The use of focused electronic medical record forms to improve health-care outcomes
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Published on: January 20, 2019
Bryan D Caldwell1, Robert D Katz, Eugene M Pascarella
1Clinical Education and Operations, Ohio College of Podiatric Medicine, Independence, OH 44131, USA. bcaldwell@ocpm.edu
Background:
We tested the use of specifically designed electronic medical record forms, thereby demonstrating the ability to electronically capture, report, and compare clinical data. To that end, podiatric physicians can determine what constitutes the most effective program or treatment for specific conditions by documenting their treatment outcomes.
Methods:
A prospective case series was initiated to determine the value of using focused electronic medical record forms to track walking programs in the practices of podiatric physicians. Three patients were observed for 48 weeks using focused electronic medical record forms to input data (body mass index, cholesterol level, hemoglobin A(1c) level, blood pressure, and other vital information). Patients were given pedometers so that they could log their mileage and their podiatric physicians could enter it into the medical record. Information was collected using an electronic medical record system with the ability to link multiple templates together and assign logic to create flexible entry completion requirements. The clinical data generated are captured in a common database, where the data offer future opportunity to compare statistics among a multitude of practices in various demographic regions.
Results:
Focused electronic medical record forms were effectively used to track improvements and overall health benefits in a walking program supervised by podiatric physicians.
Conclusions:
Valuable information can be ascertained with focused electronic medical record forms to help determine treatment effectiveness. This information can later be compared with practices across many different demographics to ascertain the best evidence-based practice.
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Methods of Documentation VII: EMR
Methods of Documentation IV: Focus Charting
It typically involves three columns for recording information:
Health Information Technology and Healthcare Information System
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Purpose of Health Records I
Here's a breakdown of how health records serve these purposes:
Methods of Documentation II: POMR
Purpose of Health Records II
