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A Missouri Physician’s Experience with EMRs

Missouri State Medical Association Electronic Medical Records Seminar January 30 th , 2010 St. Louis, MO . A Missouri Physician’s Experience with EMRs. Presenter. Karl Kochendorfer, MD Assistant Clinical Professor Family and Community Medicine Director of Clinical Informatics

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A Missouri Physician’s Experience with EMRs

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  1. Missouri State Medical Association Electronic Medical Records Seminar January 30th, 2010 St. Louis, MO A Missouri Physician’s Experience with EMRs

  2. Presenter Karl Kochendorfer, MD Assistant Clinical Professor Family and Community Medicine Director of Clinical Informatics Adjunct Faculty, MU Informatics Institute Founder, Medsocket LLC Physician Consultant, Cerner Corp

  3. Overview • Current state of EMR usage at my clinic • Shared experience (EMR users) • Data on our outcomes • Future efforts • Questions?

  4. Current state • Summary page • Reporting • Quality Measures • Dynamic Algorithms • Screening Tools • Online Calculators • Clinical Documentation • Patient Portal

  5. Patient Summary or Dashboard

  6. Data • Who has something like this in their EMR? • Previously: 60 clicks + almost 6 minutes • After: 2 clicks + less than 2 minutes

  7. Reporting (online + paper) • Paper Rounding Report – saved each Resident + Attending Physician 45 min/day

  8. Quality Measures or Performance

  9. Performance Reports

  10. Does Measuring Improve Quality? From: Healthcare IT News. 9/2008

  11. DM Patient Workflow

  12. My data

  13. Dynamic Algorithms

  14. Screening Tools

  15. Calculators

  16. You might want to move away from transcription if your notes read like ... • “The patient has been depressed since she began seeing me in 1993.” • “She has no rigors or shaking chills, but her husband states that she was very hot in bed last night.” • “The lab test indicated abnormal lover function.” • “Rectal examination revealed a normal size thyroid.”

  17. Clinical Documentation

  18. Patient Portal

  19. Future Projects • Alerts • CPOE - Order Sets • eRx • Search Engines • Handheld access • Online Pt Self Management • Pt-generated Hx • HIE • Regional Center

  20. Alerts

  21. CPOE - Order Sets

  22. eRx

  23. Search Engine Integrated medical search engine within the chart

  24. The Internet My Intranet My Notes My Email

  25. Handheld Devices • Getting data to display on portable devices

  26. Online PatientSelf-Management

  27. Patient-entered History

  28. Health Information Exchange

  29. Missouri HIT Assistance Center Help get providers to meaningful use Missouri – HIE website: • http://www.dss.mo.gov/hie/index.shtml Regional Center website: • http://telehealth.muhealth.org/general%20information/RC.html

  30. Questions • Email: kochendorferk@missouri.edu

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