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An incremental approach to a Web-based computerized medical record.

B Hood¹, J Clarke, R Crouch

¹Wenatchee Valley Clinic.

Journal of Healthcare Information Management : JHIM

|October 20, 2001

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Physician practices can successfully adopt electronic medical records (EMR) through incremental implementation. This approach integrates various clinical data systems, enhancing physician access and productivity.

Area of Science:

Health Informatics
Medical Practice Management
Information Technology in Healthcare

Background:

Physician adoption of electronic medical records (EMR) presents significant challenges.
The Everett Clinic and Wenatchee Valley Clinic initiated a collaborative approach to EMR implementation.

Purpose of the Study:

To develop and implement an electronic medical record system that integrates clinical data access without disrupting physician workflow or productivity.
To incrementally introduce EMR functionalities to facilitate physician acceptance and usage.

Main Methods:

Formation of CliniTech Information Resources in 1995 to consolidate practice management and lab systems.
Development of incremental HTML applications: On Line Transcription, On Line Patient Profile, and On Line Lab Results.

Related Experiment Videos

Creation of a unified user interface in 2000 linking components to physician schedules and clinical references.

Main Results:

Physician usage of the computerized medical record (CMR) reached 70 percent.
The system successfully provided online access to clinical data, including chart notes, radiology reports, patient profiles, and lab results.
Future enhancements include electronic signature capabilities for transcription and results.

Conclusions:

An incremental strategy for EMR implementation can lead to successful physician adoption.
Integrating various clinical data sources into a single user interface enhances physician access and efficiency.
Continued development and feature additions are crucial for the ongoing growth and acceptance of EMR systems.