THE SHAREWOOD EMR SYSTEM From Concept into Practice Robertino Lim The Sharewood Project Information Technology Coordinator Tufts University School of Medicine MD/MPH 2014
AGENDA Overview Creation EMR Tour Impact & Lessons
AGENDA Overview Creation EMR Tour Impact & Lessons
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
Services include: General Acute Care Women s Health Case Management Nutrition Counseling Dental Care Vision Care Sexual & Reproductive Health Counseling
AGENDA Overview Creation EMR Tour Impact & Lessons
AGENDA Overview Creation EMR Tour Impact & Lessons
Previous System Donated software - 2006 Not updated since No company support Separate Access database Duplicate data entry
Priorities Practice Management Patient Note Data Reporting Scheduling Billing
Priorities Practice Management Patient Note Data Reporting Scheduling Billing
Options Corporate Donation Open Source Web-Based
Our Own Solution: A Tailored Approach
Timeline
Timeline
Timeline
Timeline
Timeline
Priorities Practice Management Patient Note Data Reporting Scheduling Billing
Priorities Practice Management Patient Note Data Reporting Scheduling Billing
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
AGENDA Overview Creation EMR Tour Impact & Lessons
AGENDA Overview Creation EMR Tour Impact & Lessons
Practice Management
Practice Management
Practice Management
Practice Management
Practice Management
Practice Management
Practice Management
Practice Management
Practice Management
Patient Note
Patient Note
Patient Note
Patient Note
Patient Note
Patient Note
Patient Note
Patient Note
Patient Note
Patient Note
Patient Note
Patient Note
Patient Note
Patient Note
Patient Note
Patient Note
Data Reporting
Data Reporting
AGENDA Overview Creation EMR Tour Impact & Lessons
AGENDA Overview Creation EMR Tour Impact & Lessons
Data & Results Fourty student volunteers surveyed after patient note entry: Time Saved EMR usage time ranged from 10-20 minutes to 30-40 minutes (variations due to experience and case presentation) Most estimated time saved at 5-20 minutes - some as much as the 20-30 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
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
Further Development Near Future Improved Data Storage & Reporting Long Term Lab work, testing, results & e-prescribing New tools for better care
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
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
THANK YOU SO MUCH Undergraduate Project Coordinator - Dan Slate - Tufts B.S. 2011 Head Programmer & Software Architect - Shawel Negussie - Tufts M.S. 2011 Previous IT Coordinator - Michael Hemond - TUSM 2013 Undergraduate Data Systems Manager Monica Weber Tufts B.S. 2014 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
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