missouri state medical association electronic medical records seminar january 30 th, 2010 st. louis,...
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Missouri State Medical AssociationElectronic Medical Records Seminar
January 30th, 2010St. Louis, MO
Karl Kochendorfer, MDAssistant Clinical Professor Family and Community MedicineDirector of Clinical InformaticsAdjunct Faculty, MU Informatics
InstituteFounder, Medsocket LLCPhysician Consultant, Cerner Corp
Current state of EMR usage at my clinic
Shared experience (EMR users)Data on our outcomesFuture effortsQuestions?
Who has something like this in their EMR?
Previously: 60 clicks + almost 6 minutes
After: 2 clicks + less than 2 minutes
Paper Rounding Report – saved each Resident + Attending Physician 45 min/day
From: Healthcare IT News. 9/2008
FCM Diabetic Patient Prep
FLOOR NURSE NURSE PARTNER PROVIDERPSR
Patient Arrives & Floor Notified
No
Yes
Vital Signs TakenChart Reviewed
PrintPatient
SummaryPatient
Diabetic?
Patient Examined and
Treated
Print & Review Diabetic SummaryCheck 8 Diabetic
Quality Measures to ensure all are met
Documents NP interventions
on DM Summary & PowerChart
Reviews DM Summary for
Accuracy
Patient Examined and
Treated
Billing Sheet with Referrals & Labs to PSR with Patient
Schedules Labs &
Appointments
FCM Diabetic Patient Prep
FLOOR NURSE NURSE PARTNER PROVIDERPSR
Patient Arrives & Floor Notified
No
Yes
Vital Signs TakenChart Reviewed
PrintPatient
SummaryPatient
Diabetic?
Patient Examined and
Treated
Print & Review Diabetic SummaryCheck 8 Diabetic
Quality Measures to ensure all are met
Documents NP interventions
on DM Summary & PowerChart
Reviews DM Summary for
Accuracy
Patient Examined and
Treated
Billing Sheet with Referrals & Labs to PSR with Patient
Schedules Labs &
Appointments
“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.”
Integrated medical search engine within the chart
My Email
My Notes
The Internet
My Intranet
Getting data to display on portable devices
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
Email: [email protected]