The Ontario oncology electronic medical record (EMR): The integration of end user and provincial needs.

2013 ◽  
Vol 31 (31_suppl) ◽  
pp. 248-248
Author(s):  
Vishal Kukreti ◽  
Sara Lankshear ◽  
Arthur G. Manzon ◽  
Nancy Wolf ◽  
Shafiq Habib ◽  
...  
Keyword(s):  
Medical Record ◽  
Electronic Medical Record ◽  
Quality Indicators ◽  
Online Survey ◽  
Clinical Care ◽  
Functional Requirements ◽  
End User ◽  
Oncology Patient ◽  
Full Spectrum ◽  
Patient Profile

248 Background: The use of ambulatory electronic medical record (EMR) systems within oncology provides an opportunity for aligning provincial, local and end-user patient-centred quality indicators in the design, delivery and evaluation of clinical care and resource utilization. The aim of this provincial initiative is to define the “meaningful use” for the Oncology EMR by identifying the essential data elements and functional requirements required to facilitate integrated care, information standards (both local and provincial), and system integration needs. This paper presents the results of a provincial field study designed to determine end-user needs for information and quality metrics. Methods: Data collection included two separate onsite focus groups at each of the 13 regional cancer programs, with a focus on Clinical and Operational requirements. A total of 141 participants, representing physicians, interprofessional clinical team members, administrators and health information specialists were involved. An additional online survey was used for optimal engagement, with a total of 194 respondents, primarily nurses and physicians. Inclusion and exclusion criteria were developed to assist in coding and distillation of concepts generated. Results: A total of 1,598 ideas were generated (Clinical = 997, Operational = 601). Multiple rounds of content analysis were used to eliminate duplicates, identify common themes and distill the wealth of information down to the “vital few” discrete information requirements that should be included in the oncology EMR. At this time, 63 clinical and 55 operational concepts have been identified to support clinical care as well as operational planning and system evaluation. The online survey has helped define the data required for a Provincial Oncology Patient Profile within the EMR. Conclusions: The study employed significant consultation to merge end user and existing provincial quality measurement needs in order to define the Ontario Oncology EMR. A full spectrum of quality indicators identified through these processes will inform the future provincial priorities for information standards and quality monitoring that will be facilitated by a standardized EMR.

Assessing Physician and Nurse Satisfaction with an Ambulatory Care EMR

2011 ◽  
pp. 1140-1150
Author(s):  
Karen A. Wager
Keyword(s):  
Ambulatory Care ◽  
Medical Record ◽  
Electronic Medical Record ◽  
User Satisfaction ◽  
Online Survey ◽  
Project Managers ◽  
Practice Setting ◽  
Nurse Satisfaction ◽  
Academic Practice ◽  
Clinician Satisfaction

Evaluating clinician satisfaction with an electronic medical record (EMR) system is an important dimension to overall acceptance and use, yet project managers often lack the time and resources to formally assess user satisfaction and solicit feedback. This article describes the methods used to assess clinician satisfaction with an EMR and identify opportunities for improving its use at a 300-physician academic practice setting. We administered an online survey to physicians and nurses; 244 (44%) responded. We compared physician and nurse mean ratings across 5 domains, and found physicians satisfactions scores were statistically lower than nurses in several areas (p

Assessing Physician and Nurse Satisfaction with an Ambulatory Care EMR

2011 ◽  
pp. 1289-1300
Author(s):  
Karen A. Wager
Keyword(s):  
Ambulatory Care ◽  
Medical Record ◽  
Electronic Medical Record ◽  
User Satisfaction ◽  
Online Survey ◽  
Project Managers ◽  
Practice Setting ◽  
Nurse Satisfaction ◽  
Academic Practice ◽  
Clinician Satisfaction

Evaluating clinician satisfaction with an electronic medical record (EMR) system is an important dimension to overall acceptance and use, yet project managers often lack the time and resources to formally assess user satisfaction and solicit feedback. This article describes the methods used to assess clinician satisfaction with an EMR and identify opportunities for improving its use at a 300-physician academic practice setting. We administered an online survey to physicians and nurses; 244 (44%) responded. We compared physician and nurse mean ratings across 5 domains, and found physicians’ satisfactions scores were statistically lower than nurses in several areas (p

scholarly journals Improvement of patient safety through implementation of electronic medical records

2017 ◽  
Vol 1 (4) ◽  
pp. 111-112
Author(s):  
Elahe Gozali ◽  
Marjan Ghazisaiedi ◽  
Malihe Sadeghi ◽  
Reza Safdari
Keyword(s):  
Patient Safety ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Access To Health Care ◽  
Clinical Care ◽  
Drug Management ◽  
Bar Code

Introduction: Today, with the complexity of the process of conducting activities, the increase in diversity and the number of hospital services, and the increase in the expectations of clients - consistent with the fast technological advances - most of the hospitals in Iran have turned to mechanized systems to organize their daily activities and to register the patients' information and the care provided. One of these technologies is electronic medical records, which is known as a valuable system to evaluate patients' information in hospitals. The purpose of this paper was to examine the advantages of running electronic medical records in patient safety. Methods: This study is a review paper based on a structured review of papers published in the Google Scholar, SID, Magiran, Pubmed, and Science Direct databases (from 2007 to 2015) and the books on the benefits of implementing electronic medical records in patient safety and the related keywords. Results: Clinical information systems can have a significant effect on the quality of the outputs and patient safety. Various studies have indicated that the physicians with access to clinical guidelines and features such as computer reminders, doctors who did not have these features, presented more appropriate preventive care. Studies show that electronic medical records play a crucial role in improving the quality of patient health and safety services. Moreover, electronic medical record system is usually in connection with other technological tools: electronic drug management records,  electronic record of time and date of drug management are usually associated with bar code technology. Among the benefits of this system is the possibility to record clinical care by the treatment team, which would be especially beneficial for patient's bedside record. If the treatment personnel forgets to ask the patient a particular question, system reminds him/her. Furthermore, electronic medical record is able to remind the nurses of the patient's allergic reactions and medical history without the need for the patient to remind, which improves patient safety. Conclusion: Implementation of electronic medical records boosts up the quality of health services, patient safety, people's access to health care services, and the speed of patients treatment, leading to lower healthcare costs. Thus, considering the benefits mentioned and some other benefits of this kind, one can use this technology in clinical care provided to patients to come up with a safe and effective clinical care.

Assessing Physician and Nurse Satisfaction with an Ambulatory Care EMR

2011 ◽  
pp. 54-64
Author(s):  
Karen A. Wager
Keyword(s):  
Ambulatory Care ◽  
Medical Record ◽  
Electronic Medical Record ◽  
User Satisfaction ◽  
Online Survey ◽  
Project Managers ◽  
Practice Setting ◽  
Nurse Satisfaction ◽  
Academic Practice ◽  
Clinician Satisfaction

Evaluating clinician satisfaction with an electronic medical record (EMR) system is an important dimension to overall acceptance and use, yet project managers often lack the time and resources to formally assess user satisfaction and solicit feedback. This article describes the methods used to assess clinician satisfaction with an EMR and identify opportunities for improving its use at a 300-physician academic practice setting. We administered an online survey to physicians and nurses; 244 (44%) responded. We compared physician and nurse mean ratings across 5 domains, and found physicians satisfactions scores were statistically lower than nurses in several areas (p

Electronic Medical Records (EMR)

2011 ◽  
pp. 333-351 ◽  
Author(s):  
Dean E. Johnson
Keyword(s):  
Medical Record ◽  
Electronic Medical Record ◽  
Electronic Medical Records ◽  
Healthcare System ◽  
System Integration ◽  
Medical Records ◽  
Clinical Care ◽  
Holy Grail ◽  
Hospital System ◽  
Design And Implementation

For many years the electronic medical record has been the holy grail of hospital system integration. Hundreds of millions of dollars have been spent in attempts to develop effective electronic medical records (EMR) to provide clinical care for patients. The advantages of an EMR are listed as reducing error, streamlining care, and allowing multiple people to provide simultaneous care. Unfortunately, most current EMR implementations are developed without completely understanding the processes that are being automated. In some implementations, there is an effort to first outline the process, and then try to create software that will facilitate the existing process, but this effort is not typically done systematically or with the discipline of an engineer. We will discuss the areas that management systems engineers can facilitate the design and implementation of the EMR, reducing the errors in the current processes and preparing the healthcare system for further improvements.

Current state assessment survey of challenges of pharmacogenomics within oncology pharmacy practice

2020 ◽  
Vol 26 (6) ◽  
pp. 1374-1381
Author(s):  
Daniel J Przybylski ◽  
Elizabeth N Dow-Hillgartner ◽  
Michael P Reed ◽  
Michael J Fallon
Keyword(s):  
Medical Record ◽  
Electronic Medical Record ◽  
Online Survey ◽  
Pharmacy Practice ◽  
Clinical Decision ◽  
Comfort Level ◽  
Tumor Board ◽  
P Value ◽  
Post Graduate ◽  
And Training

Purpose The goal of this survey was to identify opportunities for health systems to increase implementation and adoption of oncology-focused pharmacogenomics services. Methods An online survey assessing respondent demographics, baseline knowledge and training in pharmacogenomics, comfort level with pharmacogenomic data, and challenges of implementing clinical pharmacogenomic platforms was distributed to professional colleagues and over national oncology pharmacy listservs. Pharmacists were grouped based on their comfort level with pharmacogenomic data. Results were analyzed utilizing Pearson chi-square test. A p value of <0.05 was considered significant. Results A total of 84 participants from 58 cancer centers participated in the survey. Most participants were post-graduate year 2 trained and a majority reported being comfortable assessing oncology pharmacogenomic data. Respondents indicated that pharmacogenomics reported within the electronic medical record was the most common institutional process to support pharmacogenomics for oncology patients. Despite this, poor visibility of pharmacogenomics within the electronic medical record was the most challenging aspect of implementing a pharmacogenomic program. Additional challenges included lack of resources for pharmacogenomic programs, insurance denials for pharmacogenomic-driven testing and medication, and prolonged turnaround time of pharmacogenetic results. Length of practice, post-graduate year 2 residency training, institutions with pharmacist involvement on hematology/oncology molecular tumor board, and institutions where a pharmacist helped create local pharmacogenomic policies were significantly associated with respondents’ comfortability in assessing pharmacogenomics. Conclusion Oncology pharmacists reported substantial challenges in implementing a pharmacogenomic program. Future efforts to assist in developing pharmacogenomic efforts should focus on increasing pharmacist involvement, expanding education and training, and improving clinical decision support tools.

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.

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