Presentation Transcript

1. EMR use and data completeness Physicians fully utilizing their EMRs The first step to using higher functions of the EMR, such as reminders and clinical decision support is having completed fields for the variables which trigger these tools. Physicians achieve comprehensive data completeness across the core elements of the complete patient profile (CPP) within 2-years of EMR use. Source: Tu, K., Jaakkimainen, L., Young, J., Oud, W., Ivers, N., Butt, D., Wang, M., Widdifield, J., Leaver, C. (2012). Measuring EMR adoption amongst family physicians in Ontario. Does this get better over time?
2. Integration of laboratory information in EMRs Improved timeliness and productivity The time to sort, archive, and retrieve an electronic lab report is 87% faster in EMR-integrated settings than paper-based practices. Source: Centre for Research in Healthcare Engineering at The University of Toronto, EMR Integrated Labs Workflow Evaluation, (2012).
3. EMRs support proactive management Practices with EMRs are more confident they can contact patients based on reviews to receive evidence-based interventions Time to complete six challenges to identify patients who would benefit from evidence-informed intervention: Paper ~ 40 hours* ~ 1.37 hours EMR * Estimate based on % of charts reviewed by cut-off times. Source: LietteLapointe, John Hughes, Raymond Simkus, Michel Lortie, Steven Sanche and Susan Law, McGill University, St.Mary’s Hospital and MedBase Research, The Population Health Management Challenge, (2012).
4. Benefits of early ePrescribing Illegible prescriptions eliminated with early ePrescribing Fewer printed prescriptions (0.7%) than handwritten (1.3%) require clarification calls. On average clarification calls took 9.1 minutes to complete. In addition to achieving patient safety benefits, pharmacists have more time to provide counseling and support to patients. Source: Newfoundland & Labrador Centre for Health Information (NLCHI) The Effect of Handwritten Prescription Orders on Pharmacists Clarification Calls, (2012).
5. ICES Billings Study - Results Physician billings remain stable from the date of EMR implementation over the 18-month follow-up period (from ‘go live’).  No decline in overall physician office billings was observed from the date of EMR implementation. Source: Jaakkimainen, L., Schultz, S.E., Tu, K. (2012). Does starting an electronic medical record (EMR) affect family physicians’ billings? Draft Report.
6. Physician Value Study – EMRs & ROI 14 of 17 primary care clinics report a positive ROI (29 physician practices), and for those, time to break-even averaged 10 months, and ranged from 1-37 months. The cost of an EMR implementation & system sustainability as measured by the ROI indicator, should not be a barrier to adoption. Source: Lortie, M., Sanche, S., Lapointe, L., Vedel, I., Hughes, J., Simkus, R., Dyck, S., Saragosa, E., Law, S. (2013). The EMR Physician Value Study: The Impact of mature Electronic Medical Record (EMR) implementations on productivity, operational efficiencies and clinical functionalities in Canadian primary care settings.
7. Physician Value Study - Key Process Changes Source: Lortie, M., Sanche, S., Lapointe, L., Vedel, I., Hughes, J., Simkus, R., Dyck, S., Saragosa, E., Law, S. (2013). The EMR Physician Value Study: The Impact of mature Electronic Medical Record (EMR) implementations on productivity, operational efficiencies and clinical functionalities in Canadian primary care settings.