Validity of Using an Electronic Medical Record for Assessing Quality of Care in an Outpatient Setting

2006 ◽  
Vol 2006 ◽  
pp. 11-12
Author(s):  
J.T. Wei
Keyword(s):  
Quality Of Care ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Outpatient Setting

Validity of Using an Electronic Medical Record for Assessing Quality of Care in an Outpatient Setting

Medical Care ◽  
2005 ◽  
Vol 43 (7) ◽  
pp. 691-698 ◽  
Author(s):  
Andrea L. Benin ◽  
Grace Vitkauskas ◽  
Elizabeth Thornquist ◽  
Eugene D. Shapiro ◽  
John Concato ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Outpatient Setting

scholarly journals Integrating Patient-Generated Health Data in an Electronic Medical Record: Stakeholders’ Perspectives

2020 ◽  
Author(s):  
Katherine Blondon ◽  
Frederic Ehrler
Keyword(s):  
Patient Safety ◽  
Quality Of Care ◽  
Focus Group ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Health Data ◽  
Improve Quality

Patient-generated health data (PGHD), when shared with the provider, provides potential as an approach to improve quality of care. Based on interviews and a focus group with stakeholders involved in PGHD integration in the electronic medical record (EMR), we explore the benefits, barriers and possible risks. We propose solutions to address liability concerns, such as clarifying patient and provider expectations for the analyses of PGHD and emphasize considerations for future steps, which include the need to screen PGHD for patient safety.

Identifying individuals with multiple sclerosis in an electronic medical record

2014 ◽  
Vol 21 (2) ◽  
pp. 217-224 ◽  
Author(s):  
Kristen M Krysko ◽  
Noah M Ivers ◽  
Jacqueline Young ◽  
Paul O’Connor ◽  
Karen Tu
Keyword(s):  
Primary Care ◽  
Quality Of Care ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Primary Care Physicians ◽  
Policy Makers ◽  
Patient Profile ◽  
Physician Billing ◽  
Chart Abstraction

Background: The increasing use of electronic medical records (EMRs) presents an opportunity to efficiently evaluate and improve quality of care for individuals with MS. Objectives: We aimed to establish an algorithm to identify individuals with MS within EMRs. Methods: We used a sample of 73,003 adult patients from 83 primary care physicians in Ontario using the Electronic Medical Record Administrative data Linked Database (EMRALD). A reference standard of 247 individuals with MS was identified through chart abstraction. The accuracy of identifying individuals with MS in an EMR was assessed using information in the cumulative patient profile (CPP), prescriptions and physician billing codes. Results: An algorithm identifying MS in the CPP performed well with 91.5% sensitivity, 100% specificity, 98.7% PPV and 100% NPV. The addition of prescriptions for MS-specific medications and physician billing code 340 used four times within any 12-month timeframe slightly improved the sensitivity to 92.3% with a PPV of 97.9%. Conclusions: Data within an EMR can be used to accurately identify patients with MS. This study has positive implications for clinicians, researchers and policy makers as it provides the potential to identify cohorts of MS patients in the primary care setting to examine quality of care.

scholarly journals A study on perception of clinicians regarding use of electronic medical record for patients attending outpatient departments in a tertiary care teaching hospital in northern India

2020 ◽  
Vol 8 (1) ◽  
pp. 237
Author(s):  
Samarpita Dutta ◽  
Nirupam Madaam ◽  
Parmeshwar Kumar
Keyword(s):  
Quality Of Care ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Tertiary Care ◽  
Background Information ◽  
Care Hospital ◽  
Outpatient Departments ◽  
Computer Based ◽  
The Mean

Background: Information technology is increasingly being recognized as an important tool for improving patient safety and quality of care. Use of electronic medical record has the greatest potential for improving quality in healthcare. Use of technology in a highly interactive environment such as the OPD has to be user friendly and acceptable. Therefore a study was carried out to assess the perception of clinicians regarding use of computer modules in clinical care in the outpatient departments of a tertiary care hospital in northern India.Methods: A cross sectional study was carried out over a period of two months in which 70 clinicians in the selected hospital were administered pre-designed questionnaire format for self reporting. It required them to rate their preferences regarding adoption of a computer based module for their OPDs and how this would affect their time and quality of patient care.Results: For a given computer based module in OPD, 81.4% of the clinicians supported its adoption. The mean scores suggested that most clinicians perceive that use of electronic medical record would improve quality of care. The mean scores for any of the parameters did not differ significantly amongst supporters and non-supporters of adoption of the module except on one parameter that it would be easier to follow a patient seen earlier by another clinician (p<0.05).Conclusions: Although there might be an initial resistance to change, overall clinicians perceive that introduction of electronic medical records on outpatient department would lead to improved quality of medical information management.

scholarly journals Depression Quality of Care: Measuring Quality over Time Using VA Electronic Medical Record Data

2016 ◽  
Vol 31 (S1) ◽  
pp. 36-45 ◽  
Author(s):  
Melissa M. Farmer ◽  
Lisa V. Rubenstein ◽  
Cathy D. Sherbourne ◽  
Alexis Huynh ◽  
Karen Chu ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Medical Record Data ◽  
Electronic Medical Record Data ◽  
Record Data ◽  
Over Time

The Use of Bedside Electronic Medical Record to Improve Quality of Care in Nursing Facilities

2010 ◽  
pp. 1 ◽  
Author(s):  
MARILYN J. RANTZ ◽  
GREG ALEXANDER ◽  
COLLEEN GALAMBOS ◽  
MARCIA K. FLESNER ◽  
AMY VOGELSMEIER ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Improve Quality ◽  
Nursing Facilities

Use of electronic medical record templates improves quality of care for patients with infantile spasms

2018 ◽  
Vol 50 (1-2) ◽  
pp. 47-54
Author(s):  
Jonathan D Santoro ◽  
Amanda G Sandoval Karamian ◽  
Maura Ruzhnikov ◽  
Elise Brimble ◽  
Whitney Chadwick ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Treatment Plan ◽  
Medication Administration ◽  
Infantile Spasms ◽  
Care Quality ◽  
Newly Diagnosed ◽  
Resident Physicians

Background: Infantile spasms (IS) is a neurologic disorder of childhood where time to treatment may affect long-term outcomes. Due to the clinical complexity of IS, care can be delayed. Objective: To determine if the use of electronic medical record templates (EMRTs) improved care quality in patients treated for IS. Method: Records of patients newly diagnosed with IS were retrospectively reviewed both before and after creation of an EMRT for the workup and treatment of IS. Quality of care measures reviewed included delays in treatment plan, medication administration, obtaining neurodiagnostic studies and discharge. The need for repeat neurodiagnostic studies was also assessed. Resident physicians were surveyed regarding template ease of use and functionality. Results: Of 17 patients with IS, 7 received template-based care and 10 did not. Patients in the non-template group had more delays in treatment ( p = 0.010), delay in medication administration ( p = 0.10), delay in diagnostic studies ( p = 0.01) and delay in discharge ( p = 0.39). Neurodiagnostic studies needed to be repeated in 5 out of 10 patients in the non-template group and none of the 7 patients in the template group ( p = 0.04). Surveyed resident physicians reported improved coordination in care, avoidance of delays in discharge and improved ability to predict side effects of treatment with template use. Conclusion: In a single centre, the use of protocolised EMRTs decreased treatment delays and the need for repeated invasive procedures in patients with newly diagnosed IS and was reported as easy to use by resident physicians. Implications: The use of protocolised EMRTs may improve the quality of patient care in IS and other rare diseases.

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