| Electronic medical records: a practitioner's perspective on evaluation and implementation. | |
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MedLine Citation:
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PMID: 20822993 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This article describes the initial and ongoing efforts of our pulmonary medicine practice to deploy an electronic medical records (EMR) system. Key factors in the vendor selection and implementation process included (1) identification and commitment to long-term goals for EMR; (2) dedicated resources, including both physician and nonphysician champions to lead the design and implementation teams; and (3) ample patience and time allotted to achieve the desired results: a fully functional system that enhances quality, improves operational efficiency, and reduces costs. An EMR scorecard including multiple system attributes was designed to facilitate vendor comparisons. Perseverance, patience, and compromise were necessary to overcome the challenge of changing the behavior of providers and support staff. We have accomplished improvements in workflow automation and reductions in staff hours, office supplies, file space, and transcription costs. Our system lacks pulmonary-specific templates and prompts for work flow and clinical decision making. We have directed internal resources and outsourced professional support to design these features as our practice strives to enhance our quality of care with pulmonary disease management that conforms to national guidelines. |
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Authors:
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Edward Diamond; Kim French; Cynthia Gronkiewicz; Marilyn Borkgren |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Chest Volume: 138 ISSN: 1931-3543 ISO Abbreviation: Chest Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-09-08 Completed Date: 2010-10-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0231335 Medline TA: Chest Country: United States |
Other Details:
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Languages: eng Pagination: 716-23 Citation Subset: AIM; IM |
Affiliation:
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Suburban Lung Associates, Elk Grove Village, IL 60007, USA. edward.diamond@sublung.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Attitude of Health Personnel* Electronic Health Records / organization & administration* Humans Pulmonary Medicine / organization & administration* United States |
| Comments/Corrections | |
Comment In:
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Chest. 2010 Sep;138(3):472-4
[PMID:
20822984
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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