Welcoming teleretinography into diabetes integrated care

2021 ◽  
pp. 112067212110393
Author(s):  
Roberto Perilli ◽  
Silvio P Mariotti ◽  
Leonardo Mastropasqua ◽  
Francesco M Bandello ◽  
Mauro Grigioni ◽  
...  
Keyword(s):  
Integrated Care ◽  
Digital Camera ◽  
Health Record ◽  
Fundus Examination ◽  
Diabetes Clinic ◽  
Disease Marker ◽  
Effective System ◽  
Outpatient Settings ◽  
Care Path ◽  
Eye Clinic

Integrated Care (IC) is a perfect fit for people with diabetes. Fundus examination (FE) is a disease marker for diabetologists and identifies potentially blinding complications (Diabetic Retinopathy, DR). In our Diabetes Clinic (DC) in Pescara, Italy, FE is possibly provided with telemedicine in same day as other exams, avoiding it to be a standalone clinical one; images taken with a retinal digital camera are graded by a remote ophthalmologist within a shared Electronic Health Record (EHR), immediately readable by other stakeholders; a dedicated care path to the Eye Clinic, University of Chieti-Pescara is provided for urgent cases. Personnel’s worktime shortening allows gaining time for ophthalmologists’ eye examinations in outpatient settings and other stakeholders’ work in the DC. The need for a DR digital screening system is growing worldwide: our experience confirms the ease of implementation, and the advantage of sharing clinical data with all stakeholders when working within an EHR, aiming to optimize an IC effective system.

Considerations for Integrating Advance Care Planning Into the Electronic Health Record: A Primer for Clinicians

2020 ◽  
Vol 37 (12) ◽  
pp. 1004-1008
Author(s):  
Adam Moses ◽  
Ajay Dharod ◽  
Jeff Williamson ◽  
Nicholas M. Pajewski ◽  
Daniel Tuerff ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Electronic Health Record ◽  
Advance Care Planning ◽  
Health Record ◽  
Care Planning ◽  
Basic Understanding ◽  
Advance Care ◽  
Electronic Health ◽  
Outpatient Settings

Opportunities for expanding advance care planning (ACP) throughout the health-care system make it critical that primary care (PC) providers have a basic understanding of how the electronic health record (EHR) can aid promoting ACP discussions and documentation. This article will offer PC providers 5 useful tips for implementing ACP in outpatient settings utilizing the EHR.

scholarly journals Effect of an Electronic Health Record on the Culture of an Outpatient Medical Oncology Practice in a Four-Hospital Integrated Health Care System: 5-Year Experience

2011 ◽  
Vol 7 (4) ◽  
pp. e20-e24 ◽  
Author(s):  
Bruce Brockstein ◽  
Thomas Hensing ◽  
George W. Carro ◽  
Jennifer Obel ◽  
Janardan Khandekar ◽  
...  
Keyword(s):  
Electronic Health Record ◽  
Research Productivity ◽  
Hospital Care ◽  
Medical Oncology ◽  
Health Record ◽  
Integrated Health Care System ◽  
Electronic Health ◽  
Oncology Practice ◽  
Outpatient Settings ◽  
Care System

Five years after implementation of a full paperless electronic health record within a four-hospital care system, the system's oncology practice is experiencing significant improvements in safety, efficiency, and research productivity in both inpatient and outpatient settings.

scholarly journals The Iranian Integrated Care Electronic Health Record

2021 ◽  
Author(s):  
Ehsan Bitaraf ◽  
Maryam Jafarpour ◽  
Vajiheh Jami ◽  
Fatemeh Sarani Rad
Keyword(s):  
Electronic Health Record ◽  
Integrated Care ◽  
Service Oriented Architecture ◽  
Point Of Care ◽  
Medical Knowledge ◽  
Healthcare Services ◽  
Health Record ◽  
Care Systems ◽  
Point Of Care Systems ◽  
Electronic Health

E-health plays a crucial role in E-government by proposing healthcare services based on information technology. However, the way to administer these services by using E-health solutions is one of the challenging issues. One of these significant challenges is how one integrates heterogeneous healthcare information of the different point of care systems. This paper introduces the Iranian integrated care electronic health record using the information gathered from several point-of-care systems in healthcare enterprises in Iran. This service-oriented architecture has a remarkable characteristic – its accessibility to medical knowledge and medical concepts through archetypes and ontology, respectively. The Ministry of Health and Medical Education of the Islamic Republic of Iran has designed and implemented this national architecture.

scholarly journals Electronic Health Record Documentation of Psychiatric Assessments in Massachusetts Emergency Department and Outpatient Settings During the COVID-19 Pandemic

2020 ◽  
Author(s):  
Victor M. Castro ◽  
Roy H. Perlis
Keyword(s):  
Emergency Department ◽  
Psychiatric Symptoms ◽  
Academic Medical Centers ◽  
Health Record ◽  
Medical Centers ◽  
Academic Medical ◽  
Key Points ◽  
Coronavirus Infection ◽  
Outpatient Settings ◽  
Eastern Massachusetts

Key PointsQuestionHow did documentation of psychiatric symptoms in outpatient and emergency room settings change with onset of COVID-19 infection in Eastern Massachusetts?FindingsIn this cohort study spanning 2 academic medical centers and 3 community hospitals, prevalence of narrative notes referencing depression or anxiety decreased 75-81% in outpatient settings following onset of coronavirus in March 2019, and by 44–45% in emergency departments.MeaningThe observation that documentation of psychiatric symptoms declined sharply with increasing coronavirus infection in Massachusetts, even as prevalence of such symptoms is anticipated to increase, suggests additional efforts may be required to address these symptoms in the context of COVID-19.

Harnessing the electronic health record to advance integrated care.

2021 ◽  
Vol 39 (1) ◽  
pp. 77-88
Author(s):  
Lisa de Saxe Zerden ◽  
Brianna M. Lombardi ◽  
Erica L. Richman ◽  
Erin P. Fraher ◽  
Kimberly Ann Shoenbill
Keyword(s):  
Electronic Health Record ◽  
Integrated Care ◽  
Health Record ◽  
Electronic Health

scholarly journals Measures of electronic health record use in outpatient settings across vendors

2020 ◽  
Author(s):  
Sally L Baxter ◽  
Nate C Apathy ◽  
Dori A Cross ◽  
Christine Sinsky ◽  
Michelle R Hribar
Keyword(s):  
Electronic Health Record ◽  
Care Delivery ◽  
Well Being ◽  
Health Record ◽  
Standardized Measures ◽  
Current State ◽  
Patient Health ◽  
Electronic Health ◽  
Outpatient Settings ◽  
Core Measures

Abstract Electronic health record (EHR) log data capture clinical workflows and are a rich source of information to understand variation in practice patterns. Variation in how EHRs are used to document and support care delivery is associated with clinical and operational outcomes, including measures of provider well-being and burnout. Standardized measures that describe EHR use would facilitate generalizability and cross-institution, cross-vendor research. Here, we describe the current state of outpatient EHR use measures offered by various EHR vendors, guided by our prior conceptual work that proposed seven core measures to describe EHR use. We evaluate these measures and other reporting options provided by vendors for maturity and similarity to previously proposed standardized measures. Working toward improved standardization of EHR use measures can enable and accelerate high-impact research on physician burnout and job satisfaction as well as organizational efficiency and patient health.

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