Frequently Asked Questions In this document you will find commonly asked questions and answers on specific topic categories related to the IHealth initiative and the new electronic health record (EHR). This information is all the

More information

Drivers of Electronic Medical Record Adoption Among Physician Organizations

Drivers of Electronic Medical Record Adoption Among Physician Organizations Drivers of Electronic Medical Record Adoption Among Physician Organizations Thomas G. Rundall, PhD Henry J. Kaiser Professor of Organized Health Systems Chair, Center for Health Research University of

More information

Unintended Consequences of Drug-Drug Interaction Alerts The Partners Experience

Unintended Consequences of Drug-Drug Interaction Alerts The Partners Experience Unintended Consequences of Drug-Drug Interaction Alerts The Partners Experience October 13-14, 2009 Eileen Yoshida, RPh, MBA Partners HealthCare Agenda Background Clinical Information Systems Clinical

More information

Genomics and the EHR. Mark Hoffman, Ph.D. Vice President Research Solutions Cerner Corporation

Genomics and the EHR. Mark Hoffman, Ph.D. Vice President Research Solutions Cerner Corporation Genomics and the EHR Mark Hoffman, Ph.D. Vice President Research Solutions Cerner Corporation Overview EHR from Commercial Perspective What can be done TODAY? What could be done TOMORROW? What are some

More information

Going beyond Meaningful Use with EMR solutions from the Centricity portfolio

Going beyond Meaningful Use with EMR solutions from the Centricity portfolio Going beyond Meaningful Use with EMR solutions from the Centricity portfolio The IT tools and services you need now. The support you need for the future. GE Healthcare is focused on providing customers

More information

1. Introduction - Nevada E-Health Survey

1. Introduction - Nevada E-Health Survey 1. Introduction - Nevada E-Health Survey Welcome to the Nevada E-Health Survey for health care professional providers and hospitals. The Office of Health Information Technology (OHIT) for the State of

More information

Integration for your Health Information System

Integration for your Health Information System Integration for your Health Information System Achieve comprehensive healthcare IT integration that leverages your existing IT investments and helps you meet the growing demands of Meaningful Use, HIE,

More information

Nurses and EMR Implementation: Seen But Not Heard? Rita Wilson RN MN MEd. ehealth Program Manager, RNAO

Nurses and EMR Implementation: Seen But Not Heard? Rita Wilson RN MN MEd. ehealth Program Manager, RNAO Nurses and EMR Implementation: Seen But Not Heard? Rita Wilson RN MN MEd. ehealth Program Manager, RNAO Presentation Overview Nursing & ehealth Project Overview 2014 Cross Sectorial Online Survey Implications

More information

Medication error is the most common

Medication error is the most common Medication Reconciliation Transfer of medication information across settings keeping it free from error. By Jane H. Barnsteiner, PhD, RN, FAAN Medication error is the most common type of error affecting

More information

Clinical Decision Support s Impact on Quality of Care. Greg Adams, Vice President of Strategic Business Development, UpToDate

Clinical Decision Support s Impact on Quality of Care. Greg Adams, Vice President of Strategic Business Development, UpToDate Clinical Decision Support s Impact on Quality of Care Greg Adams, Vice President of Strategic Business Development, UpToDate Agenda What is Clinical Decision Support (CDS)? How does CDS help clinicians

More information

Meaningful Use. A Success Story, The Rest of the Story and Our Way Forward

Meaningful Use. A Success Story, The Rest of the Story and Our Way Forward Meaningful Use A Success Story, The Rest of the Story and Our Way Forward Michael H. Zaroukian, MD, PhD, FACP, FHIMSS CMIO and Professor of Medicine - Michigan State University Medical Director, Clinical

More information

Information Systems at VCU Health System. Alistair Erskine, MD Chief Medical Information Officer

Information Systems at VCU Health System. Alistair Erskine, MD Chief Medical Information Officer Information Systems at VCU Health System Alistair Erskine, MD Chief Medical Information Officer Overview - Glossary Cerner Zynx Patientkeeper Stentor Intranet Lotus Notes Cisco VPN EMR Vendor Content Provider

More information

Measurable improvements in medication management

Measurable improvements in medication management Measurable improvements in medication management system Pyxis We re able to get the meds we need quickly and safely, even after hours. Tammy Hill, RN Critical Care Coordinator Alliance Community Hospital

More information

Concept Series Paper on Electronic Prescribing

Concept Series Paper on Electronic Prescribing Concept Series Paper on Electronic Prescribing E-prescribing is the use of health care technology to improve prescription accuracy, increase patient safety, and reduce costs as well as enable secure, real-time,

More information

OPTIMIZING THE USE OF YOUR ELECTRONIC HEALTH RECORD. A collaborative training offered by Highmark and the Pittsburgh Regional Health Initiative

OPTIMIZING THE USE OF YOUR ELECTRONIC HEALTH RECORD. A collaborative training offered by Highmark and the Pittsburgh Regional Health Initiative OPTIMIZING THE USE OF YOUR ELECTRONIC HEALTH RECORD A collaborative training offered by Highmark and the Pittsburgh Regional Health Initiative Introductions Disclosures Successful completion of training

More information

Centricity Enterprise Nursing Workflow Tools

Centricity Enterprise Nursing Workflow Tools GE Healthcare Centricity Enterprise Nursing Workflow Tools The system that supports a critical piece of patient care your nurses. Nurses are the cornerstone of patient care delivery. Their work spans the

More information

Inpatient EHR. Solution Snapshot. The right choice for your patients, your practitioners, and your bottom line SOLUTIONS DESIGNED TO FIT

Inpatient EHR. Solution Snapshot. The right choice for your patients, your practitioners, and your bottom line SOLUTIONS DESIGNED TO FIT Inpatient EHR The right choice for your patients, your practitioners, and your bottom line SOLUTIONS DESIGNED TO FIT Our customers do more than save lives. They re helping their communities to thrive.

More information

Healthcare IT System Interoperability from PatientSource

Healthcare IT System Interoperability from PatientSource Healthcare IT System Interoperability from PatientSource Patient Care Safely in One Place PatientSource integration support stitches all your IT systems together PatientSource Legacy IT Interoperability

More information

Survey on EHR/CPOE for Geisinger ICU Physicians, PAs and NPs

Survey on EHR/CPOE for Geisinger ICU Physicians, PAs and NPs Center for Quality and Productivity Improvement University of Wisconsin-Madison Survey on EHR/CPOE for Geisinger ICU Physicians, PAs and NPs 1 year after the implementation Letter to Geisinger Intensive

More information

Change Management for Health IT: Preparing for your Next Challenge

Change Management for Health IT: Preparing for your Next Challenge Change Management for Health IT: Preparing for your Next Challenge Krystyna Hommen BSc MBA President and CEO, Excelleris Technologies Laurie Poole BScN MHSA Vice President, Telemedicine Solutions, OTN

More information

Benefits and Risks of Electronic Health Records

Benefits and Risks of Electronic Health Records Benefits and Risks of Electronic Health Records Rainu Kaushal, MD, MPH Director, Center for Informatics and Health Systems Improvement Weill Cornell Medical College and Graduate School Chief, Division

More information

HealthFore Technologies Limited

HealthFore Technologies Limited HealthFore Technologies Limited Transforming Clinical Adoption using Enterprise Health Systems 13/11/2013 1 Transforming Clinical Adoption using Enterprise Health Systems Whitepaper Details Title: Transforming

More information

Health Information Technology and the National Quality Agenda. Daphne Ayn Bascom, MD PhD Chief Clinical Systems Officer Medical Operations

Health Information Technology and the National Quality Agenda. Daphne Ayn Bascom, MD PhD Chief Clinical Systems Officer Medical Operations Health Information Technology and the National Quality Agenda Daphne Ayn Bascom, MD PhD Chief Clinical Systems Officer Medical Operations Institute of Medicine Definition of Quality "The degree to which

More information

HL7 and Meaningful Use

HL7 and Meaningful Use HL7 and Meaningful Use Grant M. Wood HL7 Ambassador HIMSS14 2012 Health Level Seven International. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International.

More information

Electronic Health Record Use: Health Care Providers Perception at a Community Health Center. Gina Robinson CentroMed San Antonio, TX

Electronic Health Record Use: Health Care Providers Perception at a Community Health Center. Gina Robinson CentroMed San Antonio, TX Electronic Health Record Use: Health Care Providers Perception at a Community Health Center Gina Robinson CentroMed San Antonio, TX Introduction The Health Information Technology for Economic and Clinical

More information

Going Digital with Patients: IT s about Patient Safety. Paul C. Tang, MD Palo Alto Medical Foundation Sutter Health

Going Digital with Patients: IT s about Patient Safety. Paul C. Tang, MD Palo Alto Medical Foundation Sutter Health Going Digital with Patients: IT s about Patient Safety Paul C. Tang, MD Palo Alto Medical Foundation Sutter Health Outline The beckoning opportunity in patient safety EHR systems: prescription for safer

More information

ELECTRONIC MEDICAL RECORDS. Selecting and Utilizing an Electronic Medical Records Solution. A WHITE PAPER by CureMD.

ELECTRONIC MEDICAL RECORDS. Selecting and Utilizing an Electronic Medical Records Solution. A WHITE PAPER by CureMD. ELECTRONIC MEDICAL RECORDS Selecting and Utilizing an Electronic Medical Records Solution A WHITE PAPER by CureMD CureMD Healthcare 55 Broad Street New York, NY 10004 Overview United States of America

More information

HIMSS Electronic Health Record Definitional Model Version 1.0

HIMSS Electronic Health Record Definitional Model Version 1.0 HIMSS Electronic Health Record Definitional Model Version 1.0 Prepared by HIMSS Electronic Health Record Committee Thomas Handler, MD. Research Director, Gartner Rick Holtmeier, President, Berdy Systems

More information

Learning Objectives. Introduction to Reconciling Medication Information. Background. Elements of Performance NPSG.03.06.01

Learning Objectives. Introduction to Reconciling Medication Information. Background. Elements of Performance NPSG.03.06.01 Pharmacy Evaluation of Medication Reconciliation Initiated in the Emergency Department Manuel A. Calvin, Pharm.D. PGY1 Pharmacy Resident Saint Francis Hospital, Tulsa, OK OSHP Annual Meeting Residency

More information

Health Information Technology

Health Information Technology Health Information Technology chartbook volume II Maine Hospitals Survey 2010 UNIVERSITY OF SOUTHERN MAINE Health Information Technology Maine Hospitals Survey Volume II Authors Martha Elbaum Williamson,

More information

Health Record Banking Alliance

Health Record Banking Alliance Health Record Banking Alliance From: William A. Yasnoff, MD, PhD, President, Health Record Banking Alliance To: Regulations.Gov Website at http://www.regulations.gov/search/regs/home.html#home Date: May

More information

SHERMC 2015 Medico-Legal Risks from the Use of Electronic Medical Records. Ms Kuah Boon Theng Advocate & Solicitor Legal Clinic LLC

SHERMC 2015 Medico-Legal Risks from the Use of Electronic Medical Records. Ms Kuah Boon Theng Advocate & Solicitor Legal Clinic LLC SHERMC 2015 Medico-Legal Risks from the Use of Electronic Medical Records Ms Kuah Boon Theng Advocate & Solicitor Legal Clinic LLC EMRs Blessing or Curse? EMRs facilitate better management of medical information

More information

Addressing the State of the Electronic Health Record (EHR)

Addressing the State of the Electronic Health Record (EHR) Addressing the State of the Electronic Health Record (EHR) Agenda Definitions Attributes Differences Adoption Model Current State Challenges Implementation considerations What is it? EMR CMR EHR EPR PHR

More information

Case Study: Using Predictive Analytics to Reduce Sepsis Mortality

Case Study: Using Predictive Analytics to Reduce Sepsis Mortality Case Study: Using Predictive Analytics to Reduce Sepsis Mortality 1 Learning Objectives 1. Understand how an automated, real time IT intervention can help care teams recognize and intervene on critical,

More information

Spok Template v2 7/8/2015

Spok Template v2 7/8/2015 COMMUNICATION TOOLS TO COMPLEMENT THE EHR Brian Edds, Vice President Product Strategy at Spok, Inc. ABOUT SPOK Decades of experience managing healthcare communications 98% customer satisfaction scores

More information

Hospital IT Expenses and Budgets Related to Clinical Sophistication. Market Findings from HIMSS Analytics

Hospital IT Expenses and Budgets Related to Clinical Sophistication. Market Findings from HIMSS Analytics Hospital IT Expenses and Budgets Related to Clinical Sophistication Market Findings from HIMSS Analytics Table of Contents 2 3 4 8 13 14 Executive Summary Expense Metrics Used for this Research Operating

More information

HEALTHCARE SOLUTIONS INTEGRATED MEDICATION MANAGEMENT SOLUTIONS FOR INNOVATIVE HOSPITALS

HEALTHCARE SOLUTIONS INTEGRATED MEDICATION MANAGEMENT SOLUTIONS FOR INNOVATIVE HOSPITALS HEALTHCARE SOLUTIONS INTEGRATED MEDICATION MANAGEMENT SOLUTIONS FOR INNOVATIVE HOSPITALS A LONG HISTORY OF INNOVATION IN SAFE AND EFFICIENT TAILORED AUTOMATED DRUG MANAGEMENT SYSTEMS «SWISSLOG, AN ESTABLISHED

More information

New From Kalorama Information: EMR 2012: The Market for Electronic Medical Record Systems KLI3804306 Current Physician Usage of EMR

New From Kalorama Information: EMR 2012: The Market for Electronic Medical Record Systems KLI3804306 Current Physician Usage of EMR New From Kalorama Information: EMR 2012: The Market for Electronic Medical Record Systems KLI3804306 Paperless medicine is a key goal of healthcare systems. Kalorama Information has continued to track

More information

October 12, 2010. Dear Health Care Provider:

October 12, 2010. Dear Health Care Provider: DEPARTMENT OF SOCIAL SERVICES DIVISION OF MEDICAL SERVICES 700 GOVERNORS DRIVE PIERRE, SD 57501-2291 PHONE: 605-773-3495 FAX: 605-773-5246 WEB: dss.sd.gov October 12, 2010 Dear Health Care Provider: We

More information

Status of Electronic Health Records in Missouri Hospitals HIDI SPECIAL REPORT JULY 2012

Status of Electronic Health Records in Missouri Hospitals HIDI SPECIAL REPORT JULY 2012 Status of Electronic Health Records in Missouri Hospitals HIDI SPECIAL REPORT JULY 2012 HIDI SPECIAL REPORT INTRODUCTION The steady progress that Missouri hospitals continue to demonstrate in their adoption

More information

The Brigham and Women s Hospital Department of Pharmacy

The Brigham and Women s Hospital Department of Pharmacy Using Bar Code Verification to Improve Patient Care and Tracking and Traceability William W. Churchill MS, R.Ph. Chief of Pharmacy Services Brigham and Women s Hospital The Brigham and Women s Hospital

More information

Healthcare Information Technology (HIT)

Healthcare Information Technology (HIT) Healthcare Information Technology (HIT) Why State Governments Must Help Create a National Health Information Network Ian C. Bonnet Deloitte Consulting LLP October, 2005 State Leadership in developing a

More information

EHR vs CCR: What is the difference between the electronic health record and the continuity of care record?

EHR vs CCR: What is the difference between the electronic health record and the continuity of care record? Health IT Library EHR vs CCR: What is the difference between the electronic health record and the continuity of care record? Written by C. Peter Waegemann The idea of the electronic health record was born

More information

DATA IN THE SERVICE OF THE PATIENT: IMPROVING PATIENT OUTCOMES AND PATIENT SAFETY WITH BETTER DATA

DATA IN THE SERVICE OF THE PATIENT: IMPROVING PATIENT OUTCOMES AND PATIENT SAFETY WITH BETTER DATA DATA IN THE SERVICE OF THE PATIENT: IMPROVING PATIENT OUTCOMES AND PATIENT SAFETY WITH BETTER DATA Greg Adams, Vice President Wolters Kluwer UpToDate gregory.adams@wolterskluwer.com Doctors Have Clinical

More information

ELECTRONIC MEDICAL RECORDS (EMR)

ELECTRONIC MEDICAL RECORDS (EMR) ELECTRONIC MEDICAL RECORDS (EMR) SAUDI BOARD FOR COMMUNITY MEDICINE FIRST PART - FIRST SEMESTER (FALL 2010) COURSE SBCM 002: MEDICAL INFORMATICS Osama Alswailem MD MA Medical Record function 1. It s a

More information

*! "! Unequivocally YES EMRs: Shorten inpatient Length of Stay

*! ! Unequivocally YES EMRs: Shorten inpatient Length of Stay Implementing EMR Into Your Practice Presented by Jocelyne Swayze Carter Why the fuss? Common features of practices that have successfully implemented EMRs Information security issues Choosing an EMR system

More information

Doctors' 10 Biggest Mistakes When Using EHRs Kenneth J. Terry, MA

Doctors' 10 Biggest Mistakes When Using EHRs Kenneth J. Terry, MA Doctors' 10 Biggest Mistakes When Using EHRs Kenneth J. Terry, MA Introduction May 01, 2013 www.medscape.com Many physicians complain vociferously about electronic health records (EHRs): the difficulty

More information

Electronic Health Records & Healthcare Information Technology in the United States, 2011

Electronic Health Records & Healthcare Information Technology in the United States, 2011 Electronic Health Records & Healthcare Information Technology in the United States, 2011 Westlake III April 14, 2011 William A. Bornstein, MD, PhD Chief Quality & Medical Officer Emory Healthcare Acronyms

More information

The 3 rd person in the Exam Room

The 3 rd person in the Exam Room The 3 rd person in the Exam Room Dr. Matt Rafalski FAAFP Dayspring Family Health Center Jellico, Tn mrafalski@dayspringfhc.com DISCLOSURE STATEMENT OF FINANCIAL INTEREST I, Matthew Rafalski, MD, DO have

More information

Healthcare Today and Tomorrow: Patient Safety and Bar Coding

Healthcare Today and Tomorrow: Patient Safety and Bar Coding Healthcare Today and Tomorrow: Patient Safety and Bar Coding August 2010 Presenters Melissa A. Fiutak Senior Product Manager, 2D Handheld Scanners Honeywell Scanning & Mobility Regan Baron, RN, BSN Chief

More information

Clinical Decision Support Systems: State of the Art

Clinical Decision Support Systems: State of the Art Clinical Decision Support Systems: State of the Art Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 540 Gaither Road Rockville, MD 20850 www.ahrq.gov

More information

Plugging Behavioral Health. Health into Electronic Medical Records

Plugging Behavioral Health. Health into Electronic Medical Records Plugging Behavioral Health into Electronic Medical Records 2:15 3:15 pm Cheryl Odell, RN Fadi Nicolas, MD Mary Kay Shibley, RN Sharp Mesa Vista Plugging Behavioral Health into Electronic Medical Records

More information

Adoption and Meaningful Use of EHR Technology in a Hospital

Adoption and Meaningful Use of EHR Technology in a Hospital Monday, March, 00 :5 :5 pm Adoption and Meaningful Use of EHR Technology in a Hospital Sanjay Shah, MBA, CMPE, FHIMSS President, HCIT+ (Former) VP & CIO, Cabell Huntington Hospital Anthony Adkins, RN Director

More information

The HITECH Act: A Grand Experiment In HIT Implementation and Sustainability. Kim Dunn, MD, Ph.D.

The HITECH Act: A Grand Experiment In HIT Implementation and Sustainability. Kim Dunn, MD, Ph.D. The HITECH Act: A Grand Experiment In HIT Implementation and Sustainability August 11, 2011 Kim Dunn, MD, Ph.D. Agenda Historical Context for Reform Overview of ARRA Funded Programs Implications for Texas

More information

U.S. MARKET OVERVIEW

U.S. MARKET OVERVIEW U.S. MARKET OVERVIEW Hospital Electronic Medical Record (EMR) Applications 2010 Year End Report This historical report of the U.S. hospital market is brought to you as an online resource from the Dorenfest

More information

U.S. MARKET OVERVIEW

U.S. MARKET OVERVIEW U.S. MARKET OVERVIEW Ambulatory Applications (Hospital-Owned Ambulatory Facilities) 2010 Year End Report This historical report of the U.S. hospital market is brought to you as an online resource from

More information

Centricity Health User Group

Centricity Health User Group Centricity Health User Group April 21 st, 2012 Las Vegas, NV Christopher T. Beal, DO St. Johns Internal Medicine, P.C. Mike Duckworth MD EMR Systems www.mdemrsystems.com Patient Portals are the new frontier

More information

Sustainability: Achieving Clinical and Financial Benefits Through the Use of an EHR

Sustainability: Achieving Clinical and Financial Benefits Through the Use of an EHR Sustainability: Achieving Clinical and Financial Benefits Through the Use of an EHR Bert Reese SVP and CIO of Sentara Healthcare Sentara Healthcare October 6, 2014 1 Sentara Healthcare 126-year not-for-profit

More information

Journal of Business & Economics Research July 2008 Volume 6, Number 7

Journal of Business & Economics Research July 2008 Volume 6, Number 7 Accounting And Economic Implications Of Healthcare Information Technology Paul J. Carruth, Southeastern Louisiana University Ann K. Carruth, Southeastern Louisiana University ABSTRACT There is a growing

More information

Electronic Health Records - An Overview - Martin C. Were, MD MS March 24, 2010

Electronic Health Records - An Overview - Martin C. Were, MD MS March 24, 2010 Electronic Health Records - An Overview - Martin C. Were, MD MS March 24, 2010 Why Electronic Health Records (EHRs) EHRs vs. Paper Components of EHRs Characteristics of a good EHRs A Kenyan EHRs implementation

More information

The State of EHR Adoption: On the Road to Improving Patient Safety

The State of EHR Adoption: On the Road to Improving Patient Safety The State of EHR Adoption: On the Road to Improving Patient Safety SPONSORED BY VMWare The State of ehr adoption Whether the designation is electronic medical records (EMR) or electronic health records

More information

& Your HIS. Electronic Health Record System. The Dynamic Duo. Everything you need to know to create a Paperless and Process efficient Hospital.

& Your HIS. Electronic Health Record System. The Dynamic Duo. Everything you need to know to create a Paperless and Process efficient Hospital. Electronic Health Record System & Your HIS The Dynamic Duo Everything you need to know to create a Paperless and Process efficient Hospital. www.lifetrenz.com Table of Contents Introduction 2 What is EHR?

More information

E.H.R. s and Improving Patient Safety - What Has Been the Real Impact?

E.H.R. s and Improving Patient Safety - What Has Been the Real Impact? E.H.R. s and Improving Patient Safety - What Has Been the Real Impact? Presented by: Mary Erickson, RN, HTS Accounting Manager HTS, a division of Mountain Pacific Quality Health Foundation 1 Understand

More information

Pediatric Physician. and Advanced Providers Handbook. for Inpatient Cerner Use

Pediatric Physician. and Advanced Providers Handbook. for Inpatient Cerner Use Pediatric Physician and Advanced Providers Handbook for Inpatient Cerner Use Section Last updated Page(s) Background Jan-13 2 Admission Process Nov-12 11 Codes Nov-12 17 Discharge Process Nov-12 13 Downtime

More information

EHR Adoption and Vision for HIM

EHR Adoption and Vision for HIM EHR Adoption and Vision for HIM Christina M. Janus, MBA, RHIA EOHIMA Spring Seminar April 14, 2007 1 Content Covered Key EHR Functions Adoption Model Group Share of Current Technologies & Vision for the

More information

Evolution of a Closed Loop Medication Use Process

Evolution of a Closed Loop Medication Use Process Evolution of a Closed Loop Medication Use Process Paul J. Vitale, Pharm.D. pvitale@mdmercy.com Vice President and Chief Pharmacy Officer The Mercy Medical Center Baltimore, Maryland Agenda Hospital Background

More information

REAL-TIME INTELLIGENCE FOR FASTER PATIENT INTERVENTIONS. MICROMEDEX 360 Care Insights. Real-Time Patient Intervention

REAL-TIME INTELLIGENCE FOR FASTER PATIENT INTERVENTIONS. MICROMEDEX 360 Care Insights. Real-Time Patient Intervention REAL-TIME INTELLIGENCE FOR FASTER PATIENT INTERVENTIONS MICROMEDEX 360 Care Insights Real-Time Patient Intervention Real-Time Intelligence for Fast Patient Interventions At your patient s side, developments

More information

Lessons Learned from the Art of Practice Management

Lessons Learned from the Art of Practice Management Lessons Learned from the Art of Practice Management Can EHR technology favorably impact the clinical and financial outcomes of a physician practice? Our world, our lives, the way we acquire information

More information

The Paperless Project - A Practical Paper

The Paperless Project - A Practical Paper IS CPOE SAFE FOR PATIENTS? An early experience. Leah Brown MSN, RN and James Frye MBA Abstract In a 1999 report from the Committee on Quality Healthcare in America, To Err is Human [1], indicated that

More information

Successful EMR Strategies

Successful EMR Strategies MANAGING THE TIDES Sean Lunde June 7, 2012 1 Up to 50% of all EMR implementations fail. 2 2 Keshavjee K. Best Practices in EMR Implementation: A Systematic Review. In: ; 2006. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/pmc1839412/

More information

Future of Family Medicine and the EHR Initiative

Future of Family Medicine and the EHR Initiative Future of Family Medicine and the EHR Initiative Steven E. Waldren, MD, MS Assistant Director Center for Health Information Technology American Academy of Family Physicians swaldren@aafp.org Overview Driving

More information

Heuristic Walkthrough Usability Evaluation of Electronic Health Record with a Proposed Security Architecture

Heuristic Walkthrough Usability Evaluation of Electronic Health Record with a Proposed Security Architecture Heuristic Walkthrough Usability Evaluation of Electronic Health Record with a Proposed Prajakta Pawar, Sushopti Gawade Abstract: There currently appears to be concerted efforts at national (HSE) Regional

More information

Clinical Decision Support in Nursing

Clinical Decision Support in Nursing School of Healthcare FACULTY OF MEDICINE AND HEALTH Clinical Decision Support in Nursing Dawn Dowding Professor of Applied Health Research d.dowding@leeds.ac.uk or 0113 343 1199 Overview What is Clinical

More information

Norton Healthcare. Faith-Based Integrated Delivery Network of Five Not-for-Profit Hospitals 15 Out-patient Centers 130+ Physician Practices

Norton Healthcare. Faith-Based Integrated Delivery Network of Five Not-for-Profit Hospitals 15 Out-patient Centers 130+ Physician Practices Norton Healthcare Faith-Based Integrated Delivery Network of Five Not-for-Profit Hospitals 15 Out-patient Centers 130+ Physician Practices 2.2 Million yearly patient encounters $1.6 Billion yearly revenue

More information

Electronic Medical Record (EMR) Safety Results of CAH Testing. Tom Johns, PharmD Shands at the University of Florida

Electronic Medical Record (EMR) Safety Results of CAH Testing. Tom Johns, PharmD Shands at the University of Florida Electronic Medical Record (EMR) Safety Results of CAH Testing Tom Johns, PharmD Shands at the University of Florida Vendors Evaluated CPSI Healthland Cerner Test Patients Test Patient A Age: 76 y/o Sex:

More information

Jan Duffy, Research Manager, Health Industry Insights EMEA

Jan Duffy, Research Manager, Health Industry Insights EMEA Healthcare Transformation: The Role of IT Healthcare Transformation: The Role of IT Jan Duffy, Research Manager, Health Industry Insights EMEA Agenda Western Europe: Healthcare IT Investment Western Europe:

More information

NHCHC Meaningful Use of Electronic Health Records Resource Catalogue. Meaningful Use Overview

NHCHC Meaningful Use of Electronic Health Records Resource Catalogue. Meaningful Use Overview Meaningful Use Overview Meaningful use is the use of a certified electronic health record (EHR) to demonstrate improved quality and safety of health care delivery for a patient population within a clinical

More information

Health Information Technology in Healthcare: Frequently Asked Questions (FAQ) 1

Health Information Technology in Healthcare: Frequently Asked Questions (FAQ) 1 Health Information Technology in Healthcare: Frequently Asked Questions (FAQ) 1 1. What is an Electronic Health Record (EHR), an Electronic Medical Record (EMR), a Personal Health Record (PHR) and e-prescribing?

More information

Supplementary Appendix

Supplementary Appendix Supplementary Appendix This appendix has been provided by the authors to give readers additional information about their work. Supplement to: Jha AK, DesRoches CM, Campbell EG, et al. Use of electronic

More information