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Harnessing the Ether: Integrating Evidence Based Decision Support

This is an abridged version of the PowerPoint, for a complete slide set, please email Kelly@nysafp.org. Harnessing the Ether: Integrating Evidence Based Decision Support. Michael K. Walsh DO,MS A+, Network+, IT+. GOALS.

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Harnessing the Ether: Integrating Evidence Based Decision Support

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  1. This is an abridged version of the PowerPoint, for a complete slide set, please email Kelly@nysafp.org Harnessing the Ether: Integrating Evidence Based Decision Support Michael K. Walsh DO,MS A+, Network+, IT+

  2. GOALS • Define the utility of electronic medical records (EMR) in the primary care setting • Review the literature pertaining to electronic clinical decision support • Consider some examples of clinical decision support application • Draw some conclusions and come up with some mechanisms for implementation

  3. DEFINITIONS • What is an “EMR”? • Xerox machine: • Fax/scanner/printer • We say EMR but most commonly we mean: • Computerized physician order entry (CPOE) • Electronic health record itself – the chart proper • Clinical decision support system (CDSS) • May also be tied to an imaging server (PACS)

  4. BENEFITS: THEORY AND PRACTICE • Benefits: Theoretical • CPOE : • Cuts down on paper • Tracking of orders • Billing • May be safer in terms of avoiding legibility errors • EHR: • Portability: global accessibility • Legibility • Single source summary of preventative care services • Standardization of how documentation is structured • Flowsheets

  5. Moving Forward • Continuity of Care Document has potential to bridge some inter-operability issues • XML based • Universal translator for Star Trek fans • Further research is needed once we re-focus and overcome some communication barriers

  6. Thank You • Questions? • Comments?

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