THE SHAREWOOD EMR SYSTEM
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- Howard Phelps
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1 THE SHAREWOOD EMR SYSTEM From Concept into Practice Robertino Lim The Sharewood Project Information Technology Coordinator Tufts University School of Medicine MD/MPH 2014
2 AGENDA Overview Creation EMR Tour Impact & Lessons
3 AGENDA Overview Creation EMR Tour Impact & Lessons
4 Student Run Free Health Care Organization Offers free acute clinical care each Tuesday in Malden, MA Patients are seen on a first come first serve walk-in basis All patients are welcome regardless of immigration, income or insurance status
5 Services include: General Acute Care Women s Health Case Management Nutrition Counseling Dental Care Vision Care Sexual & Reproductive Health Counseling
6 AGENDA Overview Creation EMR Tour Impact & Lessons
7 AGENDA Overview Creation EMR Tour Impact & Lessons
8
9 Previous System Donated software Not updated since No company support Separate Access database Duplicate data entry
10 Priorities Practice Management Patient Note Data Reporting Scheduling Billing
11 Priorities Practice Management Patient Note Data Reporting Scheduling Billing
12 Options Corporate Donation Open Source Web-Based
13 Our Own Solution: A Tailored Approach
14 Timeline
15 Timeline
16 Timeline
17 Timeline
18 Timeline
19 Priorities Practice Management Patient Note Data Reporting Scheduling Billing
20 Priorities Practice Management Patient Note Data Reporting Scheduling Billing
21 Our System Basics Programmed in PHP: Hypertext Preprocessor Database Management System MySQL (Structured Query Language) PC server Linux OS Secure backup on-site and off-site encrypted storage Use local protected wireless and customized for Firefox browser Intranet-based Students can use personal computers Practice Management Patient Note Data Reporting
22 AGENDA Overview Creation EMR Tour Impact & Lessons
23 AGENDA Overview Creation EMR Tour Impact & Lessons
24 Practice Management
25 Practice Management
26 Practice Management
27 Practice Management
28 Practice Management
29 Practice Management
30 Practice Management
31 Practice Management
32
33 Practice Management
34 Patient Note
35 Patient Note
36 Patient Note
37 Patient Note
38 Patient Note
39 Patient Note
40 Patient Note
41 Patient Note
42 Patient Note
43 Patient Note
44 Patient Note
45 Patient Note
46 Patient Note
47 Patient Note
48 Patient Note
49 Patient Note
50
51 Data Reporting
52 Data Reporting
53 AGENDA Overview Creation EMR Tour Impact & Lessons
54 AGENDA Overview Creation EMR Tour Impact & Lessons
55 Data & Results Fourty student volunteers surveyed after patient note entry: Time Saved EMR usage time ranged from minutes to minutes (variations due to experience and case presentation) Most estimated time saved at 5-20 minutes - some as much as the minute range Patients Served 300 patients in our Tuesday evening clinic hours since EMR was launched in late August Widely Preferred Surveys show all prefer current EMR to previous system or others used
56 Impact Patients & Volunteers: Increased efficiency Shorter waiting times Better notes More time for Patient Care & Learning Clinic: Swift patient flow Robust data reporting for Grants Better clinic picture for Board Reinvestment of savings into Sharewood
57
58 Further Development Near Future Improved Data Storage & Reporting Long Term Lab work, testing, results & e-prescribing New tools for better care
59 Expansion of Our Model Core Values Simplicity Improving Efficiency Enhancing Education User/Designer Involvement Lessons Learned Team Building Collaboration Advantages of Digital Age Technical Expertise
60 Expansion of Our Model Core Values Simplicity Improving Efficiency Enhancing Education User/Designer Involvement Lessons Learned Team Building Collaboration Advantages of Digital Age Technical Expertise
61
62 THANK YOU SO MUCH Undergraduate Project Coordinator - Dan Slate - Tufts B.S Head Programmer & Software Architect - Shawel Negussie - Tufts M.S Previous IT Coordinator - Michael Hemond - TUSM 2013 Undergraduate Data Systems Manager Monica Weber Tufts B.S Stephen Sanoja, Clara Chan, JJ Proudfoot, Thuy-Tien Le, David Ma & All of The Sharewood Project Board for their valued input. All icons were retrieved from iconfinder.com
63 Questions?
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