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Quill: a novel approach to structured reporting
Edward Shultz1, Trent Rosenbloom, Wendy Kiepek
1Department of Biomedical Informatics, Pediatrics, and Internal Medicine, Vanderbilt University Medical Center, USA.
AMIA ... Annual Symposium Proceedings. AMIA Symposium
|January 20, 2004
Summary
Vanderbilt University Medical Center developed Quill, a structured reporting tool for ambulatory care. This system aims to reduce transcription costs and paper use, while enabling future decision support and research.
Area of Science:
- Health Informatics
- Clinical Documentation
- Ambulatory Care
Background:
- Transcription costs for clinical notes at Vanderbilt University Medical Center exceed $6 million annually.
- Current paper-based processing of clinical notes is inefficient and costly.
- A need exists for a structured reporting environment to improve efficiency and data utilization.
Purpose of the Study:
- To introduce Quill (QUestions and Information Logically Linked), a novel structured reporting environment for ambulatory care.
- To demonstrate the capabilities of Quill in capturing clinical notes.
- To provide a foundation for enhanced decision support and future research.
Main Methods:
- Development of Quill, a comprehensive structured reporting environment.
- Implementation of a notes capture tool within the ambulatory care setting.
- Focus on structured data entry to replace traditional transcription and paper-based methods.
Main Results:
- Quill offers a structured approach to clinical note capture.
- Potential for significant reduction in transcription costs and paper-based processes.
- Establishes a data foundation for clinical decision support and research.
Conclusions:
- Quill represents a significant advancement in ambulatory care reporting.
- The system is designed to streamline clinical documentation and reduce operational costs.
- Quill provides a platform for future data-driven improvements in patient care and research.