Post on 25-Dec-2015
transcript
Electronic Health Electronic Health Records and Quality Records and Quality in a Physician’s Officein a Physician’s Office
By Wesley Eastridge, M.D.By Wesley Eastridge, M.D.
For SMA Annual Scientific AssemblyFor SMA Annual Scientific Assembly
November 11, 2005November 11, 2005
Disclaimer:Disclaimer:
Owner/partner of Lakes Mercure electronic health record.
Information in this presentation is generic to all electronic health records programs and not specific to any one.
outlineoutline
Discuss current quality initiativesDiscuss current quality initiatives Demonstrate how electronic health Demonstrate how electronic health
records improved my practice of records improved my practice of medicinemedicine
Caution on reckless use of healthcare Caution on reckless use of healthcare informationinformation
““The degree to which health services for The degree to which health services for individuals and populations increase the individuals and populations increase the likelihood of desired health outcomes and likelihood of desired health outcomes and are consistent with current professional are consistent with current professional knowledge.”knowledge.”
Something we don’t want someone else Something we don’t want someone else measuring wrong to penalize us.measuring wrong to penalize us.
. “The duty of a physician is… Rarely to . “The duty of a physician is… Rarely to cure, often to make better and always to cure, often to make better and always to console.” console.”
- A French Physician- A French Physician
Quality Indicator QueryQuality Indicator Query
Total patients: 612
459 within 90 days of last office visit = 75%
341 had a1c <=7, which is 63%
Health Data ExchangeHealth Data Exchange
Goofus:
Computer applications cost money and are frustrating to learn.
Health Data ExchangeHealth Data Exchange
Goofus:
Computer applications cost money and are frustrating to learn.
Gallant:
Doctors will order duplicate tests less because they have all the results available to them. The chance of adverse medicine interactions decreases as each prescriber knows the other prescriber’s medicines. Doctors can improve their practice as they get feedback from quality indicators.
Health Data ExchangeHealth Data Exchange
Goofus:
But those quality indicators can be misleading. One could be penalized with poor average blood sugar control indicators if they choose to take care of difficult and non-compliant patients who don’t want to do all the testing and careful schedules tight sugar control requires.
Health Data ExchangeHealth Data Exchange
Goofus:
But those quality indicators can be misleading. One could be penalized with poor average blood sugar control indicators if they choose to take care of difficult and non-compliant patients who don’t want to do all the testing and careful schedules tight sugar control requires.
Gallant:
Any quality tests we begin with will be imperfect, but the physician could be given opportunity to comment on their results, and there will be many indicators developed over time which are validated by larger studies.
Health Data ExchangeHealth Data Exchange
Goofus:
Who is going to want their medical information out on the Internet for all the world to see?
Health Data ExchangeHealth Data Exchange
Goofus:
Who is going to want their medical information out on the Internet for all the world to see?
Gallant:
Not for all the world. We have the technology to effectively restrict that information to only those who should know. We can let the patient see their own data, designate who gets to see it, and revoke permission at will. They can see a log of who has accessed their data as well.
Health Data ExchangeHealth Data Exchange
Goofus:
Big Brother is watching you! The government can use this information to dig up dirt on an opposition politician or an activist or agitator.
Health Data ExchangeHealth Data Exchange
Goofus:
Big Brother is watching you! The government can use this information to dig up dirt on an opposition politician or an activist or agitator.
Gallant:
It’s our responsibility as free citizens to protect our privacy. We have to put safeguards to keep administrators or officials from accessing the data without court orders.
And now, this…And now, this…
Electronic health records are a powerful Electronic health records are a powerful and useful tool for improving our ability to and useful tool for improving our ability to provide quality healthcare to our patients.provide quality healthcare to our patients.
And now, this…And now, this…
Electronic health records are a powerful Electronic health records are a powerful and useful tool for improving our ability to and useful tool for improving our ability to provide quality healthcare to our patients.provide quality healthcare to our patients.
Protection from misuse of information to Protection from misuse of information to the detriment of the patient or the the detriment of the patient or the healthcare provider will require vigilance healthcare provider will require vigilance and diligence.and diligence.