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Greater Chicago Chapter of the Healthcare Information and Management Systems Society

Greater Chicago Chapter of the Healthcare Information and Management Systems Society. David Liebovitz, MD CMIO, Northwestern Medical Faculty Foundation. What does the doctor really want?. Make me faster! Make me smarter! Show me the data!. Make me faster!.

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Greater Chicago Chapter of the Healthcare Information and Management Systems Society

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  1. Greater Chicago Chapter of the Healthcare Information and Management Systems Society David Liebovitz, MD CMIO, Northwestern Medical Faculty Foundation

  2. What does the doctor really want? • Make me faster! • Make me smarter! • Show me the data!

  3. Make me faster! • Anticipate next steps. Primary “action” categories: • Review/update content (results, notes, CCR content) • Enter orders for meds/tests/nursing/consults • Create notes • Communicate with others • Workflow varies: enable any action in ANY context • System groupers and personal favorites for each • Fast application response!

  4. Make me smarter! • Interrupt real mistakes: HighS:N; i.e., don’t interrupt unless I’m doing something dumb; then, please do! • Eliminate dangerous options up front! (Dynamic order catalogs, sentences, and sets) • Leverage workflow: Med Red at admission and discharge with stepwise integration • Offer unobtrusive assistance with context sensitive reference algorithms, and data-sets (med info., scoring systems, “what’s new”)

  5. Show me the data!!!

  6. The Case of the ICU Report • Detailed reports requested. But… • Who is an ICU patient? • When is the patient an ICU patient? • Why is the patient in the ICU? • Where are the key data and events? • Reports now available after agreement on definitions.

  7. EHR’s: What do we have now? • Notes reproducing paper chart sections • CPOE drives downstream processes with rudimentary and primarily interruptive decision support • The “center’s” chart

  8. EHR’s: What’s missing? • It’s the patient’s chart, Doc! • Anticipatory support and guidance: • Truly finite actions list and content categories • All related content for “cockpit view” • Likely next steps when viewing results, ordering, etc. • Not via interruptions; “convenience panels” • Problem centered structure • Up to the minute handoffs • Actions taken in problem context generating notes

  9. Questions? • DavidL@northwestern.edu • https://www.medinformatics.northwestern.edu/

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