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Informatics-Review > Vol. 6 No. 13 - July 1 2003 -- Current Reviews in Clinical
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Tuition Discount for Enrollees in the
Graduate Certificate Program
Starting in the fall quarter of 2003, there will be a 5% tuition
discount to students in the Graduate Certificate Program who
are members of one of the following organizations:
* Healthcare
Information Management Systems Society
* Association of
Medical Directors of Information Systems
CPOE in Community Hospitals: Lessons from
the Field
Reviews Computer-based Physician Order Entry (CPOE) implementation
approaches taken in 10 different community hospitals, as well as the
observations of specialists from 5 CPOE software vendors who have
assisted multiple hospitals.
Key findings from the report include:
- As part of their efforts to improve patient safety,
many community hospitals in the United States are in various stages of
implementing CPOE.
- CPOE is still new to the hospital industry, with much
of the experience in academic medical centers. Roughly 9 of 10 U.S.
hospitals are community hospitals where community practice physicians,
rather than residents, must learn to write their orders electronically.
- Hospitals have
struggled with engaging physicians in CPOE because of the effort
required to master a new way of doing their work and the reality that
electronic order writing takes more time than pen and paper.
HIGH-TECH PHONES -- Saving way more than a
buck or two
The practice
uses Televox's LabCalls software for access to lab results and A4
Health Systems' HealthMatics electronic medical record system. "Test
results pop out of the lab's computer and go directly to our server and
onto our patients' EMR," says Ammon. The doctor is then notified at his
workstation that there are lab results he hasn't yet seen and where to
find them. He pulls up the EMR and reviews the reports. Most often,
he'll click on a message he recorded previously which says that results
are normal. If a report is abnormal or otherwise worrisome, the doctor
will record a new message giving the patient instructions, such as to
come back in two days, or to increase meds. But if something is
significant, the doctor will call the patient to come in for a follow-up
visit rather than wait for him to call in.
Medical Records Institute's Fifth Annual
Survey of Electronic Health Records Trends and Usage
The MRI Survey of EHR Trends and Usage reveals insights into the:
- Management,
administrative, and clinical motivations driving the need for Electronic
Health Record systems
- EHR applications and
functions being implemented or planned
- IT platforms used to
support EHR applications
- EHR configurations
for different environments
- Data capture methods
being employed
- Major barriers to
EHRs and the user strategies to address them
- Data security concerns
Demonstrations of knowledge management and
decision support systems for healthcare
Knowledge management applications are capable of providing a wide range
of intelligent services, including risk assessment, decision support,
image interpretation, decision making under uncertainty, process
scheduling and planning, monitoring and workflow. Demonstrator
applications providing a number of these services are accessible from
this page.
Implementing computerized physician order
entry: the importance of special people
A taxonomy of types of Special People includes administrative leaders,
clinical leaders (champions, opinion leaders, and curmudgeons), and
bridgers or support staff who interface directly with users. The
recognition and nurturing of Special People should be among the highest
priorities of those implementing computerized physician order entry.
Their education and training must be a goal of teaching programs in
health administration and medical informatics.
Open Source software in medical
informatics-why, how and what
Medical informatics researchers and funding agencies should support and
nurture this movement. In a world where open-source modules were
integrated into operational health care systems, informatics researchers
would have real world niches into which they could engraft and test
their software inventions. This could produce a burst of innovation that
would help solve the many problems of the health care system. We at the
Regenstrief Institute are doing our part by moving all of our
development to the open-source model.
MEDNET 2003 - the 8th Annual World
Conference on the Internet and Medicine -- Geneva,
Switzerland 4-6 December 2003
The theme of MEDNET 2003, "Internet in Health for All", emphasizes
Internet-based medical and health applications for citizens, patients,
medical practitioners and researchers in developing countries as
well as in wealthier nations.
Other issues from
Volume 6 -- 2001
© 2003 The Informatics Review
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Informatics-Review > Vol. 6 No. 13 - July 1 2003 -- Current Reviews in Clinical
Informatics
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7/6/03 dfs