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Related Experiment Videos

The electronic patient record: a strategic planning framework

D B Gordon1, S Marafioti, M Carter

  • 1Institute of Biomedical Engineering, University of Toronto, Canada.

Medinfo. MEDINFO
|January 1, 1995
PubMed
Summary

Sunnybrook Health Science Center implemented an electronic patient record (EPR) system to enhance patient care. A three-domain model guides the EPR

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Area of Science:

  • Health Informatics
  • Healthcare Management
  • Information Systems in Healthcare

Background:

  • Sunnybrook Health Science Center, an academic teaching hospital, initiated an electronic patient record (EPR) taskforce in 1994.
  • The taskforce aimed to develop a strategic plan for a comprehensive, facility-wide EPR implementation.
  • The EPR is defined as a system supporting users with complete data, reminders, alerts, and clinical decision support, extending beyond traditional records.

Purpose of the Study:

  • To propose a conceptual framework for implementing a comprehensive electronic patient record (EPR) at Sunnybrook.
  • To define a three-domain model illustrating the impact of EPR on organizational structure and function.
  • To guide EPR development and prioritize implementation based on organizational impact.

Main Methods:

  • Formation of an electronic patient record taskforce.
  • Development of a three-domain model: High-Performance Teams (Domain 1), Integrated Organization (Domain 2), and Extended Enterprise (Domain 3).
  • Analysis of EPR's role in supporting patient-focused care, integrated services, and external information exchange.

Main Results:

  • The proposed three-domain model provides a framework for understanding EPR's influence on organizational dynamics.
  • Domain 1 focuses on EPR supporting decentralized, patient-focused teams with specific functions like cross-functional charting and clinical email.
  • Domain 2 emphasizes EPR's role in linking patient service units and facilities for a continuum of care, while Domain 3 addresses external information exchange.

Conclusions:

  • The three-domain model is a valuable tool for aligning EPR technology with Sunnybrook's organizational structure.
  • Sunnybrook will prioritize Domain 1 functionality, followed by Domain 2, with Domain 3 (inter-enterprise computing) as a lower priority until internal EPR adoption is significant.
  • The model guides EPR development guidelines and implementation priorities within the institution.

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